Clonidine
| Uses: | sedation particularly in ICU context |
|---|---|
| Mechanism of action | stimulates alpha 2 adrenoceptors → ↓ central and peripheral sympathetic noradrenaline site of action: locus ceruleus |
| Therapeutic effect | - Anxiolytic - Analgesia |
| Dose | |
| Pharmacokinetics | Absorption: good oral bioavailability Distribution Metabolism Elimination |
| Time course of action | |
| Adverse effects | hypotension |
| Contraindications |
use in intensive care
- Systematic reviews
- Wang et al 2017:
- 8 RCTs, n = 642
- no difference in mortality, duration of mechanical ventilation
- reduction in opioid use
sources/links
Wang et al. Critical Care (2017) 21:75 DOI 10.1186/s13054-017-1610-8
PMID: 21547166 IT'S SUNIL J!!!
https://gasgasgas.uk/episode/clonidine/
https://www.sciencedirect.com/science/article/pii/S0883944125001224