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

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