A Case of Salbutamol Poisoning with Hypoglycemia

Authors

  • Dr. Ganesh Misal
  • Dr. Prajakta Ghatage
  • Dr. Ramesh Kothari
  • Dr. Sunil Mhaske

Keywords:

Salbutamol, Albuterol, Beta agonist, Salbutamol Poisoning

Abstract

Salbutamol, also known as albuterol is a Beta agonist that opens up the medium and large airways in the lungs. It is used to treat asthma including asthma attacks, exercise-induced bronchoconstriction, and chronic obstructive pulmonary disease. The most common side effects are fine tremor, anxiety, headache, muscle cramps, dry mouth, and palpitations. In higher doses it causes hypokalemia leading to ECG changes and arrhythmias. Here we are reporting a case of 13 year female with intentional consumption of 20 tablets asthalin and presented with vomiting, tremors, tachycardia, hypotension and blood glucose level of 208 mg/dl. Gastric lavage, activated charcoal, intravenous hydration and electrocardiogram (ECG) were performed.She had 1 episode of hypoglycemia 4 hours after hospital admission. Her plasma potassium level, blood sugar and QT interval were closely monitored during hospitalisation and was discharged after 72 hours.

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References

“WHO Model List of Essential Medicines (19th List)” (PDF). World Health organization. April 2015. Archived (PDF) from the original on 13 December 2016.

Lemke, T. L.; Williams, D.A.; Roche, V. F.; Zito, S. W. (2013). Foye’s principles of Medicinal Chemistry. Philadelphia, PA: Lippincott Williams & Wilkins. pp.1314-1320.

Collomp, K; Candau, R; Lasne, F; Labsy, Z; Prefaut, C; De Ceaurriz, J (2000). “Effects of short-term oral salbutamol administration on exercise endurance and metabolism”. Journal of Applied physiology. 89(2): 430-6.

Spiller HA, Tanishka EA, Henretig FM, Joffe MA two year retrospective study of accidental Pediatric salbutamol ingestion. Pediatruc emergency care 9.6 1993 Dec 337-40.

M Riordan, G Rylance, K Berry Poisoning in children 3: common medical Arch Dis Child 2002;87: 400-402.

Gupta s “common Drug Poisoning” Indian Journal of Practical Pediatrics 2009;11(1):35.

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Published

2018-03-12

How to Cite

Misal, D. G., Ghatage, D. P., Kothari, D. R., & Mhaske, D. S. (2018). A Case of Salbutamol Poisoning with Hypoglycemia. VIMS Health Science Journal, 5(1), 38–39. Retrieved from https://vimshsj.edu.in/index.php/main/article/view/277

Issue

Section

Case Report

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