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Ephedrine

Alpha- and beta- adrenergic agonist and a norepinephrine-releasing agent that is
Injection30 mg · 1 ml2 brands · 2 makers
Ephedrine is an alpha- and beta- adrenergic agonist and a norepinephrine-releasing agent that is used for the treatment of clinically important hypotension occurring in the setting of anesthesia. Ephedrine is listed in Nepal's National List of Essential Medicines (NLEM, Sixth Revision 2021) under Anaesthetics, Perioperatve Medicines and Medical Gases.
Generic nameephedrine
Therapeutic classAnaesthetics, Perioperatve Medicines and Medical Gases > 1.2 Local anaesthetics (complementary list)
Form & strength (NLEM)Injection: 30 mg (hydrochloride)/ ml in 1 ml ampoule
Source / स्रोतNational List of Essential Medicines Nepal (2021); NepalDoc medicine catalog

What it's for

Ephedrine sulfate injection is indicated for the treatment of clinically important hypotension occurring in the setting of anesthesia.

From the U.S. FDA-approved label for Ephedrine. Full label: DailyMed.

Ephedrine sulfate injection is indicated for the treatment of clinically important hypotension occurring in the setting of anesthesia.

From the U.S. FDA-approved label for Ephedrine. Full label: DailyMed.

Should be administered by trained healthcare providers Ephedrine sulfate injection, 50 mg/mL, must be diluted before administration as an intravenous bolus dose. Bolus intravenous injection: 5 to 10 mg as needed, not to exceed 50 mg. 2.1 General Dosage and Administration Instructions Ephedrine sulfate injection, 50 mg/mL must be diluted before administration as an intravenous bolus to achieve the desired concentration.

Directions from the U.S. FDA-approved label — your doctor or pharmacist may advise differently.

Pressor Effects with Concomitant Use with Oxytocic Drugs: Pressor effect of sympathomimetic pressor amines is potentiated Tachyphylaxis and Tolerance: Repeated administration of ephedrine may cause tachyphylaxis 5.1 Pressor Effect with Concomitant Oxytocic Drugs Serious postpartum hypertension has been described in patients who received both a vasopressor (i.e., methoxamine, phenylephrine, ephedrine) and an oxytocic (i.e., methylergonovine, ergonovine). Some of these patients experienced a stroke. Carefully monitor the blood pressure of individuals who have received both ephedrine and an oxytocic.

Warnings and precautions excerpt from the U.S. FDA-approved label — not a complete list. Talk to a pharmacist or doctor before use.

The following adverse reactions associated with the use of ephedrine sulfate were identified in the literature. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to estimate their frequency reliably or to establish a causal relationship to drug exposure.

Excerpt from the U.S. FDA-approved label — not a complete list. Talk to a pharmacist or doctor about side effects.

2 products from 2 makers in the NepalDoc medicine catalog use this generic:

BrandCompositionMakerPack
Adrena 2mg InjectionEphedrine (2mg)Geo Pharma Pvt Ltdvial of 2 ml Injection
Efipres InjectionEphedrine (30mg)Neon Laboratories Ltdvial of 1 ml Injection

Brand list from the NepalDoc medicine catalog. Availability varies by pharmacy — call ahead to confirm stock.

Store ephedrine sulfate injection USP, 50 mg/mL, at 20° to 25°C (68° to77°F).

Storage information from the U.S. FDA-approved label.

Medicines for the same conditions

Ephedrine is recorded in the NepalDoc medicine catalog for: Bronchial asthma, Hypotension, Diabetic neuropathic oedema, Nasal congestion.

For Bronchial asthma: Dexamethasone, Salbutamol + Bromhexine, Terbutaline sulphate + Bromhexine hydrochloride.

For Nasal congestion: Oxymetazoline, Xylometazoline.

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+ Safety information

This page is information only and is not medical advice. Medicine details come from the sources listed above and may change — always confirm the medicine, strength and dose with a pharmacist or doctor before use. NLEM listing does not guarantee that a medicine is in stock at any pharmacy.

NepalDoc — Nepal's Healthcare Super-App (Beta) / नेपालको स्वास्थ्य सुपर-एप (बेटा).
Medicine information only — not medical advice. Confirm with a pharmacist or doctor.