Dopamine
Dopamine is a naturally occurring catecholamine given intravenously in hospital settings to stabilize blood pressure and improve circulation in patients in shock from causes such as heart attack, heart failure, sepsis, trauma, or major surgery.
🧬 Where this information comes from Click to expand
The clinical label records used on this page are FDA-filed Structured Product Labeling (SPL) retrieved through openFDA. We identified 18 clinical label sets within the page’s selected clinical scope after exact ingredient or ingredient-combination matching and applicable route/form matching. Forms, routes, brands, labelers, strengths, and NDC product-record counts are built separately from matching FDA National Drug Code Directory records. The linked DailyMed document is a representative official source for verification, not the page’s only clinical source. View the linked label on DailyMed →
📖 Dopamine: Patient Information Guide
A plain-language walkthrough of Dopamine — what it treats, how it works, how it’s taken, side effects, warnings and interactions. Tap any section to expand it.
🎯What it's used for▾
Dopamine injection products are used in hospital settings to restore stable circulation in patients whose blood pressure and organ blood flow have collapsed — a state called hemodynamic imbalance. Supported uses across products include:
- Shock due to heart attack (myocardial infarction)
- Shock caused by severe systemic infection (endotoxic septicemia)
- Shock following trauma or open-heart surgery
- Shock related to renal failure
- Chronic cardiac decompensation, including refractory congestive heart failure
- Low blood pressure (hypotension) due to inadequate cardiac output
- Reduced urine output (oliguria or anuria) due to poor kidney perfusion
- Dopamine Hydrochloride in Dextrose Injection is specifically indicated for distributive shock or shock due to reduced cardiac output
⚙️How it works▾
Dopamine activates different receptors depending on how fast it is infused. At low infusion rates it targets dopamine receptors in the kidneys, gut, and coronary vessels, widening those vessels and boosting urine output. At moderate rates it stimulates beta-1 receptors in the heart, increasing the strength and rate of contractions (positive inotropic and chronotropic effects) and improving cardiac output. At high rates it activates alpha-1 receptors, narrowing blood vessels and raising blood pressure — useful when low blood pressure is caused by widened, leaky vessels rather than a weak heart.
Dopamine is also a precursor to norepinephrine, so part of its heart-stimulating effect comes from triggering the release of norepinephrine stored in nerve endings. Because each patient's response depends on their clinical condition, the infusion rate is always individually adjusted and carefully monitored.
💊How it's taken▾
Dopamine is given only as a continuous intravenous infusion in a hospital or ICU setting — never taken by mouth in its injection form. The rate is started low and adjusted gradually (titrated) based on blood pressure, urine output, and heart response.
- Dopamine Hydrochloride concentrate products must be diluted in a compatible IV fluid before use
- Dopamine Hydrochloride in Dextrose Injection is a premixed solution and does not need dilution
- The infusion must never be stopped abruptly — the rate is reduced slowly while IV fluids are given to prevent a sudden blood pressure drop
- Infusion should be into a large vein; the site must be watched continuously for leakage
🤒Side effects — in detail▾
Because dopamine is given only in a monitored hospital setting, your care team will watch closely for any reactions. Reported side effects include:
- Nausea and vomiting
- Headache and anxiety
- Chest pain (anginal pain) or palpitations
- Shortness of breath (dyspnea)
- Elevated blood pressure (hypertension)
- Goosebump-like skin reaction (piloerection)
- Elevated waste products in the blood (azotemia)
- Pain, swelling, or tissue damage at the IV site if the line leaks (extravasation)
The most serious local reaction is tissue necrosis from IV leakage — this requires emergency treatment. Dangerous heart rhythm problems and severe allergic reactions, including anaphylaxis, are also possible and require immediate medical attention.
⚠️Warnings & precautions▾
- Tissue damage from IV leakage (extravasation): If dopamine leaks out of the vein into surrounding tissue, it can cause tissue death (necrosis) and skin sloughing. The IV site must be monitored constantly, and a large vein must always be used. Emergency treatment with phentolamine can limit damage if given quickly.
- Gangrene risk: Patients with existing blood vessel disease or on prolonged high-dose infusions may develop gangrene in the fingers or toes from severe vasoconstriction.
- Heart rhythm problems: Dopamine can cause arrhythmias (irregular heartbeat) and must be used with extreme caution in patients receiving certain anesthetics.
- Abrupt discontinuation: Stopping the infusion suddenly can cause a dangerous blood pressure drop. The infusion rate must always be gradually reduced.
- Sulfite allergy: Dopamine products contain sodium bisulfite or sodium metabisulfite, which can trigger severe allergic reactions or asthma attacks in susceptible people — especially those with asthma.
- Low blood volume must be corrected first: Giving dopamine to a patient who is volume-depleted (hypovolemic) without first restoring blood volume can worsen organ blood flow despite appearing to normalize blood pressure.
🔀What it interacts with▾
Dopamine has several clinically important drug interactions that your hospital team must be aware of:
- MAO inhibitors (e.g., phenelzine, selegiline): block the enzyme that breaks down dopamine, dramatically prolonging and intensifying its effects — doses must be reduced to about one-tenth of normal
- Tricyclic antidepressants (e.g., amitriptyline): amplify dopamine's blood-pressure-raising effects
- Beta-blockers (e.g., propranolol, metoprolol): counteract dopamine's heart-stimulating effects
- Alpha-blockers: reduce dopamine's vessel-narrowing effects at high doses
- Haloperidol and similar drugs: block dopamine's kidney and gut blood-flow benefits at low infusion rates
- Diuretics (water pills): when combined with dopamine, urine output may increase more than expected
- Cyclopropane or halogenated anesthetic gases: greatly increase the risk of serious heart rhythm disturbances — extreme caution is required
- Phenytoin (seizure medication): can cause blood pressure to fall and heart rate to slow dangerously when given to a patient already on dopamine
- Oxytocic drugs (used to stimulate labor): combined use may cause severe, persistent high blood pressure
This is not a complete list of interactions. Always talk with your doctor or pharmacist before starting, stopping, or changing any medication.
📋Before taking it▾
- Patients with a pheochromocytoma (a hormone-producing adrenal tumor) must not receive dopamine
- Dopamine must not be started in patients with uncorrected rapid heart rhythms (tachyarrhythmias) or ventricular fibrillation
- Patients who have taken an MAO inhibitor in the past 2–3 weeks require a drastically reduced starting dose
- Anyone with a sulfite or corn allergy should alert their care team — dopamine products contain sulfite preservatives, and dextrose-containing formulations may be contraindicated in corn allergy
- Pregnant patients: treatment should not be delayed for life-threatening shock, but the care team will carefully weigh risks to the fetus; dopamine may cause severe high blood pressure when used with oxytocic drugs during labor
- Breastfeeding patients: no data are available on dopamine in breast milk; discuss with your care team
- Pediatric patients: dopamine has been used from newborns through adolescents; younger patients clear the drug faster, so the team will monitor and adjust accordingly
- Older adults: lower starting doses are generally preferred, as reduced heart, kidney, or liver function is more common and can affect response
- Patients with occlusive (narrowing) blood vessel disease are at higher risk for gangrene of the extremities with prolonged or high-dose infusions
🚑If you take too much▾
Too much dopamine causes excessively high blood pressure as the main sign of overdosage. Because the drug's effects wear off within minutes of slowing or stopping the infusion, your care team will first reduce or temporarily halt the infusion rate. Since the drug acts for such a short time, no further treatment is usually needed. If blood pressure remains dangerously high, an alpha-adrenergic blocking agent such as phentolamine may be used to counteract the effect.
📡Pharmacodynamics — effects in the body▾
Dopamine's effects on the body are directly tied to how fast it is being infused. At lower rates it widens blood vessels in the kidneys and gut, increasing urine output and organ blood flow. At moderate rates it strengthens heart contractions and mildly increases heart rate, raising cardiac output without significantly increasing overall vascular resistance. At rates above approximately 10 mcg/kg/minute it activates alpha-1 receptors, narrowing blood vessels and raising blood pressure — effects that can override its kidney-protective actions at very high rates. Onset of action occurs within five minutes of IV administration, and effects resolve in under ten minutes once the infusion is slowed or stopped.
🔬Pharmacokinetics — how your body processes it▾
After IV administration, dopamine spreads widely through the body but does not cross into the brain to any meaningful degree. In adults, it has a very short half-life — under 2 minutes — which is why its effects can be quickly dialed up or down by adjusting the infusion rate. About 75% is broken down by enzymes (MAO and COMT) in the liver, kidneys, and blood into inactive byproducts; about 25% is converted into norepinephrine at nerve endings. Roughly 80% of the drug is excreted through the urine as inactive metabolites within 24 hours. In critically ill infants and children the drug is cleared more quickly, and half-life in newborns can range from 5 to 11 minutes.
📦How to store it▾
Store at 20°C to 25°C (68°F to 77°F). Protect from freezing.
📄 Written from Dopamine’s FDA-approved label information, summarized in plain language with AI, and reviewed by our pharmacy team before publication. Every point is grounded in that labeling — nothing is invented. How we use AI →
🩺 Pharmacist Counseling Corner
Quick, plain-English answers to the questions patients ask most about Dopamine — the kind of thing our pharmacy team would talk through with you at the counter.
Why is my loved one receiving dopamine — what is it actually doing for them? ▾
Can dopamine be taken as a pill at home? ▾
What side effects should I or my family watch for while this is being given? ▾
I take an antidepressant — does that matter? ▾
Is it safe to use dopamine during pregnancy? ▾
I have asthma — is there anything special I should know about dopamine? ▾
Is Dopamine available over the counter? ▾
When was Dopamine first available? ▾
Who makes Dopamine? ▾
💬 Answers drafted from Dopamine’s FDA-approved label information, summarized in plain language with AI, and reviewed by our pharmacy team before publication. Grounded in that labeling — nothing is made up. How we use AI →
🧰 Keep exploring
💊 How Dopamine comes
Dopamine is available in 2 forms. Different forms and brands can have different approved uses, doses, schedules, and directions. Follow the instructions for your exact product, and do not switch forms without guidance from your prescriber or pharmacist.
Injection
How this form is used
- Used to correct hemodynamic imbalances (poor circulation and blood pressure) in shock from heart attack, trauma, severe infection, open-heart surgery, renal failure, or chronic heart failure
- Dopamine Hydrochloride in Dextrose Injection is indicated to improve hemodynamic status in distributive shock or shock due to reduced cardiac output
- Used to improve urine output in patients with poor kidney perfusion
- Used to increase cardiac output and manage low blood pressure (hypotension) in critically ill patients
- Dopamine Hydrochloride concentrate must be diluted before administration; Dopamine Hydrochloride in Dextrose Injection is a premixed solution that does not require dilution
- Dopamine Hci In 5% Dextrose and Dopamine Hydrochloride in Dextrose Injection should be infused into a large vein using an infusion pump, preferably in an intensive care setting
- Do not administer if the solution is discolored (darker than slightly yellow) or if the container is damaged
- Do not add sodium bicarbonate or other alkaline substances to the solution, as dopamine is inactivated in alkaline conditions
Show 1 more strength Show fewer strengths
Oral solution
📊 Dopamine across the U.S. market
How Dopamine appears in the FDA’s National Drug Code Directory — including its dosage forms, strengths, brand names, manufacturers, and FDA-listed product records. These are directory records, not sales or prescription volume.
FDA-listed product records by dose form (tablet variants merged) — FDA National Drug Code Directory. Record counts are not sales or prescription volume.
Also listed with the FDA, not a patient dose form: Powder (1) — bulk drug substance sold to compounders/manufacturers and multi-item kits. These aren’t counted in the dose-form total above.
Share of FDA-listed product records by manufacturer — FDA National Drug Code Directory. Record counts are not sales or prescription volume.
📈 How widely Dopamine is used
A general measure of how commonly Dopamine is prescribed, based on Medicaid — one of the largest public drug programs. The figure below is prescriptions filled in Q1–Q4 2025, summed across every form and brand of the drug.
Think of this as a proxy for how widely Dopamine is used, drawn from freely available public data. Medicaid is just one program — these numbers don’t include Medicare, other government coverage, or commercial and cash-pay prescriptions, so real-world use is higher than what’s shown here.
How commonly is Dopamine prescribed? Of the 1,596 medications we measure, Dopamine ranks #1,437 by Medicaid prescriptions — more than 10% of them.
Utilization by Dopamine product
Pick a product to see its own Medicaid numbers. Each chip is one clinical product — a specific strength & dosage form as defined by RxNorm — with brand-name and generic versions combined.
250 ML dopamine hydrochloride 0.8 MG/ML Injection Most dispensed
Summed across the 1 of 1 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1743869
250 ML dopamine hydrochloride 1.6 MG/ML Injection
Summed across the 1 of 12 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1743877
250 ML dopamine hydrochloride 3.2 MG/ML Injection
Summed across the 1 of 5 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1292887
10 ML dopamine hydrochloride 40 MG/ML Injection
Summed across the 1 of 8 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1743938
Shares are of the Medicaid prescriptions shown here. Product grouping follows RxNorm (the National Library of Medicine’s drug terminology), so “one product” means one strength & dosage form regardless of manufacturer. Dollar figures are gross Medicaid reimbursement before mandatory rebates — rebates (often large, especially for brand-name drugs) are confidential, so actual net cost to Medicaid is lower than shown.
Source: Medicaid State Drug Utilization Data (CMS), aggregated by generic ingredient — summed across every NDC (all brands, strengths, salt forms and dosage forms) of Dopamine, and across all states and both fee-for-service and managed-care claims. A general popularity signal; it excludes Medicare, commercial insurance and cash prescriptions, so it is not total U.S. use. Based on the 4 of 26 listed Dopamine NDCs with Medicaid activity.
🔍 Compare Dopamine products
A representative set of FDA-listed product records for Dopamine — across manufacturers, strengths, and dosage forms, grouped by form with each product’s manufacturer and how the FDA approved it. The same medicine may be made and packaged by different companies, so a single drug can have many directory entries. (It’s also why a refill can look different — a new shape, color, or box — even though it contains the same medication.)
| Strength | Route | Manufacturer / Labeler | Category ⓘ | Details |
|---|---|---|---|---|
| 💊Injection | ||||
| 80 mg/100 mL | Intravenous | Baxter Healthcare Corporation × 3 listings | NDA | View NDC → |
| 160 mg/100 mL | Intravenous | Baxter Healthcare Corporation × 3 listings | NDA | View NDC → |
| 320 mg/100 mL | Intravenous | Baxter Healthcare Corporation × 3 listings | NDA | View NDC → |
| 40 mg/mL | Intravenous | General Injectables & Vaccines, Inc | NDA | View NDC → |
| 40 mg/mL | Intravenous | General Injectables and Vaccines, Inc. | NDA | View NDC → |
| 40 mg/mL | Intravenous | Henry Schein, Inc. × 6 listings | NDA | View NDC → |
| 40 mg/mL | Intravenous | HF Acquisition Co. LLC, DBA Health First × 2 listings | NDA | View NDC → |
| 1.6 mg/mL | Intravenous | HF Acquisition Co LLC, DBA HealthFirst × 5 listings | NDA | View NDC → |
| 40 mg/mL | Intravenous | HF Acquisition Co LLC, DBA HealthFirst × 5 listings | ANDA | View NDC → |
| 40 mg/mL | Intravenous | HF Acquisition Co LLC, DBA HealthFirst × 2 listings | NDA | View NDC → |
| 40 mg/mL | Intravenous | Hikma Pharmaceuticals USA Inc. × 4 listings | ANDA | View NDC → |
| 80 mg/mL | Intravenous | Hikma Pharmaceuticals USA Inc. × 4 listings | ANDA | View NDC → |
| 1.6 mg/mL | Intravenous | Hospira, Inc. × 3 listings | NDA | View NDC → |
| 3.2 mg/mL | Intravenous | Hospira, Inc. × 2 listings | NDA | View NDC → |
| 40 mg/mL | Intravenous | Hospira, Inc. × 6 listings | NDA | View NDC → |
| 40 mg/mL | Intravenous | Medical Purchasing Solutions, LLC | ANDA | View NDC → |
| 40 mg/mL | Intravenous | Medical Purchasing Solutions, LLC × 2 listings | NDA | View NDC → |
| 40 mg/mL | Intravenous | ProPharma Distribution | ANDA | View NDC → |
| 40 mg/mL | Intravenous | ProPharma Distribution | NDA | View NDC → |
| 160 mg/100 mL | Intravenous | ProPharma Distribution | NDA | View NDC → |
| 💊Oral solution | ||||
| 6 [hp_X]/mL | Oral | BioActive Nutritional | UNAPPROVED HOMEOPATHIC | View NDC → |
| 6 [hp_X]/mL | Oral | BioActive Nutritional, Inc. × 2 listings | UNAPPROVED HOMEOPATHIC | View NDC → |
| 6 [hp_X]/mL | Oral | Deseret Biologicals, Inc. | UNAPPROVED HOMEOPATHIC | View NDC → |
| 8 [hp_X]/mL | Oral | Deseret Biologicals, Inc. × 2 listings | UNAPPROVED HOMEOPATHIC | View NDC → |
| 6 [hp_X]/mL | Oral | Energique, Inc. × 2 listings | UNAPPROVED HOMEOPATHIC | View NDC → |
| 30 [hp_C]/mL | Oral | Newton Laboratories, Inc. × 2 listings | UNAPPROVED HOMEOPATHIC | View NDC → |
| 9 [hp_X]/29.5 mL | Oral | Professional Complementary Health Formulas × 2 listings | UNAPPROVED HOMEOPATHIC | View NDC → |
| 💊Bulk drug substance | ||||
| 1 kg/kg | — | Siegfried PharmaChemikalien Minden GmbH | BULK INGREDIENT | View NDC → |
Showing 69 of 69 products — FDA National Drug Code Directory. See every product, package size and price: browse all 69 Dopamine NDCs →
📈 What people report — real-world data (FDA FAERS)
After a medicine reaches the market, patients, doctors and drugmakers can send the FDA reports of problems they think may be linked to it. Here’s what’s been reported for Dopamine — a signal of what to watch for, not proof the drug caused it.
Source: openFDA, from the FDA Adverse Event Reporting System (FAERS). These are voluntary reports — they don’t prove the drug caused the effect, and counts reflect how often something was reported, not how often it actually happens. Reports also often name the very problem the medicine is taken for — a common reason to file one is that the drug didn’t help — so for a pain reliever you may see “pain” high on the list; that points to why the report was filed, not to the drug causing the symptom. This counts every report that lists Dopamine in any role, so the total runs higher than the FDA’s official dashboard, which counts only cases where the drug is the suspect. For the authoritative figures, see the FDA FAERS Public Dashboard. Always talk to your pharmacist or doctor.
🏛️ The road to your pharmacy
How Dopamine went from FDA review to the pharmacy shelf — the key milestones in its regulatory journey.
Source: Drugs@FDA.
🚨 Recall history
A recall is when a specific batch of a medicine is pulled from the market — usually a manufacturing issue, not a problem with the drug itself. Class I is most serious, Class III least.
Source: openFDA drug enforcement (recall) reports.
RxNorm Concept Web — From Ingredient to Every Form and Strength
This page starts with one ingredient concept (IN). The branches below show its dose-form concepts (SCDF), then the available clinical drug and strength concepts (SCD). Combination products remain separate concepts with their own pages.
RxCUI 3628 1 dose form · 10 strengths
-
Dose form (SCDF) Injection RxCUI 1743862In current FDA listingsClinical drug / strength (SCD) 5 ML dopamine hydrochloride 160 MG/MLRxCUI 11148745 ML dopamine hydrochloride 40 MG/MLRxCUI 17439415 ML dopamine hydrochloride 80 MG/MLRxCUI 174395310 ML dopamine hydrochloride 40 MG/MLRxCUI 174393810 ML dopamine hydrochloride 80 MG/MLRxCUI 1743950250 ML dopamine hydrochloride 0.8 MG/MLRxCUI 1743869250 ML dopamine hydrochloride 1.6 MG/MLRxCUI 1743877250 ML dopamine hydrochloride 3.2 MG/MLRxCUI 1292887500 ML dopamine hydrochloride 0.8 MG/MLRxCUI 1743871500 ML dopamine hydrochloride 1.6 MG/MLRxCUI 1743879
Look up RxCUI 3628 in the RxCUI Atlas →
RxNorm is the U.S. National Library of Medicine’s normalized drug vocabulary. Its concept hierarchy can include forms that are not currently marketed; the status on each branch compares that concept with current FDA listings. RxCUIs identify vocabulary concepts, not individual packages or manufacturers.
📦 Supply & shortage status
Whether Dopamine is in short supply in the U.S. right now, plus any shortage history the FDA has on record. A shortage usually reflects a manufacturing or demand issue — not a safety problem with the drug.
Source: openFDA, from the FDA Drug Shortages database.
🏷️ Sold under these brand names
🏭 Manufacturers & labelers
RxNorm drug class
Dopamine belongs to the Catecholamine class.
Classified by RxNorm RxClass — the U.S. National Library of Medicine's standardized drug-classification service (Established Pharmacologic Class from the FDA, the ATC drug family from the WHO, and mechanism of action). Reference only, not medical advice.
🔬 Where this comes from
Core label, product, RxNorm, safety, and utilization data on this page come from the sources identified below. AI-written, editorial, and licensed sections are labeled separately.
How we combine label and product data
HelloPharmacist combines public FDA and NLM records; we don’t author the underlying clinical facts. We identified 18 FDA-filed SPL label sets within the page’s selected clinical scope after exact ingredient or ingredient-combination matching and applicable route/form matching. The representative label is the starting point for the displayed reference monograph; the 12 largest stored in-scope SPL records, which may include that representative, are compared section by section, and the longest available version of each section is retained. Forms, routes, brands, labelers, product-listed strengths, and product-record counts are aggregated separately from ingredient-matched FDA NDC Directory records; package records listed above are associated with the linked SPL; and the normalized concept hierarchy comes from NLM RxNorm.
For canonical ingredient pages, bounded product-attributed indication and administration excerpts may be added to the AI evidence, and the generator is instructed to preserve available product, brand, route, and form qualifiers instead of treating one label as universal. Where a section is identified as AI-written, its plain-language text is generated from bounded label evidence. New draft drug pages remain in the admin review queue before first publication. Hospira, Inc. is the representative DailyMed label linked for verification and dates; it is not the sole source used for the page.
This is general education, not medical advice — always consult your doctor or pharmacist about your medications and any medical condition. For the exact wording of the linked representative label, view that label on DailyMed; some displayed composite sections may come from other in-scope SPL labels. Learn how we use AI and our data sources & update cadence.