Country: Canada
Language: English
Source: Health Canada
DOBUTAMINE (DOBUTAMINE HYDROCHLORIDE)
HIKMA CANADA LIMITED
C01CA07
DOBUTAMINE
12.5MG
SOLUTION
DOBUTAMINE (DOBUTAMINE HYDROCHLORIDE) 12.5MG
INTRAVENOUS
15G/50G
Prescription
SELECTIVE BETA 1-ADRENERGIC AGONISTS
Active ingredient group (AIG) number: 0112000001; AHFS:
APPROVED
2022-06-02
_Dobutamine Injection USP_ _Page 1 of 14_ PRODUCT MONOGRAPH PR DOBUTAMINE INJECTION USP Sterile Solution for Injection 12.5 mg/mL (as dobutamine hydrochloride) Intravenous Solution Sympathomimetic Hikma Canada Limited 5995 Avebury Road, Suite 804 Mississauga, Ontario L5R 3P9 Submission Control No.: 264076 Date of Preparation: June 1, 2022 _Dobutamine Injection USP_ _Page 2 of 12_ PR DOBUTAMINE INJECTION USP 12.5 mg/mL (as dobutamine hydrochloride) THERAPEUTIC CLASSIFICATION Sympathomimetic ACTION AND CLINICAL PHARMACOLOGY Dobutamine is a direct-acting inotropic agent whose primary activity results from stimulation of the β-receptors of the heart while producing less marked chronotropic, hypertensive, arrhythmogenic or vasodilatory effects. Dobutamine, unlike dopamine, does not cause the release of endogenous norepinephrine. No specific effect on the renal vasculature has been observed. Dobutamine produces less increase in heart rate and less decrease in peripheral vascular resistance for a given inotropic effect than does isoproterenol as demonstrated in both animal and human studies. The onset of action is within 1 to 2 minutes, although the peak effect of a particular infusion may not be reached for 10 minutes. The plasma half-life in humans is 2 minutes. INDICATIONS AND CLINICAL USE Dobutamine Injection USP is indicated in the treatment of adults with cardiac decompensation due to depressed contractility resulting from organic heart disease or following cardiac surgical procedures in which parenteral therapy is necessary for inotropic support. Most clinical experience with dobutamine is short-term - up to several hours in duration. In the limited number of patients who were studied for 24, 48 and 72 hours, a persistent increase in cardiac output occurred in some, whereas the output of others returned toward baseline values. CONTRAINDICATIONS Dobutamine Injection USP is contraindicated in patients with pheochromocytoma, idiopathic hypertrophic subaortic stenosis, and in those patients with hypersensitivity to Read the complete document