Medicine Overview
Adult Dose
| Clinical Information | Administration Information |
|---|---|
|
Indication: Differential diagnosis of supraventricular tachycardias Age: Adult |
Dose: Intravenous injection – 3 mg Frequency: rapid intravenous injection into a central or large peripheral vein over 2 seconds with cardiac monitoring Note: 6 mg may be given after 1-2 minutes if necessary, then 12 mg after a further 1-2 minutes. Avoid increments if high level atrioventricular block occurs at any particular dose. |
|
Indication: Paroxysmal supraventricular tachycardia Age: Adult |
Dose: Intravenous injection – 3 mg Frequency: rapid intravenous injection into a central or large peripheral vein over 2 seconds with cardiac monitoring Note: 6 mg may be given after 1-2 minutes if necessary, then 12 mg after a further 1-2 minutes. Avoid increments if high level atrioventricular block occurs at any particular dose. |
Child Dose
| Clinical Information | Administration Information |
|---|---|
|
Indication: Differential diagnosis of supraventricular tachycardias Age: Child |
Dose: Intravenous – Initially, 50-100 mcg/kg Frequency: at 1-2 minute intervals Note: if necessary, may increase dose by 50-100 mcg/kg increments or until arrhythmia is controlled; Maximum dose: 300 mcg/kg. |
|
Indication: Paroxysmal supraventricular tachycardia Age: Child |
Dose: Intravenous – Initially, 50-100 mcg/kg Frequency: at 1-2 minute intervals Note: if necessary, may increase dose by 50-100 mcg/kg increments or until arrhythmia is controlled; Maximum dose: 300 mcg/kg. |
Administration
- For hospital use only
- Given by IV injection
Side Effect
- Flushing (18%)
- Chest pain (7%)
- HA (2%)
- Lightheadedness (2%)
- Dizziness (1%)
- Tingling in arms (1%)
- Numbness (1%)
- Nausea (3%)
- Hypotension
- Palpitations
- Apprehension
- Head pressure
- Chest pain
- Hyperventilation
- Blurred vision
- Burning sensation
- Heaviness in arms
- neck & back pain
- Metallic taste
- Tightness in throat
- Pressure in groin
- Sweating
Drug Interaction
Drug Interaction
| Drug Name | Risk Factors |
|---|---|
|
Methylxanthines (caffeine, theophylline)
|
Antagonize adenosine effects
|
|
Carbamazepine
|
May increase the risk of heart block
|
Disease Interaction
Disease Interaction
| Disease Name | Risk Factors |
|---|---|
|
2nd or 3rd Degree AV Block
|
Risk of severe heart rhythm problems
|
|
Sick Sinus Syndrome
|
Dangerous without pacemaker
|
Pregnancy
Pregnancy
Lactation
Special Use
Precaution
Overdose
Pharmacology
Storage
Store in cool dry place protected from light. Keep out of reach of children. Do not refrigerate as crystallization may occur. If crystallization has occurred, dissolve crystals by warming to room temperature. The solution must be clear at the time of use.
Data Sources
Clinical & regulatory information on this page is compiled from the following government sources:
DISCLAIMER: This drug information content is provided for informational purposes only and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Patients should always consult their physician with any questions regarding a medical condition and to obtain medical advice and treatment.