Nitroprusside

Other names: NIpride

Categories: Prescription Medication

Description:

Nitroprusside is an intravenous vasodilator used in acute decompensated CHF, particularly in patients with severe hypertension or elevated afterload. It rapidly reduces both preload and afterload, improving cardiac output and relieving symptoms like pulmonary edema. Onset of action is immediate, but it requires close monitoring due to risks of hypotension and cyanide toxicity with prolonged use.

Treatment For:

Congestive Heart Failure

AI generated Summary: Based on the single review provided by Dr. Curbside, Nitroprusside appears to be an effective treatment for acute decompensated congestive heart failure, rapidly reducing preload and afterload. However, due to the risks associated with its use, such as hypotension and cyanide toxicity, and the need for intensive monitoring, alternative vasodilators like IV nitroglycerin are often preferred.

Reviews

Average rating: 4/5

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Average rating: 4.00/5

Total Reviews: 1

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All Physician Healthcare provider (non-physician) Healthcare Consumer (Patients & Caregivers)

Dr. Curbside

May 25, 2025

4.0

Nitroprusside is a potent, titratable IV vasodilator for acute decompensated CHF, providing rapid relief by reducing both preload and afterload. However, because it requires ICU-level monitoring due to risks like hypotension and cyanide toxicity, I often prefer other vasodilators such as IV nitroglycerin. In many cases, patients can be effectively stabilized with alternative medications without needing ICU admission.

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