Prolonged Refractory Hypotension following Combined Amlodipine and Losartan Ingestion Responsive to Metaraminol
2011

Case of Severe Hypotension from Amlodipine and Losartan Overdose Treated with Metaraminol

Sample size: 1 publication Evidence: low

Author Information

Author(s): James O. M. Plumb, Craig Stewart, Michael Eddleston, Thearina de Beer

Primary Institution: Nottingham University Hospitals Trust

Hypothesis

Can metaraminol be an effective treatment for severe hypotension caused by combined amlodipine and losartan overdose?

Conclusion

Metaraminol infusion may be beneficial in treating severe cases of calcium channel blocker and angiotensin II receptor antagonist toxicity when other treatments fail.

Supporting Evidence

  • Metaraminol was the only treatment that significantly improved the patient's blood pressure.
  • The patient had taken a large overdose of losartan and amlodipine.
  • Conventional treatments failed to stabilize the patient's condition.

Takeaway

A woman took too many blood pressure pills and had very low blood pressure. A medicine called metaraminol helped her feel better when other treatments didn't work.

Methodology

Case report detailing the treatment of a patient with severe hypotension due to overdose.

Limitations

Only one case is reported, limiting generalizability.

Participant Demographics

50-year-old female with a history of type 2 diabetes, hypertension, and morbid obesity.

Digital Object Identifier (DOI)

10.1155/2011/283672

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