Esmolol

Latest prescription information about Esmolol. Learn how to pronounce the drug’s name, its indications, dosage, how to take, when to take, when not to take, side effects, special precautions, its storage instructions and warnings if any when taken during pregnancy. Also listed are the International and Indian trade name(s) of the drug and its price list.
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Generic Name : Esmolol
Pronunciation : ESS-mow-lall
Trade Name(s): 
India- Cardesmo Vial, Esmocard Inj, Esocard Vial, Miniblock Inj, Neotach Vial.
International- Brevibloc.
Why it is prescribed (Indications) : 
This medication is an antiarrhythmic agent, prescribed for high blood pressure and to control heart rate.

When it is not to be taken (Contraindications): 


Contraindicated in patients with slow heart rate, heart block greater than first degree, poor blood supply or over heart failure.

Pregnancy Category :

A B C D X
Category C : Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.


When it is to be taken : 
Adult: IV- Arrhythmias- As HCl: Loading dose: 500 mcg/kg; Maintenance: 50 mcg/kg/min for 4 minutes. If response is unsatisfactory within the 1st 5 minutes, give 2nd loading dose of 500 mcg/kg, then maintenance infusion at 100 mcg/kg/min for 4 minutes.
Perioperative HTN and/or tachycardia during anesthesia: Loading dose: 80 mg, then 150 mcg/kg/min via infusion, up to 300 mcg/kg/min if needed. After anesthesia: Infuse 500 mcg/kg/min for 4 minutes, and then infuse at 300 mcg/kg/min if needed. Postoperative: Loading dose: 500 mcg/kg, maintenance: 50 mcg/kg/min for 4 minutes.
How it should be taken : 
It comes as a solution for injection, to be administered by a healthcare provider into the vein.
Special Instruction : 
* Caution should be exercised in patients with history of low blood pressure, diabetes, heart, respiratory diseases, kidney impairment, children, during pregnancy and breastfeeding.
* Avoid alcohol consumption while taking this medication.
* It may cause dizziness or drowsiness, do not drive a car or operate machinery while taking this medication.
Side Effects : 
Heart- Low blood pressure, chest pain, fainting, low heart rate and flushing.
Central Nervous System- Dizziness, drowsiness, confusion, headache, agitation, fatigue, anxiety, lightheadedness, weakness and tingling.
Respiratory- Asthma, wheezing, difficulty in breathing, nasal congestion and abnormal breathing sounds.
Gastrointestinal- Nausea, vomiting, indigestion, constipation, dry mouth and abdominal discomfort.
Miscellaneous- Urinary retention, speech disorder, abnormal vision, rigors and fever.
Other Precautions : 
*Take full course of treatment.
Storage Conditions : 
Store it at room temperature (25°C), and in an airtight container. Keep away from children.

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