Table 2

Summary of the effects of commonly used vasoactive drugs on intensive care at the cellular level

MedicationDose (μg/kg/min, unless stated)Receptors
EffectAlpha 1Beta 1Beta 2DopamineV1PDE3
Catecholamines
Epinephrine0.01–0.1↑SVR, ↑↑CO+++++
0.1–0.5↑↑SVR ↑CO+++++
Norepinephrine0.04–0.4↑↑SVR, ↑CO++++
Dopamine0.5–2↑CO++++
5–10↑↑CO, ↑SVR+++++++
>10↑↑SVR, ↑CO+++++++
Dobutamine2.5–20↑↑CO, ↓SVR, ↓PVR+++++++
Phosphodiesterase inhibitors
Milrinone0.125–0.75↑CO, ↓SVR, ↓PVR
Calcium sensitisers
Levosimendan0.05–0.2↑CO, ↓SVR, ↓PVR
Vasoconstrictors
Phenylephrine0.1–10↑↑SVR++++
Vasopressin0.02–0.04 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.