Ephedrine

Ephedrine Brand Name– AKOVAZ | CORPHEDRA

What is Ephedrine

Ephedrine is a sympathomimetic agent obtained from the Ephedra plant that has been used medicinally in China for thousands of years.

Although already commercially available, ephedrine sulfate injections were formally FDA-approved for the treatment of clinically important hypotension occurring in the setting of anesthesia in 2016.

Ephedrine was used historically as a bronchodilator, but an FDA review of data confirmed ephedrine-induced cardiovascular risks, including hypertension, heart problems, and stroke.

In July 2005, the FDA removed from the U.S. market all ephedrine containing OTC medicines and dietary supplements, i.e., ma huang, Chinese ephedra, ma huang extract, ephedra, Ephedra sinica, ephedra extract, ephedra herb powder, epitonin, and/or ephedrine.

Ephedrine’s use in asthma has been replaced by safer and more effective agents; asthma guidelines do not mention ephedrine as an appropriate treatment for asthma.

Indications

  • hypotension

For the treatment of clinically important hypotension occurring in the setting of anesthesia

Side Effects

  1. agitation
  2. angina
  3. anorexia
  4. anxiety
  5. arrhythmia exacerbation
  6. bradycardia
  7. cardiac arrest
  8. confusion
  9. delirium
  10. diaphoresis
  11. dizziness
  12. dysuria
  13. euphoria
  14. hallucinations
  15. headache
  16. hyperreflexia
  17. hypertension
  18. insomnia
  19. irritability
  20. myocardial infarction
  21. nausea
  22. pallor
  23. palpitations
  24. premature ventricular contractions (PVCs)
  25. psychosis
  26. restlessness
  27. seizures
  28. sinus tachycardia
  29. stroke
  30. supraventricular tachycardia (SVT)
  31. tolerance
  32. tremor
  33. urinary retention
  34. ventricular fibrillation
  35. vertigo
  36. vomiting
  37. weakness

Monitoring Parameters

  • blood pressure
  • heart rate

Contraindications

  • angina
  • breast-feeding
  • cardiac arrhythmias
  • cardiac disease
  • closed-angle glaucoma
  • coronary artery disease
  • diabetes mellitus
  • geriatric
  • hypertension
  • hyperthyroidism
  • hypotension
  • labor
  • obstetric delivery
  • pregnancy
  • prostatic hypertrophy
  • thyrotoxicosis

Interactions

  • Acarbose
  • Acebutolol
  • Acetaminophen; Aspirin, ASA; Caffeine
  • Acetaminophen; Butalbital; Caffeine
  • Acetaminophen; Butalbital; Caffeine; Codeine
  • Acetaminophen; Caffeine
  • Acetaminophen; Caffeine; Dihydrocodeine
  • Acetaminophen; Caffeine; Magnesium Salicylate; Phenyltoloxamine
  • Acetaminophen; Caffeine; Phenyltoloxamine; Salicylamide
  • Acetaminophen; Chlorpheniramine; Dextromethorphan; Pseudoephedrine
  • Acetaminophen; Dextromethorphan; Pseudoephedrine
  • Acetaminophen; Pseudoephedrine
  • Acetazolamide
  • Aclidinium; Formoterol
  • Acrivastine; Pseudoephedrine
  • Albiglutide
  • Albuterol
  • Albuterol; Ipratropium
  • Alogliptin; Metformin
  • Alogliptin; Pioglitazone
  • Alpha-blockers
  • Alpha-glucosidase Inhibitors
  • Ambrisentan
  • Amitriptyline
  • Amitriptyline; Chlordiazepoxide
  • Amoxapine
  • Angiotensin II receptor antagonists
  • Angiotensin-converting enzyme inhibitors
  • Arformoterol
  • Articaine; Epinephrine
  • Aspirin, ASA; Butalbital; Caffeine
  • Aspirin, ASA; Butalbital; Caffeine; Codeine
  • Aspirin, ASA; Caffeine; Dihydrocodeine
  • Aspirin, ASA; Caffeine; Orphenadrine
  • Aspirin, ASA; Citric Acid; Sodium Bicarbonate
  • Atenolol
  • Atenolol; Chlorthalidone
  • Atomoxetine
  • Atropine
  • Atropine; Benzoic Acid; Hyoscyamine; Methenamine; Methylene Blue; Phenyl Salicylate
  • Atropine; Difenoxin
  • Atropine; Diphenoxylate
  • Atropine; Edrophonium
  • Atropine; Hyoscyamine; Phenobarbital; Scopolamine
  • Azelastine; Fluticasone
  • Beclomethasone
  • Belladonna Alkaloids; Ergotamine; Phenobarbital
  • Bendroflumethiazide; Nadolol
  • Beta-blockers
  • Betamethasone
  • Betaxolol
  • Bethanechol
  • Bisoprolol
  • Bisoprolol; Hydrochlorothiazide, HCTZ
  • Bosentan
  • Bretylium
  • Brimonidine; Timolol
  • Bromocriptine
  • Brompheniramine; Hydrocodone; Pseudoephedrine
  • Brompheniramine; Pseudoephedrine
  • Budesonide
  • Budesonide; Formoterol
  • Caffeine
  • Caffeine; Ergotamine
  • Calcium-channel blockers
  • Canagliflozin
  • Canagliflozin; Metformin
  • Carbetapentane; Pseudoephedrine
  • Carbidopa; Levodopa; Entacapone
  • Carbinoxamine; Dextromethorphan; Pseudoephedrine
  • Carbinoxamine; Hydrocodone; Pseudoephedrine
  • Carbinoxamine; Pseudoephedrine
  • Carbonic anhydrase inhibitors
  • Cardiac glycosides
  • Carteolol
  • Carvedilol
  • Cetirizine; Pseudoephedrine
  • Chlophedianol; Dexchlorpheniramine; Pseudoephedrine
  • Chlorpheniramine; Dihydrocodeine; Pseudoephedrine
  • Chlorpheniramine; Guaifenesin; Hydrocodone; Pseudoephedrine
  • Chlorpheniramine; Hydrocodone; Pseudoephedrine
  • Chlorpheniramine; Pseudoephedrine
  • Chlorpromazine
  • Chlorthalidone; Clonidine
  • Ciclesonide
  • Citric Acid; Potassium Citrate
  • Citric Acid; Potassium Citrate; Sodium Citrate
  • Citric Acid; Sodium Citrate
  • Clomipramine
  • Clonidine
  • Cocaine
  • Colchicine
  • Colchicine; Probenecid
  • Corticosteroids
  • Cortisone
  • Dapagliflozin
  • Dapagliflozin; Metformin
  • Dapagliflozin; Saxagliptin
  • Deflazacort
  • Desipramine
  • Desloratadine; Pseudoephedrine
  • Dexamethasone
  • Dexchlorpheniramine; Dextromethorphan; Pseudoephedrine
  • Dexmethylphenidate
  • Dextromethorphan; Guaifenesin; Pseudoephedrine
  • Diethylpropion
  • Digitoxin
  • Digoxin
  • Dihydrocodeine; Guaifenesin; Pseudoephedrine
  • Dihydroergotamine
  • Dipeptidyl Peptidase-4 Inhibitors
  • Dopamine
  • Dorzolamide; Timolol
  • Doxepin
  • Dronabinol
  • Dulaglutide
  • Dyphylline
  • Dyphylline; Guaifenesin
  • Empagliflozin
  • Empagliflozin; Linagliptin
  • Empagliflozin; Linagliptin; Metformin
  • Empagliflozin; Metformin
  • Entacapone
  • Epinephrine
  • Eplerenone
  • Epoprostenol
  • Ergoloid Mesylates
  • Ergonovine
  • Ergot alkaloids
  • Ergotamine
  • Ertugliflozin
  • Ertugliflozin; Metformin
  • Ertugliflozin; Sitagliptin
  • Esmolol
  • Exenatide
  • Fexofenadine; Pseudoephedrine
  • Fludrocortisone
  • Flunisolide
  • Fluphenazine
  • Fluticasone
  • Fluticasone; Salmeterol
  • Fluticasone; Umeclidinium; Vilanterol
  • Fluticasone; Vilanterol
  • Formoterol
  • Formoterol; Mometasone
  • Glimepiride; Pioglitazone
  • Glimepiride; Rosiglitazone
  • Glipizide; Metformin
  • Glyburide; Metformin
  • Glycopyrrolate; Formoterol
  • Green Tea
  • Guaifenesin; Hydrocodone; Pseudoephedrine
  • Guaifenesin; Pseudoephedrine
  • Guanabenz
  • Hydrochlorothiazide, HCTZ; Methyldopa
  • Hydrochlorothiazide, HCTZ; Metoprolol
  • Hydrochlorothiazide, HCTZ; Propranolol
  • Hydrocodone; Potassium Guaiacolsulfonate; Pseudoephedrine
  • Hydrocodone; Pseudoephedrine
  • Hydrocortisone
  • Ibuprofen; Pseudoephedrine
  • Iloprost
  • Imipramine
  • Incretin Mimetics
  • Indacaterol
  • Indacaterol; Glycopyrrolate
  • Indapamide
  • Insulin Degludec; Liraglutide
  • Insulin Glargine; Lixisenatide
  • Insulins
  • Iobenguane I 131
  • Iohexol
  • Ionic Contrast Media
  • Iopamidol
  • Iopromide
  • Ioversol
  • Isocarboxazid
  • Isosulfan Blue
  • Ketamine
  • Labetalol
  • Levalbuterol
  • Levobetaxolol
  • Levobunolol
  • Levothyroxine
  • Levothyroxine; Liothyronine (Porcine)
  • Levothyroxine; Liothyronine (Synthetic)
  • Linagliptin; Metformin
  • Linezolid
  • Liothyronine
  • Liraglutide
  • Lixisenatide
  • Loop diuretics
  • Loratadine; Pseudoephedrine
  • Loxapine
  • Macitentan
  • Maprotiline
  • Mecamylamine
  • Meglitinides
  • Mesoridazine
  • Metaproterenol
  • Metformin
  • Metformin; Pioglitazone
  • Metformin; Repaglinide
  • Metformin; Rosiglitazone
  • Metformin; Saxagliptin
  • Metformin; Sitagliptin
  • Methazolamide
  • Methohexital
  • Methyldopa
  • Methylergonovine
  • Methylphenidate
  • Methylprednisolone
  • Methysergide
  • Metoprolol
  • Miglitol
  • Mometasone
  • Monoamine oxidase inhibitors
  • Nabilone
  • Nadolol
  • Naproxen; Pseudoephedrine
  • Nebivolol
  • Nebivolol; Valsartan
  • Nitrates
  • Non-Ionic Contrast Media
  • Nortriptyline
  • Omeprazole; Sodium Bicarbonate
  • Oxytocin
  • Ozanimod
  • Penbutolol
  • Pergolide
  • Perphenazine
  • Perphenazine; Amitriptyline
  • Phendimetrazine
  • Phenelzine
  • Phentermine
  • Phentermine; Topiramate
  • Pindolol
  • Pioglitazone
  • Pirbuterol
  • Potassium Bicarbonate
  • Potassium Chloride
  • Potassium Citrate
  • Potassium-sparing diuretics
  • Pramlintide
  • Prednisolone
  • Prednisone
  • Prilocaine; Epinephrine
  • Procarbazine
  • Propofol
  • Propranolol
  • Protriptyline
  • Pseudoephedrine
  • Racepinephrine
  • Rasagiline
  • Reserpine
  • Riociguat
  • Rosiglitazone
  • Safinamide
  • Salmeterol
  • Selegiline
  • Selexipag
  • Semaglutide
  • SGLT2 Inhibitors
  • Sibutramine
  • Sodium Bicarbonate
  • Solriamfetol
  • Sotalol
  • St. John’s Wort, Hypericum perforatum
  • Sulfonylureas
  • Terbutaline
  • Theophylline, Aminophylline
  • Thiazide diuretics
  • Thiazolidinediones
  • Thiopental
  • Thioridazine
  • Thiothixene
  • Thyroid hormones
  • Timolol
  • Tranylcypromine
  • Treprostinil
  • Triamcinolone
  • Tricyclic antidepressants
  • Trifluoperazine
  • Trimipramine
  • Umeclidinium; Vilanterol
  • Vasodilators
  • Yohimbine
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