(Added information about esmolol)
Tag: 2017 source edit
Line 7: Line 7:
| contraindications =  
| contraindications =  
| routes = Intravenous
| routes = Intravenous
| dosage = Attenuating cardiovascular response to laryngoscopy:
| dosage =
Adult: 0.2-0.5 mg/kg IV bolus
 
Perioperative tachycardia and hypertension:
Adult: 0.5-1 mg/kg IV bolus. Can start an infusion at 50 mcg/kg/minute and titrate up to a maximum rate of 300 mcg/kg/minute.
| dosage_calculation = esmolol
| dosage_calculation = esmolol
| mechanism = Beta-1 antagonism
| mechanism = Beta-1 antagonism

Revision as of 13:26, 22 December 2022

Esmolol
Trade names

Brevibloc

Esmolol.svg
Clinical data
Drug class

Beta blocker

Routes of administration

Intravenous

Dosage
Pharmacodynamics
Mechanism of action

Beta-1 antagonism

Adverse effects

Bradycardia, Hypotension

Pharmacokinetics
Physical and chemical data
Article quality
Editor rating
Unrated
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Esmolol is an ultrashort-acting selective β1-antagonist. It primarily decreases heart rate with less of an effect on blood pressure. [1]

Uses

Treat/prevent perioperative tachycardia and hypertension .

Opioid sparing anesthesia.[1]

Contraindications

Absolute contraindications

Precautions

While it is cardioselective at lower doses, use higher doses cautiously in patients with bronchospastic disease. [2]

Extreme caution should be used in patients with bradycardia, hypotension, greater than first degree heart block, cardiogenic shock or heart failure with reduced ejection fraction.[1] Avoid in patients who recently received a calcium channel blocker. [2]

Pharmacology

Pharmacodynamics

Mechanism of action

At normal doses it is a selective β1-antagonist, at higher doses it also inhibits β2 receptors in both bronchial and vascular smooth muscle. [1]

Adverse effects

Pharmacokinetics

Chemistry and formulation

History

References

  1. 1.0 1.1 1.2 1.3 Morgan & Mikhail's clinical anesthesiology. John F., IV Butterworth, David C. Mackey, John D. Wasnick (Seventh edition ed.). New York. 2022. ISBN 9781260473797. OCLC 1309921315. |edition= has extra text (help)CS1 maint: others (link)
  2. 2.0 2.1 "UpToDate - Esmolol: Drug information". www.uptodate.com. Retrieved 2022-12-21.