Isoproterenol (isoprenaline)

Isoproterenol (isoprenaline)

Mechanism of action

Mainly used as chronotropic agent => to increase the heart rate in severe bradycardia.

Sympathomimetic agonist acting on beta adrenoreceptors (beta1 > beta2) causing positive inotropy and chronotropy, increasing cardiac output, decreasing peripheral vascular resistance causing decrease in blood pressure.

Indications and dose

Side-effects

Arrhythmia

Tachycardia

Angina pectoris

Reflex hypotension

Headache

Pharmacokinetics

Onset: immediate

Duration: 10-15 minutes

Bioavailability: N/A

Metabolism: Hepatic, lungs, other (COMT)

Half-life of elimination: 2 minutes

Excretion: Urine

Directions for administration

For intravenous infusion dilute e.g. in 500 ml of 5% glucose or 0.9% sodium chloride. 

Use e.g. 2 mg of Isoprenaline in 500 ml of solution => 7.5-60 ml/hour

Medicinal forms

1 vial = 0.2 mg (1 ml)

References

  1. https://www.medicines.org.uk/emc/product/12511/smpc#gref 
  2. https://www.uptodate.com/contents/isoproterenol-drug-information?search=isoproterenol&source=panel_search_result&selectedTitle=1~65&usage_type=panel&kp_tab=drug_general&display_rank=1