- Side Effects
- Drug Interactions
- Pregnancy & Breastfeeding
- What Else to Know
Generic Name: dobutamine
Brand Name: Dobutrex (discontinued)
Drug Class: Inotropic Agents
What is intravenous dobutamine, and what is it used for?
Dobutamine is a synthetic catecholamine prescribed to help increase cardiac output in a failing heart due to heart disease or cardiac surgery. Dobutamine injection is indicated when parenteral therapy is necessary for inotropic support in the short-term treatment of adults with cardiac decompensation due to depressed contractility resulting either from organic heart disease or from cardiac surgical procedures.
In patients who have atrial fibrillation with rapid ventricular response, a digitalis preparation should be used prior to institution of therapy with dobutamine hydrochloride.
What are the side effects of dobutamine?
The most frequent adverse reactions include
Other important side effects include
Serious side effects of dobutamine include
What is the dosage for dobutamine?
- The initial dose for adults is based on the indication and severity of heart failure.
- Dosing is 0.5 to 1 micrograms per kilogram body weight per minute followed by an intravenous infusion of 2 to 20 micrograms per kilogram body weight per minute.
- Maximum dose is 40 micrograms per kilogram per minute.
Which drugs interact with dobutamine?
- Use caution when combining dobutamine with other agents that increase heart rate or blood pressure (sympathomimetics), such as atomoxetine (Strattera), dopamine, and epinephrine.
- Use lower doses of dobutamine initially if the patient is also on linezolid (Zyvox) as there is a risk of significant increase in blood pressure.
- Calcium salts may decrease the effect of dobutamine, so monitor closely.
Pregnancy and breastfeeding
What else should I know about dobutamine?
What preparations of dobutamine-injection are available?
- Intravenous solution: 250, 500, 1000 mg in 250 mL, 250 mg in 20 mL, 500 mg in 40 mL
How should I keep dobutamine-injection stored?
- Vials should be stored at room temperature, between 15 C to 30 C (59 F to 86 F).
- Once diluted, dobutamine may be stored in the refrigerator (4 C) for 7 days or up to 48 hours at room temperature.
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Dobutamine injection is a prescription drug in the drug class of catecholamines. Dobutamine is prescribed to assist with cardiac output in a person with a failing heart due to heart disease or cardiac surgery. Side effects and frequent adverse reactions include chest pain, headache, fever, shortness of breath, increased blood pressure.
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