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metoprolol and Drug Overdose

metoprolol has been researched along with Drug Overdose in 24 studies

Metoprolol: A selective adrenergic beta-1 blocking agent that is commonly used to treat ANGINA PECTORIS; HYPERTENSION; and CARDIAC ARRHYTHMIAS.
metoprolol : A propanolamine that is 1-(propan-2-ylamino)propan-2-ol substituted by a 4-(2-methoxyethyl)phenoxy group at position 1.

Drug Overdose: Accidental or deliberate use of a medication or street drug in excess of normal dosage.

Research Excerpts

ExcerptRelevanceReference
"We document a pediatric case report of death due to a mixed drug overdose of metoprolol and propafenone, along with data regarding serum metoprolol, alfa-hydroxymetoprolol, and propafenone levels."3.85Lethal suicide attempt with a mixed-drug intoxication of metoprolol and propafenone - A first pediatric case report. ( Grundmann, M; Handlos, P; Kacirova, I; Kolek, M; Urinovska, R; Vyskocilova-Hrudikova, E, 2017)
" In this case report we describe the use of high-dose insulin (10 IU/kg per hour) in a case of massive metoprolol ingestion (5g) in which hypotension was unresponsive to conventional therapies."3.75The use of high-dose insulin-glucose euglycemia in beta-blocker overdose: a case report. ( Hacket, LP; Isbister, GK; Page, C, 2009)
" Insulin was infused for a total of approximately 37 hours, most of which was dosed at 10 U/kg/hour; following discontinuation, serial serum insulin levels were drawn and remained at supraphysiologic levels for at least 24 hours and well above reference range for multiple days thereafter."1.56Persistent Hyperinsulinemia Following High-Dose Insulin Therapy: A Case Report. ( Bangh, SA; Cole, JB; Corcoran, JN; Jacoby, KJ; Olives, TD, 2020)
"Despite these therapies, he developed cardiac arrest for 55 minutes, requiring epinephrine (5 mg IV) and vasopressin (40 U IV) with multiple episodes of return of spontaneous circulation."1.42Successful treatment of metoprolol-induced cardiac arrest with high-dose insulin, lipid emulsion, and ECMO. ( Escajeda, JT; Katz, KD; Rittenberger, JC, 2015)
"Metoprolol is a moderately lipophilic β-blocker that in overdose causes direct myocardial depression leading to bradycardia, hypotension, and the potential for cardiovascular collapse."1.42Successful treatment of a massive metoprolol overdose using intravenous lipid emulsion and hyperinsulinemia/euglycemia therapy. ( Barton, CA; Beauchamp, G; Hendrickson, R; Johnson, NB; Mah, ND, 2015)
"Propranolol was the only beta blocker associated with seizure; of those who ingested more than 2 g of propranolol, two thirds had a seizure."1.29Relative toxicity of beta blockers in overdose. ( Buckley, NA; Dawson, AH; Epid, D; Reith, DM; Sayer, GP; Whyte, IM, 1996)
"Metoprolol was extracted from postmortem specimens and derivatized with the chiral reagent 2,3,4,6-tetra-O-acetyl-beta-D-glucopyranosyl isothiocyanate."1.29Distribution of metoprolol enantiomers in a fatal overdose. ( Jones, G; Mozayani, A; Singer, P, 1995)

Research

Studies (24)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's6 (25.00)18.2507
2000's3 (12.50)29.6817
2010's13 (54.17)24.3611
2020's2 (8.33)2.80

Authors

AuthorsStudies
Corcoran, JN1
Jacoby, KJ1
Olives, TD1
Bangh, SA1
Cole, JB2
Salam, S1
Nornhold, B1
Mallat, J1
Carroll, C1
Hassanin, A1
Chenoweth, JA1
Colby, DK1
Sutter, ME1
Radke, JB1
Ford, JB1
Nilas Young, J1
Richards, JR1
Kacirova, I1
Grundmann, M1
Kolek, M1
Vyskocilova-Hrudikova, E1
Urinovska, R1
Handlos, P1
Nordmark Grass, J1
Ahlner, J1
Kugelberg, FC1
Steinwall, J1
Forsman, P1
Lindeman, E1
Calzadilla, A1
Badiye, A1
Ghodsizad, A1
Bernstein, J1
Campos, M1
Mirsaeidi, M1
Li, SF1
Edwards, L1
Nguyen, V1
Eren Cevik, S1
Tasyurek, T1
Guneysel, O1
Escajeda, JT1
Katz, KD1
Rittenberger, JC1
Barton, CA1
Johnson, NB1
Mah, ND1
Beauchamp, G1
Hendrickson, R1
Maskell, KF1
Ferguson, NM1
Bain, J1
Wills, BK1
Page, C1
Hacket, LP1
Isbister, GK1
Senthilkumaran, S1
Balamurgan, N1
Sweni, S1
Thirumalaikolundusubramanian, P1
Stellpflug, SJ1
Fritzlar, SJ1
Engebretsen, KM1
Holger, JS1
Ramdas, S1
Riesenberg, LA1
Jasani, N1
Kinoshita, H1
Taniguchi, T1
Nishiguchi, M1
Ouchi, H1
Minami, T1
Utsumi, T1
Motomura, H1
Tsuda, T1
Ohta, T1
Aoki, S1
Komeda, M1
Kamamoto, T1
Kubota, A1
Fuke, C1
Arao, T1
Miyazaki, T1
Hishida, S1
Wnek, W1
Love, JN1
Almási, R1
Mágel, F1
Kósik, G1
Reith, DM1
Dawson, AH1
Epid, D1
Whyte, IM1
Buckley, NA1
Sayer, GP1
Mozayani, A1
Singer, P1
Jones, G1
Hoeper, MM1
Boeker, KH1
Tai, YT1
Lo, CW1
Chow, WH1
Cheng, CH1

Reviews

1 review available for metoprolol and Drug Overdose

ArticleYear
Massive metoprolol overdose requiring ECMO: brief review of the evidence behind recommended treatments.
    BMJ case reports, 2021, May-05, Volume: 14, Issue:5

    Topics: Drug Overdose; Extracorporeal Membrane Oxygenation; Fat Emulsions, Intravenous; Humans; Male; Metopr

2021

Other Studies

23 other studies available for metoprolol and Drug Overdose

ArticleYear
Persistent Hyperinsulinemia Following High-Dose Insulin Therapy: A Case Report.
    Journal of medical toxicology : official journal of the American College of Medical Toxicology, 2020, Volume: 16, Issue:4

    Topics: Adrenergic beta-1 Receptor Antagonists; Amlodipine; Bradycardia; Calcium Channel Blockers; Drug Admi

2020
Polypharmacy in the Elderly-When Good Drugs Lead to Bad Outcomes: A Teachable Moment.
    JAMA internal medicine, 2017, 06-01, Volume: 177, Issue:6

    Topics: Aged, 80 and over; Anti-Arrhythmia Agents; Antihypertensive Agents; Atorvastatin; Atrial Fibrillatio

2017
Massive diltiazem and metoprolol overdose rescued with extracorporeal life support.
    The American journal of emergency medicine, 2017, Volume: 35, Issue:10

    Topics: Adult; Anti-Arrhythmia Agents; Diltiazem; Dose-Response Relationship, Drug; Drug Overdose; Extracorp

2017
Lethal suicide attempt with a mixed-drug intoxication of metoprolol and propafenone - A first pediatric case report.
    Forensic science international, 2017, Volume: 278

    Topics: Adolescent; Adrenergic beta-1 Receptor Antagonists; Anti-Arrhythmia Agents; Brain Edema; Cerebral He

2017
A case of massive metoprolol and amlodipine overdose with blood concentrations and survival following extracorporeal corporeal membrane oxygenation (ECMO).
    Clinical toxicology (Philadelphia, Pa.), 2019, Volume: 57, Issue:1

    Topics: Adult; Amlodipine; Drug Overdose; Extracorporeal Membrane Oxygenation; Female; Humans; Metoprolol; S

2019
A Young Woman with Bradycardia and Hypotension.
    Annals of the American Thoracic Society, 2018, Volume: 15, Issue:9

    Topics: Adrenergic beta-1 Receptor Antagonists; Analgesics, Opioid; Benzodiazepines; Bradycardia; Central Ne

2018
Treatment of caffeine toxicity with metoprolol.
    The American journal of emergency medicine, 2019, Volume: 37, Issue:3

    Topics: Adult; Anti-Arrhythmia Agents; Caffeine; Drug Overdose; Electrocardiography; Emergency Service, Hosp

2019
Intralipid emulsion treatment as an antidote in lipophilic drug intoxications.
    The American journal of emergency medicine, 2014, Volume: 32, Issue:9

    Topics: Adolescent; Adult; Alprazolam; Amitriptyline; Antidotes; Blood Pressure; Dibenzothiazepines; Drug Ov

2014
Successful treatment of metoprolol-induced cardiac arrest with high-dose insulin, lipid emulsion, and ECMO.
    The American journal of emergency medicine, 2015, Volume: 33, Issue:8

    Topics: Adrenergic beta-1 Receptor Antagonists; Drug Overdose; Extracorporeal Membrane Oxygenation; Fat Emul

2015
Successful treatment of a massive metoprolol overdose using intravenous lipid emulsion and hyperinsulinemia/euglycemia therapy.
    Pharmacotherapy, 2015, Volume: 35, Issue:5

    Topics: Adrenergic beta-1 Receptor Antagonists; Drug Overdose; Fat Emulsions, Intravenous; Heart Arrest; Hum

2015
Survival After Cardiac Arrest: ECMO Rescue Therapy After Amlodipine and Metoprolol Overdose.
    Cardiovascular toxicology, 2017, Volume: 17, Issue:2

    Topics: Adolescent; Adrenergic beta-1 Receptor Antagonists; Amlodipine; Calcium Channel Blockers; Drug Overd

2017
The use of high-dose insulin-glucose euglycemia in beta-blocker overdose: a case report.
    Journal of medical toxicology : official journal of the American College of Medical Toxicology, 2009, Volume: 5, Issue:3

    Topics: Adrenergic beta-Antagonists; Antidotes; Blood Glucose; Blood Pressure; Critical Care; Drug Administr

2009
Acute episode of reversible blindness after an overdose of beta blockers and calcium channel antagonist.
    The American journal of emergency medicine, 2011, Volume: 29, Issue:4

    Topics: Adrenergic beta-1 Receptor Antagonists; Adult; Blindness; Calcium Channel Blockers; Drug Overdose; F

2011
Cardiotoxic overdose treated with intravenous fat emulsion and high-dose insulin in the setting of hypertrophic cardiomyopathy.
    Journal of medical toxicology : official journal of the American College of Medical Toxicology, 2011, Volume: 7, Issue:2

    Topics: Adrenergic beta-1 Receptor Antagonists; Adult; Amiodarone; Cardiomyopathy, Hypertrophic; Cardiotoxin

2011
Drug overdose with refractory bradycardia and hypotension.
    Delaware medical journal, 2011, Volume: 83, Issue:6

    Topics: Antihypertensive Agents; Bradycardia; Clonazepam; Diltiazem; Drug Overdose; Female; GABA Modulators;

2011
An autopsy case of combined drug intoxication involving verapamil, metoprolol and digoxin.
    Forensic science international, 2003, Apr-23, Volume: 133, Issue:1-2

    Topics: Adrenergic beta-Antagonists; Adult; Anti-Arrhythmia Agents; Calcium Channel Blockers; Digoxin; Drug

2003
[The use of intra-aortic balloon counterpulsation in the treatment of severe hemodynamic instability from myocardial depressant drug overdose].
    Przeglad lekarski, 2003, Volume: 60, Issue:4

    Topics: Adult; Antihypertensive Agents; Bradycardia; Counterpulsation; Diltiazem; Drug Overdose; Fatal Outco

2003
Beta-blocker toxicity: a clinical diagnosis.
    The American journal of emergency medicine, 1994, Volume: 12, Issue:3

    Topics: Adult; Drug Overdose; Electrocardiography; Humans; Male; Metoprolol; Suicide, Attempted

1994
[Cardiogenic shock and ventricular fibrillation induced by prajmalium and metoprolol poisoning].
    Orvosi hetilap, 1996, Mar-31, Volume: 137, Issue:13

    Topics: Adult; Anti-Arrhythmia Agents; Dose-Response Relationship, Drug; Drug Overdose; Drug Synergism; Huma

1996
Relative toxicity of beta blockers in overdose.
    Journal of toxicology. Clinical toxicology, 1996, Volume: 34, Issue:3

    Topics: Adolescent; Adrenergic beta-Antagonists; Adult; Aged; Atenolol; Child, Preschool; Databases, Factual

1996
Distribution of metoprolol enantiomers in a fatal overdose.
    Journal of analytical toxicology, 1995, Volume: 19, Issue:6

    Topics: Adolescent; Adrenergic beta-Antagonists; Calibration; Drug Overdose; Female; Forensic Medicine; Gast

1995
Overdose of metoprolol treated with enoximone.
    The New England journal of medicine, 1996, Nov-14, Volume: 335, Issue:20

    Topics: Adrenergic beta-Antagonists; Cardiotonic Agents; Drug Overdose; Enoximone; Female; Humans; Metoprolo

1996
Successful resuscitation and survival following massive overdose of metoprolol.
    The British journal of clinical practice, 1990, Volume: 44, Issue:12

    Topics: Adult; Drug Overdose; Female; Glucagon; Heart Arrest; Humans; Metoprolol; Pregnancy; Pregnancy Compl

1990