Fenoldopam

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Fenoldopam
Systematic (IUPAC) name
8-chloro-2-(4-hydroxyphenyl)- 4-azabicyclo[5.4.0] undeca-7,9,11-triene-9,10-diol
Identifiers
CAS number 67227-57-0
ATC code C01CA19
PubChem 3341
DrugBank APRD00969
Chemical data
Formula C16H16ClNO3 
Mol. mass 305.756 g/mol
Pharmacokinetic data
Bioavailability  ?
Metabolism Hepatic (CYP not involved)
Half life 5 minutes
Excretion Renal (90%) and fecal (10%)
Therapeutic considerations
Licence data

US

Pregnancy cat.

B(US)

Legal status
Routes Intravenous

Fenoldopam (marketed as Corlopam) is a synthetic compound that acts as a selective peripheral dopamine D1A receptor agonist.[1]

Contents

Mechanism

By activating peripheral D1 receptors, it causes arterial/arteriolar vasodilation leading to a decrease in blood pressure. It is particularly effective in dilating the renal, mesenteric, and coronary arteries, where D1.receptors are found.[2] It decreases afterload and also through specific dopamine receptors along the nephron promoting sodium excretion.citation needed

Uses

Fenoldopam is used as an antihypertensive agent postoperatively, and also via IV to treat hypertensive crisis.[2]

Side effects

Adverse effects include headache, flushing, angina, hypotension, reflex tachycardia, and increased intraocular pressure.[2]

References

  1. ^ Oliver WC, Nuttall GA, Cherry KJ, Decker PA, Bower T, Ereth MH (October 2006). "A comparison of fenoldopam with dopamine and sodium nitroprusside in patients undergoing cross-clamping of the abdominal aorta". Anesth. Analg. 103 (4): 833–40. doi:10.1213/01.ane.0000237273.79553.9e. PMID 17000789. 
  2. ^ a b c Shen, Howard (2008). Illustrated Pharmacology Memory Cards: PharMnemonics. Minireview, 9. ISBN 1-59541-101-1. 

Wikipedia content modification information:

  • This page was last modified on 29 September 2008, at 12:06.

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