TY - JOUR PY - 2003// TI - An autopsy case of combined drug intoxication involving verapamil, metoprolol and digoxin JO - Forensic science international A1 - Kinoshita, Hiroshi A1 - Taniguchi, Tadaaki A1 - Nishiguchi, Minori A1 - Ouchi, Harumi A1 - Minami, Takako A1 - Utsumi, Takao A1 - Motomura, Hiroyuki A1 - Tsuda, Toyohiko A1 - Ohta, Takehiko A1 - Aoki, Shigeru A1 - Komeda, Motoo A1 - Kamamoto, Tetsuji A1 - Kubota, Akira A1 - Fuke, Chiaki A1 - Arao, Tomonori A1 - Miyazaki, Tetsuji A1 - Hishida, Shigeru SP - 107 EP - 112 VL - 133 IS - 1-2 N2 - We present here a fatal poisoning case involving verapamil, metoprolol and digoxin. A 39-year-old male was found dead in his room, and a lot of empty packets of prescribed drugs were found near the corpse. The blood concentrations of verapamil, metoprolol and digoxin were 9.2 microg/ml, 3.6 microg/ml and 3.2 ng/ml, respectively. The cause of death was given as cardiac failure, hypotension and bradycardia due to a mixed drug overdose of verapamil, metoprolol and digoxin, based on the results of the autopsy and toxicological examination. We speculate that the toxicity of verapamil is potentiated by drug interaction with metoprolol and digoxin.
Language: en
LA - en SN - 0379-0738 UR - http://dx.doi.org/10.1016/s0379-0738(03)00056-2 ID - ref1 ER -