Sunday July 11, 2010
Regarding Confusion on hemodialysis in B-Blocker overdose

Hemodialysis (HD) has been described in extreme B-blocker overdose when all other remedies fails. But it is important to note that not all B-blockers respond to dialysis.

B-blockers which respond to HD: These are mostly low protein binding. Atenolol has been described most to respond to HD. Nadolol and sotalol also are removed by hemodialysis. Acebutolol is also dialyzable.

B-blockers which does not respond to HD: Propranolol, metoprolol, and timolol are not removed by hemodialysis.