Dextrose

Generic Details

Generic Name

Dextrose

Other Names

  • Glucose

Drug Class

  • Carbohydrate
  • Hyperosmotic agent

Chemical Formula

C6H12O6

Molecular Weight

180.156 g/mol

Mechanism of Action

  • Dextrose provides a direct source of energy for cells through glucose metabolism.

Indications

  • Treatment of hypoglycemia
  • Intravenous support in parenteral nutrition
  • Hyperosmolar therapy

Common Dosage Forms

  • Oral solution
  • Injection

Typical Dosage

  • For hypoglycemia: 10-20 grams orally
  • For intravenous support: 5-50% solution at a rate determined by the clinical situation

Pediatric Dosage

  • Dosage based on weight and clinical condition

Geriatric Dosage

  • Dosage adjustments may be needed based on renal function

Side Effects

  • Hyperglycemia
  • Vein irritation at injection site
  • Electrolyte imbalances

Contraindications

  • Hypersensitivity to dextrose
  • Intracranial hemorrhage

Pregnancy Category

  • Safe for use

Lactation Safety

  • Compatible with breastfeeding

Drug Interactions

  • Insulin
  • Diuretics
  • Corticosteroids

Overdose Symptoms

  • Hyperglycemia
  • Fluid and electrolyte imbalances

Antidote for Overdose

  • Insulin and glucose

Storage Conditions

  • Store at room temperature

Pharmacokinetics

  • Absorption: Rapidly absorbed in the gastrointestinal tract
  • Distribution: Distributed throughout the body, readily entering cells for energy production
  • Metabolism: Metabolized through glycolysis
  • Excretion: Excreted in urine

Precautions

  • Monitoring of blood glucose levels
  • Use with caution in diabetic patients

Warnings

  • Do not administer undiluted solutions intravenously

Others

  • Dextrose may crystallize in cold temperatures, warm before use