Johansen Sys Stybe, Genner Jørgen
Department of Forensic Chemistry and Department of Forensic Pathology, Institute of Forensic Medicine, University of Copenhagen, Copenhagen, Denmark.
J Clin Forensic Med. 2003 Sep;10(3):169-72. doi: 10.1016/S1353-1131(03)00043-9.
A fatal overdose of amlodipine, a calcium channel blocker, in a 50-year-old man is described. Biological samples obtained at autopsy were screened for common drugs and narcotics. The amlodipine determination was made by HPLC with diode-array detection and a post-mortem blood concentration of 2.3 mg/kg was determined. The only other drug detected was a blood alcohol concentration of 0.008%. The presence of amlodipine was confirmed in other tissues and in the stomach content. The overdose is assumed to be an accumulation of amlodipine due to the long half-life of this drug.
本文描述了一名50岁男性因过量服用钙通道阻滞剂氨氯地平致死的案例。对尸检时采集的生物样本进行了常见药物和麻醉品筛查。采用高效液相色谱-二极管阵列检测法测定氨氯地平,测定出死后血液浓度为2.3mg/kg。检测到的唯一其他药物是血液酒精浓度为0.008%。在其他组织和胃内容物中也证实了氨氯地平的存在。据推测,此次过量用药是由于该药物半衰期长导致氨氯地平蓄积所致。