User:Mr. Ibrahem/Dexmedetomidine

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Mr. Ibrahem/Dexmedetomidine
Clinical data
Trade namesPrecedex, Dexdor, Dexdomitor, Sileo, others
AHFS/Drugs.comMonograph
License data
Pregnancy
category
  • AU: B1
Routes of
administration
Intravenous infusion, transmucosal, intranasal
Drug classα2-adrenergic agonist[1]
Legal status
Legal status
  • AU: S4 (Prescription only)
  • US: ℞-only
  • EU: Rx-only
  • In general: ℞ (Prescription only)
Pharmacokinetic data
Protein binding94%
MetabolismNear complete liver metabolism to inactive metabolites
Elimination half-life2 hours
ExcretionUrinary
Identifiers
  • (S)-4-[1-(2,3-Dimethylphenyl)ethyl]-3H-imidazole
Chemical and physical data
FormulaC13H16N2
Molar mass200.285 g·mol−1
3D model (JSmol)
  • Cc2cccc([C@H](C)c1c[nH]cn1)c2C
  • InChI=1S/C13H16N2/c1-9-5-4-6-12(10(9)2)11(3)13-7-14-8-15-13/h4-8,11H,1-3H3,(H,14,15)/t11-/m0/s1 checkY
  • Key:CUHVIMMYOGQXCV-NSHDSACASA-N checkY
  (verify)

Dexmedetomidine, sold under the trade name Precedex among others, is a medication used for procedural sedation or sedation in the intensive care unit.[1] It results in mild to moderate sedation without much effect on breathing.[1] It is used by intravenous infusion.[1] Onset of effects may take 25 minutes.[2]

Common side effects include low blood pressure, nausea, dry mouth, and an abnormal heart rate.[1] Other side effects may include agitation, high blood sugar, increased body temperature, and decreased breathing.[3] It works by blocking the α2-adrenergic receptors present in certain parts of the brain.[4]

Dexmedetomidine was approved for medical use in the United States in 1999 and Europe in 2011.[1][5] It is available as a generic medication.[3] In the United Kingdom a 1 mg vial costs about £78 as of 2020.[3] Veterinarians may use it for similar purposes in other animals.[6]

References[edit]

  1. ^ a b c d e f g h "Dexmedetomidine Monograph for Professionals". Drugs.com. Archived from the original on 17 January 2021. Retrieved 22 July 2021.
  2. ^ Barash, Paul G.; Cullen, Bruce F.; Stoelting, Robert K.; Cahalan, Michael; Stock, M. Christine (1 January 2011). Clinical Anesthesia. Lippincott Williams & Wilkins. p. PT3627. ISBN 978-1-4511-2297-8. Archived from the original on 28 August 2021. Retrieved 22 July 2021.
  3. ^ a b c BNF (80 ed.). BMJ Group and the Pharmaceutical Press. September 2020 – March 2021. p. 1416. ISBN 978-0-85711-369-6.{{cite book}}: CS1 maint: date format (link)
  4. ^ Cormack JR, Orme RM, Costello TG (2005). "The role of alpha2-agonists in neurosurgery". Journal of Clinical Neuroscience. 12 (4): 375–8. doi:10.1016/j.jocn.2004.06.008. PMID 15925765. S2CID 79899746.
  5. ^ "Dexdor". Archived from the original on 8 January 2021. Retrieved 22 July 2021.
  6. ^ "Dexdomitor for Animal Use". Drugs.com. Archived from the original on 25 May 2016. Retrieved 22 July 2021.