MedPath

Ephedrine

Generic Name
Ephedrine
Brand Names
Akovaz, Bronkaid, Corphedra, Emerphed, Primatene, Rezipres
Drug Type
Small Molecule
Chemical Formula
C10H15NO
CAS Number
299-42-3
Unique Ingredient Identifier
GN83C131XS
Background

Ephedrine was first described in western literature in 1888, as a naturally occurring component of the ephedra plant, along with pseudoephedrine. Ephedrine acts as both a direct and indirect sympathomimetic. It is an alpha- and beta-adrenergic receptor agonist; however, it also causes the indirect release of norepinephrine from sympathetic neurons, inhibiting norepinephrine reuptake and displacing more norepinephrine from storage vesicles. Ephedrine is used for its vasoconstrictive, positive chronotropic, and positive inotropic effects. Ephedrine and phenylephrine are still used to treat hypotension, but their use in other indications has decreased due to the development of more selective adrenergic agonists. Ephedrine was granted a type 7 FDA Approval on 29 April 2016.

Indication

Ephedrine intravenous injections are indicated to treat hypotension under anesthesia, ephedrine injections by multiple routes are indicated to treat allergic conditions such as bronchial asthma, ephedrine nasal spray is and OTC medication used as a decongestant.

Associated Conditions
Allergic Reaction, Bronchial Asthma, Common Cold, Cough, Depression, Fever, General Anesthesia Induced Hypotension, Headache, Joint Pain, Myasthenia Gravis, Narcolepsy, Nasal Congestion, Rhinorrhoea, Sore Throat, Dry cough
Associated Therapies
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Norepinephrine Versus Ephedrin for Prevention of Post Spinal Anesthesia in Cesarean Section

Phase 4
Conditions
Cesarean
Maternal Hypotension Syndrome
Interventions
First Posted Date
2018-10-25
Last Posted Date
2018-12-03
Lead Sponsor
Mongi Slim Hospital
Target Recruit Count
200
Registration Number
NCT03719625

Manging Post Spinal Hypotension During Elective Cesarean Section

Phase 4
Completed
Conditions
Hypotension
Interventions
First Posted Date
2018-10-15
Last Posted Date
2019-03-13
Lead Sponsor
Ben marzouk Sofiene
Target Recruit Count
143
Registration Number
NCT03704909
Locations
🇹🇳

Tunis maternity and neonatology center,, Tunis, Tunisia

Development of Advanced Double Intravenous Vasopressor Automated (ADIVA) System

Not Applicable
Active, not recruiting
Conditions
Anesthesia
Hypotension
Interventions
Drug: Phenylephrine
Drug: Ephedrine
Device: ADIVA System
Device: DIVA System
First Posted Date
2018-08-08
Last Posted Date
2024-10-09
Lead Sponsor
KK Women's and Children's Hospital
Target Recruit Count
173
Registration Number
NCT03620942
Locations
🇸🇬

KK Women's and Children's Hospital, Singapore, Singapore

Norepinephrine Versus Ephedrine in Treatment of Hypotension During Spinal Anesthesia for Caesarean Section

Not Applicable
Completed
Conditions
Cesarean Section Complications
Hypotension
Anesthesia Complication
Vasopressors
Interventions
First Posted Date
2017-05-23
Last Posted Date
2017-05-23
Lead Sponsor
Mongi Slim Hospital
Target Recruit Count
110
Registration Number
NCT03163407

Ephedrine and Phenylephrine for Spinal Hypotension

Phase 2
Completed
Conditions
Spinal Hypotension
Interventions
First Posted Date
2017-02-08
Last Posted Date
2020-10-27
Lead Sponsor
Assiut University
Target Recruit Count
60
Registration Number
NCT03047109
Locations
🇪🇬

Assiut university hospital, Assiut, Egypt

Single Bolus Intravenous Ephedrine Attenuates Reduction of Core Body Temperature in Patients Undergoing Spinal Anesthesia for Arthroscopic Knee and Ankle Surgery

Not Applicable
Completed
Conditions
Body Temperature Changes
Interventions
First Posted Date
2016-10-31
Last Posted Date
2018-10-09
Lead Sponsor
Ramathibodi Hospital
Target Recruit Count
40
Registration Number
NCT02948920
Locations
🇹🇭

Department of Anesthesiology, Ramathibodi Hospital, Bankok, Bangkok, Thailand

Cafedrin/Theodrenalin (Akrinor®) Versus Ephedrine for Treatment of Hypotension in the Peri-operative Phase in Inpatient Setting

Completed
Conditions
Hypotension
Interventions
Drug: Cafedrine/theodrenaline
Drug: Ephedrine
First Posted Date
2016-09-08
Last Posted Date
2021-11-09
Lead Sponsor
Ratiopharm GmbH
Target Recruit Count
2013
Registration Number
NCT02893241
Locations
🇩🇪

Teva Investigational Site 122, Amberg, Germany

🇩🇪

Teva Investigational Site 106, Aue, Germany

🇩🇪

Teva Investigational Site 133, Aachen, Germany

and more 71 locations

Decision Support for Intraoperative Low Blood Pressure

Not Applicable
Completed
Conditions
Hypotension
Interventions
Procedure: Attending real-time decision support
Procedure: In-room real-time decision support
Procedure: Attending feedback emails
Procedure: In-room provider feedback emails
Device: Anesthesia Information Management System (AIMS)
Device: Perioperative Data Warehouse (PDW)
Procedure: General anesthesia
Device: Pager system
Procedure: Central neuraxial anesthesia
Procedure: Non-cardiac surgery
Drug: Propofol
Drug: Sevoflurane
Drug: Desflurane
Drug: Isoflurane
Drug: Ephedrine
Drug: Phenylephrine
Drug: Norepinephrine
Drug: Epinephrine
Drug: Dobutamine
Drug: Sodium Chloride 0.9%
Drug: Dopamine
Drug: Isoproterenol
Drug: Milrinone
Drug: Atropine
Drug: Glycopyrrolate
Drug: Vasopressin
Drug: Terlipressin
Drug: Ringer's lactate
Drug: Hydroxyethyl starch solutions
Drug: Fresh Frozen Plasma
Drug: Packed Red Blood Cells
Drug: Albumin solutions
Drug: Plasma-Lyte
Drug: Lidocaine
Drug: Bupivacaine
Drug: Levobupivacaine
Drug: Ropivacaine
Drug: Mepivacaine
Drug: Tetracaine
Drug: Prilocaine
Drug: Procaine
Drug: Chloroprocaine
Drug: Benzocaine
Drug: Articaine
First Posted Date
2016-04-04
Last Posted Date
2019-05-16
Lead Sponsor
Vanderbilt University Medical Center
Target Recruit Count
22435
Registration Number
NCT02726620
Locations
🇺🇸

Vanderbilt University Medical Center, Nashville, Tennessee, United States

Vasopressor Effects in Anesthetized Patients

Phase 4
Completed
Conditions
Brain Tumor
Interventions
First Posted Date
2016-03-18
Last Posted Date
2018-10-26
Lead Sponsor
University of Aarhus
Target Recruit Count
48
Registration Number
NCT02713087
Locations
🇩🇰

Aarhus University Hospital, Aarhus, Jylland, Denmark

Effects of Systemic or Adjunct Tramadol Addition to Lidocaine Used for IVRA in Patients Undergoing Hand Surgery

First Posted Date
2016-01-20
Last Posted Date
2016-01-20
Lead Sponsor
Bagcilar Training and Research Hospital
Target Recruit Count
60
Registration Number
NCT02658721
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