Norepinephrine (Levophed)

Emergency / Critical Care (Vasopressor)

Dosing & Administration

Adult Dose

Start 0.01-3 mcg/kg/min IV continuous infusion, titrate to MAP > 65.

Pediatric Dose

Start 0.01-0.5 mcg/kg/min IV.

Renal Adjustment

No adjustment necessary.

Hepatic Adjustment

No adjustment necessary.

Safety & Special Populations

Pregnancy Category

C

Lactation Safety

Compatible.

Contraindications & Adverse Effects

Contraindications

  • Hypovolemia (must volume resuscitate first)

Common Adverse Effects

  • Peripheral ischemia (necrosis)
  • Arrhythmias
  • Hypertension