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Clinical pharmacy 2024/2025                            Level 3 Pharm D                             Pharmacology 1 (PO 502)

                                         Side Effects of Epinephrine:

        ◼  Tremors, anxiety, headache, dizziness
        ◼  respiratory difficulty (Pulmonary pressure) ➔ leakage out of pulmonary artery ➔

            (Edema)
        ◼  Large doses →may cause sudden death
        ◼  Ventricular arrhythmia


                  Clinical uses (Indication) of Epinephrine:                   Contraindications of E: 5H

         1)  Acute bronchial asthma (inhaler in emergency)
         2)  With local anesthetic to prolong their action, toxicity          -- Heart diseases as angina
         3)  Complete heart block:  1-agonist.                                pectoris.

         4)  S.C. E is effective in. Acute anaphylactic reactions:             -- Hypertension.
         ➢  sudden and life-threatening immunological reactions                -- Hyperglycemia “Diabetes

             →caused by bee stings or drug (penicillin).                       mellitus”.
         ➢  The main effects: swelling of the skin and mucous                  -- Hyperthyroidism.
             membrane, which can obstruct breathing and                        -- During general
             cardiovascular collapse due to vasodilation                       anesthesia with halothane

         5)  Allergic conditions.                                              and cyclopropane
         6)  To treat hypoglycemia as an emergency measure.
         7)  As a topical mydriatic and to lower IOP.




























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