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Case reports of this complication are particularly common for astemizole and terfenadine.
Patients with QRS and QT prolongation should be monitored until these changes resolve.
Electrolytes are normally assessed but are rarely of much assistance with the exception of patients who are on other medications that may cause electrolyte abnormalities which increase the risk of arrhythmia.
An ECG should be performed on admission and also at 6 hours after the self poisoning.
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Patients with abnormal ECGs require further monitoring.
All drugs are contraindicated and lignocaine and phenytoin …
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