Dimetofrine
Overview of the sympathomimetic drug Dimetofrine
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Dimetofrine is a sympathomimetic drug that is primarily used for its cardiovascular effects. It is known to act as a vasopressor and is used in the management of certain types of hypotension.
Pharmacology
Dimetofrine functions by stimulating the adrenergic receptors, which are part of the sympathetic nervous system. This leads to an increase in heart rate and blood pressure. The drug is often used in clinical settings to treat orthostatic hypotension and other conditions where an increase in blood pressure is desired.
Mechanism of Action
Dimetofrine acts primarily on the alpha-adrenergic receptors, leading to vasoconstriction and an increase in peripheral vascular resistance. This action results in elevated blood pressure. Additionally, it may have some effects on beta-adrenergic receptors, contributing to increased cardiac output.
Clinical Uses
Dimetofrine is indicated for the treatment of low blood pressure, particularly in cases where rapid intervention is necessary. It is often administered in a hospital setting under careful monitoring due to its potent effects on the cardiovascular system.
Side Effects
Common side effects of Dimetofrine include tachycardia, palpitations, and headache. Due to its vasopressor activity, it can also cause hypertension if not properly dosed. Patients may experience anxiety or nervousness as a result of increased sympathetic activity.
Contraindications
Dimetofrine should not be used in patients with pheochromocytoma, hyperthyroidism, or severe hypertension. Caution is advised in patients with coronary artery disease or arrhythmias.
Administration
Dimetofrine is typically administered intravenously in a clinical setting. The dosage is carefully titrated based on the patient's response and the severity of the hypotension being treated.
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Contributors: Prab R. Tumpati, MD