Propoxyphene-Induced Wide QRS Complex Dysrhythmia Responsive to Sodium Bicarbonate – A Case Report

Abstract

Propoxyphene overdose is known to cause widening of the QRS complex on ECG. We report a case of a 54-year-old female who ingested approximately 100 propoxyphene hydrochloride tablets in a suicide attempt. She developed a wide complex dysrhythmia which responded to sodium bicarbonate therapy. Propoxyphene-induced wide complex dysrhythmia responsive to sodium bicarbonate therapy has not been previously reported in the literature.

Key Words:

• propoxyphene
• poisoning
• human
• narcotics
• toxicity