Esmolol
Generic medicine reference
Not yet clinically reviewed
This entry was migrated from the earlier Pharmapedia app bundle and has not been reviewed by a named clinician on this site. It is provided for educational reference only — verify dosage and safety information against current, authoritative sources and a qualified healthcare professional before any clinical use.
Overview
Esmolol is used to help keep the heart beating normally in people with certain heart rhythm disorders, such as atrial fibrillation or atrial flutter .
Esmolol is also used during surgery to help regulate blood pressure and heart rate.
Esmolol may also be used for purposes not listed in this medication guide.
Indications
Esmolol is used to help keep the heart beating normally in people with certain heart rhythm disorders, such as atrial fibrillation or atrial flutter .
Esmolol is also used during surgery to help regulate blood pressure and heart rate.
Esmolol may also be used for purposes not listed in this medication guide.
Contraindications
You should not use esmolol if you are allergic to it, or if you have:
a serious heart condition such as "sick sinus syndrome" or "AV block" (second or third degree); pulmonary hypertension (increased pressure inside the blood vessels of the lungs and heart); severe heart failure (that required you to be in the hospital); history of slow heart beats that have caused you to faint; if you have recently had a heart attack; or a condition for which you are being treated with intravenous (IV) heart or blood pressure medication (such as diltiazem , nicardipine , or verapamil).
Tell your doctor if you have or have ever had:
a certain type of chest pain ( Prinzmetal's angina ); asthma, chronic obstructive pulmonary disease (COPD), or other breathing disorder; diabetes (taking esmolol may make it harder for you to tell when you have low blood sugar ); congestive heart failure, low blood pressure, or coronary artery disease (hardened arteries); pheochromocytoma (tumor of the adrenal gland); high blood levels of potassium ( hyperkalemia ); if your heart cannot pump blood properly; overactive thyroid; metabolic acidosis ; any allergies; peripheral vascular disease such as Raynaud's syndrome ; or kidney disease (or if you are on dialysis).
Using this medicine during the last 3 months of pregnancy may harm the unborn baby. Tell your doctor right away if you get pregnant. Do not stop the medicine without your doctor's advice.
Ask a doctor if it is safe to breastfeed while using this medicine.
Side Effects
Get emergency medical help if you have signs of an allergic reaction : hives, difficult breathing, swelling of your face, lips, tongue, or throat.
Tell your medical caregivers at once if you have:
feeling like you might pass out; new or worsening chest pain; slow or fast heartbeats; severe headache, blurred vision, pounding in your neck or ears; bronchospasm (wheezing, chest tightness, trouble breathing); pain, swelling, redness, burning, blisters, skin sores, or irritation around the IV needle; cold feeling in your hands and feet; heart problems --swelling, rapid weight gain, feeling short of breath; high blood potassium --nausea, weakness, tingly feeling, chest pain, irregular heartbeats, loss of movement; or low blood sugar --headache, hunger, weakness, sweating, confusion, irritability, dizziness, fast heart rate , or feeling jittery.
Common side effects of esmolol may include:
increased sweating; dizziness; or low blood pressure .
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Warnings
You should not use esmolol if you have a serious heart condition such as "sick sinus syndrome" or "AV block" (unless you have a pacemaker), severe heart failure , pulmonary hypertension , slow heartbeats that have caused you to faint, recently had a heart attack , or if you are receiving certain IV heart or blood pressure medications.
If you receive esmolol during an emergency, make sure any follow-up doctor knows you received esmolol.
High Risk Groups
You should not use esmolol if you have a serious heart condition such as "sick sinus syndrome" or "AV block" (unless you have a pacemaker), severe heart failure , pulmonary hypertension , slow heartbeats that have caused you to faint, recently had a heart attack , or if you are receiving certain IV heart or blood pressure medications.
If you receive esmolol during an emergency, make sure any follow-up doctor knows you received esmolol.
Adult Dosage
1.5 mg/kg (1.5 (1.5)) As recommended. IV — For the management of postintubation tachycardia and hypertension, should be given as a bolus injection (over 30 seconds) 1 to 2 minutes before intubation.
10 mg/ml (10 (10)) As recommended. IV — Management of Perioperative Tachycardia and Hypertension: Intubation: Should be administered by a bolus injection over 30 seconds.
Child Dosage
25 to 350 mcg/kg/min (190 (187.5)) As recommended. IV —
Neonatal Dosage
No neonatal dosage information is recorded for this medicine yet.
Drug Interactions
Tell your doctor about all your other medicines, especially:
digoxin, digitalis; insulin or oral diabetes medicine; heart or blood pressure medication; or medicines to treat asthma, colds, or allergies.
This list is not complete. Other drugs may affect esmolol, including prescription and over-the-counter medicines, vitamins, and herbal products . Not all possible drug interactions are listed here.
Storage
Inj Store Below 25°C. Inj (reconstituted soln) Store in refrigerator. Use within 24 hrs if kept at room temperature.
Available Brands in Pakistan
No brands are recorded for this generic.