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Methylene blue

Antidote · Antidote for Methemoglobinemia

AntidoteAntidote for Methemoglobinemia
CDSCO approvedSchedule H
EXCRETION
not curated
INTERACTIONS
12 major
SEVERE in our sources
PREGNANCY
No information available, but risk to fetus of
FDA category + note
Top interactionssee all 12
  • AlfentanilSevereDatabaseDDInter
  • AlmotriptanSevereDatabaseDDInter
  • AmitriptylineSevereDatabaseDDInter
  • AmoxapineSevereDatabaseDDInter

Mechanism

The mechanism of action is not detailed in the provided textbook excerpts, but it acts as an antidote for methemoglobinemia.

Indications

MethemoglobinemiaSymptomatic acquired methemoglobinemia (with 40–60% methemoglobin)

Dosing

Adult
l INDICATIONS AND DOSE Drug- or chemical-induced methaemoglobinaemia ▶ BY SLOW INTRAVENOUS INJECTION ▶ Child 3 months–17 years: Initially 1–2 mg/kg, then 1–2 mg/kg after 30–60 minutes if required, to be given over 5 minutes, seek advice from National Poisons Information Service if further repeat doses are required; maximum 7 mg/kg per course ▶ Adult: Initially 1–2 mg/kg, then 1–2 mg/kg after 30–60…

Pregnancy & lactation

Pregnancy

No information available, but risk to fetus of

Drug interactions

Alfentanil
Severe
Database

Drug interaction classified as: others

Source: DDInter

Almotriptan
Severe
Database

Clinical effect not specified

Source: DDInter

Amitriptyline
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Amoxapine
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Amphetamine
Severe
Database

Clinical effect not specified

Source: DDInter

Apraclonidine
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Atomoxetine
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Benzhydrocodone
Severe
Database

Drug interaction classified as: others

Source: DDInter

Benzphetamine
Severe
Database

Clinical effect not specified

Source: DDInter

Buprenorphine
Severe
Database

Drug interaction classified as: others

Source: DDInter

Bupropion
Severe
Database

Drug interaction classified as: synergy.

Source: DDInter

Buspirone
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Related guidelines

Other Antidote drugs

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Sources: Harrison 22e, BNF·Verified: 2026-05-13 · House clinical team