Levophed SF

Levophed SF

norepinephrine

Manufacturer:

Avara Liscate

Distributor:

Pfizer
Concise Prescribing Info
Contents
Norepinephrine bitartrate
Indications/Uses
Emergency measure in BP restoration in cases of acute hypotension.
Dosage/Direction for Use
IV Adult 70 kg Initial infusion rate: 10-20 mL/hr (0.16-0.33 mL/min) equiv to 0.4-0.8 mg/hr. Lower initial infusion rate: 5 mL/hr (0.08 mL/min) equiv to 0.2 mg/hr. Dose titration: 0.05-0.1 mcg/kg/min according to the pressor effect observed.
Special Precautions
Avoid abrupt w/drawal. May increase ischemia & extend area of infarction in patients w/ coronary, mesenteric or peripheral vascular thrombosis; hypotension following MI, Prinzmetal's variant angina & those w/ diabetes, HTN or hyperthyroidism. Profound hypoxia or hypercarbia. Use only in conjunction w/ appropriate blood vol replacement. Frequently check BP & rate of flow when infusing to avoid HTN. Extravasation of the soln may cause local tissue necrosis. Plasma vol depletion in prolonged administration. Patients on Na controlled diet. Renal or hepatic impairment. Pregnancy & lactation. Not recommended in childn. Elderly.
Adverse Reactions
Anxiety; headache; arrhythmias, bradycardia, stress cardiomyopathy; HTN, peripheral ischemia including gangrene of the extremities, plasma vol depletion w/ prolonged use; dyspnea; extravasation necrosis at inj site.
Drug Interactions
May result to severe, prolonged HTN & possible arrhythmias w/ volatile halogenated anesth agents, MAOIs, linezolid, TCAs, adrenergic-serotonergic drugs or any other cardiac sensitizing agents. Effects of noradrenaline may be enhanced by guanethidine.
MIMS Class
Vasoconstrictors
ATC Classification
C01CA03 - norepinephrine ; Belongs to the class of adrenergic and dopaminergic cardiac stimulants excluding glycosides. Used in the treatment of hypotension.
Presentation/Packing
Form
Levophed SF conc soln for infusion 1 mg/mL
Packing/Price
2 mL x 5 × 1's;4 mL x 5 × 1's
/philippines/image/info/levophed sf conc soln for infusion 1 mg-ml/1 mg-ml x 4 ml?id=92ab2d0d-f8fe-4436-8d41-9faa00d25453
/philippines/image/info/levophed sf conc soln for infusion 1 mg-ml/2 ml?id=c1a2fcf4-363e-4d3c-a617-9faa00d2541e
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