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Doctors’ knowledge of the appropriate use and route of administration of antidotes in the management of recreational drug toxicity
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  • Published on:
    Author response to e-Letter by Dr. Fayomi
    • David Wood, Guy's and St Thomas' Poisons Unit, Guy's and St Thomas' NHS Foundation Trust, London
    • Other Contributors:
      • Paul Dargan, Guy's and St Thomas' Poisons Unit, Guy's and St Thomas' NHS Foundation Trust, London

    Dear Editor,

    In his letter, Fayomi states correctly that the use of beta-blockers in the management of cocaine-related acute coronary syndrome is contraindicated (1). We feel, however, that Fayomi has mis-interpreted the information in Table 1, by believing that the authors are advocating the use of beta-blockers in the management of cocaine-related chest pain. The authors have clearly highlighted in the first...

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    Conflict of Interest:
    None declared.
  • Published on:
    Management of Cocaine Associated Chest Pain

    Dear Sir,

    I read with great interest the article by Liddler et al on the appropriate use and administration of antidotes for recreational drug toxicity. I would however like to seek clarification from the authors for their justification in the use of iv Metoprolol in scenario 4 ( 42 – Year old man with ingestion of two lines of cocaine presenting with ischaemic chest pain, ECG changes-ST depression and a BP of...

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    Conflict of Interest:
    None declared.