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Doctor insights on: Levophed

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Dr. Ravi Chand
71 doctors shared insights

Levophed (Overview)

Levophed is an inotrope which is a kind of heart failure drug (cardiovascular drug).


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I was wondering what are the differences of levophed, (norepinephrine) dopamine and dobutamine in terms of their action?

I was wondering what are the differences of levophed, (norepinephrine) dopamine and dobutamine in terms of their action?

You Asked for It----: Dobutamine- direct b1 receptor stimulant or agonist in the sympathetic nervous system. Levophed- vasoconstrictor peripherally (alpha adrenergic effects) and beta adrenergic stimulant at the level of the heart and coronary vessels dopamine- dual b1 and Alpha adrenergic effects. Useful in hypovolemic shock because of conservancy of renal blood flow. Also, works centrally in other complex ways. ...Read more

Dr. Ravi Chand
71 doctors shared insights

Levophed (Overview)

Levophed is an inotrope which is a kind of heart failure drug (cardiovascular drug).


2

2
Can you explain the differences between levophed, (norepinephrine) dopamine, and dobutamine?

Alters physiology: These are very simple answers to a complex question. Levophed (norepinephrine) increases blood pressure; Dopamine increases heart rate, blood pressure and cardiac function (contractility); Dobutamine increases cardiac contractility and heart rate. ...Read more

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Is levophed (norepinephrine) being used more now as a first choice of treatment for head injuries?

Is levophed (norepinephrine) being used more now as a first choice of treatment for head injuries?

Levophed (norepinephrine): Norepinephrine is not specifically used for treatment of head injuries per se but it is used routinely in ICU settings for maintaining blood pressure in critically ill pt's such as those suffering from acute neurologic trauma to attempt to maintain cerebral perfusion in the face of elevated intracranial pressure. ...Read more

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What is the appropriate dosage range for levophed (norepinephrine)?

What is the appropriate dosage range for levophed (norepinephrine)?

See below: Levophed’s dosing is variable, depends on the condition treated, and may itself change depending the reference or guideline you consult). A common treatment is for low blood pressure/shock, 0.1-0.5 mcg/kg/minute, adjusted to desired pressure response. An older approach some still use is flat dosing (without regard to patient weight) of 8-12mcg/minute to start and a maintenance dose of 2-4mcg/min. ...Read more

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What are the differences between levophed, (norepinephrine) dopamine and dobutamine?

Receptors: These three medications are used to support the heart and cardiovascular system ie. blood pressure and heart rate. They are known as sympathomimetics and have a similar response to what you would think of as adrenaline. Each has variable effect on either heart rate, heart function (in terms of strength of 'squeeze') and on blood vessels which would translate to higher blood pressure. ...Read more

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Can you explain the differences between levophed, (norepinephrine) dopamine, and dobutamine?

Alters physiology: These are very simple answers to a complex question. Levophed (norepinephrine) increases blood pressure; Dopamine increases heart rate, blood pressure and cardiac function (contractility); Dobutamine increases cardiac contractility and heart rate. ...Read more

See 1 more doctor answer
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7
Is levophed (norepinephrine) being used more now as a first choice of treatment for head injuries?

Levophed (norepinephrine): Norepinephrine is not specifically used for treatment of head injuries per se but it is used routinely in ICU settings for maintaining blood pressure in critically ill pt's such as those suffering from acute neurologic trauma to attempt to maintain cerebral perfusion in the face of elevated intracranial pressure. ...Read more

See 1 more doctor answer
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8
I was wondering what are the differences of levophed, (norepinephrine) dopamine and dobutamine in terms of their action?

You Asked for It----: Dobutamine- direct b1 receptor stimulant or agonist in the sympathetic nervous system. Levophed- vasoconstrictor peripherally (alpha adrenergic effects) and beta adrenergic stimulant at the level of the heart and coronary vessels dopamine- dual b1 and Alpha adrenergic effects. Useful in hypovolemic shock because of conservancy of renal blood flow. Also, works centrally in other complex ways. ...Read more

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Can ED be reversed?

Can ED be reversed?

Maybe: Depends on cause. If you've had a nerve injury, ED can be treated but not reversed. Vascular and ED from low testosterone can often be reversed with medical management and lifestyle changes. ...Read more

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What is the cure of e.D.

What is the cure of e.D.

It depends: Upon the cause. There are many possible mental and physical causes. Things that can help are relaxation, avoidance of toxins such as alcohol/tobacco/anabolics/opiates and certain medications, diet/exercise and weight loss, making sure hormonal levels are normal, etc. Check w/your doctor. At your age, stress and anxiety are most common. ...Read more