Drug reference
Priapism (alternative to intracavernosal injections of phenylephrine and adrenaline) ▶BY INTRACAVERNOSAL INJECTION ▶Adult: 1 mg every 15 minutes l UNLICENSED USE Use for priapism is an unlicensed indication.
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Associated with fatal hypertensive crises. cirrhosis. coronary vascular thrombosis. diabetes mellitus . elderly. extravasation at injection site may cause necrosis . following myocardial infarction. hypercapnia. hypertension. hyperthyroidism. hypoxia. mesenteric vascular thrombosis. peripheral vascular thrombosis. Prinzmetal’s variant angina. uncorrected hypovolaemia
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→Appendix 1: sympathomimetics, vasoconstrictor
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▶Common or very common Headache. hypertension ▶Rare or very rare Skin exfoliation. soft tissue necrosis ▶Frequency not known Abscess. arrhythmias. nausea. palpitations. peripheral ischaemia
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Monitor blood pressure and rate of flow frequently.
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For intracavernosal injection, dilute 1 mg (0.1 mL of 10 mg/mL) metaraminol injection to 50 mL with Sodium chloride injection 0.9% and give carefully by slow injection into the corpora in 5 mL injections.
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There can be variation in the licensing of different medicines containing the same drug. Forms available from special-order manufacturers include: solution for injection Solution for injection ▶Metaraminol (Non-proprietary) Metaraminol (as Metaraminol tartrate) 10 mg per 1 ml Metaraminol 10mg/1ml solution for injection ampoules | 10 ampoule P £30.45
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1 mg every 15 minutes
First-line fragment. Read the complete Indications and Dose section above.
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