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	<updated>2026-05-02T13:26:56Z</updated>
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		<id>https://wikianesthesia.org/w/index.php?title=Dexmedetomidine&amp;diff=13650</id>
		<title>Dexmedetomidine</title>
		<link rel="alternate" type="text/html" href="https://wikianesthesia.org/w/index.php?title=Dexmedetomidine&amp;diff=13650"/>
		<updated>2022-08-09T15:41:53Z</updated>

		<summary type="html">&lt;p&gt;Cmclendon: Added some details&lt;/p&gt;
&lt;hr /&gt;
&lt;div&gt;{{Infobox drug reference&lt;br /&gt;
| trade_names = &lt;br /&gt;
| image_file = Dexmedetomidine.svg&lt;br /&gt;
| drug_class = Sedative hypnotic&lt;br /&gt;
| drug_class_color = sedative_hypnotic&lt;br /&gt;
| uses = &lt;br /&gt;
| contraindications = &lt;br /&gt;
| routes = IV, IM, IN&lt;br /&gt;
| dosage = &lt;br /&gt;
| dosage_calculation = dexmedetomidine&lt;br /&gt;
| mechanism = Alpha-2 agonism&lt;br /&gt;
| adverse_effects = &lt;br /&gt;
| time_onset = &lt;br /&gt;
| duration = &lt;br /&gt;
| metabolism = &lt;br /&gt;
| halflife_redistribution = &lt;br /&gt;
| halflife_elimination = &lt;br /&gt;
| clearance = &lt;br /&gt;
| protein_binding = &lt;br /&gt;
}}&lt;br /&gt;
&lt;br /&gt;
Dexmedetomidine is an alpha-2 agonist that has been shown to have analgesic, anxiolytic, and sedative properties&amp;lt;ref name=&amp;quot;:0&amp;quot;&amp;gt;{{Cite journal|last=DiLorenzo|first=Amy N.|last2=Schell|first2=Randall M.|date=2014-08|title=Morgan &amp;amp;amp; Mikhail’s Clinical Anesthesiology, 5th Edition|url=http://dx.doi.org/10.1213/ane.0000000000000298|journal=Anesthesia &amp;amp;amp; Analgesia|volume=119|issue=2|pages=495–496|doi=10.1213/ane.0000000000000298|issn=0003-2999}}&amp;lt;/ref&amp;gt;. &lt;br /&gt;
&lt;br /&gt;
== Uses&amp;lt;!-- Describe uses of the drug. If appropriate, add subsections for each indication. --&amp;gt; ==&lt;br /&gt;
ICU, intra-operative, and procedural sedation without respiratory depression or amnestic properties.  May decrease opioid requirement, more so due to sedating rather than analgesic effects.&lt;br /&gt;
&lt;br /&gt;
==Contraindications&amp;lt;!-- List contraindications and precautions for use of the drug. --&amp;gt;==&lt;br /&gt;
&lt;br /&gt;
===Absolute contraindications&amp;lt;!-- List absolute contraindications for use of the drug. If none, this section may be removed. --&amp;gt;===&lt;br /&gt;
&lt;br /&gt;
===Precautions===&lt;br /&gt;
Should be used with caution with any drugs that lower heart rate or cause hypotension as it may contribute to these hemodynamic changes.&amp;lt;ref name=&amp;quot;:0&amp;quot; /&amp;gt; &amp;lt;!-- List precautions for use of the drug. If none, this section may be removed. --&amp;gt;&lt;br /&gt;
&lt;br /&gt;
==Pharmacology==&lt;br /&gt;
&lt;br /&gt;
===Pharmacodynamics&amp;lt;!-- Describe the effects of the drug on the body. If appropriate, add subsections by organ system --&amp;gt;===&lt;br /&gt;
&lt;br /&gt;
====Mechanism of action&amp;lt;!-- Describe the mechanism of action for the primary uses of the drug. --&amp;gt;====&lt;br /&gt;
Central α-2 agonist with a 1600:1 affinity for α-2 receptors over α-1 receptors.  &lt;br /&gt;
&lt;br /&gt;
====Adverse effects&amp;lt;!-- Describe any potential adverse effects of the drug. --&amp;gt;====&lt;br /&gt;
Risk of hypotension and bradycardia, in a dose-dependent manner.  Night terrors and transient behavioral effects in children have been reported when used for pre-anesthetic sedation, due to calming effects without amnestic properties.&lt;br /&gt;
&lt;br /&gt;
===Pharmacokinetics&amp;lt;!-- Describe the pharmacokinetics of the drug. --&amp;gt;===&lt;br /&gt;
&lt;br /&gt;
==Chemistry and formulation&amp;lt;!-- Describe the chemistry and formulation of the drug. --&amp;gt;==&lt;br /&gt;
&lt;br /&gt;
==History&amp;lt;!-- Describe the historical development of the drug. --&amp;gt;==&lt;br /&gt;
&lt;br /&gt;
==References==&lt;br /&gt;
&lt;br /&gt;
[[Category:Drug reference]]&lt;br /&gt;
[[Category:Sedative hypnotics]]&lt;/div&gt;</summary>
		<author><name>Cmclendon</name></author>
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