Cocaine: Difference between revisions
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''This page is for the drug cocaine; for clinical effects see [[cocaine toxicity]]'' | |||
*[[ | ==Administration== | ||
*[[Cocaine | *Type: Local anesthetic | ||
* | *Dosage Forms: 4% solution; 10% solution | ||
*Routes of Administration: Topical | |||
*Common Trade Names: Cocaine | |||
==Adult Dosing== | |||
*1-3 mg/kg, max dose of 200 mg | |||
**Some literature suggests maximum dose of 100 mg | |||
**Ideally use lowest effective dose | |||
==Pediatric Dosing== | |||
*1 mg/kg | |||
**No clear safe dose established | |||
==Special Populations== | |||
*[[Drug pregnancy categories|Pregnancy Rating]]: Category C | |||
*Lactation risk: Infant risk has been demonstrated | |||
===Renal Dosing=== | |||
*Adult: N/A | |||
*Pediatric: N/A | |||
===Hepatic Dosing=== | |||
*Adult: N/A | |||
*Pediatric: N/A | |||
==Contraindications== | |||
*Allergy to class/drug | |||
==Adverse Reactions== | |||
*[[Cocaine-associated chest pain]] | |||
*Sympathomimetic qualities | |||
**Tachycardia | |||
**Fever | |||
**Agitation | |||
**Diaphoresis | |||
==Pharmacology== | |||
*Half-life: 50 to 75 minutes (5.5 hours benzoylecgonine metabolite) | |||
*Metabolism: Plasma cholinesterase; liver | |||
*Excretion: Renal | |||
==Mechanism of Action== | |||
*Blocks reuptake of serotonin, dopamine and norepinephrine | |||
*Anesthetic effects achieved through sodium channel blockade | |||
==Comments== | |||
==See Also== | ==See Also== | ||
*[[ | *[[Cocaine toxicity]] | ||
==References== | |||
Micromedex | |||
<references/> | |||
[[Category: | [[Category:Pharmacology]] | ||
Latest revision as of 14:35, 16 March 2018
This page is for the drug cocaine; for clinical effects see cocaine toxicity
Administration
- Type: Local anesthetic
- Dosage Forms: 4% solution; 10% solution
- Routes of Administration: Topical
- Common Trade Names: Cocaine
Adult Dosing
- 1-3 mg/kg, max dose of 200 mg
- Some literature suggests maximum dose of 100 mg
- Ideally use lowest effective dose
Pediatric Dosing
- 1 mg/kg
- No clear safe dose established
Special Populations
- Pregnancy Rating: Category C
- Lactation risk: Infant risk has been demonstrated
Renal Dosing
- Adult: N/A
- Pediatric: N/A
Hepatic Dosing
- Adult: N/A
- Pediatric: N/A
Contraindications
- Allergy to class/drug
Adverse Reactions
- Cocaine-associated chest pain
- Sympathomimetic qualities
- Tachycardia
- Fever
- Agitation
- Diaphoresis
Pharmacology
- Half-life: 50 to 75 minutes (5.5 hours benzoylecgonine metabolite)
- Metabolism: Plasma cholinesterase; liver
- Excretion: Renal
Mechanism of Action
- Blocks reuptake of serotonin, dopamine and norepinephrine
- Anesthetic effects achieved through sodium channel blockade
Comments
See Also
References
Micromedex
