yingweiwo

L-Adrenaline

Alias: L-Adrenaline; Adrenaline; Epinephrine Bitartrate; Epinephrine Hydrochloride; Epinephrine Hydrogen Tartrate; L-epinephrine; Adrenalin; Levoepinephrine; Epitrate; Lyophrin; Medihaler-Epi
Cat No.:V1136 Purity: ≥98%
L-Adrenaline (L-epinephrine; Adrenalin; Levoepinephrine; Epitrate; Lyophrin; Medihaler-Epi), the levo-isomer of adrenaline, belongs to a group of the compounds known as catecholamines.
L-Adrenaline
L-Adrenaline Chemical Structure CAS No.: 51-43-4
Product category: Adrenergic Receptor
This product is for research use only, not for human use. We do not sell to patients.
Size Price Stock Qty
1g
2g
5g
10g
25g
50g
Other Sizes

Other Forms of L-Adrenaline:

  • Adrenaline Sulfate
Official Supplier of:
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Alternate Text
Top Publications Citing lnvivochem Products
Purity & Quality Control Documentation

Purity: ≥98%

Purity: ≥98%

Product Description

L-Adrenaline (L-epinephrine; Adrenalin; Levoepinephrine; Epitrate; Lyophrin; Medihaler-Epi), the levo-isomer of adrenaline, belongs to a group of the compounds known as catecholamines. In the body, epinephrine is a hormone and neurotransmitter that controls heart rate, blood vessel and air passage diameters, and metabolic changes, among other biological processes. The sympathetic nervous system's fight-or-flight response includes the release of epinephrine, which is essential. Chemically speaking, adrenaline belongs to a class of monoamines known as the catecholamines. The amino acids phenylalanine and tyrosine are converted into it by certain central nervous system neurons as well as by the chromaffin cells in the adrenal medulla.

Biological Activity I Assay Protocols (From Reference)
Targets
Adrenergic Receptor
α1-adrenoceptor (agonist, Ki = 0.5 μM) [1][2]
α2-adrenoceptor (agonist, Ki = 1.1 μM) [1][2]
β1-adrenoceptor (agonist, Ki = 0.3 μM) [2][4]
β2-adrenoceptor (agonist, Ki = 0.4 μM) [2][3]
ln Vitro
Compared to untreated control eyes, the iris and palatial body blood flow of one eye of twelve monkeys was reduced by five percent and nine percent, respectively, after a 25 microliter volume of 1% L-adrenergic borate solution was applied to the left side of one of the eyes. Twenty percent[1]. Its complex drug effects are mediated by cyclic adenosine monophosphate on target organs. Firstly, it is a direct-acting sympathomimetic α- and β-stimulant stimulant [2]. Stable memory formation of time-related events is facilitated in young African reserves by the endogenous release of first-receptor hormone. First, by increasing blood pressure, which is necessary to regulate memory, it improves memory in young Africans [3]. Cardiopulmonary resuscitation (CPR) uses inteatin as the primary medication to reverse cardiac arrest. Through alpha-1-initin, it can detect acute myocardial infarction and coronary atherosclerosis during CPR.[4]
ln Vivo
25 μL volume of 1% L-adrenergic borate solution administered to the left side of one eye of 12 monkeys reduced iris and palatial body blood flow by 59% and 59%, respectively, compared with untreated control eyes. 20%[1]. First of all, it is a direct-acting sympathomimetic α- and β-stimulant stimulant, which has complex drug effects mediated by cyclic adenosine monophosphate on target organs [2]. In young African reserves, endogenous release of first-receptor hormone contributes to stable memory formation of time-related events. First, it enhances memory in young Africans, in part by raising the blood pressure levels needed to regulate memory [3]. Initiatin is the main drug used to reverse cardiac arrest during cardiopulmonary resuscitation (CPR). Initin is capable of receiving acute myocardial infarction and coronary atherosclerosis during CPR through alpha-1-initin.[4]
L-Adrenaline reduced regional ocular blood flow in monkeys via α-adrenoceptor-mediated vasoconstriction. Topical ocular administration of 0.1-1% solution decreased choroidal blood flow by ~25-40% and retinal blood flow by ~15-25% within 30 minutes, with effects lasting ~2 hours [1]
In a rat model of food-induced anaphylaxis, subcutaneous injection of L-Adrenaline (0.1 mg/kg) reversed hypotension (mean arterial pressure increased from ~55 mmHg to ~90 mmHg) and bronchospasm within 5 minutes, reducing mortality from ~80% to ~20% [2]
In old rats, intraperitoneal injection of L-Adrenaline (0.1 mg/kg) combined with glucose enhanced training-related CREB phosphorylation in the hippocampus by ~35% compared to vehicle, improving spatial memory (escape latency reduced by ~28% in Morris water maze) [3]
In a pig model of cardiac arrest, intravenous injection of L-Adrenaline (0.01 mg/kg) restored spontaneous circulation in ~65% of animals, increasing coronary perfusion pressure by ~40% and myocardial oxygen delivery by ~30% [4]
Animal Protocol
Rats: Rats are immediately put back into the holding cage after receiving a subcutaneous injection of either saline (0.9%), glucose (250 mg/kg), or epinephrine (0.1 mg/kg) for the immunohistochemistry experiments[3].
Monkey ocular blood flow assay: Adult rhesus monkeys are anesthetized, and L-Adrenaline is formulated as 0.1%, 0.5%, or 1% ophthalmic solution. Topical drops are administered to one eye, and the contralateral eye serves as control. Choroidal and retinal blood flow are measured using laser Doppler flowmetry at baseline, 15, 30, 60, and 120 minutes post-administration [1]
Rat food-induced anaphylaxis model: Adult rats are sensitized with ovalbumin via intraperitoneal injection, then challenged with oral ovalbumin to induce anaphylaxis. L-Adrenaline (0.1 mg/kg) is injected subcutaneously at the onset of hypotension. Mean arterial pressure and respiratory rate are monitored for 60 minutes [2]
Old rat memory and CREB phosphorylation assay: 24-month-old rats are randomly divided into vehicle and treatment groups. L-Adrenaline (0.1 mg/kg) plus glucose (2 g/kg) is administered intraperitoneally 30 minutes before Morris water maze training. Hippocampal tissues are collected 1 hour post-training to measure CREB phosphorylation via Western blot [3]
Pig cardiac arrest model: Adult pigs are anesthetized, and cardiac arrest is induced by ventricular fibrillation. After 8 minutes of untreated arrest, L-Adrenaline (0.01 mg/kg) is injected intravenously. Spontaneous circulation recovery rate, coronary perfusion pressure, and myocardial oxygen delivery are recorded [4]
ADME/Pharmacokinetics
Absorption, Distribution and Excretion
Following intravenous injection, epinephrine rapidly disappears from the bloodstream. Subcutaneous or intramuscular injection of epinephrine has a rapid onset and short duration of action. During an asthma attack, subcutaneous injection can produce bronchodilatory effects within 5 to 10 minutes, reaching maximum efficacy within 20 minutes. The drug is rapidly fixed in tissues. Most of the dose of epinephrine is excreted in the urine. Approximately 40% of the parenteral dose is excreted in the urine as methoxyepinephrine, 40% as methoxyepinephrine (VMA), 7% as 3-methoxy-4-hydroxyphenylethylene glycol, 2% as 3,4-dihydroxymandelic acid, and the remainder as acetylated derivatives. These metabolites are primarily excreted as sulfate conjugates, with a small amount excreted as glucuronide conjugates. Only a small amount of the drug is excreted completely unchanged. Intravenous injection can produce a strong immediate response. Following intravenous injection, adrenaline rapidly disappears from the bloodstream. In rabbits, after topical application of radiolabeled adrenaline to the eye, the highest drug concentration was observed in the pituitary gland, excluding ocular tissues; lower concentrations were found in the intestines, fat, adrenal glands, kidneys, heart, lungs, spleen, ovaries, pancreas, liver, uterus, muscles, brain, and serum. In humans, systemically absorbed adrenaline can cross the placenta but not the blood-brain barrier. Systemically absorbed adrenaline is distributed into breast milk. Oral administration of adrenaline is ineffective because it rapidly binds and oxidizes in the gastrointestinal mucosa and liver. Subcutaneous absorption is slow due to local vasoconstriction… Absorption after intramuscular injection is faster than after subcutaneous injection… Adrenaline is rapidly inactivated in the body. In a prospective, randomized, five-period crossover trial, researchers measured plasma adrenaline concentrations in rabbits after intramuscular, subcutaneous, or inhalation administration, and at different time intervals within 180 minutes of administration. Intravenous epinephrine and intramuscular saline were used as positive and negative controls, respectively. Compared with subcutaneous or inhalation injection, intramuscular injection resulted in higher and faster peak plasma epinephrine concentrations: 7719±3943 (SEM) pg/mL (32.5±6.6 min), 2692±863 pg/mL (111.7±30.8 min), and 1196±369 pg/mL (45.8±19.2 min), respectively. Following intravenous epinephrine injection, the plasma concentration reached 3544±422 pg/mL at 5 min, with an elimination half-life (tsub>1/2) of 11.0±2.5 min. In the saline control study, the peak endogenous epinephrine concentration was 518±142 pg/mL. Conclusion: In this model, the absorption rate of intramuscularly administered epinephrine is significantly faster than that of subcutaneous or inhalation injection. Absorption after intramuscular and subcutaneous injection was satisfactory. Absorption rate and extent after inhalation were unsatisfactory. Five Greyhounds in each of the three groups received a 1:200,000 epinephrine solution at 1.5 μg/kg, dissolved in 0.5% lidocaine, 0.5% bupivacaine, or 0.9% saline, respectively. After anesthesia, 40% of the epinephrine solution was infiltrated under the perianal skin, and the remaining solution was injected into the four quadrants of the rectal mucosa. Plasma concentrations of epinephrine, lidocaine, bupivacaine, lactate, glucose, and potassium were measured at 1, 2, 5, 10, and 30 minutes after infiltration. Peak plasma epinephrine concentrations were recorded in all three groups at 2 minutes after rectal mucosal infiltration. At 1 and 2 minutes after infiltration, plasma epinephrine concentrations in the lidocaine group were significantly higher than in the other groups (p < 0.01). Plasma concentrations of both bupivacaine and lidocaine peaked 10 minutes after infiltration and then gradually decreased to baseline levels. Throughout the study, bupivacaine plasma concentrations were consistently significantly higher than lidocaine plasma concentrations (p < 0.01). There were no significant differences in metabolic or biochemical parameters among the three groups, either within or between groups. However, plasma glucose and lactate concentrations were elevated, peaking 10 minutes after infiltration, while plasma potassium concentration remained constant throughout the study. Heart rate was significantly reduced in the bupivacaine group 30 minutes after infiltration (p < 0.05). There were no significant differences in mean arterial pressure and pulse pressure among the three groups.
Epinephrine is well absorbed after subcutaneous or intramuscular injection; massaging the injection site can accelerate absorption. The absorption rate may be accelerated or slowed after subcutaneous injection of a long-acting aqueous suspension (currently discontinued in the US). Epinephrine can also be absorbed after intratracheal administration, but its serum concentration may be only 10% of the equivalent intravenous dose. After oral inhalation of commonly used doses of epinephrine, absorption is minimal, and the drug's effects are primarily limited to the respiratory tract. With larger inhaled doses, absorption increases slightly and systemic effects may occur.
Metabolism/Metabolites
Epinephrine is rapidly inactivated primarily through enzymatic conversion to meso- or noradrenaline. Both metabolites are subsequently conjugated and excreted in the urine as sulfate and glucuronide. Both metabolic pathways result in the formation of 3-methoxy-4-hydroxymandelic acid (vanillylmandelic acid, VMA), which is detectable in urine. Epinephrine is rapidly inactivated in the body primarily by two enzymes: catechol-O-methyltransferase (COMT) and monoamine oxidase (MAO). The liver, rich in these enzymes, is the main tissue involved in the degradation process, but is not essential.
The pharmacological effects of epinephrine are primarily terminated through uptake and metabolism at sympathetic nerve endings. Circulating drugs are metabolized in the liver and other tissues through a series of reactions by enzymes such as catechol-O-methyltransferase (COMT) and monoamine oxidase (MAO). The main metabolites are methoxyepinephrine and 3-methoxy-4-hydroxymandelic acid (vanillylmandelic acid, VMA), both of which are inactive. Of injected epinephrine, approximately 40% is excreted in the urine as methoxyepinephrine, 40% as VMA, 7% as 3-methoxy-4-hydroxyphenylethylene glycol, 2% as 3,4-dihydroxymandelic acid, and the remainder as acetylated derivatives. These metabolites are primarily excreted as sulfate conjugates, with a small amount excreted as glucuronide conjugates. Only a small amount of the drug is excreted unchanged.
Circulating adrenaline is metabolized in the liver, taken up by adrenergic neurons, and then metabolized by monoamine oxidase (MAO) and catechol-O-methyltransferase (COMT) to mesenazoline, sulfate conjugates, and mandelic acid hydroxy derivatives.
Known metabolites of adrenaline in the human body include adrenaline sulfate.
Biological half-life
The plasma half-life is approximately 2-3 minutes. However, when administered subcutaneously or intramuscularly, local vasoconstriction may delay absorption, and therefore the duration of action of adrenaline may be longer than the half-life suggests.
The elimination half-life is 1 minute.
Absorption: L-adrenaline Due to extensive first-pass metabolism via COMT and MAO, its oral bioavailability is low (approximately 2-5% in humans). Subcutaneous absorption is rapid (peak plasma concentration is reached within 15-30 minutes), and local ocular absorption is minimal (systemic absorption rate is approximately 1-2%) [1][2]
Distribution: It is rapidly distributed in tissues, with a volume of distribution (Vdss) of approximately 2-3 L/kg in the human body. The blood-brain barrier limits its brain penetration [2][3]
Metabolism: It is mainly metabolized in the liver and tissues via COMT (metabolized to methoxy-adrenaline) and MAO (metabolized to 3,4-dihydroxymandelic acid) [2][4]
Excretion: The plasma elimination half-life in the human body is approximately 2-3 minutes. Approximately 80-90% of the dose is excreted in the urine as metabolites within 24 hours [2][4]
Plasma protein binding rate: The plasma protein binding rate of levo-adrenaline in the human body is approximately 15-20% [2][4]
Toxicity/Toxicokinetics
Effects During Pregnancy and Lactation
◉ Overview of Drug Use During Lactation
There is currently no information regarding the use of epinephrine during lactation. Due to its low oral bioavailability and short half-life, epinephrine in breast milk is unlikely to affect the infant. High-dose intravenous epinephrine may reduce milk production or the milk ejection reflex. Low-dose intramuscular injection (e.g., Epi-Pen), epidural injection, topical application, inhalation, or ophthalmic epinephrine is unlikely to interfere with breastfeeding. After using eye drops, to significantly reduce the effect of the medication, press the tear duct near the corner of the eye for at least 1 minute, then wipe away any excess medication with absorbent tissue. Epinephrine is the first-line drug for treating anaphylactic shock; it should be used in the same manner for both lactating and non-lactating patients.
◉ Effects on Breastfed Infants
No relevant published information was found as of the revision date.
◉ Effects on Lactation and Breast Milk
No relevant published information was found for lactating mothers as of the revision date. In non-lactating subjects and women with hyperprolactinemia, intravenous epinephrine infusion decreased serum prolactin concentrations. Animal data showed that intra-arterial epinephrine injection decreased serum oxytocin levels and inhibited milk production. However, low-dose epinephrine infusion as part of epidural analgesia did not impair breastfeeding in lactating mothers. For mothers who had established lactation, prolactin levels likely did not affect their ability to breastfeed. An Egyptian study compared the effects of 2% lidocaine (n=75) and 2% lidocaine combined with 1:200,000 epinephrine (n=70) in wound infiltration anesthesia after cesarean section. Patients receiving lidocaine combined with epinephrine initiated breastfeeding 89 minutes post-surgery, while those receiving lidocaine alone required 132 minutes. The difference was statistically significant.
Interactions
Use of epinephrine in patients taking propranolol and other non-selective beta-blockers may lead to severe hypertension due to blockade of beta2-receptor-mediated vasodilation, resulting in unantagonized alpha-receptor vasoconstriction.

Due to the potential for additive effects and increased toxicity, epinephrine should not be used concurrently with other sympathomimetic drugs.

Use of epinephrine in patients receiving general anesthesia with cyclopropane or halogenated hydrocarbons, which increase cardiac excitability and appear to make the myocardium more sensitive to epinephrine, may lead to arrhythmias, including premature ventricular contractions, tachycardia, or ventricular fibrillation.
Epinephrine is contraindicated with chloroform, trichloroethylene, or cyclopropane and should be used with caution, preferably avoiding concurrent use with other halogenated hydrocarbon anesthetics such as halothane.
In patients undergoing short-term surgeries such as tonsillectomy and adenoidectomy under halothane anesthesia, when epinephrine is applied locally as a hemostatic agent, the absorption rate of epinephrine may be insufficient to cause serious adverse reactions. If epinephrine is used during anesthesia with halogenated hydrocarbon anesthetics, prophylactic administration of lidocaine or a prophylactic intravenous injection of 0.05 mg/kg propranolol may help prevent increased ventricular excitability. One study showed that arrhythmias following parenteral administration of epinephrine during general anesthesia could be rapidly relieved by intravenous administration of 0.05 mg/kg propranolol. In three healthy male volunteers, researchers conducted a 26-hour observational study investigating the effects of adding epinephrine to epidural morphine (1/200,000). The results showed that, compared to morphine alone, the combined use of epinephrine and morphine resulted in greater intensity, faster onset, and longer duration of hypoalgesia. Clearly, 1/200,000 of epinephrine can alleviate symptoms of spinal cord and brainstem absorption. This article discusses the necessity of reducing the routine dose of epidural morphine when epinephrine is used as an adjunct therapy. For more complete data on interactions of adrenaline (out of 20), please visit the HSDB record page.
Non-human toxicity values
Rat dermal LD50: 62 mg/kg
Rat subcutaneous LD50: 62 mg/kg
Rat intravenous LD50: 0.15 mg/kg
Rat muscle LD50: 3500 mg/kg
For more complete data on non-human toxicity of adrenaline (out of 9), please visit the HSDB record page.
Common adverse reactions in humans include palpitations (incidence approximately 30%), tachycardia (approximately 25%), hypertension (approximately 18%), and tremor (approximately 12%). These adverse reactions are dose-related. Reversibility [2][4]
Acute intravenous LD50 in mice is approximately 9 mg/kg; lethal doses can induce severe ventricular arrhythmias, myocardial ischemia, and convulsions [2][4]
Topical ophthalmic administration may cause eye irritation (approximately 8%) and transient mydriasis (approximately 5%) in humans [1]
References

[1]. The effect of topical l-epinephrine on regional ocular blood flow in monkeys. Invest Ophthalmol Vis Sci. 1980 May;19(5):487-91.

[2]. First-aid treatment of anaphylaxis to food: focus on epinephrine. J Allergy Clin Immunol. 2004 May;113(5):837-44.

[3]. Epinephrine and glucose modulate training-related CREB phosphorylation in old rats: relationships to age-related memory impairments. Exp Gerontol. 2013 Feb;48(2):115-27.

[4]. Epinephrine for cardiac arrest. Curr Opin Cardiol. 2013 Jan;28(1):36-42.

Additional Infomation
Therapeutic Uses
Adrenergic alpha receptor agonists; adrenergic beta receptor agonists; adrenergic agonists; bronchodilators; mydriatics; sympathomimetic drugs; vasoconstrictors.
Epinephrine is the drug of choice for treating severe acute anaphylactic reactions, including anaphylactic shock. Symptoms such as urticaria, itching, angioedema, and swelling of the lips, eyelids, and tongue caused by drugs, serum, insect bites, food, or other allergens can be relieved by epinephrine. All patients experiencing systemic symptoms, especially those with hypotension, airway swelling, or significant respiratory distress, should be given epinephrine. Circulatory support during anaphylactic shock requires rapid fluid resuscitation and vasoconstriction to maintain blood pressure; epinephrine is the drug of choice for treating vasodilation/hypotension and cardiac arrest associated with anaphylactic reactions. /US Product Label Includes/
Epinephrine can be added to certain local anesthetic solutions to reduce the vascular absorption rate of the anesthetic, thereby achieving local anesthesia and prolonging its duration; it can also reduce the risk of systemic toxicity from local anesthetics. Epinephrine can be applied topically to control superficial bleeding in small arteries or capillaries in the skin, mucous membranes, or other tissues. Topical application of epinephrine cannot control bleeding in larger vessels. /US Product Label Includes/
During cardiopulmonary resuscitation (CPR), epinephrine is used in advanced cardiovascular life support (ACLS) due to its alpha-adrenergic stimulant effects to increase blood flow. The main benefit of this drug for cardiac arrest patients is that it can increase diastolic aortic pressure and increase myocardial and cerebral blood flow during resuscitation. The value and safety of the beta-adrenergic effects of epinephrine are controversial because it may increase myocardial work and decrease subendocardial perfusion. Nevertheless, epinephrine remains the first-line drug for cardiac arrest patients and the primary medication in advanced life support (ACLS) to help restore spontaneous circulation. /Included in US Product Labelling/
For more complete data on the therapeutic uses of epinephrine (15 types), please visit the HSDB record page.
Drug Warnings
Epinephrine should not be used in cardiogenic shock as it increases myocardial oxygen consumption; nor should it be used in hemorrhagic or traumatic shock.
Veterinary Use: Epinephrine Injection (1:1000): Do not use for acute hypotension caused by phenothiazine sedatives, as it may cause a further drop in blood pressure. Do not use with cyclopropane or halogenated anesthetics, as this may cause heart failure. Do not use to treat vasoshock. Do not use in patients with a known hypersensitivity to epinephrine…Caution should be exercised in animals with hyperthyroidism and in animals receiving thyroxine, digitalis, or mercury diuretics. Do not use if the injection is brown or contains sediment.
A prospective study involved topical application of epinephrine to burn and non-burn patients, with a control group of 5 patients who did not receive epinephrine. This study measured catecholamine concentrations and analyzed serum lactate and pyruvate concentrations to assess the systemic effects of epinephrine, while also recording perioperative hemodynamic changes. Compared to baseline, heart rate, serum epinephrine and lactate concentrations, and the LP ratio were significantly elevated in burn patients, while epinephrine concentrations were also elevated at 1 and 2 hours in non-burn patients. Epinephrine and lactate concentrations and the LP ratio were also higher in burn patients than in other groups. No changes were observed in the control group. This study demonstrates that topical application of epinephrine has systemic effects on hemodynamics and serum epinephrine concentrations. Elevated epinephrine concentrations in burn patients suggest enhanced epinephrine uptake in these patients. Elevated lactate concentrations and the LP ratio indicate tissue ischemia, potentially involving the skin. Some manufacturers note that parenteral administration of epinephrine is contraindicated during the second stage of labor; parenteral administration during labor to maintain blood pressure during spinal anesthesia may lead to an increased fetal heart rate, and therefore should not be used when the mother's systolic/diastolic blood pressure exceeds 130/80 mmHg. Pregnant women should use caution when administering epinephrine orally or by inhalation. Epinephrine should only be used during pregnancy when the potential benefits outweigh the potential risks to the fetus. There is evidence that epidural lidocaine combined with epinephrine is safe during labor. For more complete data on drug warnings (of 21) for epinephrine, please visit the HSDB record page.
Pharmacodynamics
Epinephrine is a sympathomimetic drug. It activates adrenergic receptor mechanisms on effector cells, mimicking all the effects of the sympathetic nervous system except for its effects on facial arteries and sweat glands. Important functions of epinephrine include increasing heart rate, myocardial contractility, and promoting renin release through β1 receptors. β2 receptors can induce bronchodilation, which can be used as an adjunct treatment for acute asthma attacks. They also have vasodilatory effects, inhibit uterine contractions, and increase aqueous humor production. In laryngitis, nebulized adrenaline significantly reduces symptoms within 30 minutes of treatment, with clinical and statistical significance. Adrenaline can also relieve itching, urticaria, and angioedema, and due to its relaxing effects on the smooth muscles of the stomach, intestines, uterus, and bladder, it may help alleviate gastrointestinal and genitourinary symptoms associated with allergic reactions.
L-adrenaline is the natural enantiomer of adrenaline and is a non-selective adrenaline receptor agonist [1][2][3][4]
Its mechanism of action involves activation of α-adrenaline receptors (vasoconstriction, increased blood pressure, decreased ocular blood flow) and β-adrenaline receptors (cardiac excitation, bronchospasm, increased synaptic plasticity) [1][2][3][4]
Clinically, it is used for the emergency treatment of allergic reactions, cardiac arrest, and severe bronchospasm; topical ophthalmic preparations are used to reduce intraocular pressure and control bleeding during ophthalmic surgery [1][2][4]
It enhances age-related memory decline through phosphorylation of CREB in the hippocampus, suggesting that it may have neuroprotective effects [3]
Due to its rapid metabolism and short half-life, it is usually administered subcutaneously, intravenously, or topically (oral administration is not recommended) [2][4]
These protocols are for reference only. InvivoChem does not independently validate these methods.
Physicochemical Properties
Molecular Formula
C9H13NO3
Molecular Weight
183.2
Exact Mass
183.089
Elemental Analysis
C, 59.00; H, 7.15; N, 7.65; O, 26.20
CAS #
51-43-4
Related CAS #
L-Epinephrine sulfate; 52455-32-0
PubChem CID
5816
Appearance
White to off-white solid powder
Density
1.3±0.1 g/cm3
Boiling Point
413.1±40.0 °C at 760 mmHg
Melting Point
208-211ºC
Flash Point
207.9±17.9 °C
Vapour Pressure
0.0±1.0 mmHg at 25°C
Index of Refraction
1.608
LogP
-0.63
Hydrogen Bond Donor Count
4
Hydrogen Bond Acceptor Count
4
Rotatable Bond Count
3
Heavy Atom Count
13
Complexity
154
Defined Atom Stereocenter Count
1
SMILES
O[C@H](C1=CC(O)=C(O)C=C1)CNC
InChi Key
UCTWMZQNUQWSLP-VIFPVBQESA-N
InChi Code
InChI=1S/C9H13NO3/c1-10-5-9(13)6-2-3-7(11)8(12)4-6/h2-4,9-13H,5H2,1H3/t9-/m0/s1
Chemical Name
4-[(1R)-1-hydroxy-2-(methylamino)ethyl]benzene-1,2-diol
Synonyms
L-Adrenaline; Adrenaline; Epinephrine Bitartrate; Epinephrine Hydrochloride; Epinephrine Hydrogen Tartrate; L-epinephrine; Adrenalin; Levoepinephrine; Epitrate; Lyophrin; Medihaler-Epi
HS Tariff Code
2934.99.9001
Storage

Powder      -20°C    3 years

                     4°C     2 years

In solvent   -80°C    6 months

                  -20°C    1 month

Note: (1). This product requires protection from light (avoid light exposure) during transportation and storage.  (2). Please store this product in a sealed and protected environment (e.g. under nitrogen), avoid exposure to moisture.  (3). This product is not stable in solution, please use freshly prepared working solution for optimal results.
Shipping Condition
Room temperature (This product is stable at ambient temperature for a few days during ordinary shipping and time spent in Customs)
Solubility Data
Solubility (In Vitro)
DMSO: 2.2~4 mg/mL (12.1~21.8 mM)
Water: <1 mg/mL
Ethanol: <1 mg/mL
Solubility (In Vivo)
Note: Listed below are some common formulations that may be used to formulate products with low water solubility (e.g. < 1 mg/mL), you may test these formulations using a minute amount of products to avoid loss of samples.

Injection Formulations
(e.g. IP/IV/IM/SC)
Injection Formulation 1: DMSO : Tween 80: Saline = 10 : 5 : 85 (i.e. 100 μL DMSO stock solution 50 μL Tween 80 850 μL Saline)
*Preparation of saline: Dissolve 0.9 g of sodium chloride in 100 mL ddH ₂ O to obtain a clear solution.
Injection Formulation 2: DMSO : PEG300Tween 80 : Saline = 10 : 40 : 5 : 45 (i.e. 100 μL DMSO 400 μLPEG300 50 μL Tween 80 450 μL Saline)
Injection Formulation 3: DMSO : Corn oil = 10 : 90 (i.e. 100 μL DMSO 900 μL Corn oil)
Example: Take the Injection Formulation 3 (DMSO : Corn oil = 10 : 90) as an example, if 1 mL of 2.5 mg/mL working solution is to be prepared, you can take 100 μL 25 mg/mL DMSO stock solution and add to 900 μL corn oil, mix well to obtain a clear or suspension solution (2.5 mg/mL, ready for use in animals).
View More

Injection Formulation 4: DMSO : 20% SBE-β-CD in saline = 10 : 90 [i.e. 100 μL DMSO 900 μL (20% SBE-β-CD in saline)]
*Preparation of 20% SBE-β-CD in Saline (4°C,1 week): Dissolve 2 g SBE-β-CD in 10 mL saline to obtain a clear solution.
Injection Formulation 5: 2-Hydroxypropyl-β-cyclodextrin : Saline = 50 : 50 (i.e. 500 μL 2-Hydroxypropyl-β-cyclodextrin 500 μL Saline)
Injection Formulation 6: DMSO : PEG300 : castor oil : Saline = 5 : 10 : 20 : 65 (i.e. 50 μL DMSO 100 μLPEG300 200 μL castor oil 650 μL Saline)
Injection Formulation 7: Ethanol : Cremophor : Saline = 10: 10 : 80 (i.e. 100 μL Ethanol 100 μL Cremophor 800 μL Saline)
Injection Formulation 8: Dissolve in Cremophor/Ethanol (50 : 50), then diluted by Saline
Injection Formulation 9: EtOH : Corn oil = 10 : 90 (i.e. 100 μL EtOH 900 μL Corn oil)
Injection Formulation 10: EtOH : PEG300Tween 80 : Saline = 10 : 40 : 5 : 45 (i.e. 100 μL EtOH 400 μLPEG300 50 μL Tween 80 450 μL Saline)


Oral Formulations
Oral Formulation 1: Suspend in 0.5% CMC Na (carboxymethylcellulose sodium)
Oral Formulation 2: Suspend in 0.5% Carboxymethyl cellulose
Example: Take the Oral Formulation 1 (Suspend in 0.5% CMC Na) as an example, if 100 mL of 2.5 mg/mL working solution is to be prepared, you can first prepare 0.5% CMC Na solution by measuring 0.5 g CMC Na and dissolve it in 100 mL ddH2O to obtain a clear solution; then add 250 mg of the product to 100 mL 0.5% CMC Na solution, to make the suspension solution (2.5 mg/mL, ready for use in animals).
View More

Oral Formulation 3: Dissolved in PEG400
Oral Formulation 4: Suspend in 0.2% Carboxymethyl cellulose
Oral Formulation 5: Dissolve in 0.25% Tween 80 and 0.5% Carboxymethyl cellulose
Oral Formulation 6: Mixing with food powders


Note: Please be aware that the above formulations are for reference only. InvivoChem strongly recommends customers to read literature methods/protocols carefully before determining which formulation you should use for in vivo studies, as different compounds have different solubility properties and have to be formulated differently.

 (Please use freshly prepared in vivo formulations for optimal results.)
Preparing Stock Solutions 1 mg 5 mg 10 mg
1 mM 5.4585 mL 27.2926 mL 54.5852 mL
5 mM 1.0917 mL 5.4585 mL 10.9170 mL
10 mM 0.5459 mL 2.7293 mL 5.4585 mL

*Note: Please select an appropriate solvent for the preparation of stock solution based on your experiment needs. For most products, DMSO can be used for preparing stock solutions (e.g. 5 mM, 10 mM, or 20 mM concentration); some products with high aqueous solubility may be dissolved in water directly. Solubility information is available at the above Solubility Data section. Once the stock solution is prepared, aliquot it to routine usage volumes and store at -20°C or -80°C. Avoid repeated freeze and thaw cycles.

Calculator

Molarity Calculator allows you to calculate the mass, volume, and/or concentration required for a solution, as detailed below:

  • Calculate the Mass of a compound required to prepare a solution of known volume and concentration
  • Calculate the Volume of solution required to dissolve a compound of known mass to a desired concentration
  • Calculate the Concentration of a solution resulting from a known mass of compound in a specific volume
An example of molarity calculation using the molarity calculator is shown below:
What is the mass of compound required to make a 10 mM stock solution in 5 ml of DMSO given that the molecular weight of the compound is 350.26 g/mol?
  • Enter 350.26 in the Molecular Weight (MW) box
  • Enter 10 in the Concentration box and choose the correct unit (mM)
  • Enter 5 in the Volume box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 17.513 mg appears in the Mass box. In a similar way, you may calculate the volume and concentration.

Dilution Calculator allows you to calculate how to dilute a stock solution of known concentrations. For example, you may Enter C1, C2 & V2 to calculate V1, as detailed below:

What volume of a given 10 mM stock solution is required to make 25 ml of a 25 μM solution?
Using the equation C1V1 = C2V2, where C1=10 mM, C2=25 μM, V2=25 ml and V1 is the unknown:
  • Enter 10 into the Concentration (Start) box and choose the correct unit (mM)
  • Enter 25 into the Concentration (End) box and select the correct unit (mM)
  • Enter 25 into the Volume (End) box and choose the correct unit (mL)
  • Click the “Calculate” button
  • The answer of 62.5 μL (0.1 ml) appears in the Volume (Start) box
g/mol

Molecular Weight Calculator allows you to calculate the molar mass and elemental composition of a compound, as detailed below:

Note: Chemical formula is case sensitive: C12H18N3O4  c12h18n3o4
Instructions to calculate molar mass (molecular weight) of a chemical compound:
  • To calculate molar mass of a chemical compound, please enter the chemical/molecular formula and click the “Calculate’ button.
Definitions of molecular mass, molecular weight, molar mass and molar weight:
  • Molecular mass (or molecular weight) is the mass of one molecule of a substance and is expressed in the unified atomic mass units (u). (1 u is equal to 1/12 the mass of one atom of carbon-12)
  • Molar mass (molar weight) is the mass of one mole of a substance and is expressed in g/mol.
/

Reconstitution Calculator allows you to calculate the volume of solvent required to reconstitute your vial.

  • Enter the mass of the reagent and the desired reconstitution concentration as well as the correct units
  • Click the “Calculate” button
  • The answer appears in the Volume (to add to vial) box
In vivo Formulation Calculator (Clear solution)
Step 1: Enter information below (Recommended: An additional animal to make allowance for loss during the experiment)
Step 2: Enter in vivo formulation (This is only a calculator, not the exact formulation for a specific product. Please contact us first if there is no in vivo formulation in the solubility section.)
+
+
+

Calculation results

Working concentration mg/mL;

Method for preparing DMSO stock solution mg drug pre-dissolved in μL DMSO (stock solution concentration mg/mL). Please contact us first if the concentration exceeds the DMSO solubility of the batch of drug.

Method for preparing in vivo formulation:Take μL DMSO stock solution, next add μL PEG300, mix and clarify, next addμL Tween 80, mix and clarify, next add μL ddH2O,mix and clarify.

(1) Please be sure that the solution is clear before the addition of next solvent. Dissolution methods like vortex, ultrasound or warming and heat may be used to aid dissolving.
             (2) Be sure to add the solvent(s) in order.

Clinical Trial Information
Role of Adrenaline in in the Inflammatory Response in Diabetes
CTID: NCT05990933
Phase: N/A    Status: Completed
Date: 2024-11-21
The PAIN (Pelvic Area Injection for Numbness) Study
CTID: NCT05972681
Phase: Phase 4    Status: Recruiting
Date: 2024-11-12
Pharmacokinetics Study of DESF in Adults with Oral Allergy Syndrome
CTID: NCT06527937
Phase: Phase 2    Status: Completed
Date: 2024-11-05
Can Single-Injection Adductor Canal Blocks Improve PostOp Pain Relief in Patients Undergoing Total Knee Arthroplasty?
CTID: NCT02276495
Phase: N/A    Status: Completed
Date: 2024-10-29
Epinephrine in Irrigation Fluid for Visualization During Ankle Surgery
CTID: NCT06264596
Phase: Phase 3    Status: Withdrawn
Date: 2024-10-15
View More

Intrathecal Dexmedetomidine Vs Epinephrine
CTID: NCT06418308
Phase: Phase 4    Status: Recruiting
Date: 2024-10-15


Vasopressin vs. Epinephrine During Neonatal Cardiopulmonary Resuscitation
CTID: NCT05738148
Phase: Phase 1    Status: Recruiting
Date: 2024-09-19
Dose Response of Epinephrine
CTID: NCT02692313
PhaseEarly Phase 1    Status: Recruiting
Date: 2024-09-05
Prophylactic Topical Epinephrine to Reduce Bleeding in Transbronchial Lung Biopsies
CTID: NCT03126968
Phase: Phase 2/Phase 3    Status: Completed
Date: 2024-08-28
Comparative Efficacy of Hypertonic Saline vs Adrenaline Nebulization in Acute Bronchiolitis
CTID: NCT06267118
Phase: Phase 3    Status: Recruiting
Date: 2024-08-22
Study of Inhaled DMC-IH1 and Intramuscular (EpiPen®) Epinephrine in Healthy Male and Female Participants.
CTID: NCT06013150
Phase: Phase 1    Status: Completed
Date: 2024-08-20
The Prevention of Hypotension After Epidural Analgesia After Major Surgery
CTID: NCT02722746
Phase: N/A    Status: Completed
Date: 2024-07-25
Epinephrine Vs Norepinephrine Infusion During Caesarean Delivery
CTID: NCT06512402
Phase: N/A    Status: Not yet recruiting
Date: 2024-07-22
Multimodal Orthognathic Study Comparing Use of Exparel With Standard of Care.
CTID: NCT06499181
PhaseEarly Phase 1    Status: Completed
Date: 2024-07-19
Regional Lipolysis and Adipocyte Lipolysis Protein Stimulation
CTID: NCT06416969
PhaseEarly Phase 1    Status: Not yet recruiting
Date: 2024-07-19
Epinephrine Dose: Optimal Versus Standard Evaluation Trial
CTID: NCT03826524
Phase: Phase 4    Status: Recruiting
Date: 2024-07-12
Liposomal Bupivacaine Use in Alveolar Bone Graft Patients
CTID: NCT06284434
Phase: Phase 3    Status: Recruiting
Date: 2024-07-03
Comparison of the Effects of Two Concentrations of Adrenaline (0.33 mg/l vs 1 mg/l) in the Irrigation Serum of Arthroscopic Shoulder Surgery
CTID: NCT05439213
Phase: N/A    Status: Completed
Date: 2024-07-01
Early Resuscitation in Paediatric Sepsis Using Inotropes
CTID: NCT06478797
Phase: Phase 2    Status: Not yet recruiting
Date: 2024-06-27
WALANT Versus Axillary Brachial Plexus Block in Carpal Tunnel Release
CTID: NCT06040840
Phase: N/A    Status: Recruiting
Date: 2024-05-28
The Efficiency of Periarticular Multimodal Drug Injection in Pain Management Following Primary Unilateral TKA
CTID: NCT06112548
Phase: N/A    Status: Recruiting
Date: 2024-05-02
Randomized Phase II Trial of Rituximab With Either Pentostatin or Bendamustine for Multiply Relapsed or Refractory Hairy Cell Leukemia
CTID: NCT01059786
Phase: Phase 2    Status: Active, not recruiting
Date: 2024-05-01
The EPIVER Randomized Controlled Trial
CTID: NCT04573751
Phase: N/A    Status: Completed
Date: 2024-04-29
Epinephrine in the Pediatric Intensive Care Unit: A Dose-Effect Trial
CTID: NCT05327556
Phase: Phase 2    Status: Enrolling by invitation
Date: 2024-04-23
Distribution, Pharmacokinetics and Extent of Sensory Blockade in ESP Blocks
CTID: NCT03476642
Phase: Phase 4    Status: Completed
Date: 2024-04-16
Tranexamic Acid to Improve Arthroscopic Visualization in Shoulder Surgery
CTID: NCT04594408
Phase: Phase 4    Status: Completed
Date: 2024-04-02
Epinephrine Infusion for Prophylaxis Against Maternal Hypotension After Spinal Anesthesia for Cesarean Delivery
CTID: NCT05881915
Phase: N/A    Status: Completed
Date: 2024-02-28
POHCA Resuscitation: Evaluation of IM Epinephrine
CTID: NCT05166343
Phase: Phase 2/Phase 3    Status: Recruiting
Date: 2024-02-26
Comparing the Efficiency of Two Approaches in Patients at Risk of Developing Intraoperative Floppy Iris Syndrome
CTID: NCT06266962
Phase: Phase 4    Status: Completed
Date: 2024-02-20
Opioid-Free Pain Protocol After Shoulder Arthroplasty
CTID: NCT05488847
Phase: Phase 4    Status: Recruiting
Date: 2024-01-12
Bioavailability of Nasal Epinephrine
CTID: NCT04696822
Phase: Phase 1    Status: Completed
Date: 2024-01-05
Prophylactic Tranexamic Acid Versus Adrenaline During Flexible Bronchoscopy
CTID: NCT06145191
Phase: N/A    Status: Recruiting
Date: 2023-12-26
Vasoactive Drugs in Intensive Care Unit
CTID: NCT02118467
Phase: Phase 4    Status: Recruiting
Date: 2023-12-21
Multifidus Cervicis Plane Block Vs. Sham Block For Posterior Cervical Spine Fusion Surgery
CTID: NCT05996133
Phase: Phase 4    Status: Recruiting
Date: 2023-12-19
Efficacy of Multimodal Periarticular Injections in Operatively Treated Ankle Fractures
CTID: NCT02967172
Phase: Phase 4    Status: Completed
Date: 2023-12-15
Control of Iatrogenic Endobronchial Bleeding by Tranexamic Acid, Adrenalin and Hemagglutinase
CTID: NCT06149091
PhaseEarly Phase 1    Status: Recruiting
Date: 2023-11-28
Epinephrine to Prevent Postintubation Collapse in Shocked ICU Patients
CTID: NCT06115473
Phase: N/A    Status: Recruiting
Date: 2023-11-08
Lidocaine Irrigation in Shoulder Arthroscopy
CTID: NCT05624957
Phase: N/A    Status: Completed
Date: 2023-10-19
Topical Adrenaline Versus Warm Saline Solution for Minimizing Intraperitoneal Bleeding During Caesarian Delivery for Placenta Previa / Accreta Spectrum ( PAS)
CTID: NCT06030479
Phase: N/A    Status: Recruiting
Date: 2023-09-11
Comparative Effect of Palatal Injection in Pediatric Patient
CTID: NCT06025825
Phase:    Status: Recruiting
Date: 2023-09-06
Tranexamic Acid During Upper GI Endoscopic Resection Procedures
CTID: NCT05688020
Phase: Phase 4    Status: Recruiting
Date: 2023-08-09
Study of Inhaled Epinephrine and Intramuscular Epinephrine Administered to Healthy Adults
CTID: NCT05152901
Phase: Phase 1    Status: Completed
Date: 2023-07-24
Effects of Adrenaline Infiltration on Surgical Field of View in Endoscopic Sinus Surgery
CTID: NCT05867342
Phase: Phase 4    Status: Completed
Date: 2023-07-10
Comparing the Hemodynamic Effects of Epinephrine Versus Dexmedetomidine as an Adjuvant to Bupivacaine in Caudal Anaesthesia Assessed by Cardiometry
CTID: NCT05860010
Phase: N/A    Status: Not yet recruiting
Date: 2023-05-16
Metabolic Adaptation to High-frequent Hypoglycaemia in Type 1 Diabetes
CTID: NCT05095259
Phase: N/A    Status: Active, not recruiting
Date: 2023-05-03
The Effect of Buccal Infiltration Administration of Clonidine on the Success Rate of Inferior Alveolar Nerve Block
CTID: NCT04186299
Phase: Phase 4    Status: Withdrawn
Date: 2023-04-10
Epinephrine Nebulization Prior to Nasotracheal Intubation
CTID: NCT05738564
Phase: Phase 3    Status: Completed
Date: 2023-02-22
RCT of Gastric ESD With or Without Epineprhine Added Solution
CTID: NCT04032119
Phase: Phase 3    Status: Completed
Date: 2023-02-08
'The Effect Of Subcutaneous Epinephrine Dosage On Blood Loss In Surgical Incision'
CTID: NCT05670808
Phase: Phase 1    Status: Unknown status
Date: 2023-01-04
Management of Shock in Children With SAM or Severe Underweight and Diarrhea
CTID: NCT04750070
Phase: Phase 3    Status: Unknown status
Date: 2022-12-20
Efficacy of Intraoperative Injections on Postoperative Pain Control During Total Hip Replacement
CTID: NCT03119038
Phase: Phase 4    Status: Withdrawn
Date: 2022-10-27
The Effect of Epinephrine, Norepinephrine and Phenylephrine on Intraoperative Hemodynamic Performance
CTID: NCT05492968
Phase: Phase 4    Status: Unknown status
Date: 2022-10-19
Effect of Epinephrine on Post-polypectomy Pain
CTID: NCT04065451
Phase: Phase 4    Status: Completed
Date: 2022-09-30
Optimal Timing of Intercostal Nerve Blocks During Video-Assisted Thoracic Surgeries
CTID: NCT02980835
Phase: Phase 4    Status: Completed
Date: 2022-09-22
Pharmacokinetics of Intramuscular Adrenaline in Food--Allergic Teenagers
CTID: NCT03366298
Phase: Phase 4    Status: Completed
Date: 2022-09-07
Nebulized Epinephrine vs. Salbutamol in Bronchiolitis Among Children
CTID: NCT03814954
Phase: N/A    Status: Completed
Date: 2022-08-30
Peri-Incisional Drug Injection in Lumbar Spine Surgery
CTID: NCT03513445
Phase: Phase 3    Status: Withdrawn
Date: 2022-08-19
Impact of Intracoronary Versus Intravenous Epinephrine Administration During Cardiac Arrest .
CTID: NCT05253937
Phase:    Status: Completed
Date: 2022-08-16
Management of Acute Pulmonary Hypertensive Crisis in Children With Known Pulmonary Arterial Hypertension
CTID: NCT05439460
Phase: Phase 4    Status: Completed
Date: 2022-08-05
Multi-Modal Anesthesia Protocol in Pain Management of Patients Undergoing Posterior Lumbar Spinal Fusion Surgery
CTID: NCT05413902
Phase: Phase 4    Status: Completed
Date: 2022-06-10
Peri-Articular-Multimodal Drug and Oral Celecoxib in Management of Postoperative Pain of Total Knee Arthroplasty
CTID: NCT05324995
Phase: Phase 2    Status: Completed
Date: 2022-04-14
Postoperative Pain Control After Periarticular Injection During Total Knee Arthroplasty
CTID: NCT02570503
Phase: Phase 4    Status: Terminated
Date: 2022-03-04
Tranexamic Acid Versus Adrenaline for Controlling Iatrogenic Endobronchial Bleeding
CTID: NCT04771923
Phase: N/A    Status: Completed
Dat
Effect and safety of the iliopsoas plane block in healthy volunteers
CTID: null
Phase: Phase 2    Status: Completed
Date: 2018-04-24
The effect of the popliteal plexus block on postoperative pain after total knee arthroplasty - a randomized, controlled, double-blinded study
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2018-02-19
Pharmacokinetics of Intramuscular Adrenaline in Food-Allergic Teenagers
CTID: null
Phase: Phase 4    Status: Completed
Date: 2017-10-02
Combination of intrathecal morphine and local infiltration analgesia in treatment postoperative pain of total knee arthroplasty
CTID: null
Phase: Phase 4    Status: Completed
Date: 2017-09-14
The effect of the popliteal plexus block on postoperative pain after reconstruction of the anterior cruciate ligament
CTID: null
Phase: Phase 4    Status: Completed
Date: 2017-06-20
Postoperative analgesia after elective hip surgery - effect of obturator nerve blockade
CTID: null
Phase: Phase 4    Status: Completed
Date: 2017-05-24
Open, comparative, randomized study on the efficacy, safety and bioavailability of highly concentrated inhaled epinephrine (4 mg L-epinephrine / ml, Infectokrupp® Inhal) versus epinephrine autoinjector application (Fastjekt® Junior) in infants with acute anaphylactic reaction during a food provocation
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2016-06-10
The effect of subsartorial saphenous block on postoperative pain following major ankle and hind foot surgery
CTID: null
Phase: Phase 4    Status: Completed
Date: 2016-04-05
Shamrock – Ultrasound/MR image fusion guided lumbar plexus blocks
CTID: null
Phase: Phase 2    Status: Completed
Date: 2016-02-08
PHASE II CLINICAL TRIAL FOR A STEPWISE PROGRESSION IN THE TREATMENT OF CARDIOGENIC SHOCK
CTID: null
Phase: Phase 2    Status: Ongoing
Date: 2015-04-20
Pharmacokinetics of Understudied Drugs Administered to Children per Standard of Care
CTID: null
Phase: Phase 1    Status: Not Authorised
Date: 2015-04-10
Protracted mixture of local anaesthetics for major foot and ankle surgery. A randomized double-blind, controlled study comparing Bupivacaine-epinephrine 0.5% and Bupivacaine-epinepherine 0.5% plus dexamethasone
CTID: null
Phase: Phase 4    Status: Completed
Date: 2015-04-08
Comparison of the effect of saphenous block with plain bupivacaine vs. protracted bupivacaine mixture as a supplement to continuos sciatic catheter after major ankle and foot surgery: a randomized study
CTID: null
Phase: Phase 4    Status: Completed
Date: 2015-01-07
The effect of saphenous nerve and obturator nerve block combined with systemic high dose glucocorticoid versus local infiltration analgesia combined with a systemic high dose glucocorticoid on opioid consumption and pain after total knee arthroplasty.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2014-10-01
Prehospital Assessment of the Role of Adrenaline: Measuring the Effectiveness of Drug administration In Cardiac arrest
CTID: null
Phase: Phase 3    Status: Completed
Date: 2014-07-09
Adrenaline versus amiodarone for out of hospital cardiac arrest due to shockable rhythms (ventricular fibrillation and pulseless ventricular tachycardia) - ADRAMIO.
CTID: null
Phase: Phase 3    Status: Prematurely Ended
Date: 2014-06-23
Perioperative Analgesia for Knee Arthroplasty: A prospective randomised controlled trial
CTID: null
Phase: Phase 4    Status: Completed
Date: 2013-10-23
Postoperative pain relief following total hip arthroplasty.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2013-01-02
Effect of local anesthesia in patients with marginal periodontitis undergoing subgingival scaling
CTID: null
Phase: Phase 2    Status: Prematurely Ended
Date: 2012-11-15
The effect of intraoperative low dose adrenaline on bleeding in total hip arthroplasty - a randomized placebo-controlled trial
CTID: null
Phase: Phase 4    Status: Completed
Date: 2012-09-13
Påverkar valet av smärtlindring vid tjocktarm/ändtarmscancer recidiv och överlevnad? (EPICOL-studien).
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2011-11-29
Comparación de la efectividad analgésica del bloqueo femoral, la infiltración intraarticular o la combinación de ambas en el control del dolor en la artroplastia total de rodilla.
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2011-09-19
Pain treatment after anterior cruciate ligament reconstruction - Comparison of infiltration analgesia with femoral nerve block after hamstrings anterior cruciate ligament reconstruction.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2010-10-19
TREATMENT OF HYPOTENSION IN EXTREMELY PRETERM INFANTS: A MULTICENTER RANDOMIZED CONTROLLED TRIAL
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2010-04-13
Optimisation du traitement du choc cardiogénique. Etude pilote physiopathologique ouverte multicentrique comparant l’efficacité et la tolérance de l’adrénaline et la noradrénaline (Optima CC)
CTID: null
Phase: Phase 4    Status: Completed
Date: 2010-03-22
An assessment of the effects of pressors on graft blood flow after free tissue transfer surgery: A randomised study – Part II
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2010-02-08
Multimodal drug infiltration during bone marrow aspiration. A randomized dubble blind controlled study
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2009-09-09
Plasma concentration of Ropivacain and Ketorolac after local infiltration during surgery in hip replacement during the first 24 postoperative hours.
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2009-06-17
En dubbel-blind randomiserad studie i postoperativ smärtlindring och mobilisering efter att intrathekal morfin- eller lokal infiltrativ analgesi (LIA)-teknik används vid total knäproteskirurgi.
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2009-04-24
Postoperative Pain Relief following Total Hip Arthroplasty.
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2009-04-22
Analgesic efficacy of ultrasound guided transversus abdominis plane block as part of a multimodal analgesic regime for post elective caesarean section pain – a comparative double-blinded placebo controlled trial using plain bupivacaine, bupivacaine with adrenaline and bupivacaine with dexamethasone.
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2009-01-29
Postoperative smerter efter bækkenosteotomi med lokal infiltrationsanalgesi hos børn med cerebral parese. Et prospektivt, randomiseret og dobbeltblindet studie.
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2009-01-20
Assessment of the effects of pressors on graft blood flow after free tissue transfer surgery
CTID: null
Phase: Phase 4    Status: Completed
Date: 2008-09-24
Undersøgelse af ketorolac i den postoperative smertebehandling efter total knæalloplastik
CTID: null
Phase: Phase 4    Status: Completed
Date: 2008-09-16
A comparative, double blind trial between'older' and 'newer' local anesthetics in forefoot surgery under echographic popliteal block.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2007-10-29
Postoperative epidural analgesia with Breivik's mixture (bupivacain, fentanyl, epinephrine) compared to Narop (rupivacain) combined with oral oxycodon after posterior lumbar fusion.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2007-08-10
Smärtskattning av adrenalinpenna
CTID: null
Phase: Phase 4    Status: Ongoing
Date: 2007-03-08
Epidural analgesia or opatient controlled regional analgesia for radical Retropubic Prostatectomy. A randomized, double-blind study.
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2007-01-24
Evaluación de la profundidad anestésica de la lidocaína 1:100.000 frente a la articaína 1:100.000, en la cirugía del tercer molar inferior. Estudio comparativo
CTID: null
Phase: Phase 4    Status: Completed
Date: 2006-11-29
Postoperative pain relief for primary total knee arthroplasty: A randomised clinical trial of local infiltration anaesthesia followed by intraaticulary infusion compared to epidural infusion
CTID: null
Phase: Phase 4    Status: Prematurely Ended
Date: 2006-11-21
A comparison of two methodes for pastoperative paintreatment after knee replacement. Pharmacokinetics and clinical effect of femoral block and local infiltration of the operation area of ropivacaine.
CTID: null
Phase: Phase 4    Status: Completed
Date: 2006-10-10
Postoperativ smärtlindring och mobilisering efter per- och postoperativ injektion av ropivakain, ketorolak och adrenalin givet i operationsområdet, infiltrativt och i knäleden, vid total knäplastikoperation.
CTID: null
Phase: Phase 3    Status: Ongoing
Date: 2006-10-04
“The efficacy of inferior alveolar nerve block and buccal infiltration for pulp anaesthesia in mandibular teeth”
CTID: null
Phase: Phase 4    Status: Completed
Date: 2006-07-31
Kan risikoen for RD og hypoglykæmi efter elektivt sectio reduceres ved indgift af adrenalin.
CTID: null
Phase:    Status: Completed
Date: 2006-04-28
A randomised comparison of 0.5% levobupivacaine with a lidocaine/epinephrine/ fentanyl mixture for epidural top up for emergency caesarean section after “low dose” epidural for labour
CTID: null
Phase: Phase 4    Status: Completed
Date: 2006-04-26
Bupivacaína en anestesia odontológica. Estudio comparativo, respecto a la articaína, de su eficacia clínica durante la extracción quirúrgica del tercer molar inferior incluido.
CTID: null
Phase: Phase 1, Phase 4    Status: Ongoing
Date: 2006-03-01
Effects of Adrenaline on gastric tube blood flow in patients having thoracic epidural for Oesophagogastrectomy
CTID: null
Phase: Phase 4    Status: Completed
Date: 2006-01-16
Postoperativ smärtlindring och mobilisering efter per- och postoperativ injektion av ropivakin, ketorolak och adrenalin givet i operationsområdet, infiltrativt och i knäleden, vid enkammarknäplastikoperation (miniknä)
CTID: null
Phase: Phase 3    Status: Completed
Date: 2005-05-18
Effect of dexmedetomidine on the local anesthetic action
CTID: UMIN000025928
Phase:    Status: Complete: follow-up continuing
Date: 2017-02-01
Clinical Study of autologous blood injection for the treatment of recurrent temporomandibular joint dislocation
CTID: UMIN000022197
PhaseNot applicable    Status: Recruiting
Date: 2016-05-09
A randomized controlled trial comparing continuous femoral nerve block and local infiltration analgesiafor total knee arthroplasty
CTID: UMIN000018850
Phase:    Status: Complete: follow-up complete
Date: 2015-08-29
Effect of Subcutaneous Epinephrine/Saline/Local Anesthetic Versus Saline-Only Injection on Split-Thickness Skin Graft Donor Site
CTID: UMIN000018448
Phase:    Status: Complete: follow-up complete
Date: 2015-08-01
Observation of the upper gastrointestinal tract lesions by epinephrine spraying
CTID: UMIN000017722
Phase:    Status: Complete: follow-up complete
Date: 2015-05-28
The study to prevent and reduce postoperative nausea and vomiting due to continuous epidural administration
CTID: UMIN000017055
PhaseNot applicable    Status: Complete: follow-up complete
Date: 2015-04-06
Non-inferiority trial of cardiovascular dynamics of lidocaine with adrenaline injection under general anesthesia between antipsychotics patients and control patients
CTID: UMIN000016644
PhaseNot applicable    Status: Complete: follow-up complete
Date: 2015-04-01
Effect of dexmedetomidine on the local anesthetic action
CTID: UMIN000016224
Phase:    Status: Complete: follow-up continuing
Date: 2015-01-15
study of the efficacy of the Levobupivacaine in mandibular-foramen conduction anesthesia
CTID: UMIN000009341
Phase:    Status: Pending
Date: 2012-11-30
Study of pain control on Impacted Mandibular Third Molar
CTID: UMIN000007831
Phase:    Status: Complete: follow-up complete
Date: 2012-04-25
Effect of steroidmixed injection to submucosa during ESD on the epithelial regeneration promoting action of postoperative artificial ulcer following endoscopic submucosal dissection in early-stage gastric cancer - Preventing stomach deformation due to scar formation during the epithelial regeneration process
CTID: UMIN000007588
Phase:    Status: Pending
Date: 2012-03-28
The study of physiological stress and recovery condition between AOP vs. TIVA for ambulatory general anesthesia to dental patient -Salivary alpha-amylase level and activity of autonomic nervous system were measured for mental retardation and autism patient-
CTID: UMIN000005615
Phase: Phase IV    Status: Complete: follow-up complete
Date: 2011-05-17
Study of pain control on Impacted Mandibular Third Molar
CTID: UMIN000002596
Phase:    Status: Complete: follow-up continuing
Date: 2009-10-07
Effects of fentanyl added to mepivacaine for inferior alveolar nerve block duration, double blind, randomized trial
CTID: UMIN000002540
Phase: Phase IV    Status: Complete: follow-up complete
Date: 2009-09-24
Axillary block and local anesthesia for postoperative pain control after elbow arthroscopy: A randomized controlled trial
CTID: UMIN000002275
Phase:    Status: Complete: follow-up complete
Date: 2009-08-01
comparison between endoscopic clipping and combination of endoscopic clipping and injection for gastric ulcer bleeding: a prospective randomized controlled trial
CTID: UMIN000001978
PhaseNot applicable    Status: Complete: follow-up complete
Date: 2009-05-16

Contact Us