Dobutamine: Difference between revisions

From IDWiki
(Imported from text file)
 
No edit summary
 
Line 1: Line 1:
==Background==
== Classification ==


* Synthetic catecholamine with B1 and B2 agonist activity, causing inotropy and chronotropy and mild vasodilation
*Synthetic catecholamine with B1 and B2 agonist activity, causing inotropy and chronotropy and mild vasodilation


== Indications ==
===Indications===


* Systolic heart failure causing cardiogenic shock, especially if bradycardic
*Systolic heart failure causing cardiogenic shock, especially if bradycardic
* Also used for cardiac stress testing
*Also used for cardiac stress testing


=== Pharmacokinetics and Pharmacodynamics ===
== Starting ==


* Half-life is a few minutes
* 2 to 20 mcg/kg/min (max 40)


== Stopping ==
==Dosing==


*Start at 2 to 20 mcg/kg/min (max 40)
== Half-life ==


==Safety==
* A few minutes


== Side effects ==
=== Adverse Drug Reactions ===


* Tachycardia
*Tachycardia
* Hypertension or hypotension
*Hypertension or hypotension
* Increased ventricular response in atrial fibrillation
*Increased ventricular response in atrial fibrillation
* Ventricular arrhythmias
*Ventricular arrhythmias
* Can worsen myocardial ischemia
*Can worsen myocardial ischemia
* Eosinophilic myocarditis
*Eosinophilic myocarditis


[[Category:Cardiology]]
[[Category:Cardiology]]
[[Category:Medication]]
[[Category:Medications]]

Latest revision as of 15:11, 14 April 2021

Background

  • Synthetic catecholamine with B1 and B2 agonist activity, causing inotropy and chronotropy and mild vasodilation

Indications

  • Systolic heart failure causing cardiogenic shock, especially if bradycardic
  • Also used for cardiac stress testing

Pharmacokinetics and Pharmacodynamics

  • Half-life is a few minutes

Dosing

  • Start at 2 to 20 mcg/kg/min (max 40)

Safety

Adverse Drug Reactions

  • Tachycardia
  • Hypertension or hypotension
  • Increased ventricular response in atrial fibrillation
  • Ventricular arrhythmias
  • Can worsen myocardial ischemia
  • Eosinophilic myocarditis