norepinephrine bitartrate-injection, Levophed (cont.)

SIDE EFFECTS: Dizziness or weakness may occur. If these effects persist or worsen, notify the doctor promptly. Report promptly: headache, mental/mood changes. Very unlikely but report promptly: changes in skin appearance, pain/swelling at the injection site, fast/slow/irregular heartbeat, changes in amount of urine, changes in vision, trouble breathing, chest pain, sweating. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: Tell the doctor the patient's medical history, including: allergies (especially to sulfites), blood clots (e.g., peripheral vascular thrombosis), dehydration (hypovolemia), thyroid problems (especially hyperthyroidism). This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with the doctor. It is not known whether this drug is excreted into breast milk. Consult the doctor before breast-feeding.

DRUG INTERACTIONS: Tell the doctor of all nonprescription and prescription medication the patient may use, especially of: anesthetics (e.g., cyclopropane, halothane), MAO inhibitors (e.g., furazolidone, linezolid, moclobemide, phenelzine, procarbazine, selegiline), heart drugs (including beta-blockers such as propranolol), guanethidine, methyldopa, atropine, antihistamines (e.g., diphenhydramine, chlorpheniramine), "ergot" drugs (e.g., dihydroergotamine), tricyclic antidepressants (e.g., amitriptyline, imipramine). Do not start or stop any medicine without doctor or pharmacist approval.

OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly.

NOTES: Do not share this medication with others. Laboratory and/or medical tests may be performed to monitor for side effects and response to treatment.

MISSED DOSE: If the dose is interrupted, contact your doctor immediately to re-establish dosing.

STORAGE: Store ampules at room temperatures up to 86 degrees F (30 degrees C) away from light and moisture. Consult the pharmacist for details on dilution and stability with IV fluids. Discard any unused liquid.

Last Editorial Review: 3/2/2005

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