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Two cases of fatal amlodipine overdose.
J Anal Toxicol. 2006 Jun; 30(5):346-51.JA

Abstract

Two fatal overdoses of the calcium channel blocker amlodipine are described. Postmortem samples were screened for volatiles and therapeutic and abused drugs. Amlodipine was measured by liquid chromatography-atmospheric pressure photoionization-mass spectrometry. The heart blood amlodipine concentrations for the two cases were 2.4 and 0.95 mg/L, and amlodipine was quantified in all other tissues. In the first case, venlafaxine and norvenlafaxine were also found, and the angiotensin receptor antagonist olmesartan was tentatively identified. The concentrations of amlodipine are compared with previously reported fatal and nonfatal overdoses. The medical examiners ruled in both cases that the manner of death was suicide and the causes of death were mixed drug intoxication and amlodipine intoxication.

Authors+Show Affiliations

Division of Forensic Toxicology, Office of the Armed Forces Medical Examiner, 1413 Research Blvd., Rockville, Maryland 20850, USA. Jason.Sklerov@dc.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16839474

Citation

Sklerov, Jason H., et al. "Two Cases of Fatal Amlodipine Overdose." Journal of Analytical Toxicology, vol. 30, no. 5, 2006, pp. 346-51.
Sklerov JH, Levine B, Ingwersen KM, et al. Two cases of fatal amlodipine overdose. J Anal Toxicol. 2006;30(5):346-51.
Sklerov, J. H., Levine, B., Ingwersen, K. M., Aronica-Pollack, P. A., & Fowler, D. (2006). Two cases of fatal amlodipine overdose. Journal of Analytical Toxicology, 30(5), 346-51.
Sklerov JH, et al. Two Cases of Fatal Amlodipine Overdose. J Anal Toxicol. 2006;30(5):346-51. PubMed PMID: 16839474.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Two cases of fatal amlodipine overdose. AU - Sklerov,Jason H, AU - Levine,Barry, AU - Ingwersen,Kathleen M, AU - Aronica-Pollack,Patricia A, AU - Fowler,David, PY - 2006/7/15/pubmed PY - 2006/12/9/medline PY - 2006/7/15/entrez SP - 346 EP - 51 JF - Journal of analytical toxicology JO - J Anal Toxicol VL - 30 IS - 5 N2 - Two fatal overdoses of the calcium channel blocker amlodipine are described. Postmortem samples were screened for volatiles and therapeutic and abused drugs. Amlodipine was measured by liquid chromatography-atmospheric pressure photoionization-mass spectrometry. The heart blood amlodipine concentrations for the two cases were 2.4 and 0.95 mg/L, and amlodipine was quantified in all other tissues. In the first case, venlafaxine and norvenlafaxine were also found, and the angiotensin receptor antagonist olmesartan was tentatively identified. The concentrations of amlodipine are compared with previously reported fatal and nonfatal overdoses. The medical examiners ruled in both cases that the manner of death was suicide and the causes of death were mixed drug intoxication and amlodipine intoxication. SN - 0146-4760 UR - https://www.unboundmedicine.com/medline/citation/16839474/Two_cases_of_fatal_amlodipine_overdose_ L2 - https://academic.oup.com/jat/article-lookup/doi/10.1093/jat/30.5.346 DB - PRIME DP - Unbound Medicine ER -