Date of this Version
Published in Transactions of the Nebraska Academy of Science, Volume 4 (1977).
In the clinical treatment of over fifty cases of "overdose" with cocaine, the authors have become aware of the strikingly specific antagonistic effects of propranolol HC1 (InderalR) on the manifestations of central cardiovascular hypermetabolism.
The patient was a 28-year-old, well-developed, Caucasian blue-collar, outdoor, heavy laborer. Past medical history revealed childhood "asthma" and several episodes of childhood "pneumonia." There had been no further history of problems of this nature for over ten years. History of drug habits revealed a rather heavy intake of beer, consisting of from six to twelve bottles per day. When seen at a "rock concert" he reported that he had drunk over six bottles of beer that day, had smoked two "joints," and had just done two amyl nitrite "poppers." He appeared rather giddy, was pale, sweaty, and obviously intoxicated. He was reported to have just snorted several "lines" of "good coke" (translated here as 200 mg. cocaine), after which he became tremulous, nauseous, and faint. When initially seen, his blood pressure was 140/90 mm. Hg; his pulse rate was 130/min., and his respirations, 36/min. He was notably tremulous and anxious at this time. After a further two minutes, he was given 2 mi. of propranolol hydrochloride intravenously. Subsequent blood pressure readings and pulse and respiration rates 2 mi. (2 mgm.) of propranolol hydrochloride intravenously and 80 mgm. p.o. Subsequent blood pressure readings and pulse and respiration rates were:
He reported that he was much more relaxed but was still "high on coke." He was released to the care of his friends. At this time he appeared visibly calm, rational, and in control of his motor and sensory facilities. He was subsequently seen on several occasions in the crowd, dancing to the music, and apparently in need of no further medical intervention.