FDA-filed SPL labeling · retrieved through openFDA

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.

Brand names Dopamine Hydrochloride and DextroseDopamine Hydrochloride in DextroseDopamine HciDopamine Hci In 5% DextroseDopamine Phenolic
Drug class Catecholamines
Rx/OTC Forms 2 Routes Intravenous · Oral
Dr. Brian Staiger, PharmD, BCPS
Reviewed by Last reviewed Jul 10, 2026
🧬 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 →

At a glance
Linked label effectiveMay 12, 2026
Clinical labels in scope 18
AvailabilityRx/OTC
Earliest approval/marketing year 1974
FDA-listed product records 69
Boxed warningNone found in compared labels
How we combine label and product data →
Dopamine at a glance The quick version — the full detail is in the Patient Information Guide below.
💊
HelloPharmacist Editorial Team Bottom Line
Dopamine is a powerful IV medication used only in hospital or ICU settings to stabilize critically ill patients in shock — from causes including heart attack, severe infection, trauma, or heart failure — by improving blood pressure, heart output, and kidney perfusion. The infusion rate is carefully controlled and continuously monitored by your medical team. Because it acts within minutes and wears off quickly, your care team can adjust it rapidly based on how your body responds.

📖 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?
Dopamine is being used to stabilize your loved one's circulation during a serious medical crisis — typically shock from a heart attack, severe infection, heart failure, trauma, or major surgery. It helps raise dangerously low blood pressure, strengthens the heart's pumping action, and improves blood flow to vital organs like the kidneys. Think of it as a critical support tool that keeps the body's circulation from collapsing while the underlying problem is being treated.
Can dopamine be taken as a pill at home?
No — dopamine in its approved medical form is given only as an intravenous (IV) infusion in a hospital or intensive care unit. It cannot be taken by mouth as a pill or liquid in this context. The drug works within minutes and wears off almost as fast, so it needs to be delivered continuously through an IV line with the rate carefully controlled by your medical team.
What side effects should I or my family watch for while this is being given?
Your care team will be monitoring constantly, but things worth flagging quickly include pain, swelling, or skin changes around the IV site — that can mean the drug is leaking into tissue, which needs prompt attention. Also let staff know right away about chest pain, a racing or irregular heartbeat, trouble breathing, or fingers and toes that become very cold or pale. Nausea, headache, and anxiety can also occur and should be reported so your team can respond.
I take an antidepressant — does that matter?
Yes, and it's really important your care team knows. If you take an MAO inhibitor type of antidepressant — or have taken one in the past two to three weeks — dopamine's effects will be much stronger and longer-lasting than usual, so the dose must be significantly reduced. Tricyclic antidepressants can also amplify dopamine's blood-pressure effects. Always share your full medication list, including anything taken recently, so the team can adjust safely.
Is it safe to use dopamine during pregnancy?
This is a situation where the risk of NOT treating a life-threatening condition — like severe shock — is greater than the risk of the medication itself. Untreated shock can be fatal for both mother and baby, so your medical team will not withhold treatment. That said, they will use the lowest effective dose and monitor closely. One important note: when used alongside certain drugs given during labor and delivery, dopamine can cause very high blood pressure, so your team will manage that carefully.
I have asthma — is there anything special I should know about dopamine?
Yes — dopamine products contain a preservative called sodium metabisulfite or sodium bisulfite (a sulfite), which can trigger allergic reactions or serious asthma attacks in people who are sulfite-sensitive. Sulfite sensitivity is more common in people with asthma than in the general population. Make sure your care team knows about your asthma so they can monitor you carefully and be ready to respond if a reaction occurs.
Is Dopamine available over the counter?
Both — Dopamine is sold both over the counter and by prescription, according to its FDA labeling. Lower strengths or certain forms are often available without a prescription, while higher strengths or specialized forms still require one. Ask your pharmacist which version is right for you.
When was Dopamine first available?
Dopamine has been available in the United States since at least 1974, based on FDA approval history (Drugs@FDA) and product marketing records.
Who makes Dopamine?
Dopamine is supplied by 17 manufacturers listed in the FDA NDC Directory, including HF Acquisition Co LLC, DBA HealthFirst, Hospira, Inc., Baxter Healthcare Corporation.

💬 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

Into a vein
Brands Dopamine Hci Dopamine Hci In 5% Dextrose Dopamine Hydrochloride and Dextrose Dopamine Hydrochloride in Dextrose
How this form is used
What it may be used for
  • 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
Important instructions
  • 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
Available strengths 7 strengths
Show 1 more strength Show fewer strengths
56 FDA-listed product records

📊 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.

2
Dose forms
17
Manufacturers
8
Brand names
69
FDA-listed product records
1974
First marketed

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.

HF Acquisition Co LLC, DBA HealthFirst17%
Hospira, Inc.16%
Baxter Healthcare Corporation13%
Hikma Pharmaceuticals USA Inc.12%
Henry Schein, Inc.9%
Deseret Biologicals, Inc.4%
Other makers29%

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.

259
Medicaid prescriptions filled (Q1–Q4 2025)
$6,412 gross Medicaid reimbursement (before mandatory rebates — net cost is lower)

How commonly is Dopamine prescribed? Of the 1,596 medications we measure, Dopamine ranks #1,437 by Medicaid prescriptions — more than 10% of them.

Where Dopamine ranks among the drugs we measure · Q1–Q4 2025 · neighbors ±5

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.

The 250 mL / 0.8 mg/mL injection is the most-dispensed Dopamine product — about 42% of these Medicaid prescriptions.

250 ML dopamine hydrochloride 0.8 MG/ML Injection Most dispensed

109 Medicaid prescriptions (Q1–Q4 2025) 42% of Dopamine prescriptions shown

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

82 Medicaid prescriptions (Q1–Q4 2025) 32% of Dopamine prescriptions shown $3,032 gross reimbursement (before rebates) ≈ $37 per prescription (gross)

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

55 Medicaid prescriptions (Q1–Q4 2025) 21% of Dopamine prescriptions shown $2,444 gross reimbursement (before rebates) ≈ $44 per prescription (gross)

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

13 Medicaid prescriptions (Q1–Q4 2025) 5% of Dopamine prescriptions shown $935 gross reimbursement (before rebates) ≈ $72 per prescription (gross)

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.)

Showing 69 of 69 products — FDA National Drug Code Directory. See every product, package size and price: browse all 69 Dopamine NDCs →

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.

Ingredient (IN) Dopamine RxCUI 3628 1 dose form · 10 strengths
  1. Dose form (SCDF) Injection RxCUI 1743862 In current FDA listings

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.

🏷️ Sold under these brand names

Dopamine Hydrochloride and Dextrose Dopamine Hydrochloride in Dextrose Dopamine Hci Dopamine Hci In 5% Dextrose Dopamine Phenolic

🏭 Manufacturers & labelers

HF Acquisition Co LLC, DBA HealthFirst 12 Hospira, Inc. 11 Baxter Healthcare Corporation 9 Hikma Pharmaceuticals USA Inc. 8 Henry Schein, Inc. 6 Deseret Biologicals, Inc. 3 ProPharma Distribution 3 Medical Purchasing Solutions, LLC 3 BioActive Nutritional, Inc. 2 Energique, Inc. 2 Professional Complementary Health Formulas 2 HF Acquisition Co. LLC, DBA Health First 2 Newton Laboratories, Inc. 2 Siegfried PharmaChemikalien Minden GmbH 1 General Injectables and Vaccines, Inc. 1 General Injectables & Vaccines, Inc 1 BioActive Nutritional 1

RxNorm drug class

Dopamine belongs to the Catecholamine class.

Pharmacologic class Catecholamine
Drug family (ATC) Adrenergic and dopaminergic agents

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.

📄
FDA-filed drug labels (SPL) Uses, dosing, warnings & side effects from SPL records retrieved through openFDA; the linked representative set can be verified on DailyMed. ✓ Linked label effective May 12, 2026
🏭
Forms, brands & labelersAggregated from ingredient-matched FDA National Drug Code Directory product records for Dopamine.
📈
Real-world reportsThe FDA Adverse Event Reporting System (FAERS), served through openFDA.
🚨
Recalls & shortagesopenFDA drug-enforcement reports and the FDA drug-shortage database.
🧾 Clinical label set — FDA-filed SPL labels retained for Dopamine after exact ingredient or ingredient-combination matching and applicable route/form matching
Clinical labels in scope
18
NDC products indexed
69
Distinct labelers/manufacturers represented
17
Linked representative label
Hospira, Inc.
Linked label effective
May 12, 2026
Composite sections available
23
Linked SPL Set ID
08f23f6e-150d-45ea-098e-f2edf64c21a1
Linked SPL Document ID
188ce800-ff3a-4b22-9a95-2273c3bc99ae
Open the linked representative label on DailyMed ↗

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.