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10.3109/15563650903524126

http://scihub22266oqcxt.onion/10.3109/15563650903524126
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20199131!ä!20199131

suck abstract from ncbi


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pmid20199131      Clin+Toxicol+(Phila) 2010 ; 48 (2): 149-52
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  • A case of torsades de pointes induced by severe QT prolongation after an overdose of eperisone and triazolam in a patient receiving nifedipine #MMPMID20199131
  • Yamagiwa T; Amino M; Morita S; Yamamoto R; Saito T; Inokuchi S
  • Clin Toxicol (Phila) 2010[Feb]; 48 (2): 149-52 PMID20199131show ga
  • INTRODUCTION: Eperisone hydrochloride is a centrally acting muscle relaxant, and triazolam is a short-acting benzodiazepine. Although commonly prescribed, cardiotoxicity induced by a single overdose of either drug is comparatively rare. A patient receiving nifedipine developed torsades de pointes (TdP) because of prolongation of the corrected QT (QTc) interval after an overdose of eperisone hydrochloride and triazolam. CASE REPORT: A 60-year-old man receiving nifedipine was admitted in a comatose condition 3 h after ingesting 5,000 mg of eperisone and 2.5 mg of triazolam. Electrocardiogram showed sinus rhythm with prolongation of the QTc interval (820 ms). The serum electrolyte levels were as follows: potassium, 3.8 mEq/L; magnesium, 2.4 mg/dL. The serum drug concentrations were high: eperisone, 15,360 ng/mL; triazolam, 110.8 ng/mL. A temporary cardiac pacemaker was implanted immediately after the development of TdP, 11 h after the ingestion. The serum triazolam concentration normalized on day 2. The QTc interval and eperisone concentration normalized on day 6. CONCLUSION: Eperisone and triazolam overdose can cause life-threatening cardiotoxicity. Electrocardiographic monitoring and serial determination of QTc interval are likely the best way to observe these patients and evaluate the risk of cardiotoxicity.
  • |Anti-Anxiety Agents/pharmacokinetics/poisoning[MESH]
  • |Calcium Channel Blockers/adverse effects[MESH]
  • |Coma/chemically induced[MESH]
  • |Drug Interactions[MESH]
  • |Drug Overdose[MESH]
  • |Electrocardiography[MESH]
  • |Humans[MESH]
  • |Long QT Syndrome/*chemically induced[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Muscle Relaxants, Central/pharmacokinetics/poisoning[MESH]
  • |Nifedipine/adverse effects[MESH]
  • |Propiophenones/pharmacokinetics/*poisoning[MESH]
  • |Torsades de Pointes/*chemically induced[MESH]


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