Drug Identity
Active Ingredient
Ml Mg
Chemical Class
Catecholamine
Pharmacological Group
on the basis of mechanism of action and also cl...
What is Adravax?
Uses
Adrenaline is a sympathomimetic amine, alpha-and beta-adrenergic agonists, synthesized from tyrosine in the adrenal medulla and released ...
How It Works
Chemical Class
Catecholamine
Pharmacological Group
on the basis of mechanism of action and also classified in Drugs used in Shock and Sympathomimetic pharmacological group
Adrenaline also known as Epinephrine. It is of Natural origin and belongs to Catecholamine. It belongs to Alpha & Beta adrenergic agonist pharmacological group on the basis of mechanism of action and also classified in Drugs used in Shock and Sympathomimetic pharmacological group.The Molecular Weight of Adrenaline is 183.20. It is weakly acidic drug, 4.24% solution of the drug is isotonic and Its pKa is 8.7, 10.2, 12.
How to Take It
1
Adult · Eye Drops
0.5 to 2 % — As recommended.
use in 5-10 mintues after administration of a mitotic eye drop For open angle Glaucoma
2
Adult · IM
500 to 1000 mcg — As recommended.
Adrenaline should be given every 5 minutes For Anaphylaxis, Bronchospam and allergy.
3
Adult · SC
200 to 500 mcg — As recommended.
Every 20-25 minutes
4
Adult · Slow-IV
2 to 20 ug/min — As recommended.
or 1 mg for 2-3 minutes upto 1 hour for Cardiac Arrest
5
Adult · Solution
2 to 20 ug/min — As recommended.
1:1,000 Solution. for bleeding forocal anesthesia : minimum : 1:80,000 , maximum 1:200000
6
Adult · Via ETT
2 to 3 mg — As recommended.
Every 15-30 Minutes, As Required
7
Child · ETT
100 to 0 mcg/kg — As recommended.
dose may increase upto 100mcg/kg for advance cardiace life support
8
Child · Intra Muscular
120 to 250 mcg/kg — As recommended.
Single Dose
9
Child · IV
10 to 0 mcg/kg — As recommended.
dose may increase upto 100mcg/kg for advance cardiace life support
Safety Alerts
Adrenaline is contraindicated in conditions like Diabetes mellitus,Hypertension,Hyperthyroidism,Ischaemic heart disease,Angle-closure glaucoma,labor
Important Warnings
Care should be exercised in elderly as they are more sensitive to the effects of epinephrine
Use with caution in patients with ventricular fibrillation
Administer with great caution and in carefully circumscribed quantities in area of body served by end arteries (e
fingers, toes etc
because it can cause severe tissue necrosis)
The use of epinephrine in children requires that the body weight of patient be known
Care should be instituted when adrenaline is administered to diabetic patients Adrenaline Delays the second stage of labor
Side Effects
The severe or irreversible adverse effects of Adrenalinewhich give rise to further complications include Local ischemic necrosis.Adrenaline produces potentially life-threatening effects which include Ventricular fibrillationCerebral hemorrhagePulmonary edema. which are responsible for the discontinuation of Adrenaline therapy.The signs and symptoms that are produced after the acute overdosage of Adrenaline include Cardiac arrhythmiasCerebral hemorrhagePulmonary edemaRise in B.P.The symptomatic adverse reactions produced by Adrenaline are more or less tolerable and if they become severethey can be treated symptomaticallythese include WeaknessDizzinessHeadacheAnxietyDyspneaRestlessnessPalpitation
Drug Interactions
Adrenaline is known to interact with other drugs
the details of drug interactions is as follows:DrugDetailsSeverityOnsetManagementAcebutololAcebutolol may enhance the vasopressor effect of Adrenaline.Epinephrine used as a local anesthetic for dental procedures will not likely cause clinically relevant problems. ModerateImmediateMonitor for increases in pressor effects of Adrenaline if used in patients receiving Acebutolol therapy. Beta1-selective agents should pose limited risk (if used in doses that allow them to retain their selectivity).The amount of Adrenaline used in dental procedures as part of local anesthetic administration is not likely to be of clinical concern.Infiltrating larger volumes of local anesthetics for other surgical procedures (eg
>0.06 mg Adrenaline) may cause clinically-relevant problems.Amitriptyline (HCl)AmoxapineAtenololAtenolol may enhance the vasopressor effect of Adrenaline.Adrenaline used as a local anesthetic for dental procedures will not likely cause clinically relevant problems.ModerateImmediateMonitor increased pressor effects of Adrenaline if used in patients receiving Atenolol. The amount of Adrenaline in dental procedures as part of local anesthetic administration is not likely to be of clinical concern. Infiltrating larger volumes of local anesthetics for other surgical procedures (eg
>0.06 mg Adrenaline) may cause clinically-relevant problems.BenperidolAntipsychotics (e.g Benperidol) antagonizes hypertensive effects of Sympathomimetics (e.g Adrenaline). Betaxolol (HCl)Severe hypertension when beta-blockers (e.g Betaoxolol) given with Adrenaline.MajorBethanechol (Cl)Bethanidine (Sulphate)Bisoprolol (Fumarate)Severe hypertension when beta-blockers given with Adrenaline.Bovine InsulinCarteolol (HCl)CarvedilolClomipramine (HCl)CocaineCoadministration can result in life threatening cardiac arrhythmias.MajorUse this combination with extreme caution.Debrisoquine (Sulphate)Dexamphetamine (Sulphate)DigoxinCoadministration increase risk of Cardiac Arrythmias Atenolol may enhance the vasopressor effect of Adrenaline.Adrenaline used as a local anesthetic for dental procedures will not likely cause clinically relevant problems.ModerateImmediateMonitor increased pressor effects of Adrenaline if used in patients receiving Atenolol. The amount of Adrenaline in dental procedures as part of local anesthetic administration is not likely to be of clinical concern. Infiltrating larger volumes of local anesthetics for other surgical procedures (eg
>0.06 mg Adrenaline) may cause clinically-relevant problems.Dopexamine (HCl)Dothiepin (HCl)Doxepin (HCl)DroperidolEphedrineErgometrine (Maleate)Coadministration increases blood pressure by vasoconstriction due to alpha adrenergic agonist activity of ergot alkaloids.ModerateCoadministration is not recommended. If use then close clinical monitoring of response
tolerance and excessive vasoconstriction is recommended.Ergotamine (Tartrate)Additive vasoconstriction result due to alpha adrenergic agonist activity of ergotamine and hence increases blood pressure when given with adrenaline. ModerateExcessive vasoconstriction
patient response and tolerance should be monitor.FurazolidoneIncreased heart rate and blood pressure has been reported in some cases when adrenaline is used with furazolidne.Moderatemonitor patient heart rate and blood pressure on coadministration.GuanethidineCatecholamine stores are depleted from adrenergic nerve endings by guanethidine result in hypertension and cardiovascular adverse effects when coadministered with adrenaline.ModerateMonitor patient blood pressure and heart rate.In hypertensive patient adrenaline is used with caution.GuanethidineHaloperidolvasopressor effect of adrenaline is reversed by haloperidol.MinorPhenylephrine or noradrenaline or other vasopressor agents can be a good alternative.HalothaneCoadministration result in ventricular arrhythmias and acute pulmonary edema or death.MajorThis combination should be avoided or used cautiously.If used together than dose adjustment of adrenaline is necessary.Human InsulinImipramine (HCl)Coadministration increase pressure response to adrenaline and cardiac arrythmias.imipramine should be coadminister with great care.IprindoleLikely interaction of IPRINDOLE increasing the HYPERTENSIVE effect of ADRENALINE. MajorIproniazid PhosphateLikely interaction of ADRENALINE increasing the VASOCONSTRICTOR effect of IPRONIAZID.ModerateIsoetharineIsofluraneIsoproterenolLevobunolol (HCl)LevodopaLinezolidLofepramine (HCl)Likely interaction of LOFEPRAMINE increasing the HYPERTENSIVE effect of ADRENALINE. MajorMaprotiline (HCl)Methotrimeprazine (Maleate)Methotrimeprazine(HCl)Monoamino oxidase inhibitor hypertensive agents anticholinergics CNS depresants. Methylphenidate (HCl)MetipranololLikely interaction of METIPRANOLOL [EYE] increasing the HYPERTENSIVE effect of ADRENALINENadololOxprenolol (HCl)OxytocinPenbutololPhenoxybenzamine (HCl)Phenoxybenzamine (HCl)Phentolamine (Mesylate)Phentolamine (Mesylate)Phenylephrine (HCl)PindololPioglitazonePiretanidePorcine InsulinPropranolol (HCl)Coadministration of these drugs leads to hypertension
then bradycardia and stroke may also be reported due to blockade of beta effects of adrenaline.MajorStrict monitoring of patient blood pressure is required if this combination is used or selective beta blockers can be a better alternative.Protriptyline (HCl)Pseudoephedrine (HCl)QuinidineCoadministration increase risk of Cardiac ArrythmiasSevofluraneThioridazine (HCl)Timolol (Maleate)Tolazoline (HCl)TolbutamideTrifluoperazine (HCl)Trimipramine (Maleate)Zotepine 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.
Storage
Inj (soln), Inhalation Soln, Inhalation Aerosol, Eye Soln Store Below 40°C. Do not Freeze. Protect from Sunlight and Moisture. Inj (susp) Store in refrigerator. Do not Freeze.
Price Intelligence
Rs 986.38
DRAP approved maximum price · per pack of 100 · approved 04 Sep, 2025
No retail price observed for this pack. Retailers may not exceed the approved maximum.
Prices across sources
No retail prices recorded
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These contain this ingredient plus others. They are different medicines — do not swap.
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Ordered by lowest price per unit where a pack size is known, then by price. Order is never affected by sponsorship. Not medical advice — confirm any change with your pharmacist or doctor.
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