doxapram hydrochloride
doxapram hydrochloride.JPG

doxapram hydrochloride

CLINICAL USE

Postoperative respiratory depression Acute respiratory failure

DOSE IN NORMAL RENAL FUNCTION

Postoperative respiratory depression: IV injection 1–1.5 mg/kg repeated at hourly intervals, or

IV infusion

2–3 mg/minute, adjusted according to response. Acute respiratory failure: 1.5–4 mg/minute as an

IV infusion

, adjusted according to response

PHARMACOKINETICS

  • Molecular weight                           :433
  • %Protein binding                           :No data
  • %Excreted unchanged in urine     : <5
  • Volume of distribution (L/kg)       :0.58–2.74
  • half-life – normal/ESRD (hrs)      :2.4–4.1/–

    DOSE IN RENAL IMPAIRMENT

    GFR (mL/MIN)

  • 20 to 50     : Dose as in normal renal function
  • 10 to 20     : Dose as in normal renal function
  • <10           : Dose as in normal renal function

    DOSE IN PATIENTS UNDERGOING RENAL REPLACEMENT THERAPIES

  • CAPD                :Unknown dialysability. Dose as in normal renal function
  • HD                     :Unknown dialysability. Dose as in normal renal function
  • HDF/high flux   :Unknown dialysability. Dose as in normal renal function
  • CAV/VVHD      :Unknown dialysability. Dose as in normal renal function

    IMPORTANT DRUG INTERACTIONS

    Potentially hazardous interactions with other drugs
  • None known

    ADMINISTRATION

    Reconstition

    Route

    IV bolus,

    IV infusion

    Rate of Administration

    IV injection: over at least 30 seconds

    IV infusion

    as indication

    Comments

    Doxapram has a narrow margin of safety; the minimum effective dosage should be used and maximum recommended dosages should not be exceeded

    OTHER INFORMATION

    Unlike naloxone, doxapram does not reverse the other effects of opioid analgesics



    See how to identify renal failure stages according to GFR calculation

    See how to diagnose irreversible renal disease

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