Adenosine adverse reactions: Difference between revisions

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The following reactions were reported with intravenous Adenocard (adenosine injection) used in controlled U.S. clinical trials. The placebo group had less than 1% rate of all of these reactions.
The following reactions were reported with intravenous Adenocard (adenosine injection) used in controlled U.S. clinical trials. The placebo group had less than 1% rate of all of these reactions.
===Cardiovascular===
===Cardiovascular===
Facial [[flushing]] (18%),[[headache]] (2%), sweating, [[palpitations]], [[chest pain]], [[hypotension]] (less than 1%).
Facial [[flushing]] (18%),[[headache]] (2%), [[sweating]], [[palpitations]], [[chest pain]], [[hypotension]] (less than 1%).
===Respiratory===
===Respiratory===


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===Central Nervous System===
===Central Nervous System===


[[Lightheadedness]] (2%), [[dizziness]], tingling in arms, [[numbness]] (1%), apprehension, [[blurred vision]], burning sensation, heaviness in arms, neck and back pain (less than 1%).
[[Lightheadedness]] (2%), [[dizziness]], tingling in arms, [[numbness]] (1%), apprehension, [[blurred vision]], burning sensation, heaviness in arms, neck and [[back pain]] (less than 1%).
===Gastrointestinal===
===Gastrointestinal===


Nausea (3%), metallic taste, tightness in throat, pressure in groin (less than 1%).
Nausea (3%), [[metallic taste]], tightness in throat, pressure in groin (less than 1%).
==Post Marketing Experience (see Warnings)==
==Post Marketing Experience (see Warnings)==
The following adverse events have been reported from marketing experience with Adenocard. Because these events are reported voluntarily from a population of uncertain size, are associated with concomitant diseases and multiple drug therapies and surgical procedures, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure. Decisions to include these events in labeling are typically based on one or more of the following factors: (1) seriousness of the event, (2) frequency of the reporting, (3) strength of causal connection to the drug, or a combination of these factors.
The following adverse events have been reported from marketing experience with Adenocard. Because these events are reported voluntarily from a population of uncertain size, are associated with concomitant diseases and multiple drug therapies and surgical procedures, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure. Decisions to include these events in labeling are typically based on one or more of the following factors: (1) seriousness of the event, (2) frequency of the reporting, (3) strength of causal connection to the drug, or a combination of these factors.
===Cardiovascular===
===Cardiovascular===


Prolonged asystole, ventricular tachycardia, ventricular fibrillation, transient increase in blood pressure, bradycardia, atrial fibrillation, and Torsade de Pointes
Prolonged [[asystole]], [[ventricular tachycardia]], [[ventricular fibrillation]], transient increase in blood pressure, [[bradycardia]], [[atrial fibrillation]], and [[Torsade de Pointes]]
===Respiratory===
===Respiratory===


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===Central Nervous System===
===Central Nervous System===


Seizure activity, including tonic clonic (grand mal) seizures, and loss of consciousness.<ref name="dailymed.nlm.nih.gov">{{Cite web  | last =  | first =  | title = ADENOCARD (ADENOSINE) SOLUTION [ASTELLAS PHARMA US, INC.] | url = http://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=f0e32589-dad9-4887-8481-bcf7f6618466 | publisher =  | date =  | accessdate = }}</ref>
Seizure activity, including tonic clonic (grand mal) [[seizures]], and [[loss of consciousness]].<ref name="dailymed.nlm.nih.gov">{{Cite web  | last =  | first =  | title = ADENOCARD (ADENOSINE) SOLUTION [ASTELLAS PHARMA US, INC.] | url = http://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=f0e32589-dad9-4887-8481-bcf7f6618466 | publisher =  | date =  | accessdate = }}</ref>


==References==
==References==

Revision as of 18:07, 11 March 2014

Adenosine
ADENOCARD®, ADENOSCAN® FDA Package Insert
Indications and Usage
Dosage and Administration
Contraindications
Warnings and Precautions
Adverse Reactions
Drug Interactions
Use in Specific Populations
Overdosage
Description
Clinical Pharmacology
Nonclinical Toxicology
Clinical Studies
How Supplied/Storage and Handling
Labels and Packages
Clinical Trials on Adenosine
ClinicalTrials.gov

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Zaghw, M.D. [2]

Adverse Reactions

The following reactions were reported with intravenous Adenocard (adenosine injection) used in controlled U.S. clinical trials. The placebo group had less than 1% rate of all of these reactions.

Cardiovascular

Facial flushing (18%),headache (2%), sweating, palpitations, chest pain, hypotension (less than 1%).

Respiratory

Shortness of breath/dyspnea (12%), chest pressure (7%), hyperventilation, head pressure (less than 1%).

Central Nervous System

Lightheadedness (2%), dizziness, tingling in arms, numbness (1%), apprehension, blurred vision, burning sensation, heaviness in arms, neck and back pain (less than 1%).

Gastrointestinal

Nausea (3%), metallic taste, tightness in throat, pressure in groin (less than 1%).

Post Marketing Experience (see Warnings)

The following adverse events have been reported from marketing experience with Adenocard. Because these events are reported voluntarily from a population of uncertain size, are associated with concomitant diseases and multiple drug therapies and surgical procedures, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure. Decisions to include these events in labeling are typically based on one or more of the following factors: (1) seriousness of the event, (2) frequency of the reporting, (3) strength of causal connection to the drug, or a combination of these factors.

Cardiovascular

Prolonged asystole, ventricular tachycardia, ventricular fibrillation, transient increase in blood pressure, bradycardia, atrial fibrillation, and Torsade de Pointes

Respiratory

Bronchospasm

Central Nervous System

Seizure activity, including tonic clonic (grand mal) seizures, and loss of consciousness.[1]

References

  1. "ADENOCARD (ADENOSINE) SOLUTION [ASTELLAS PHARMA US, INC.]".

Adapted from the FDA Package Insert.