Save on dopamine with the RxLess Assurance Plan.
What is dopamine?
Dopamine hydrochloride is indicated for the correction of hemodynamic imbalances present in the shock syndrome due to myocardial infarctions, trauma, endotoxic septicemia, open heart surgery, renal failure and chronic cardiac decompensation as in congestive failure. Where appropriate, restoration of blood volume with a suitable plasma expander or whole blood should be instituted or completed prior... to administration of dopamine hydrochloride. Patients most likely to respond adequately to dopamine hydrochloride are those in whom physiological parameters, such as urine flow, myocardial function and blood pressure have not undergone profound deterioration. Reports indicate that the shorter the time interval between onset of signs and symptoms and initiation of therapy with volume correction and dopamine hydrochloride, the better the prognosis. Poor Perfusion of Vital Organs Urine flow appears to be one of the better diagnostic signs by which adequacy of vital organ perfusion can be monitored. Nevertheless, the physician should also observe the patient for signs of reversal of confusion or comatose condition. Loss of pallor, increase in toe temperature and/or adequacy of nail bed capillary filling may also be used as indices of adequate dosage. Reported studies indicate that when dopamine hydrochloride is administered before urine flow has diminished to levels of approximately 0.3 mL/minute, prognosis is more favorable. Nevertheless, in a number of oliguric or anuric patients, administration of dopamine hydrochloride has resulted in an increase in urine flow which in some cases reached normal levels. Dopamine hydrochloride may also increase urine flow in patients whose output is within normal limits and thus may be of value in reducing the degree of preexisting fluid accumulation. It should be noted that at doses above those optimal for the individual patient, urine flow may decrease, necessitating reduction of dosage. Concurrent administration of dopamine hydrochloride and diuretic agents may produce an additive or potentiating effect. Low Cardiac Output Increased cardiac output is related to dopamine hydrochloride’s direct inotropic effect on the myocardium. Increased cardiac output at low or moderate doses appears to be related to a favorable prognosis. Increase in cardiac output has been associated with either static or decreased systemic vascular resistance (SVR). Static or decreased SVR associated with low or moderate increments in cardiac output is believed to be a reflection of differential effects on specific vascular beds with increased resistance in peripheral beds (e.g., femoral) and concomitant decreases in mesenteric and renal vascular beds. Redistribution of blood flow parallels these changes so that an increase in cardiac output is accompanied by an increase in mesenteric and renal blood flow. In many instances the renal fraction of the total cardiac output has been found to increase. Increase in cardiac output produced by dopamine hydrochloride is not associated with substantial decreases in systemic vascular resistance as may occur with isoproterenol. Hypotension Hypotension due to inadequate cardiac output can be managed by administration of low to moderate doses of dopamine hydrochloride, which have little effect on SVR. At high therapeutic doses, dopamine hydrochloride’s alpha-adrenergic activity becomes more prominent and thus may correct hypotension due to diminished SVR. As in the case of other circulatory decompensation states, prognosis is better in patients whose blood pressure and urine flow have not undergone profound deterioration. Therefore, it is suggested that the physician administer dopamine hydrochloride as soon as a definite trend toward decreased systolic and diastolic pressure becomes evident.
Read More
Once you download the RxLess mobile app, you become a member of the RxLess Assurance plan and will pay the lowest possible price for your dopamine medication. Review the discount offers and pharmacy prices below. Then, select the offer you want and present it to the pharmacist when you fill your prescription to get that price. That's it! There is nothing more to do or pay. Learn more about how the RxLess Assurance Plan works, or visit our FAQ page if you have questions. If you experience ANY issues at the pharmacy, please call us at 1-844-479-5377 for prompt assistance.
Generic: Brand:
More ways to save on dopamine
Fill a 90-Day Supply to Save
In some cases, filling your prescription for a 90-day supply will give you a lower total cost compared to filling the same prescription multiple times for smaller amounts. Even if the drug and the dosage are the same, you will need a brand new prescription from your doctor to switch to 90-day fills.
Your pharmacy cannot transfer a prescription for a 30-day supply into one with a 90-day supply. Also, some insurance plans may require that you use a mail order pharmacy for prescriptions greater than a 30-day supply.
Patient Assistance Programs
Many programs are available from government organizations, non-profits, and drug manufacturers to assist with the costs of medications. It’s free to sign up for these programs if you meet their requirements for eligibility. The enrollment options are different for each program, but they can usually be completed on- line, over the phone, or with the help of your doctor’s office.
Please note, patient assistance programs cannot be used in conjunction with these RxLess offers. Many times however, the offers listed on RxLess will be less expensive than manufacturer coupons, copay cards, or patient assistance programs – so make sure you compare all options before making a purchase.
Research Lower Cost Alternatives
There may be other prescriptions that work equally well at treating a condition, but that are available at different prices. Ask your doctor if there are any lower cost alternative drugs that - and if switching to a different drug could affect your treatment. To get started, check the section below for other drugs related to dopamine.
Save on dopamine Medication
Cardiovascular Sympathomimetics - Drugs used to stimulate the heart