Published in:
01-11-2008 | CASE REPORT
Successful transition to buprenorphine in a patient with methadone-induced torsades de pointes
Authors:
Jason Levi Esses, Jonathan Rosman, Lien Thanh Do, Paul Schweitzer, Sam Hanon
Published in:
Journal of Interventional Cardiac Electrophysiology
|
Issue 2/2008
Login to get access
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 μ-opiate-receptor agonist and a κ-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.