Journal of Acute Care

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VOLUME 1 , ISSUE 1 ( January-April, 2022 ) > List of Articles


Challenges in Managing a Patient with Refractory Shock due to Telmisartan Overdose

Pooja R Murthy, Gopala K Ravi, KV Venkatesha Gupta, Poonam P Rai

Keywords : High-dose insulin—dextrose, Methylene blue, Refractory shock, Telmisartan

Citation Information : Murthy PR, Ravi GK, Gupta KV, Rai PP. Challenges in Managing a Patient with Refractory Shock due to Telmisartan Overdose. 2022; 1 (1):26-28.

DOI: 10.5005/jp-journals-10089-0001

License: CC BY-NC 4.0

Published Online: 12-07-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Angiotensin receptor blockers are commonly used to treat hypertension. However, the toxicity of this medication can be life-threatening and can cause severe hypotension and refractory shock. There are no case reports or published guidelines for its management. We hereby present a case of a young female with telmisartan overdose who was managed with multiple vasopressors and rescue therapies like methylene blue, high-dose glucose-insulin infusion, ascorbic acid, thiamine, steroids, and other agents. Early detection and intensive management of refractory shock are necessary to prevent mortality.

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