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Dopram® Injection
Doxapram Hydrochloride
Keep this leaflet. You may need to read it again.
If you have any further questions, ask your doctor or pharmacist.
This medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their
symptoms are the same as yours.
If any of the side effects gets serious, or if you notice any side effects not listed in this leaflet, please
tell your doctor or pharmacist.

In this leaflet:
1. What Dopram Injection is and what it is used for
2. Before you are given Dopram Injection
3. How Dopram Injection is given to you
4. Possible side effects
5. How to store Dopram Injection
6. Further information
Dopram Injection is used to help you breathe after you have been given an anaesthetic, when your
breathing may not be as good as it should be. Also some pain-killers used in anaesthesia have the side
effect of decreasing your breathing and Dopram Injection can prevent this problem. Your doctor can
also use Dopram Injection to speed up your recovery after an anaesthetic and also from associated
Dopram Injection works by increasing the amount of air that goes in and out of your lungs and
increases your rate of breathing.
Dopram Injection is therefore useful in conditions where breathing properly may be difficult.
You should not be given Dopram Injection if:
• you know that you are allergic to Doxapram Hydrochloride or any of the other ingredients
of Dopram Injection
• you have very high blood pressure
• you are suffering from sudden, severe wheezing
• you have heart disease
• you suffer from epilepsy or a similar condition involving fits or convulsions
• you have what is called cerebral oedema, where there is build up of fluid in the brain
• you have suffered from a stroke
• you suffer from the condition known as hyperthyroidism/ thyrotoxicosis. (when you have an
overactive thyroid gland and your body produces too much of the hormone thyroxine)
• the airways in your lungs or the muscles in the chest wall that you use to breathe are severely
blocked in any way
• you have an injury to the head
• you suffer from a blood clot in the lung (pulmonary embolism).
Make sure your doctor knows if you suffer from any of the above.

Before you are given Dopram Injection, your doctor will take special care if any of the following
situations apply to you.
Tell your Doctor if any of these apply to you :
• If you are wheezing or have problems with your breathing, your doctor will probably give you
another drug or oxygen to control this while you are taking Dopram Injection
• If you suffer from any liver problems
• You have been under anaesthetic, the type of anaesthetic used will affect the way your doctor gives
you Dopram Injection. Your doctor will monitor you closely after having an anaesthetic, as the effects
of other drugs used during an operation must be considered when Dopram Injection is being given
• If you have a tumour of the adrenal glands called a phaeochromocytoma
• If you have high blood pressure.
Tell your doctor if any of these apply to you.
Taking other medicines
Please tell your doctor or pharmacist if you are taking, or have recently taken, any other medicines.
This includes medicines obtained without a prescription. This is extremely important because some
medicines can strengthen or weaken the effects of others.
In particular, tell your doctor if you are taking any of the following as it may alter their effect:
• Drugs that stimulate certain nerves known as sympathomimetics. These are often used in the
treatment of asthma, eg salbutamol and terbutaline
• A Monoamine oxidase inhibitor (MAOI) which is a drug used to treat depression (eg. phenelzine,
• Certain anaesthetics such as halothane, cyclopropane and enflurane
• A drug called aminophylline/theophylline which may be used in the treatment of asthma
• Curare type muscle relaxant drugs (which decrease the muscle tone).
Pregnancy and breast feeding
If you are pregnant think you may be pregnant, are planning to become pregnant, or are breast feeding
you should tell your doctor. This may affect their decision about whether to give you Dopram®
Injection or not.
Ask your doctor or pharmacist for advice before taking any medicine.
Your doctor will give you Dopram Injection by injecting it into one of your veins. The amount you
are given will depend on your condition and on how well you are responding to the medicine.
Adults and the elderly:
Normally you will be given between 1.0 and 1.5 mg of this medicine for each kilogram that you
weigh (e.g. if you weigh 70 kilograms you will probably receive between 70mg and 105mg of this
medicine). This dose may be repeated hourly if necessary.
Dopram® Injection is not recommended for use in children.
If you are given more Dopram Injection than you should.
If your doctor accidentally gives you too much of this medicine you may feel the following:
your heartbeat becomes irregular, you develop some shortness of breath and your muscle movements
become more difficult. Tell your doctor immediately if you feel any of these symptoms.

If you have any further questions on the use of this product ask your doctor or pharmacist.

Like all medicines Dopram Injection can sometimes cause side-effects, although not everybody gets
All medicines can cause allergic reactions although serious allergic reactions are very rare.
Any sudden wheeziness, difficulty in breathing, swelling of the eyelids, face or lips, rash or
itching (especially affecting your whole body) should be reported to a doctor immediately.
If you develop sudden and severe increase in blood pressure or difficulty in breathing your doctor will
stop Dopram Injection.
The following side effects have also been reported:
• feeling feverish, flushed and possibly sweating
• coughing
•shortness of breath
• tightening of the chest and throat
• increased blood pressure
• quicker or slower heartbeat than usual
• warmth at the base of the tummy
•muscle twitches
• chest pain or chest tightness
• increased muscle tone/stiffness (Muscle spasticity)
• reflex of toe in response to foot stroke (bilateral
• weakness in the limbs, slurred speech or visual
disturbances which may be caused by reduced
blood supply to the brain
• premature contraction of heart (extrasystoles)

• fits
• headache
• dizziness
• feeling hyperactive
• feeling confused
• having hallucinations (see, hear,
smell, taste, or feel something that is
not there)
• nausea (feeling sick) and vomiting
(being sick)
• series of involuntary muscular
contractions (Clonus)
• increased reflexes in brain function
(increased deep tendon reflexes)
• irregular heart beat
• inability to pass urine or sudden
passing of urine.

Children, Infants and premature newborns:
Although Dopram is not recommended for use in children, its use in children is known to cause the
following side effects:
• Prolonged use of Dopram in premature infants may cause slow development of some parts of the
• Dopram use in premature infants may cause heart related problems including irregular or slow
• Bleeding in stools, painful swelling of the stomach, death of tissue in portions of the bowel, multiple
perforations of the wall of the stomach
• Early teeth eruption.
If any of the side effects persist or become more serious, or if you notice any side effects not listed in
this leaflet, please tell your doctor or pharmacist.

Your doctor, pharmacist or nurse will know how to store Dopram Injection properly.
Keep this medicine out of the sight and reach of children.
Do not use this medicine after the expiry date which is stated on the carton and ampoule label after
‘Exp’. The expiry date refers to the last day of that month.
Do not store above 25°C. Do not refrigerate.

Once opened use immediately.
For single use only. Discard any unused contents.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to
dispose of medicines no longer required. These measures will help to protect the environment.
The active substance is Doxapram hydrochloride. There is 100mg of Doxapram hydrochloride in 5ml
of the injection (20mg in each ml of the injection).
The other ingredient is Water for Injections.
What Dopram Injection looks like and contents of pack
The name of your medicine is Dopram Injection and is supplied in glass ampoules packed in a
cardboard carton.
Each ampoule contains 5ml of a clear colourless sterile solution for injection.
Five ampoules are supplied in a carton.
Marketing authorisation holder
MercuryPharm Ltd, 4045, Kingswood Road, City West Business Park, Co Dublin, Ireland.
B. Braun Melsungen AG, Mistelweg 2, 12357 Berlin, Germany.
This leaflet was revised in July 2012
The following information is intended for medical or healthcare professionals only.
Dopram Injection is incompatible with alkaline solutions such as aminophylline, furosemide and
thiopental sodium.
Mercurypharm is licensed to use the registered trademark Dopram.

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Source: Medicines and Healthcare Products Regulatory Agency

Disclaimer: Every effort has been made to ensure that the information provided here is accurate, up-to-date and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. This information has been compiled for use by healthcare practitioners and consumers in the United States. The absence of a warning for a given drug or combination thereof in no way should be construed to indicate that the drug or combination is safe, effective or appropriate for any given patient. If you have questions about the substances you are taking, check with your doctor, nurse or pharmacist.