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Drug reference

mephentermine

Mixed action sympathomimetic · Pressor agent, Cardiac stimulant

Mixed action sympathomimeticPressor agent, Cardiac stimulant
CDSCO approved
EXCRETION
not curated
INTERACTIONS
11 major
SEVERE in our sources
PREGNANCY
not curated
Top interactionssee all 11
  • DihydroergotamineSevereDatabaseDDInter
  • Ergotamine TartrateSevereDatabaseDDInter
  • IsocarboxazidSevereDatabaseDDInter
  • LinezolidSevereDatabaseDDInter

Mechanism

Mephentermine produces both cardiac stimulation and vasoconstriction by directly activating α and β adrenergic receptors as well as by releasing noradrenaline (NA). It increases cardiac output, systolic and diastolic BP.

Indications

Prevent and treat hypotension due to spinal anaesthesia and surgical proceduresShock in myocardial infarctionOther hypotensive states

Dosing

Adult
10–20 mg oral/i.m., also by slow i.v. infusion

Pharmacokinetics

Duration
2–6 hr

Side effects

Common
Excitatory effects (at higher doses)

Drug interactions

Dihydroergotamine
Severe
Database

Clinical effect not specified

Source: DDInter

Ergotamine Tartrate
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Isocarboxazid
Severe
Database

Clinical effect not specified

Source: DDInter

Linezolid
Severe
Database

Clinical effect not specified

Source: DDInter

Methylene Blue
Severe
Database

Clinical effect not specified

Source: DDInter

Methylergometrine
Severe
Database

Clinical effect not specified

Source: DDInter

Methysergide
Severe
Database

Clinical effect not specified

Source: DDInter

Phenelzine
Severe
Database

Clinical effect not specified

Source: DDInter

Procarbazine
Severe
Database

Clinical effect not specified

Source: DDInter

Selegiline
Severe
Database

Clinical effect not specified

Source: DDInter

Tranylcypromine
Severe
Database

Clinical effect not specified

Source: DDInter

1 additional low-confidence interaction hidden — those rows lack a documented mechanism or management plan in our sources.

Related guidelines

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Sources: KD Tripathi 7e·Verified: 2026-05-10 · House clinical team