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Levophed Disease Interactions

There are 3 disease interactions with Levophed (norepinephrine).

Major

Norepinephrine (applies to Levophed) peripheral vascular thrombosis

Major Potential Hazard, Moderate plausibility. Applicable conditions: Peripheral Arterial Disease

Norepinephrine injection should not be given to patients with mesenteric or peripheral vascular thrombosis (because of the risk of increasing ischemia and extending the area of infarction) unless, in the opinion of the attending physician,the administration of norepinephrine is necessary as a life- saving procedure.

References

  1. "Product Information. Levophed (norepinephrine)." Hospira Inc (2017):
Major

Sympathomimetics (applies to Levophed) dehydration

Major Potential Hazard, High plausibility.

The use of sympathomimetic amines has been infrequently associated with significant hypotension especially in dehydrated patients secondary to the drug's beta-2 mediated vasodilation. Hypovolemia should be corrected, if possible, before administering sympathomimetic amines. Blood pressure and ECG should be monitored at regular intervals. Monitoring of cardiac output and pulmonary wedge pressure may also be desired.

References

  1. "Product Information. Isuprel (isoproterenol)." Sanofi Winthrop Pharmaceuticals (2001):
  2. "Product Information. Epifrin (EPINEPHrine ophthalmic)." Allergan Inc (2022):
  3. "Product Information. Adrenalin (EPINEPHrine)." Apothecon Inc (2022):
  4. "Product Information. Levophed Bitartrate (norepinephrine)." Sanofi Winthrop Pharmaceuticals (2001):
View all 4 references
Moderate

Sympathomimetics (applies to Levophed) acidosis

Moderate Potential Hazard, High plausibility.

Acidosis, hypoxia, and hypercapnia may reduce the effectiveness of sympathomimetic amines in raising blood pressure. These conditions should be corrected before initiating therapy with sympathomimetic amines, if possible. Monitoring the patients acid-base balance, carbon dioxide levels, and oxygen saturation is recommended.

References

  1. "Product Information. Isuprel (isoproterenol)." Sanofi Winthrop Pharmaceuticals (2001):
  2. "Product Information. Epifrin (EPINEPHrine ophthalmic)." Allergan Inc (2022):
  3. "Product Information. Adrenalin (EPINEPHrine)." Apothecon Inc (2022):
  4. "Product Information. Levophed Bitartrate (norepinephrine)." Sanofi Winthrop Pharmaceuticals (2001):
View all 4 references

Levophed drug interactions

There are 164 drug interactions with Levophed (norepinephrine).

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Drug Interaction Classification

These classifications are only a guideline. The relevance of a particular drug interaction to a specific individual is difficult to determine. Always consult your healthcare provider before starting or stopping any medication.
Major Highly clinically significant. Avoid combinations; the risk of the interaction outweighs the benefit.
Moderate Moderately clinically significant. Usually avoid combinations; use it only under special circumstances.
Minor Minimally clinically significant. Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan.
Unknown No interaction information available.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

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