Medicine Overview
Adult Dose
| Clinical Information | Administration Information |
|---|---|
|
Indication: Cardiac Decompensation Age: Adult |
Dose: Intravenous continuous infusion – 0.5-1 mcg/kg/min initially, then 2-20 mcg/kg/min Note: Not to exceed 40 mcg/kg/min. Adjust according to patient's blood pressure, heart rate, cardiac and urine output. |
Child Dose
| Clinical Information | Administration Information |
|---|---|
|
Indication: Cardiac Decompensation |
Dose: Intravenous continuous infusion – 0.5-1 mcg/kg/min Note: initially |
|
Indication: Cardiac Decompensation |
Dose: Intravenous continuous infusion – 2-20 mcg/kg/min Note: not to exceed 40 mcg/kg/min |
Administration
- Hospital use only
- Given via IV
Side Effect
- Tachyarrhythmia (10%)
- Hypertension (7.5%)
- Eosinophilic myocarditis (Less than 7%)
- Premature ventricular beats (5%
- dose related)
- Angina (1-3%)
- Dyspnea (1-3%)
- Fever (1-3%)
- Headache (1-3%)
- Nausea (1-3%)
- Palpation (1-3%)
- Cardiac dysrhythmia
- Exacerbation of coronary arteriosclerosis
- Hypokalemia
- Injection-site reactions
- Syncope
- 10- to 20-mm Hg increase in systolic blood pressure and increase in heart rate of 5 to 15 beats/min
- Cardiac arrhythmias
- allergy (rare)
- MI and hypotension
Drug Interaction
Drug Interaction
| Drug Name | Risk Factors |
|---|---|
|
Nitroprusside
|
Increased cardiac output
|
|
Bretylium, Guanethidine, Oxytocic drugs, TCAs
|
Increased vasopressor effect
|
Disease Interaction
Disease Interaction
| Disease Name | Risk Factors |
|---|---|
|
Idiopathic Hypertrophic Subaortic Stenosis
|
Can worsen obstruction
|
Pregnancy
Pregnancy
Lactation
Special Use
Precaution
Overdose
Pharmacology
Storage
Store between 15-30° C.
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.