Successful Use of Calcium Chloride in Acute Calcium Channel Blocker Overdose With Shock: A Case Report.

Calcium channel blockers (CCBs) are widely used to manage hypertension and certain heart rhythm disorders, including tachyarrhythmias. However, in overdose, these medications can cause serious, life-threatening effects. Common complications include bradycardia, low blood pressure, and shock.
Standard treatment for CCB overdose includes calcium gluconate and catecholamines. These aim to support heart rate and blood pressure. However, in severe cases, these therapies may not be enough. Clinicians then must turn to alternative strategies.
A recent case study shows the possible benefit of using calcium chloride in such situations. The case involved a 60-year-old woman who intentionally overdosed on amlodipine, a common CCB. She developed hypotensive shock. Her condition did not improve with calcium gluconate, glucagon, or catecholamines.
Once intravenous calcium chloride was given, her blood pressure stabilized quickly, and she fully recovered. This case suggests that calcium chloride could be helpful where traditional treatments fall short. It could be a useful replacement for people suffering from severe, treatment-resistant CCB overdose. The patient's fast response highlights the need for early calcium chloride consideration in treatment. Its performance in this regard also points to the necessity of greater study. Knowing its role in preventing a CCB overdose would enable very sick patients to recover. Link: https://pubmed.ncbi.nlm.nih.gov/40206927/