Case of the Month #54: A case of inpatient overdose and cardiac arrest

Published 18/12/2024

What are the pharmacokinetics of beta blockers?

Rapidly absorbed orally with Peak blood levels occur at 1-3 hours, and Due to the lipophilic nature if propranolol it therefore has a large volume of distribution

The pharmacological effects last much longer than the plasma half life of 3-6 hours.

Propranolol is Metabolised in the liver by hydroxylation with at least 1 metabolite having a degree of beta blocking action. The is variable urinary excretion which is extended in overdose.

Patient suddenly seized and within seconds lost cardiac output, cardiopulmonary resuscitation commenced along with management of Propranolol OD as per ToxBase