Droperidol

  • Droperidol is a dopamine antagonist with sedative, antiemetic, and antipsychotic effects.
  • It controls nausea, vomiting, and agitation in surgical and psychiatric settings.

Chemical Formula:

  • C₂₂H₂₂FN₃O₂

 Chemical Structure of Droperidol

Mechanism of Droperidol:

  • Potent D2 blocker
  • Also blocks alpha-adrenergic and 5-HT3 receptors

Uses of Droperidol:

  • Nausea/vomiting (post-op)
  • Sedation in ICU
  • Agitation (adjunct)
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Side Effects:

  • QT prolongation (boxed warning)
  • EPS
  • Sedation

Notes:

  • Often used with fentanyl in neurolept anesthesia

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