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Dexmedetomidine Side Effects

In Summary

Commonly reported side effects of dexmedetomidine include: bradycardia, hypotension, agitation, hypertension, nausea, and tachycardia. Other side effects include: vomiting, and xerostomia. See below for a comprehensive list of adverse effects.

For the Consumer

Applies to dexmedetomidine: parenteral injection concentrate

Side effects include:

Hypotension, hypertension, nausea, bradycardia, fever, vomiting, hypoxia, tachycardia, anemia.

For Healthcare Professionals

Applies to dexmedetomidine: intravenous solution

Cardiovascular

Very common (10% or more): Hypotension (56%), bradycardia (42%), systolic hypertension (28%), hypotension requiring intervention (28%), tachycardia (25%), hypertension requiring intervention (19%), hypertension (16%), diastolic hypertension (12%), tachycardia requiring intervention (10%)
Common (1% to 10%): Atrial fibrillation, sinus tachycardia, myocardial ischemia or infarction, bradycardia requiring intervention
Uncommon (0.1% to 1%): Ventricular tachycardia, atrioventricular block first degree, decreased cardiac output
Frequency not reported: Sinus arrest
Postmarketing reports: Arrhythmia, cardiac arrest, cardiac disorder, extrasystoles, supraventricular tachycardia, ventricular arrhythmia, electrocardiogram T wave inversion, prolonged QT, blood pressure fluctuation, heart block[Ref]

Respiratory

Very common (10% or more): Respiratory depression (37%)
Common (1% to 10%): Atelectasis, hypoxia, pulmonary edema, pleural effusion, respiratory failure, acute respiratory distress syndrome, bradypnea, pneumonia, pharyngolaryngeal pain
Uncommon (0.1% to 1%): Wheezing, dyspnea, apnea
Frequency not reported: Decreased respiratory rate
Postmarketing reports: Bronchospasm, hypercapnia, hypoventilation, pulmonary congestion, respiratory acidosis[Ref]

Gastrointestinal

Very common (10% or more): Nausea (11%)
Common (1% to 10%): Dry mouth, vomiting, constipation, abdominal distension, abdominal pain, diarrhea[Ref]

Dermatologic

Common (1% to 10%): Decubitus ulcer
Uncommon (0.1% to 1%): Rash
Postmarketing reports: Hyperhidrosis[Ref]

Hematologic

Common (1% to 10%): Anemia
Uncommon (0.1% to 1%): Thrombocytopenia[Ref]

Metabolic

Common (1% to 10%): Hypovolemia, hyperglycemia, hypoglycemia, hypocalcemia, acidosis, hypokalemia, hypomagnesemia, hypernatremia, hypophosphatemia
Uncommon (0.1% to 1%): Metabolic acidosis, hypoalbuminemia, electrolyte imbalance
Postmarketing reports: Hyperkalemia, acidosis[Ref]

Nervous system

Common (1% to 10%): Headache
Postmarketing reports: Convulsion, dizziness, neuralgia, neuritis, speech disorder[Ref]

Other

Common (1% to 10%): Pyrexia, hyperthermia, chills, post-procedural hemorrhage, withdrawal event/syndrome, rigors, hyperpyrexia, pain, thirst, generalized edema, peripheral edema, sepsis, septic shock
Uncommon (0.1% to 1%): Ineffective drug
Frequency not reported: Tolerance, tachyphylaxis
Postmarketing reports: Light anesthesia[Ref]

Psychiatric

Common (1% to 10%): Agitation, anxiety
Uncommon (0.1% to 1%): Hallucination
Postmarketing reports: Confusional state, delirium, illusion[Ref]

Renal

Common (1% to 10%): Acute renal failure, decreased urine output, oliguria
Postmarketing reports: Increased blood urea, polyuria[Ref]

Hepatic

Postmarketing reports: Abnormal hepatic function, hyperbilirubinemia, increased ALT, increased AST, increased blood alkaline phosphatase, increased gamma-glutamyl transferase[Ref]

Ocular

Frequency not reported: Reduced lacrimation
Postmarketing reports: Photopsia, abnormal vision, visual impairment[Ref]

References

1. Cerner Multum, Inc. "Australian Product Information." O 0

2. Cerner Multum, Inc. "UK Summary of Product Characteristics." O 0

3. "Product Information. Precedex (dexmedetomidine)" Abbott Pharmaceutical, Abbott Park, IL.

Some side effects of dexmedetomidine may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA.

Disclaimer: Every effort has been made to ensure that the information provided is accurate, up-to-date and complete, but no guarantee is made to that effect. In addition, the drug information contained herein may be time sensitive and should not be utilized as a reference resource beyond the date hereof. This material does not endorse drugs, diagnose patients, or recommend therapy. This information is a reference resource designed as supplement to, and not a substitute for, the expertise, skill , knowledge, and judgement of healthcare practitioners in patient care. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate safety, effectiveness, or appropriateness for any given patient. Drugs.com does not assume any responsibility for any aspect of healthcare administered with the aid of materials provided. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the substances you are taking, check with your doctor, nurse, or pharmacist.

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