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dopamine

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Brand names: Intropin

Inotropic / Vasopressor Rx

Dopamine injection helps improve blood flow in patients suffering from shock. It is used when shock is caused by problems with blood distribution or reduced heart function.

Drug Shortage Alert

dopamine is currently listed as in shortage by the FDA. Affected manufacturer: Hospira, Inc., a Pfizer Company. Status: Unavailable.

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What it does

Dopamine injection is used to improve blood flow in people with shock.

Common side effects

No common side effects listed.

Key warnings

Dopamine can cause tissue damage if it leaks out of the vein.

How It Works

Dopamine works by stimulating certain receptors in your body. This stimulation helps to increase your heart rate and blood pressure. It also improves blood flow to your kidneys.

How to Take It

Dopamine is given into a vein through an IV. A doctor or nurse will give you this medicine. The usual starting dose is 2 to 5 mcg/kg/minute. The dose may be increased slowly up to 50 mcg/kg/minute as needed.

Pregnancy & Breastfeeding

There is not enough information about the safety of dopamine during pregnancy. Tell your doctor if you are pregnant or plan to become pregnant. It is not known if dopamine passes into breast milk. Talk to your doctor if you are breastfeeding.

Missed Dose

Since this medicine is given in a hospital, you don't have to worry about missing a dose.

Storage

This medicine is stored at room temperature, away from freezing. Throw away any unused medicine.

Side Effects (from patient reports)

Based on 2,129 FDA adverse event reports.

Medicine not working
549
Low blood pressure
336
Using the medicine for something it's not approved for
248
Sudden kidney damage
182
Heart stops
165
Kidney failure
162
Condition gets worse
125
Death
125
Poisoning from different substances
124
Blood infection
113

FDA Adverse Event Report Analysis

Detailed analysis of 2,938 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 1997–2025.

Total Reports

2,938

Death-Related Reports

976

Hospitalization Reports

1,540

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 1,249 (48%)
Male 1,373 (52%)

Age Distribution

0–17 452
18–44 494
45–64 602
65–74 368
75+ 292

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 DRUG INEFFECTIVE 549
2 HYPOTENSION 336
3 OFF LABEL USE 248
4 ACUTE KIDNEY INJURY 182
5 CARDIAC ARREST 165
6 RENAL FAILURE 162
7 CONDITION AGGRAVATED 125
8 DEATH 125
9 TOXICITY TO VARIOUS AGENTS 124
10 SEPSIS 113
11 BRADYCARDIA 112
12 DYSPNOEA 112
13 DIARRHOEA 104
14 RESPIRATORY FAILURE 104
15 PNEUMONIA 100

Reactions in Death Reports

DRUG INEFFECTIVE 212
HYPOTENSION 145
DEATH 125
CARDIAC ARREST 99
RENAL FAILURE 85
SEPSIS 81
OFF LABEL USE 75
RESPIRATORY FAILURE 66
MULTIPLE ORGAN DYSFUNCTION SYNDROME 64
ACUTE KIDNEY INJURY 57

Reactions in Hospitalization Reports

DRUG INEFFECTIVE 338
HYPOTENSION 219
OFF LABEL USE 130
ACUTE KIDNEY INJURY 128
CARDIAC ARREST 98
TOXICITY TO VARIOUS AGENTS 97
RENAL FAILURE 92
DIARRHOEA 85
BRADYCARDIA 78
DRUG INTERACTION 77

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

Dopamine can cause tissue damage if it leaks out of the vein. Tell your doctor right away if you notice any pain, swelling, or redness around the IV site. This medicine may also cause heart rhythm problems. If you have asthma, be aware this drug contains sodium metabisulfite, which can cause a severe allergic reaction.

Known Drug Interactions

7 DRUG INTERACTIONS Drugs metabolized by COMT: use with caution ( 5.10 , 7.2 ) Anti-hypertensive agents: dose adjustment may be required ( 7.3 ) Tricyclic antidepressants: risk of hypertension and dyskinesia reported during concomitant use with carbidopa/levodopa ( 7.4 ) Dopamine D2 receptor antagonists, isoniazid, phenytoin, papaverine and iron salts: may reduce efficacy of carbidopa, levodopa and entacapone tablets ( 7.5 , 7.6 , 7.7 , 7.8 , 7.9 ) Drugs that interfere with biliary excretion, glucuronidation and intestinal beta-glucuronidase: dose adjustment of carbidopa, levodopa and entac...

Mechanism: These medications compete for the same enzyme that clears them from your body. This can cause the drugs to reach high levels, potentially leading to heart rhythm issues or blood pressure spikes.

What to do: Use this combination with extreme caution. Your healthcare provider may need to adjust your doses and monitor your heart health closely.

7.4 Neuroleptic Drugs The risk of parkinsonism, NMS, and akathisia may be increased by concomitant use of AUSTEDO XR or AUSTEDO with dopamine antagonists or antipsychotics.

Mechanism: This drug lowers the amount of dopamine available in the brain. Taking it with other drugs that affect dopamine can increase the risk of serious movement-related side effects like stiffness or restlessness.

What to do: Your doctor will watch you closely for any new or worsening movement problems. They may need to adjust your treatment plan if you use both.

moderate digoxin

Sympathomimetics Epinephrine Norepinephrine Dopamine Can increase the risk of cardiac arrhythmias Neuromuscular Blocking Agents Succinylcholine May cause sudden extrusion of potassium from muscle cells causing arrhythmias in patients taking digoxin.

Mechanism: These drugs both affect the heart's rhythm and how strongly it beats. Combining them can make the heart beat in an irregular or dangerous way.

What to do: Your heart rhythm should be monitored closely by a healthcare professional. Your doctor will determine if the benefits of using both drugs outweigh the risks.

7.6 Neuroleptic Drugs The risk for Parkinsonism, NMS, and akathisia may be increased by concomitant use of tetrabenazine and dopamine antagonists or antipsychotics (e.g., chlorpromazine, haloperidol, olanzapine, risperidone, thioridazine, ziprasidone) [see Warnings and Precautions ( 5.4 , 5.5 , 5.6 )] .

Mechanism: Both drugs affect how dopamine works in the brain. Using them together can cause movement problems or serious nervous system reactions.

What to do: Your doctor should monitor you closely for movement issues or signs of a serious reaction. They may need to adjust your doses.

Product Clinical Comment on Concomitant Use [See Contraindications (4.1)] ; Predominant Effect/Risk [Hypertensive Reaction (HR) [See Warnings and Precautions (5.3)] ; or Serotonin Syndrome (SS) [See Warnings and Precautions (5.7)] ] Altretamine Use with caution If not otherwise specified in this table, consider avoiding concomitant use (see also information on medication-free intervals , use agent at the lowest appropriate dose, monitor for effects of the interaction, advise the patient to report potential effects, and be prepared to discontinue the agent and treat effects of the interactio...

Mechanism: Tranylcypromine prevents the body from breaking down dopamine, which can cause dopamine levels to become dangerously high. This can result in a life-threatening increase in blood pressure.

What to do: Avoid this combination if possible, as it can be very dangerous. If dopamine must be used, your doctor will need to use a much lower dose and monitor your blood pressure constantly.

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Common Questions

What should I tell my doctor before taking dopamine?
Tell your doctor if you have any allergies, heart problems, or blood vessel disease.
How will I know if the medicine is working?
Your doctor will monitor your blood pressure, heart rate, and other vital signs to see if the medicine is working.
Can dopamine cause any long-term side effects?
Long-term side effects are not common, but dopamine can sometimes cause tissue damage or heart problems.
What if my blood pressure gets too high?
Your doctor will adjust the dose of dopamine to keep your blood pressure in a safe range.
Can I take other medicines with dopamine?
Some medicines can interact with dopamine. Tell your doctor about all the medicines you are taking.
What if I have kidney problems?
Tell your doctor if you have kidney problems, as dopamine can affect kidney function.
Will I need any tests while taking dopamine?
Your doctor may order blood tests and other tests to monitor your condition.
How long will I need to take dopamine?
You will only take dopamine for a short period of time, until your condition improves.
What happens if I stop taking dopamine suddenly?
Stopping dopamine suddenly can cause your blood pressure to drop too low. Your doctor will lower the dose slowly.
Are there other treatments for shock?
Yes, there are other treatments for shock. Your doctor will decide the best treatment for you.
Does dopamine interact with other medications?
Yes, dopamine has 28 known drug interactions. Notable interactions include carbidopa/levodopa, deutetrabenazine, digoxin. Always inform your doctor about all medications you are taking.
What drug class is dopamine?
dopamine belongs to the Inotropic / Vasopressor drug class. It requires a prescription (Rx). Dopamine injection is used to improve blood flow in people with shock.
Is dopamine safe during pregnancy?
There is not enough information about the safety of dopamine during pregnancy. Tell your doctor if you are pregnant or plan to become pregnant. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.
Is dopamine currently in shortage?
Yes, dopamine is currently listed as in shortage by the FDA. Affected manufacturer: Hospira, Inc., a Pfizer Company. Status: Unavailable. Visit the FDA Drug Shortages database for the latest updates.

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What the FDA Data Shows for dopamine

The FDA label for dopamine (sold under brand names such as Intropin) classifies it as a prescription-only medication in the Inotropic / Vasopressor class. Dopamine injection is used to improve blood flow in people with shock. Labeling covers dosing, contraindications, and monitoring requirements derived from clinical trials.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 2,129 voluntary reports. The database also lists 28 documented drug interactions derived from FDA labeling, with the top-flagged interaction rated moderate severity. Acquisition-cost data is surveyed weekly by CMS and updated as manufacturers report changes.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Shortage status: FDA Drug Shortages Database.

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: November 3, 2025

All federal data sources used on this page