Peak effect: 60 minutes. Duration, post-continuous infusion (dose dependent) : 60 to 240 minutes. Distribution: IV: Vss: Adults: ~118 L; rapid. Protein binding: IV: ~94%. Metabolism: Hepatic via N-glucuronidation, N-methylation, and CYP2A6. Excretion: Urine (95%); feces (4%). Clearance: ~39 L/hour.
禁忌症
Hypersensitivity to dexmedetomidine or any component of the formulation.
懷孕分類
哺乳分類
副作用
>10%: bradycardia, hypertension, hypotension, tachycardia, constipation (6% to 14%), nausea (3% to 11%), agitation (5% to 14%), drowsiness, bradypnea, hypoxia, respiratory depression (37%).
劑量和給藥方法
General anesthesia, maintenance (adjunctive agent) (off-label use):
Continuous IV infusion: 0.1 to 0.8 mcg/kg/hour; titrate to desired effect. Patients in the ICU, sedation (adults) : Initial: 0.5 to 1 mcg/kg for over 10 minutes. Maintenance dose: 0.2 to 0.7 mcg/kg/hour to sedation goal or clinical effect. Surgical sedation: Initial:
Adults: 0.5 to 1 mcg/kg for over 10 minutes.
Patients with flexible scope intubation (awake): 1 mcg/kg for over 10 minutes.
>65 years old: 0.5 for over 10 minutes. Maintenance dose: Adults: 0.2 to 1 mcg/kg/hour to sedation goal or clinical effect.
Patients with flexible scope intubation (awake): 0.7 mcg/kg/hr.
Class 1, 2, or 3 obesity (BMI ≥30 kg/m2): IV: Use adjusted body weight for initial weight-based dose calculations, then titrate to clinical effect.