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ephedrine sulfate
Overview
What is Akovaz?
Ephedrine is an alpha- and beta-adrenergic agonist and a norepinephrine-releasing agent. AKOVAZ (ephedrine sulfate injection) is a clear, colorless, sterile solution for intravenous injection. It must be diluted before intravenous administration. The chemical name of ephedrine sulfate is (1R,2S)-(-)-2-methylamine-1-phenylpropan-1-ol sulfate, and the molecular weight is 428.5 g/mol. Its structural formula is depicted below:
Ephedrine sulfate is freely soluble in water and ethanol, very slighly soluble in chloroform, and practically insoluble in ether. Each mL contains ephedrine sulfate 50 mg (equivalent to 38 mg ephedrine base) in water for injection. The pH is adjusted with sodium hydroxide and/or glacial acetic acid if necesssary. The pH range is 4.5 to 7.0.
What does Akovaz look like?





What are the available doses of Akovaz?
Injection: 50 mg/mL ephedrine sulfate in single-use vial ()
What should I talk to my health care provider before I take Akovaz?
How should I use Akovaz?
AKOVAZ (ephedrine sulfate injection) is indicated for the treatment of clinically important hypotension occurring in the setting of anesthesia.
AKOVAZ (ephedrine sulfate injection) must be diluted before administration as an intravenous bolus to achieve the desired concentration. Dilute with normal saline or 5% dextrose in water.
Inspect parenteral drug products visually for particulate matter and discoloration prior to administration, whenever solution and container permit.
What interacts with Akovaz?
Sorry No Records found
What are the warnings of Akovaz?
Sorry No Records found
What are the precautions of Akovaz?
Sorry No Records found
What are the side effects of Akovaz?
Sorry No records found
What should I look out for while using Akovaz?
None
What might happen if I take too much Akovaz?
Overdose of ephedrine can cause a rapid rise in blood pressure. In the case of an overdose, careful monitoring of blood pressure is recommended. If blood pressure continues to rise to an unacceptable level, parenteral antihypertensive agents can be administered at the discretion of the clinician.
How should I store and handle Akovaz?
AKOVAZ (ephedrine sulfate injection), 50 mg/mL, is supplied as follows:Vial stoppers are not manufactured with natural rubber latex. Store AKOVAZ (ephedrine sulfate injection), 50 mg/mL, at 25°C (77°F); excursions permitted to 15°C to 30°C (59°F to 86°F) [see USP Controlled Room Temperature]. Store in carton until time of use. For single use only. Discard unused portion. Manufactured for:Avadel Legacy Pharmaceuticals, LLCChesterfield, MO 63005For BluePoint LaboratoriesRev. 06/2017AKOVAZ (ephedrine sulfate injection), 50 mg/mL, is supplied as follows:Vial stoppers are not manufactured with natural rubber latex. Store AKOVAZ (ephedrine sulfate injection), 50 mg/mL, at 25°C (77°F); excursions permitted to 15°C to 30°C (59°F to 86°F) [see USP Controlled Room Temperature]. Store in carton until time of use. For single use only. Discard unused portion. Manufactured for:Avadel Legacy Pharmaceuticals, LLCChesterfield, MO 63005For BluePoint LaboratoriesRev. 06/2017AKOVAZ (ephedrine sulfate injection), 50 mg/mL, is supplied as follows:Vial stoppers are not manufactured with natural rubber latex. Store AKOVAZ (ephedrine sulfate injection), 50 mg/mL, at 25°C (77°F); excursions permitted to 15°C to 30°C (59°F to 86°F) [see USP Controlled Room Temperature]. Store in carton until time of use. For single use only. Discard unused portion. Manufactured for:Avadel Legacy Pharmaceuticals, LLCChesterfield, MO 63005For BluePoint LaboratoriesRev. 06/2017AKOVAZ (ephedrine sulfate injection), 50 mg/mL, is supplied as follows:Vial stoppers are not manufactured with natural rubber latex. Store AKOVAZ (ephedrine sulfate injection), 50 mg/mL, at 25°C (77°F); excursions permitted to 15°C to 30°C (59°F to 86°F) [see USP Controlled Room Temperature]. Store in carton until time of use. For single use only. Discard unused portion. Manufactured for:Avadel Legacy Pharmaceuticals, LLCChesterfield, MO 63005For BluePoint LaboratoriesRev. 06/2017AKOVAZ (ephedrine sulfate injection), 50 mg/mL, is supplied as follows:Vial stoppers are not manufactured with natural rubber latex. Store AKOVAZ (ephedrine sulfate injection), 50 mg/mL, at 25°C (77°F); excursions permitted to 15°C to 30°C (59°F to 86°F) [see USP Controlled Room Temperature]. Store in carton until time of use. For single use only. Discard unused portion. Manufactured for:Avadel Legacy Pharmaceuticals, LLCChesterfield, MO 63005For BluePoint LaboratoriesRev. 06/2017AKOVAZ (ephedrine sulfate injection), 50 mg/mL, is supplied as follows:Vial stoppers are not manufactured with natural rubber latex. Store AKOVAZ (ephedrine sulfate injection), 50 mg/mL, at 25°C (77°F); excursions permitted to 15°C to 30°C (59°F to 86°F) [see USP Controlled Room Temperature]. Store in carton until time of use. For single use only. Discard unused portion. Manufactured for:Avadel Legacy Pharmaceuticals, LLCChesterfield, MO 63005For BluePoint LaboratoriesRev. 06/2017AKOVAZ (ephedrine sulfate injection), 50 mg/mL, is supplied as follows:Vial stoppers are not manufactured with natural rubber latex. Store AKOVAZ (ephedrine sulfate injection), 50 mg/mL, at 25°C (77°F); excursions permitted to 15°C to 30°C (59°F to 86°F) [see USP Controlled Room Temperature]. Store in carton until time of use. For single use only. Discard unused portion. Manufactured for:Avadel Legacy Pharmaceuticals, LLCChesterfield, MO 63005For BluePoint LaboratoriesRev. 06/2017
Clinical Information
Chemical Structure
No Image foundClinical Pharmacology
Ephedrine sulfate is a sympathomimetic amine that directly acts as an agonist at α- and β-adrenergic receptors and indirectly causes the release of norepinephrine from sympathetic neurons. Pressor effects by direct alpha- and beta-adrenergic receptor activation are mediated by increases in arterial pressures, cardiac output, and peripheral resistance. Indirect adrenergic stimulation is caused by norepinephrine release from sympathetic nerves.
Non-Clinical Toxicology
NoneSpecial care is required if this drug is given to patients receiving ganglion blocking compounds because a critical fall in blood pressure may occur. Usually, severe abdominal symptoms appear before there is such a fall in the blood pressure.
Serious postpartum hypertension has been described in patients who received both a vasopressor (i.e., methoxamine, phenylephrine, ephedrine) and an oxytocic (i.e., methylergonovine, ergonovine) []. Some of these patients experienced a stroke. Carefully monitor the blood pressure of individuals who have received both ephedrine and an oxytocic.
The following adverse reactions associated with the use of ephedrine sulfate were identified in the literature. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to estimate their frequency reliably or to establish a causal relationship to drug exposure.
Gastrointestinal disorders:
Cardiac disorders:
Nervous system disorders:
Psychiatric disorders:
Reference
This information is obtained from the National Institute of Health's Standard Packaging Label drug database.
"https://dailymed.nlm.nih.gov/dailymed/"
While we update our database periodically, we cannot guarantee it is always updated to the latest version.
Review
Professional
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Tips
Interactions
Interactions
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