Milrinone: Difference between revisions

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[[hypotension]], [[ventricular arrhythmia]], and [[headache]]


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Revision as of 17:50, 26 July 2014

Milrinone
Adult Indications & Dosage
Pediatric Indications & Dosage
Contraindications
Warnings & Precautions
Adverse Reactions
Drug Interactions
Use in Specific Populations
Administration & Monitoring
Overdosage
Pharmacology
Clinical Studies
How Supplied
Images
Patient Counseling Information
Precautions with Alcohol
Brand Names
Look-Alike Names

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Gerald Chi

Disclaimer

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Overview

Milrinone is a inotropic agent and vasodilator that is FDA approved for the {{{indicationType}}} of acute decompensated heart failure. Common adverse reactions include hypotension, ventricular arrhythmia, and headache.

Adult Indications and Dosage

FDA-Labeled Indications and Dosage (Adult)

Condition1
  • Dosing Information
  • Dosage
Condition2
  • Dosing Information
  • Dosage
Condition3
  • Dosing Information
  • Dosage
Condition4
  • Dosing Information
  • Dosage

Off-Label Use and Dosage (Adult)

Guideline-Supported Use

Condition1
  • Developed by:
  • Class of Recommendation:
  • Strength of Evidence:
  • Dosing Information
  • Dosage
Condition2

There is limited information regarding Off-Label Guideline-Supported Use of Milrinone in adult patients.

Non–Guideline-Supported Use

Condition1
  • Dosing Information
  • Dosage
Condition2

There is limited information regarding Off-Label Non–Guideline-Supported Use of Milrinone in adult patients.

Pediatric Indications and Dosage

FDA-Labeled Indications and Dosage (Pediatric)

Condition1
  • Dosing Information
  • Dosage
Condition2

There is limited information regarding FDA-Labeled Use of Milrinone in pediatric patients.

Off-Label Use and Dosage (Pediatric)

Guideline-Supported Use

Condition1
  • Developed by:
  • Class of Recommendation:
  • Strength of Evidence:
  • Dosing Information
  • Dosage
Condition2

There is limited information regarding Off-Label Guideline-Supported Use of Milrinone in pediatric patients.

Non–Guideline-Supported Use

Condition1
  • Dosing Information
  • Dosage
Condition2

There is limited information regarding Off-Label Non–Guideline-Supported Use of Milrinone in pediatric patients.

Contraindications

  • Condition1

Warnings

  • Description

Precautions

  • Description

Adverse Reactions

Clinical Trials Experience

There is limited information regarding Clinical Trial Experience of Milrinone in the drug label.

Body as a Whole
Cardiovascular
Digestive
Endocrine
Hematologic and Lymphatic
Metabolic and Nutritional
Musculoskeletal
Neurologic
Respiratory
Skin and Hypersensitivy Reactions
Special Senses
Urogenital
Miscellaneous

Postmarketing Experience

There is limited information regarding Postmarketing Experience of Milrinone in the drug label.

Body as a Whole
Cardiovascular
Digestive
Endocrine
Hematologic and Lymphatic
Metabolic and Nutritional
Musculoskeletal
Neurologic
Respiratory
Skin and Hypersensitivy Reactions
Special Senses
Urogenital
Miscellaneous

Drug Interactions

  • Drug
  • Description

Use in Specific Populations

Pregnancy

Pregnancy Category (FDA):

  • Pregnancy Category


Pregnancy Category (AUS):

  • Australian Drug Evaluation Committee (ADEC) Pregnancy Category

There is no Australian Drug Evaluation Committee (ADEC) guidance on usage of Milrinone in women who are pregnant.

Labor and Delivery

There is no FDA guidance on use of Milrinone during labor and delivery.

Nursing Mothers

There is no FDA guidance on the use of Milrinone with respect to nursing mothers.

Pediatric Use

There is no FDA guidance on the use of Milrinone with respect to pediatric patients.

Geriatic Use

There is no FDA guidance on the use of Milrinone with respect to geriatric patients.

Gender

There is no FDA guidance on the use of Milrinone with respect to specific gender populations.

Race

There is no FDA guidance on the use of Milrinone with respect to specific racial populations.

Renal Impairment

There is no FDA guidance on the use of Milrinone in patients with renal impairment.

Hepatic Impairment

There is no FDA guidance on the use of Milrinone in patients with hepatic impairment.

Females of Reproductive Potential and Males

There is no FDA guidance on the use of Milrinone in women of reproductive potentials and males.

Immunocompromised Patients

There is no FDA guidance one the use of Milrinone in patients who are immunocompromised.

Administration and Monitoring

Administration

  • Oral
  • Intravenous

Monitoring

There is limited information regarding Monitoring of Milrinone in the drug label.

  • Description

IV Compatibility

There is limited information regarding IV Compatibility of Milrinone in the drug label.

Overdosage

Acute Overdose

Signs and Symptoms

  • Description

Management

  • Description

Chronic Overdose

There is limited information regarding Chronic Overdose of Milrinone in the drug label.

Pharmacology

Template:Px
Milrinone
Systematic (IUPAC) name
6-methyl-2-oxo-5-pyridin-4-yl-1H-pyridine-3-carbonitrile
Identifiers
CAS number 78415-72-2
ATC code C01CE02
PubChem 4197
DrugBank APRD00010
Chemical data
Formula Template:OrganicBox atomTemplate:OrganicBox atomTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBox atomTemplate:OrganicBoxTemplate:OrganicBox atomTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBox 
Mol. mass 211.219 g/mol
Pharmacokinetic data
Bioavailability 100% (as IV bolus, infusion)
Protein binding 70 to 80%
Metabolism Hepatic (12%)
Half life 2.3 hours
Excretion Urine (85% as unchanged drug) within 24 hours
Therapeutic considerations
Pregnancy cat.

C(US)

Legal status

Rx Only

Routes IV only

Mechanism of Action

Structure

This image is provided by the National Library of Medicine.

Pharmacodynamics

There is limited information regarding Pharmacodynamics of Milrinone in the drug label.

Pharmacokinetics

There is limited information regarding Pharmacokinetics of Milrinone in the drug label.

Nonclinical Toxicology

There is limited information regarding Nonclinical Toxicology of Milrinone in the drug label.

Clinical Studies

There is limited information regarding Clinical Studies of Milrinone in the drug label.

How Supplied

Storage

There is limited information regarding Milrinone Storage in the drug label.

Images

Drug Images

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Package and Label Display Panel

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Patient Counseling Information

There is limited information regarding Patient Counseling Information of Milrinone in the drug label.

Precautions with Alcohol

  • Alcohol-Milrinone interaction has not been established. Talk to your doctor about the effects of taking alcohol with this medication.

Brand Names

Look-Alike Drug Names

Drug Shortage Status

Price

References

The contents of this FDA label are provided by the National Library of Medicine.

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