Informational only — Not medical advice. Always consult a licensed healthcare provider.

MedBD
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Community data Updated 2 months ago
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Indications

Intravenous Adecard is used to convert paroxysmal supraventricular tachycardia (PSVT) back to a normal sinus rhythm, including PSVT associated with accessory bypass tracts, as seen in Wolff-Parkinson-White syndrome.

⚠️ Always consult a registered physician before taking any medicine.

Pharmacology

Adenosine injection comes as a sterile, non-pyrogenic solution meant to be given as a fast intravenous bolus. It works by slowing conduction through the A-V node, which can break the reentry circuits that pass through this node and, in doing so, help restore a normal sinus rhythm in patients with paroxysmal supraventricular tachycardia.

Pregnancy & Breastfeeding

Pregnancy category: US FDA category C. In animal studies, adenosine has been shown to harm the fetus, and there are no adequate, well-controlled studies in pregnant women. Even so, its potential benefits may justify use during pregnancy despite the possible risks.

⚠️ Talk to your doctor before taking any medicine during pregnancy or while breastfeeding.

Dosage Reference

⚠️ Reference ranges from official sources only. Consult your doctor for personalized dosing.

Adults: Adult: Initial dose is 6 mg given as a rapid IV bolus, administered over 1 to 2 seconds. Repeat administration: if the first dose does not eliminate the supraventricular tachycardia within 1 to 2 minutes, 12 mg should be given as a rapid intravenous bolus. This 12 mg dose may be repeated a second time if required. Pediatric: the dosages used in neonates, infants, children and adolescents were equivalent to those given to adults on a weight basis. Body weight below 50 kg: Initial dose is 0.05 to 0.1 mg/kg as a rapid IV bolus given either centrally or peripherally. A saline flush should follow. Body weight above 50 kg: the adult dose is recommended. Doses greater than 12 mg are not recommended for adult and pediatric patients. Repeat administration: if conversion of PSVT does not occur within 1 to 2 minutes, additional bolus injections of adenosine can be given at incrementally higher doses, increasing the amount by 0.05 to 0.1 mg/kg. A saline flush should follow. This process should continue until sinus rhythm is established or a maximum single dose of 0.3 mg/kg is used.

Side Effects & Interactions

Side Effects

No side-effect data recorded yet.