Calcium channel blocker (CCB) overdose
- Shock/bradycardia require aggressive support
- IV calcium is an early therapy
- High-dose insulin is central in severe poisoning
- Vasopressors often needed
- Correct glucose/electrolytes + acidosis
- Refractory cases may need lipid therapy or ECMO
Use at a glance
- Shock/bradycardia require aggressive support
Escalation / refractory disease
- Refractory cases may need lipid therapy or ECMO
Treatment options
- IV calcium is an early therapy
- Vasopressors often needed
Other treatment options
- High-dose insulin is central in severe poisoning
Practical pearls
- Correct glucose/electrolytes + acidosis
Self-check
- What may refractory CCB poisoning need?
Lipid therapy or ECMO. - Which therapy is central in severe CCB poisoning?
High-dose insulin.
Drugs used for this (3)
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