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PRECIDEX

DEXMEDETOMIDINE · by BROOKES

ANAESTHETIC, GENERAL Non-Benzodiazepine Hypnotics and Sedatives BROOKES

Composition

Inj: Per ml: Dexmedetomidine as hydrochloride 100 mcg, 2 vial x 2ml

Indications & Dosage

Maintenance of sedation during intensive care: BY IV INF: Adult: 0.7 microgram/kg/hr, adjusted according to response; usual dose 0.2-1.4 mcg/kg/hr.

Administration

To be diluted before use. For IV infusion given continuously in Glucose 5% or Sodium chloride 0.9%, dilute to a concentration of 4 mcg/ml

Stability

Stored at controlled room temperature. Freezing should be avoided.

Contraindications

Acute cerebrovascular disorders, second- or third-degree AV block (unless pacemaker fitted), uncontrolled hypotension

Precautions

Severe cerebrovascular disease, ischaemic heart disease, abrupt withdrawal after prolonged use, bradycardia, malignant hyperthermia, severe neurological disorders, spinal cord injury, hepatic impairment.

Interactions

Drugs with CNS depressant effects

Pregnancy

Avoid unless potential benefit outweighs risk (toxicity)

Lactation

Avoid unless potential benefit outweighs risk

Side Effects

Agitation, blood pressure changes, bradycardia, changes in blood sugar, dry mouth, hyperthermia, myocardial infarction, myocardial Ischaemia, nausea, tachycardia, vomiting, abdominal distension, AV block, decreased cardiac output, dyspnoea, hallucination, hypoalbuminaemia, metabolic acidosis, thirst