[Oral administration of doxapram in preterm neonates with aminophylline-resistant idiopathic apnea crisis].

M G Romeo, P Betta, L G Tina, S Cilauro, A Saporito, G Distefano
Author Information
  1. M G Romeo: Cattedra di Neonatologia, Università di Catania, Italia.

Abstract

Doxapram is an analeptic capable of stimulating both central and periferal areas of the respiratory system. During the last few years, intravenous infusion of doxapram has been carried out, with success, for the treatment of idiopathic apnea in preterm infants otherwise unresponsive to methylxantine. Since doxapram has a tendency to precipitate into various solution containing amino acids and calcium gluconate, oral administration has been suggested. The Authors in this study have seen that in 18 preterm infants suffering from idiopathic apnea unresponsive to amynofillina, an oral administration of doxapram at 12 mg/kg/6h resulted in a complete recovery from apnea spells in 66.7% of cases, while 22.2% gave a partial positive response and only 11.1% a negative result. Furthermore the Authors would like to stress that doxapram showed a good tolerance level when administered orally. In fact, no side effects which were previously reported in other publications were presented in the infants studied.

MeSH Term

Administration, Oral
Aminophylline
Apnea
Bronchodilator Agents
Dose-Response Relationship, Drug
Doxapram
Drug Resistance
Female
Humans
Infant, Newborn
Infant, Premature
Male

Chemicals

Bronchodilator Agents
Aminophylline
Doxapram

Word Cloud

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