• Compatibility
  • Incompatibility
  • Neonatal Intensive Care Drug Manual




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    Drug interactions

    Enhances the effects of anaesthetics, sedatives, hypnotics and opioids.

    Adverse reactions

    • Severe bradycardia, arrhythmias and cardiac arrest.

    • Patients who are hypovolaemic may become hypotensive.

    • In situations where other vasodilators or negative chronotropic agents are administered, co-administration of dexmedetomidine could have an additive pharmacodynamic effect causing hypotension and bradycardia.

    • Bradycardia and hypotension may be potentiated when dexmedetomidine is used concurrently with propofol or midazolam.

    • Nausea, fever, vomiting, hypoxia and anaemia.

    • Hypothermia.

    • Seizures.

    Compatibility

    Fluids: Glucose 5% and sodium chloride 0.9%.
    Y site: Giving other drugs via Y-site may change the infusion rate of dexmedetomidine.

    Adrenaline (epinephrine), alfentanil, amikacin, aminophylline, amiodarone, amphotericin B liposome, ampicillin, azithromycin, aztreonam, calcium gluconate, cefazolin, cefepime, cefotaxime, cefoxitin, ceftazidime, ceftriaxone, ciprofloxacin, cisatracurium, clindamycin, dexamethasone, digoxin, dobutamine, dolasetron, dopamine, droperidol, ephedrine sulfate, erythromycin, esmolol, fentanyl, fluconazole, furosemide (frusemide), gentamicin, glyceryl trinitrate, glycopyrronium bromide (glycopyrrolate), heparin, hydromorphone, ketamine, lidocaine (lignocaine), linezolid, magnesium sulfate, methylprednisolone sodium succinate, metoclopramide, metronidazole, midazolam, milrinone, morphine, naloxone, noradrenaline (norepinephrine), pancuronium, paracetamol, piperacillin-tazobactam (EDTA-free), phenobarbital (phenobarbitone0, potassium chloride, promethazine, propofol, ranitidine, remifentanil, rocuronium, sodium bicarbonate, sodium nitroprusside, suxamethonium, thiopental sodium, tobramycin, trimethoprim-sulfamethoxazole, vancomycin, vecuronium, verapamil.



    Incompatibility

    Amphotericin B conventional colloidal, amphotericin B lipid complex, diazepam, pantoprazole, phenytoin.

    Stability

    Reconstituted dexmedetomidine infusion is stable for 24 hours.


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    Neonatal Intensive Care Drug Manual

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