Pharmacokinetics in children
No specific information in children available.
dose recommendation of formulary compared to licensed use (on-label versus off-label)
No information is present at this moment.
Available formulations
No information is present at this moment.
Dosages
| Hypertensive crisis |
- Intravenous
-
1 month
up to
18 years
- Initial dose:
2
mg/kg/hour,
continuous infusion.
Titrate dose on effect.
- Maintenance dose:
0.8
mg/kg/hour,
continuous infusion.
- Lower initial doses (max 1 mg/kg/h) may be sufficient in infants (expert opinion)
- When sufficient decrease in bloodpressure is obtained, a lower maintenance dose may be sufficient to maintain the effect.
- Limited experience is available in children.
- Due to the amount of propylenglycole the use in children < 5 years should be avoided. Other antihypertensive drugs are preferred and the use in children should be limited to the last resort and shortest duration.
|
Renal impaiment in children > 3 months
No information available on dose adjustment in renal impairment.
The complete list of all undesirable drug reactions can be found in the national Summary of Product Characteristics (SmPC) – click here
Side effects
No information is present at this moment.
The complete list of all contra-indications can be found in the national Summary of Product Characteristics (SmPC) – click here
Contra-indications
No information available on specific contra indications in children.
The complete list of all warnings and precautions can be found in the national Summary of Product Characteristics (SmPC) – click here
Warnings & precautions in children
Formulations contain propylenglycol. Maximum intake for different age groups have to be taken into account.
Interactions
The complete list of all interactions can be found in the national Summary of Product Characteristics (SmPC) – click here
ANTIADRENERGIC AGENTS, PERIPHERALLY ACTING
This pages provides a list of drugs from the same ATC class for comparison. This does not necessarily mean that these drugs are interchangeable.
References
-
Schöber, Pilossoff et al., Urapidil therapy for acute hypertensive crisis in infants and children, 1984
-
Nordic Group B.V., SmPC Urapidil Nordic 50 mg/10 ml, oplossing voor injectie (RVG 120483//101895), 07/2022, www.geneesmiddeleninformatiebank.nl
Therapeutic Drug Monitoring
Overdose