Droperidol (Dropletan®) is an antidopaminergic drug used as an antiemetic and antipsychotic. more...
Droperidol is a butyrophenone, and is a potent D2 (dopamine receptor) antagonist with some histamine and serotonin antagonist activity. It has a central antiemetic action and is frequently used in the treatment of Postoperative nausea and vomiting in adult doses as low as 0.625 or 1.25 mg.
It has also been used as an anti-psychotic in doses as high as 10mg i.m.
In 2001, the FDA changed the labeling requirements for droperidol injection, to include a so-called "Black Box Warning", citing concerns of QT prolongation and Torsades de pointes. The evidence for this is disputed, with less than 20 reported cases of torsades in 30 years and most of those having received doses in excess of 50mg in a 24-hour period. It appears that the QT-prolongation is a dose-related effect and that in low doses, droperidol is not a significant risk.
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