Neonatal Drug Therapy Manual

DOBUTamine

Disclaimer: Official controlled document is the CHEO and Ottawa Hospital online copy. It is the responsibility of user to ensure that any paper copy version is the same as the online version before use.

Alternate Name(s): 
Dobutrex
Classification: 
Sympathomimetic
Original Date: 
March 1993
Revised Date: 
Feb 2024
Indications: 
  • Blood pressure support
  • Treatment of cardiac decompensation in Persistent Pulmonary Hypertension of the Newborn
Administration: 
  • IV continuous infusion
Dosage: 

Usual dosing range: 2.5- 10 mcg/kg/minute; maximum 20 mcg/kg/min

Side Effects: 
  • CVS: tachycardia, arrhythmias, hypertension
  • Local: tissue sloughing/necrosis with extravasation-consider treating with phentolamine 0.5 mg/mL solution
Parameters to Monitor: 
  • HR
  • BP
  • ECG
  • Urine output
  • Injection site
Reconstitution and Stability: 
  • DOBUTamine 12.5 mg/mL:
    • Take 1.28 mL (16 mg) and add to 18.72 mL D5W
    • Final concentration: 800 mcg/mL
  • DOBUTamine 12.5 mg/mL:
    • Take 2.56 mL (32 mg) and add to 17.44 mL D5W
    • Final concentration: 1600 mcg/mL
Compatibility: 

- Solutions Compatible:  dextrose up to D10W, 0.9% NaCl, dextrose-saline combinations

 

- Y-site Compatible: dopamine, epinephrine, fentanyl, KCl, morphine, SMOF, TPN

 

- Incompatible: acyclovir, alteplase, furosemide, heparin, insulin, midazolam, sodium bicarbonate

 

Notes: 
  • Pink discolouration indicates oxidation, but no potency loss over 24 hours
References: 

- Taketomo CK, Hodding JH, Kraus DM.  Pediatric Dosage Handbook 19th edition. Hudson: Lexi-Comp Inc.; 2012

- Trissel LA. Handbook on Injectable Drugs. 16th Edition. Bethesda: American Society of Health-System Pharmacists 2011

- Evidence-based Practice for Improving Quality  (EPIQ) Recommendations on Hemodynamics, 2023

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