Phentolamine (Mesylate)

Phentolamine (Mesylate) is alpha-adrenoceptor blocking drug with partial agonist and smooth muscle relaxant activity . Phentolamine (Mesylate) is used in the management of hypertension associated with pheochromocytoma, also used as a diagnostic test.


Brands
Adult Dose
Dose: 0.071 mg/kg
Single Dose: 0.071 (0.071)
Frequency: As recommended.
Route: IM
Instructions: As Required
Neonatal
Paedriatic
Dose: 0.1 to 0.5 mg/kg
Single Dose: 0.3 (0.3)
Frequency: As recommended.
Route: Intra Venous
Instructions: Single Dose, As Required
Characteristics
. It is of Synthetic origin and belongs to Imidazole. It belongs to Alpha adrenergic antagonist pharmacological group on the basis of mechanism of action and also classified in Antihypertensive Agents pharmacological group.The Molecular Weight of Phentolamine (Mesylate) is 377.50. It is strongly acidic drug, 8.23% solution of the drug is isotonic and Its pKa is 7.7.
Contraindications
Phentolamine (Mesylate) is contraindicated in conditions like Hypotension,Obstructive cardiomyopathy,Cardiovascular disease,Cerebrovascular disease,Aortic stenosis.
Effects
Phentolamine (Mesylate) produces potentially life-threatening effects which include Hypotension. which are responsible for the discontinuation of Phentolamine (Mesylate) therapy.The signs and symptoms that are produced after the acute overdosage of Phentolamine (Mesylate) include Hypotension, Tachycardia, Cardiac arrhythmias, Hypoglycemia, Sweating, Headache, Excitation, Visual distrubances.The symptomatic adverse reactions produced by Phentolamine (Mesylate) are more or less tolerable and if they become severe, they can be treated symptomatically, these include Diarrhea, Nausea and vomiting.
Indications
Phentolamine (Mesylate) is primarily indicated in conditions like Hypertension, Impotency, Phaeochromocytoma, Prophylaxis of NSAID-induced ulcer, and can also be given in adjunctive therapy as an alternative drug of choice in Skin necrosis.
Interactions
Phentolamine (Mesylate) is known to interact with other drugs, the details of drug interactions is as follows:DrugDetailsSeverityOnsetManagementAdrenalineAdrenalineClonidine (HCl)Dobutamine (HCl)Protirelin These interactions are sometimes beneficial and sometimes may pose threats to life. Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required.
Interfrence
Colorimetric measurement of 5-OH-Indoleaceticacid,false high values
Risks
Drug should not be given to Pregnant Mothers, Geriatrics, and Neonates.If prescribing authority justifies the benefits of the drug against the possible damages he/she should reevaluate them and consult the reference material and previous studies.
Storage
Inj Store in refrigerator. Do not Freeze.
Warnings
Phentolamine should not be given to patients with angina pectoris, ischaemic heart disease. Care should be taken in patients with peptic ulcer disease.
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