Oleander / Odollum poisoningRefer

Emergency & poisoning · OPD · Locked · first month free

By Dr Javed Akhtar · Last reviewed 2 October 2026

Drugs on this card

Atropine (bradycardia), Activated charcoal (multi-dose)

Advice and when to refer

Monitor: Continuous ECG and potassium; temporary pacing for high-grade block; digoxin antibody (Fab) if available (Lancet 2008)

Investigations

First visit

12-lead ECG — Heart block, bradycardia, ventricular arrhythmias.
Serum potassium — High potassium means severe poisoning.
Creatinine, blood glucose — Baseline.

Only if indicated

Digoxin level — Cross-reacts with oleander glycosides — supports exposure, not severity.

Follow-up and monitoring

Continuous ECG monitoring and potassium — For at least 24 h (longer if arrhythmia).

Locked

The adult dose for each drug
The child dose, where the card gives one

Open Oleander / Odollum poisoning in OPD

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