What are the Treatment Options for Verapamil Toxicity?
Treatment for verapamil toxicity is supportive and may involve several interventions:
Activated Charcoal: This can be used if the patient presents within a few hours of ingestion to reduce drug absorption. Intravenous Fluids and Vasopressors: These are administered to counteract hypotension and maintain adequate perfusion. Calcium: Intravenous calcium gluconate or calcium chloride may be used to help overcome the calcium channel blockade. Atropine or Pacemaker: Atropine can be used for bradycardia, and temporary pacing may be required if there is significant heart block. Insulin and Glucose Therapy: High-dose insulin euglycemia therapy has shown benefits in improving cardiac contractility and hemodynamics in severe cases.
