Adrenaline1mg/ml
Rx- Generic:
- Adrenaline (Epinephrine)
- Company:
- EDCL
- Dosage form:
- Injection
- Pack size:
- Injection
৳ 25/unit
Pack: ৳ 25
At a glance
Direct-acting sympathomimetic used in cardiac arrest, anaphylactic shock, and severe bronchospasm.
Description
Adrenaline (Epinephrine) acts on alpha and beta-adrenoceptors, serving as a critical emergency medication for cardiac arrest, severe allergic reactions, and acute asthma.
Indications
Adjunctive use in cardiac arrest management, anaphylactic reactions/shock, and life-threatening acute asthma.
Therapeutic class
Anaphylaxis, Mydriatic and Cycloplegic agents, Other adrenoceptor stimulants
Pharmacological class
Direct-acting Sympathomimetic / Adrenergic Agonist
Pharmacology
Exerts effect on both alpha and beta adrenoceptors. Increases systolic BP via vasoconstriction (alpha-1), increases heart rate and cardiac output (beta-1), and induces bronchodilation (beta-2).
Mechanism of action
Direct stimulation of alpha and beta-adrenergic receptors leading to peripheral vasoconstriction, positive inotropic and chronotropic cardiac effects, and bronchial smooth muscle relaxation.
Dosage
Cardiac arrest: 1 mg IV repeated every 2-3 min. Anaphylaxis/Asthma: Adult 0.25–0.5 mg repeated at 5-min intervals. Children: 10 mcg/kg initially (max 250 mcg).
Administration
Administered via IV, IM, SC, or endotracheal routes by qualified healthcare providers. Do not use if solution is discolored or contains precipitate.
Missed dose
Not applicable as this is an emergency rescue medication administered in clinical settings.
Side effects
Anxiety, restlessness, dizziness, headache, palpitations, tachycardia, tremors, weakness, and coldness of extremities.
Precautions & warnings
Exercise extreme caution in elderly patients, coronary insufficiency, hypertension, diabetes, hyperthyroidism, and asthma with degenerative heart disease. Do not mix with sodium bicarbonate.
Contraindications
Contraindicated in severe hypertension, arteriosclerosis, coronary disease, hyperthyroidism, and patients taking monoamine oxidase inhibitors (MAOIs).
Drug interactions
Adverse effects potentiated by tricyclic antidepressants, certain antihistamines (diphenhydramine), L-thyroxine, and cardiac glycosides.
Food interactions
Not applicable due to emergency parenteral administration.
Use in pregnancy
Pregnancy Category C. Crosses the placenta; use only if potential benefit outweighs risk to the fetus.
Pregnancy Category: C — always consult a doctor before taking during pregnancy.
Use in lactation
Excreted in breast milk; not recommended during lactation due to potential infant adverse effects.
Pediatric use
Initial pediatric dose is 10 mcg/kg body weight; do not exceed 250 mcg in initial administration.
Geriatric use
Administer slowly and with caution to elderly patients due to higher incidence of underlying cardiovascular disease.
Renal / hepatic impairment
Rapidly metabolized in liver by COMT and MAO enzymes and excreted in urine. Monitor in severe impairment.
Overdose effects
Can cause cardiac arrhythmias, severe hypertension, pulmonary edema, and cerebral hemorrhage. Treat with combined alpha/beta-blockers (e.g., labetalol) or phentolamine.
Storage conditions
Store below 25°C. Protect from light and moisture. Keep out of reach of children.
Chemical structure
Adrenaline / Epinephrine (C9H13NO3)
Common questions
Question: What is Adrenaline (Epinephrine) used for? Answer: Adrenaline is a life-saving emergency drug used in the management of cardiac arrest, severe allergic reactions (anaphylaxis), and severe acute asthma attacks. Question: How does Adrenaline work in the body? Answer: It stimulates both alpha and beta-adrenergic receptors, causing vasoconstriction to increase blood pressure, increasing heart rate/cardiac output, and relaxing bronchial smooth muscle to open airways. Question: How is Adrenaline administered during anaphylaxis? Answer: It is administered immediately via intramuscular (IM) or intravenous (IV) route upon onset of severe allergic reactions and may be repeated every 5 minutes as needed. Question: Can Adrenaline be used during pregnancy? Answer: It is Pregnancy Category C and should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus in life-threatening situations.