Drug

 

Indication & Dose

Receptor binding

Major Side effect

α1

β1

β2

DA

Dopamine

Cardiogenic, septic shock,  HF (2.0-20 μg/kg/min)

+++

++++

++

+++++

Arrhythmias

Adrenaline

Cardiogenic, septic shock, cardiac arrest, anaphylaxis
Infusion 0.01-0.1 μg/kg/min
Bolus: 1 mg IV every 3-5 minutes (max: 0.2 mg/Kg),
IM: (1:1000): 0.1-0.5 mg (max 1 mg)

+++++

++++

+++

N/A

Arrhythmias, cardiac ischemia, sudden cardiac death

Noradrenaline

Septic shock, Cardiogenic shock (0.01-3 μg/kg/min)

+++++

+++

++

N/A

Arrhythmias, bradycardia,  digital ischemia

Dobutamine

Low CO (HF, Cardiogenic shock, sepsis induced myocardial dysfunction)
(2.0-20 μg/kg/min)

+

+++++

+++

N/A

Tachycardia, arrhythmias, cardiac ischemia

Isoprenaline

Bradyarrhythmias
(2-10 μg/min)

0

+++++

+++++

N/A

Arrhythmias, cardiac ischemia

Phenylephrine

Hypotension (vagal or medicine mediated)
Bolus: (0.1-0.5 mg) IV every 10-15 minutes,
Infusion: 0.4-9.1 μg/kg/min

+++++

0

0

N/A

Reflex bradycardia, severe peripheral and visceral vasoconstriction, tissue necrosis with extravasation

Vasopressin

Septic Shock, cardiac arrest
Infusion: 0.01-0.04 U/min, Bolus: 40 U IV bolus

V1 receptor (vascular smooth muscle)
V2 receptor (renal collecting duct)

Arrhythmias, hypertension, cardiac ischemia, severe peripheral ischemia 

Table 1: Vasopressor and Inotropic Drugs.