Medication | Dose (μg/kg/min, unless stated) | Receptors | ||||||
Effect | Alpha 1 | Beta 1 | Beta 2 | Dopamine | V1 | PDE3 | ||
Catecholamines | ||||||||
Epinephrine | 0.01–0.1 | ↑SVR, ↑↑CO | + | +++ | + | |||
0.1–0.5 | ↑↑SVR ↑CO | +++ | + | + | ||||
Norepinephrine | 0.04–0.4 | ↑↑SVR, ↑CO | ++++ | |||||
Dopamine | 0.5–2 | ↑CO | + | +++ | ||||
5–10 | ↑↑CO, ↑SVR | + | +++ | + | ++ | |||
>10 | ↑↑SVR, ↑CO | +++ | ++ | ++ | ||||
Dobutamine | 2.5–20 | ↑↑CO, ↓SVR, ↓PVR | + | ++++ | ++ | |||
Phosphodiesterase inhibitors | ||||||||
Milrinone | 0.125–0.75 | ↑CO, ↓SVR, ↓PVR | – | |||||
Calcium sensitisers | ||||||||
Levosimendan | 0.05–0.2 | ↑CO, ↓SVR, ↓PVR | – | |||||
Vasoconstrictors | ||||||||
Phenylephrine | 0.1–10 | ↑↑SVR | ++++ | |||||
Vasopressin | 0.02–0.04 U/min | ↑↑SVR ↔PVR | ++++ |
↑, Increase; ↑↑, Significant increase; ↓, Decrease; ↔, No effect ort modest decrease; +, Increase
CO, cardiac output; PDE3, phosphodiesterase 3 receptor; PVR, peripheral vascular resistance; SVR, systemic vascular resistance; V1, vasopressin one receptor.