Drugplain

Milrinone Lactate in 5% Dextrose .2 mg/mL

Milrinone Lactate in 5% Dextrose · INJECTION, SOLUTION · Somerset Therapeutics, LLC

1 Recall on Record
Plain English

Milrinone Lactate in 5% Dextrose is a injection, solution containing milrinone lactate in 5% dextrose at .2 mg/mL, taken intravenous. Manufactured by Somerset Therapeutics, LLC.

Key Facts

Brand Name
Milrinone Lactate in 5% Dextrose
Generic Name
Milrinone Lactate in 5% Dextrose
NDC Code (Product)
70069-872
Manufacturer
Somerset Therapeutics, LLC
Strength
.2 mg/mL
Dosage Form
INJECTION, SOLUTION
Route
INTRAVENOUS
Marketing Status
Application #
ANDA219170
Marketing Start
03/25/2026

Recall History

1 Recall on Record
Class II05/15/2017

Baxter Healthcare Corporation

Lack of assurance of sterility: customer complaints received for the presence of leaks.

TerminatedVoluntary: Firm initiated

Full Prescribing Information

Source: FDA Drug Label (SPL)For healthcare professionals

Indications & Usage

INDICATIONS AND USAGE Milrinone is indicated for the short-term intravenous treatment of patients with acute decompensated heart failure. Patients receiving milrinone should be observed closely with appropriate electrocardiographic equipment. The facility for immediate treatment of potential cardiac events, which may include life threatening ventricular arrhythmias, must be available. The majority of experience with intravenous milrinone has been in patients receiving digoxin and diuretics. There is no experience in controlled trials with infusions of milrinone for periods exceeding 48 hours.

Dosage & Administration

DOSAGE AND ADMINISTRATION Milrinone Lactate in 5% Dextrose Injection should be administered with a loading dose followed by a continuous infusion (maintenance dose) according to the following guidelines: Loading Dose 50 mcg/kg: Administer slowly over 10 minutes Note: Milrinone (200 mcg per mL) in Plastic Container is for intravenous infusion only. Dosage recommendations using a 1 mg per mL concentration of milrinone are included for informational purposes only. The table below shows the loading dose in milliliters (mL) of milrinone (1 mg/mL) by patient body weight (kg). Loading Dose (mL) Using 1 mg/mL Concentration Patient Body Weight (kg) kg 30 40 50 60 70 80 90 100 110 120 mL 1.5 2.0 2.5 3.0 3.5 4.0 4.5 5.0 5.5 6.0 The loading dose may be given undiluted, but diluting to a rounded total volume of 10 or 20 mL (see Maintenance Dose for diluents) may simplify the visualization of the injection rate. Maintenance Dose Infusion Rate Total Daily Dose (24 Hours) Minimum Standard Maximum 0.375 mcg/kg/min 0.50 mcg/kg/min 0.75 mcg/kg/min 0.59 mg/kg 0.77 mg/kg 1.13 mg/kg Administer as a continuous intravenous infusion The infusion rate should be adjusted according to hemodynamic and clinical

Warnings

WARNINGS Whether given orally or by continuous or intermittent intravenous infusion, milrinone has not been shown to be safe or effective in the longer (greater than 48 hours) treatment of patients with heart failure. In a multicenter trial of 1088 patients with Class III and IV heart failure, long-term oral treatment with milrinone was associated with no improvement in symptoms and an increased risk of hospitalization and death. In this study, patients with Class IV symptoms appeared to be at particular risk of life-threatening cardiovascular reactions. There is no evidence that milrinone given by long-term continuous or intermittent infusion does not carry a similar risk. The use of milrinone both intravenously and orally has been associated with increased frequency of ventricular arrhythmias, including nonsustained ventricular tachycardia. Long-term oral use has been associated with an increased risk of sudden death. Hence, patients receiving milrinone should be observed closely with the use of continuous electrocardiographic monitoring to allow the prompt detection and management of ventricular arrhythmias.

Contraindications

CONTRAINDICATIONS Milrinone is contraindicated in patients who are hypersensitive to it. Solutions containing dextrose may be contraindicated in patients with known allergy to corn or corn products.

Drug Interactions

Drug Interactions No untoward clinical manifestations have been observed in limited experience with patients in whom milrinone was used concurrently with the following drugs: digitalis glycosides; lidocaine, quinidine; hydralazine, prazosin; isosorbide dinitrate, nitroglycerin; chlorthalidone, furosemide, hydrochlorothiazide, spironolactone; captopril; heparin, warfarin, diazepam, insulin; and potassium supplements.

Adverse Reactions

ADVERSE REACTIONS Cardiovascular Effects In patients receiving milrinone in Phase II and III clinical trials, ventricular arrhythmias were reported in 12.1%: Ventricular ectopic activity, 8.5%; nonsustained ventricular tachycardia, 2.8%; sustained ventricular tachycardia, 1% and ventricular fibrillation, 0.2% (2 patients experienced more than one type of arrhythmia). Holter recordings demonstrated that in some patients injection of milrinone increased ventricular ectopy, including nonsustained ventricular tachycardia. Life-threatening arrhythmias were infrequent and when present have been associated with certain underlying factors such as preexisting arrhythmias, metabolic abnormalities (e.g. hypokalemia), abnormal digoxin levels and catheter insertion. Milrinone was not shown to be arrhythmogenic in an electrophysiology study. Supraventricular arrhythmias were reported in 3.8% of the patients receiving milrinone. The incidence of both supraventricular and ventricular arrhythmias has not been related to the dose or plasma milrinone concentration. Other cardiovascular adverse reactions include hypotension, 2.9% and angina/chest pain, 1.2%. In the post marketing experience, there hav

Frequently Asked Questions

What is Milrinone Lactate in 5% Dextrose used for?

Milrinone Lactate in 5% Dextrose contains Milrinone Lactate in 5% Dextrose. It is a injection, solution taken intravenous. Consult your doctor for specific uses.

Is Milrinone Lactate in 5% Dextrose a controlled substance?

Milrinone Lactate in 5% Dextrose is not classified as a controlled substance by the DEA.

What is the generic name for Milrinone Lactate in 5% Dextrose?

The generic name for Milrinone Lactate in 5% Dextrose is Milrinone Lactate in 5% Dextrose. There are 2 other brand versions of Milrinone Lactate in 5% Dextrose.

What is the NDC code for Milrinone Lactate in 5% Dextrose .2 mg/mL?

The NDC (National Drug Code) for Milrinone Lactate in 5% Dextrose .2 mg/mL is 70069-872, listed by Somerset Therapeutics, LLC.

Product NDC

70069-872

Package NDC

70069-872-10

Not medical advice. Always consult your doctor or pharmacist before making any medication decisions.

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