Racemic epinephrine

Racemic Epinephrine

• Class: Alpha/Beta Agonists

• Action: Elicits agonistic action on alpha, beta-1, and beta-2 receptors resulting in bronchial smooth muscle relaxation, cardiac stimulation, vasodilation in skeletal muscle, and stimulation of glycogenolysis in the liver 

• Indications: Croup

• Adverse Effects: Arrhythmias, tachycardia, Tremor, nausea, dizziness, headache, Angina, sweating, restlessness, Rebound airway edema

  • • Caution: Cardiac disease, HTN, hyperthyroidism, diabetes, glaucoma, angle-closure, psychiatric disorder, seizure disorder

• Contraindications: Hypersensitivity to medication

• Special Considerations: Pregnancy Class C

Pediatrics:

• 2.25% - 0.05 ml/kg in 3 mL NS (max 0.5mL) via nebulizer