| Literature DB >> 18686025 |
Jason Levi Esses1, Jonathan Rosman, Lien Thanh Do, Paul Schweitzer, Sam Hanon.
Abstract
A 56-year-old-man presented with syncope and torsades de pointes secondary to methadone-induced QT prolongation. After transition from methadone to buprenorphine, a partial mu-opiate-receptor agonist and a kappa-opiate-receptor antagonist, the QT normalized and ventricular arrhythmias resolved. Buprenorphine should be used for opiate dependence and chronic pain in patients with methadone-induced QT prolongation and as first line therapy in patients with risk factors for torsades de pointes.Entities:
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Year: 2008 PMID: 18686025 DOI: 10.1007/s10840-008-9280-8
Source DB: PubMed Journal: J Interv Card Electrophysiol ISSN: 1383-875X Impact factor: 1.900