Nitroprusside (Nitropress)

Cardiology (Vasodilator)

Dosing & Administration

Adult Dose

0.3 - 10 mcg/kg/min IV infusion.

Pediatric Dose

0.3 - 10 mcg/kg/min IV infusion.

Renal Adjustment

High risk of thiocyanate toxicity in renal failure.

Hepatic Adjustment

High risk of cyanide toxicity in hepatic failure.

Safety & Special Populations

Pregnancy Category

C

Lactation Safety

Unknown.

Contraindications & Adverse Effects

Contraindications

  • Compensatory hypertension (e.g., A-V shunt or coarctation)

Common Adverse Effects

  • Severe hypotension
  • Cyanide toxicity
  • Thiocyanate toxicity