Case Presentation: A 30-year-old male with history of illicit drug abuse presents with refractory ventricular tachycardia (VT) and Torsades de Pointes (TdP). He was previously in a methadone program but was dismissed due to methadone abuse. He then started significant amounts (144 tablets; 288 mg) of loperamide to achieve euphoria. He presented to the ED [...]