dopamine hydrochloride injection, USP VIAL Drug Interactions

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7 DRUG INTERACTIONS

 
See Table 1 for clinically significant drug interactions with dopamine.
Table 1: Clinically Significant Drug Interactions with Dopamine

Halogenated Anesthetics

Clinical Impact:

Concomitant use may increase cardiac autonomic irritability and can sensitize the myocardium to the action of dopamine which may lead to ventricular arrhythmias and hypertension.

Intervention:

Monitor cardiac rhythm.

Examples:

desflurane, enflurane, isoflurane, and sevoflurane.

MAO Inhibitors

Clinical Impact:

Because dopamine is metabolized by monoamine oxidase (MAO), inhibition of this enzyme prolongs and potentiates the effect of dopamine which may result in severe hypertension and cardiac arrhythmia.

Intervention:

Reduce the recommended starting dosage to no greater than one‑tenth (1/10) of the recommended dose in patients who have been treated with MAO inhibitors within two to three weeks prior to the administration of Dopamine HCl Injection.

Examples:

isocarboxazid, phenelzine, tranylcypromine, rasagiline, selegiline, linezolid.

Tricyclic Antidepressants

Clinical Impact:

Concomitant use may potentiate the cardiovascular effects of dopamine (e.g., hypertension).

Intervention:

Monitor blood pressure.

Examples:

amitriptyline, desipramine, doxepin, imipramine, nortriptyline.

 
Vasopressors

Clinical Impact:

Concomitant use may result in severe hypertension.

Intervention:

Monitor blood pressure.

Examples:

norepinephrine, epinephrine, oxytocin.

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Drug Interactions

7 DRUG INTERACTIONS

 
See Table 1 for clinically significant drug interactions with dopamine.
Table 1: Clinically Significant Drug Interactions with Dopamine

Halogenated Anesthetics

Clinical Impact:

Concomitant use may increase cardiac autonomic irritability and can sensitize the myocardium to the action of dopamine which may lead to ventricular arrhythmias and hypertension.

Intervention:

Monitor cardiac rhythm.

Examples:

desflurane, enflurane, isoflurane, and sevoflurane.

MAO Inhibitors

Clinical Impact:

Because dopamine is metabolized by monoamine oxidase (MAO), inhibition of this enzyme prolongs and potentiates the effect of dopamine which may result in severe hypertension and cardiac arrhythmia.

Intervention:

Reduce the recommended starting dosage to no greater than one‑tenth (1/10) of the recommended dose in patients who have been treated with MAO inhibitors within two to three weeks prior to the administration of Dopamine HCl Injection.

Examples:

isocarboxazid, phenelzine, tranylcypromine, rasagiline, selegiline, linezolid.

Tricyclic Antidepressants

Clinical Impact:

Concomitant use may potentiate the cardiovascular effects of dopamine (e.g., hypertension).

Intervention:

Monitor blood pressure.

Examples:

amitriptyline, desipramine, doxepin, imipramine, nortriptyline.

 
Vasopressors

Clinical Impact:

Concomitant use may result in severe hypertension.

Intervention:

Monitor blood pressure.

Examples:

norepinephrine, epinephrine, oxytocin.

Medication Guide

Health Professional Information

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