Indication |
For inotropic support in the short- term treatment of patients
with cardiac decompensation due to depressed contractility resulting
either from organic heart disease or from cardiac surgical procedures |
Pharmacodynamics |
Dobutamine is a direct-acting inotropic agent whose primary
activity results from stimulation of the beta-adrenoceptors of the heart
while producing comparatively mild chronotropic, hypertensive,
arrhythmogenic, and vasodilative effects. Dobutamine acts primarily on
beta-1 adrenergic receptors, with little effect on beta-2 or alpha
receptors. It does not cause the release of endogenous norepinephrine,
as does dopamine. Dobutamine is indicated when parenteral therapy is
necessary for inotropic support in the short-term treatment of patients
with cardiac decompensation due to depressed contractility resulting
either from organic heart disease or from cardiac surgical procedures. |
Mechanism of action |
Dobutamine directly stimulates beta-1 receptors of the heart to
increase myocardial contractility and stroke volume, resulting in
increased cardiac output. |
Absorption |
Not Available |
Volume of distribution |
Not Available |
Protein binding |
Not Available |
Metabolism |
Not Available |
Route of elimination |
In human urine, the major excretion products are the conjugates of dobutamine and 3-O-methyl dobutamine. |
Half life |
2 minutes |
Clearance |
Not Available |
Toxicity |
Not Available |