User:Mr. Ibrahem/Milrinone

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Mr. Ibrahem/Milrinone
Clinical data
AHFS/Drugs.comMonograph
MedlinePlusa601020
Routes of
administration
IV only
Drug classPhosphodiesterase 3 inhibitor[1]
Legal status
Legal status
  • In general: ℞ (Prescription only)
Pharmacokinetic data
Bioavailability100% (as IV bolus, infusion)
Protein binding70 to 80%
MetabolismLiver (12%)
Elimination half-life2.3 hours (mean, in CHF)
ExcretionUrine (85% as unchanged drug) within 24 hours
Identifiers
  • 2-Methyl-6-oxo-1,6-dihydro-3,4'-bipyridine-5-carbonitrile
Chemical and physical data
FormulaC12H9N3O
Molar mass211.224 g·mol−1
3D model (JSmol)
Density1.344 g/cm3
Melting point315 °C (599 °F)
  • c1cnccc1-c2c(C)[nH]c(=O)c(C#N)c2
  • InChI=1S/C12H9N3O/c1-8-11(9-2-4-14-5-3-9)6-10(7-13)12(16)15-8/h2-6H,1H3,(H,15,16) checkY
  • Key:PZRHRDRVRGEVNW-UHFFFAOYSA-N checkY
  (verify)

Milrinone, sold under the brand name Primacor, is a medication used to treat heart failure.[2] It may be used short term in those in who other medications are not sufficient.[2] It is given by injection into a vein.[2]

Common side effects include ventricular arrhythmia, low blood pressure, and headache.[2] Other side effects may include low potassium and long term use may increase death.[2] It is a phosphodiesterase 3 inhibitor that works to increase the heart's contractility and decreases vascular resistance.[1]

Milrinone was approved for medical use in the United States in 1987.[2] It is available as a generic medication.[1] In the United Kingdom 10 mg cost the NHS about £20 as of 2021.[1] In the United States this amount costs about 5 USD.[3]

References[edit]

  1. ^ a b c d BNF 81: March-September 2021. BMJ Group and the Pharmaceutical Press. 2021. p. 210. ISBN 978-0857114105.
  2. ^ a b c d e f g h "Milrinone Monograph for Professionals". Drugs.com. Archived from the original on 21 January 2021. Retrieved 18 November 2021.
  3. ^ "Milrinone Prices, Coupons & Patient Assistance Programs". Drugs.com. Archived from the original on 20 April 2021. Retrieved 18 November 2021.