Brevibloc
Brevibloc is a heart medicine that helps control your heart rate and can lower blood pressure, especially during or after surgery.
Form
injektioneste, liuos
Strength
10 mg/ml
Active Ingredient
Esmolol hydrochloride
Manufacturer
Baxter Oy
How to Use
Dosage
Your doctor or nurse will decide your dose and administer it to you. Treatment usually starts with a larger dose over one minute, followed by a smaller dose over four minutes. The dose may be adjusted as needed.
Method
The medicine is given as a slow injection or drip directly into a vein, usually in your arm.
Important
This medicine is usually not given for more than 24 hours.
Possible Side Effects
COMMON
- •Low blood pressure
- •Excessive sweating
- •Loss of appetite
- •Feeling anxious or depressed
- •Dizziness
- •Sleepiness
- •Headache
- •Tingling or 'pins and needles' feeling on skin
- •Trouble concentrating
- •Feeling confused or irritable
- •Feeling sick (nausea) or vomiting
- •Weakness
- •Feeling tired
- •Skin irritation and hardening at the injection site
RARE
- •Abnormal thoughts
- •Sudden loss of consciousness
- •Fainting or severe dizziness
- •Seizures or convulsions
- •Speech problems
- •Vision problems
- •Very slow heart rate
- •Problems with the electrical signals that control your heart rate
- •High blood pressure in the lung arteries
- •Heart failure (heart unable to pump enough blood)
- •Irregular heartbeats or palpitations
- •Chest discomfort due to poor blood flow to the heart (angina)
- •Poor circulation in arms or legs
- •Pale or red skin
- •Fluid in the lungs
- •Shortness of breath or chest tightness making breathing difficult
- •Wheezing
- •Stuffy nose
- •Abnormal crackling or rattling sounds when breathing
- •Changes in taste
- •Digestive problems
- •Constipation
- •Dry mouth
- •Pain in the stomach area
- •Skin discoloration or redness
- •Muscle or joint pain, including in shoulder blades and ribs
- •Problems with urination (difficulty holding urine)
- •Feeling cold or hot (fever)
- •Pain or swelling at the injection site
- •Burning sensation or bruising at the injection site
- •Very severe slow heart rate (heart stops beating)
- •No electrical activity in the heart (heart stops)
- •Inflamed blood vessels with hot, red skin (thrombophlebitis)
- •Skin death due to medicine leaking around injection site
- •High potassium levels in blood
- •Increased acid levels in the body
- •Increased heart contraction rate (fast irregular rhythm)
- •Spasms in heart arteries
- •Psoriasis (scaly patches on skin)
- •Swelling of the face, body parts, tongue, or throat (angioedema)
- •Hives (itchy red rash)
- •Inflammation of a vein or blisters at the infusion site
Important Warnings
- Do not use Brevibloc if you are allergic to esmolol, other beta-blockers, or any ingredients, or if you have had allergic reactions like shortness of breath or swelling.
- Do not use if your heart rate is very slow (less than 50 beats per minute).
- Do not use if you have severe irregular heartbeats or a heart block (a problem with the heart's electrical signals).
- Do not use if your blood pressure is low.
- Do not use if you have severe heart failure (your heart doesn't pump blood well enough).
Show 6 more warnings
- Do not use Brevibloc if you have received verapamil within the last 48 hours.
- Do not use if you have an untreated adrenal gland tumor (pheochromocytoma).
- Do not use if you have high blood pressure in your lungs (pulmonary hypertension).
- Do not use if your asthma symptoms are rapidly getting worse.
- Do not use if you have too much acid in your body (metabolic acidosis).
- Do not use this medicine if you are pregnant or breastfeeding.