When is insulin therapy indicated in the treatment of calcium channel blocker (CCB) toxicity?

Updated: Jan 04, 2021
  • Author: B Zane Horowitz, MD, FACMT; Chief Editor: Michael A Miller, MD  more...
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Answer

Hypodynamic shock due to calcium channel antagonist (CCB) or beta-blocker (BB) toxicity:

  • HIE is most effective when there is evidence of depressed myocardial activity
  • HIE can be considered for use alongside other pharmacological measures for CCB toxicity (intravenous fluid, calcium, glucagon, dopamine, or norepinephrine)

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