Detomax

Detomax200mcg/2ml

Type:2ml amps

Generic Name:Dexmedetomidine

Manufacturer:Incepta Pharmaceuticals Ltd.

Price:400.00

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Indication

ICU Sedation, Fiberoptic Intubation, Procedural Sedation

Administration

IV Preparation Dilute in NS IV Administration Infuse loading dose over 10 min

Adult Dose

ICU Sedation Load: 1 mcg/kg IV over 10 minutes Maintenance 0.2-1.4 mcg/kg/hr IV Titrate less frequently than q30min to prevent hypotension Fiberoptic Intubation Load: 1 mcg/kg IV over 10 minutes Maintenance 0.7 mcg/kg/hr IV Procedural Sedation Load: 1 mcg/kg IV over 10 minutes Maintenance 0.6 mcg/kg/hr IV titrate to effect (usually 0.2-1 mcg/kg/hr) Titrate less frequently than q30min to prevent hypotension Hepatic Impairment Dose reduction may be required

Child Dose

Safety and efficacy not established

Renal Dose

Renal Impairment Dose reduction may be required

Contraindication

2nd or 3rd degree AV block (unless paced), uncontrolled hypotension, acute cerebrovascular disorders.

Mode of Action

Centrally acting alpha2-adrenoceptor agonist that has sedative and anesthetic properties possibly by activating G-proteins in the brainstem, which results in the inhibition of norepinephrine release.

Precaution

Significant CV dysfunction, advanced heart block &/or severe ventricular dysfunction, hypovolemia, DM, chronic HTN. Renal & hepatic impairment. Do not inj by bolus or rapid IV. Do not administer for >24 hr. Pregnancy & lactation. Elderly. Childn <18 yr. Lactation: Excretion in milk unknown; use with caution

Side Effect

>10% Hypotension (28%) 1-10% AFib.Anemia,Bradycardia,Fever,Pleural effusion,Leukocytosis,Pulmonary edema

Pregnancy Category Note

Pregnancy There are no adequate and well-controlled studies of use in pregnant women In an in vitro human placenta study, placental transfer of dexmedetomidine occurred Animal studies In pregnant rats, dexmedetomidine placental transfer observed when radiolabeled dexmedetomidine was administered SC Thus, fetal exposure should be expected in humans; use during pregnancy only if potential benefits justify potential fetal risk Lactation Unknown if excreted in human milk Radio-labeled dexmedetomidine administered SC to lactating female rats was excreted in milk Because many drugs are excreted in human milk, caution should be exercised when administered to breastfeeding women

Interaction

Enhanced pharmacologic effects of anaesth, sedatives, hypnotics, opiate agonists, other vasodilators or drugs that have negative chronotropic effects (e.g. cardiac glycosides).

Alternative brand of Detomax