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At a glance

Nikethamide is a central and respiratory stimulant used for acute respiratory failure, respiratory depression following anesthesia and CNS depression. It directly stimulates the respiratory center to increase frequency and depth of breathing.

Indications
  • Acute respiratory failure
  • Respiratory depression following anesthesia
  • CNS depression
Pharmacology

Nikethamide directly stimulates the respiratory center and reflexively stimulates it through carotid body chemoreceptors, increasing frequency and depth of breathing.

Dosage

Adult Dose (IV):

  • 2-10 mL of 25% solution by slow IV injection, repeated every 20-30 minutes if necessary

Pediatric Dose: Infants and children are particularly susceptible to toxic effects of nikethamide

Side effects

Side Effects:

  • Dyspnoea
  • Cough, bronchospasm
  • Convulsions
  • Headache, dizziness
  • Alteration of blood pressure
  • Cardiac arrhythmia
  • Overdose: nausea, vomiting, diarrhoea
Use in pregnancy

Use in Pregnancy: No adequate controlled studies in pregnant women.

Pregnancy Category: C — always consult a doctor before taking during pregnancy.

Precautions & warnings
  • Should not be used in less severe degrees of hypertension or impaired cardiac reserve & hepatic dysfunction
  • Infants and children are particularly susceptible to toxic effects
Overdose effects

Overdose: Nausea, vomiting, diarrhoea, convulsions; symptomatic treatment.

Storage conditions

Store below 25°C in a dry place, away from light; keep out of reach of children.

Nikethamide — see the full informationPharmacology, precautions, pregnancy, overdose and the rest on the generic page
⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.