gasguide

Ephedrine

(generic)

Indirect + direct mixed alpha + beta sympathomimetic

Indirect-acting sympathomimetic — promotes release of stored norepinephrine from presynaptic vesicles AND has direct alpha + beta receptor agonism. Mixed action → increases HR (β1) + contractility (β1) + SVR (α1). Tachyphylaxis develops with repeated dosing (depleted NE stores).

Indications

  • Hypotension during anesthesia, especially with bradycardia (treats both HR + BP)
  • Hypotension after spinal/epidural anesthesia (alternative to phenylephrine, especially in non-OB)
  • Symptomatic hypotension in cardiac surgery (vasoconstrictor + inotropic support)

Dosing

ContextAdultPediatric
Hypotension bolus5-10 mg IV; can repeat q3-5 min
Pediatric hypotension0.1-0.2 mg/kg IV
Maximum total typical session~50 mg before considering other agents (tachyphylaxis)

Pharmacokinetics

Onset 1-2 min IV. Duration 10-15 min. Renal excretion (~95% unchanged). Half-life 3-6 h. Crosses placenta (use during cesarean — historical concern about fetal acidemia at high doses, but practically OK at standard doses).

Hemodynamic effects

↑HR, ↑contractility, ↑SVR → ↑BP. Useful for hypotension + bradycardia (in contrast to phenylephrine which is pure alpha → may cause reflex bradycardia).

Side effects

  • !Tachycardia (problematic in CAD, AS)
  • !Tachyphylaxis (depletion of stored norepinephrine)
  • !Hypertension overshoot if dosed too aggressively
  • !Catecholamine-like effects: tremor, anxiety in awake patient
  • !Possible MI in susceptible patients (catecholamine-driven)

Contraindications

  • ×Tachyarrhythmia
  • ×Severe HTN, pheochromocytoma (uncontrolled catecholamine surge)
  • ×Concurrent MAOI use (severe HTN crisis)

Clinical pearls

  • FIRST-LINE for hypotension WITH BRADYCARDIA in non-OB cases — treats both HR + BP. If hypotension WITHOUT bradycardia or with tachycardia, phenylephrine is preferred.
  • Cesarean spinal hypotension: PHENYLEPHRINE infusion is preferred over ephedrine boluses (Ngan Kee Anesth Analg 2010 — less fetal acidemia). Ephedrine has fallen from first-line in OB.
  • TACHYPHYLAXIS: after 3-4 boluses, switch to phenylephrine or norepinephrine (works on different mechanism — direct receptor agonism unaffected by NE depletion).
  • MAOI patients: indirect-acting sympathomimetics → catecholamine SURGE (norepinephrine pool not metabolized normally) → severe HTN crisis. Use direct-acting (phenylephrine, norepinephrine) instead.
  • Standard concentration: 50 mg/mL ampoule; dilute to 5 mg/mL in saline (1 mL bolus) for routine intraop use.
Education only — confirm against current package inserts and institutional protocols. Doses assume normal organ function unless otherwise noted.