Refractory Hypodynamic Shock: Role of Insulin in Toxodromes

Nilma Malik, Vishwanath Pattan, Hongxiu Luo, Waqas Jehangir, Shuvendu Sen, Abdalla Yousif


Calcium channel blocker (CCB) and beta blocker (BB) toxicities are considered the most common lethal prescription drug overdoses. Awareness regarding implementation of insulin-euglycemia state in treatment of anti-hypertensive overdose is limited in clinical practice. We report a similar case of a 56 years old male who presented with CCB and BB overdose and responded exceptionally well to aforementioned regimen. This case further emphasizes that it is imperative for clinicians to recognize that prompt initiation of high-dose insulin therapy has significant morbidity and mortality benefits in these toxodromes.

J Med Cases. 2014;5(8):427-429


Insulin; Hypodynamic; Toxodromes; Euglycemia

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