doxapram hydrochloride
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)       :0.58–2.74half-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 functionHDF/high flux   :Unknown dialysability. Dose as in normal renal functionCAV/VVHD      :Unknown dialysability. Dose as in normal renal function IMPORTANT DRUG INTERACTIONS
Potentially hazardous interactions with other drugsNone 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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