Droperidol in the Emergency Department: is it safe?

Droperidol is an antipsychotic and antiemetic drug that has been used extensively by Emergency Physicians, Psychiatrists, and Anesthesiologists worldwide since 1967. It also has been used effectively for other diverse conditions, such as treatment of headache and vertigo. As of January 2001, Droperi...

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Veröffentlicht in:The Journal of emergency medicine 2003-05, Vol.24 (4), p.441-447
Hauptverfasser: Richards, John R, Schneir, Aaron B
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container_title The Journal of emergency medicine
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creator Richards, John R
Schneir, Aaron B
description Droperidol is an antipsychotic and antiemetic drug that has been used extensively by Emergency Physicians, Psychiatrists, and Anesthesiologists worldwide since 1967. It also has been used effectively for other diverse conditions, such as treatment of headache and vertigo. As of January 2001, Droperidol was no longer available in Europe after its founder, Janssen-Cilag Pharmaceuticals, discontinued its distribution. In December 2001, the United States Food and Drug Administration (FDA) placed a black box warning on the use of Droperidol in response to an association between Droperidol and fatal cardiac dysrhythmias, such as torsade de pointes, resulting from prolongation of the QT interval. In this review we closely examine the pharmacology, indications, use, and complications associated with Droperidol, and speculate on its future use in the Emergency Department.
doi_str_mv 10.1016/S0736-4679(03)00044-1
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subjects Antiemetics - adverse effects
Antiemetics - chemistry
Antiemetics - therapeutic use
antipsychotic
Antipsychotic Agents - adverse effects
Antipsychotic Agents - chemistry
Antipsychotic Agents - therapeutic use
Biological and medical sciences
Death, Sudden, Cardiac - etiology
Droperidol
Droperidol - adverse effects
Droperidol - chemistry
Droperidol - therapeutic use
Drug Labeling
Drug toxicity and drugs side effects treatment
Emergency Department
Emergency Treatment - adverse effects
Emergency Treatment - methods
FDA warning
Humans
Inapsine
Long QT Syndrome - chemically induced
Medical sciences
Neuropharmacology
Patient Selection
Pharmacology. Drug treatments
Psycholeptics: tranquillizer, neuroleptic
Psychology. Psychoanalysis. Psychiatry
Psychopharmacology
Risk Factors
Safety
Torsades de Pointes - chemically induced
Toxicity: cardiovascular system
United States
United States Food and Drug Administration
title Droperidol in the Emergency Department: is it safe?
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