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Molecule

Ephedrine

Also known as ephedrine sulfate
Presentations
9
Brands
3
Manufacturers
3
Available from stock
0

Ephedrine is a norepinephrine releasing agent indicated for the treatment of clinically important hypotension occurring in the setting of anesthesia. It is available as injection for intravenous use. MedsAcross supplies Ephedrine for export from India to licensed hospitals, importers and physicians acting for named patients, with the documents each country requires.

Information from the US FDA prescribing information, retrieved 12 November 2026. Not yet medically reviewed.How we review

Key facts

Pharmacological class
Alpha-Adrenergic Agonist, Beta-Adrenergic Agonist, Norepinephrine Releasing Agent, Adrenergic alpha-Agonists, Adrenergic beta-Agonists, Increased Norepinephrine Activity
ATC classification
C01CA26 Ephedrine · ButyroxanR01AA03 Ephedrine · Topical decongestant, subgroup R01AAR01AB05 Ephedrine · Topical decongestant, subgroup R01ABR03CA02 Ephedrine · Asthma and COPD medicines, subgroup R03C, subgroup R03CAS01FB02 Ephedrine · Eye medicines, subgroup S01F, subgroup S01FB
US FDA first approval
29 April 2016
EU status
Not recorded
Orphan designation
Not recorded
WHO essential medicine
Not recorded
India (CDSCO)
Not yet confirmed against CDSCO approval lists
Routes
Intravenous
Dosage forms
Injection
Identifiers
UNII GN83C131XSRxCUI 3966CAS 299-42-3DrugBank DB01364Q219626

Clinical information

From the regulator-approved product information. Each section names its source.

Uses

AKOVAZ (ephedrine sulfate injection) is indicated for the treatment of clinically important hypotension occurring in the setting of anesthesia. AKOVAZ injection is an alpha- and beta-adrenergic agonist and a norepinephrine-releasing agent that is indicated for the treatment of clinically important hypotension occurring in the setting of anesthesia.

Source: US FDA prescribing information

How it works

Ephedrine sulfate is a sympathomimetic amine that directly acts as an agonist at α- and β-adrenergic receptors and indirectly causes the release of norepinephrine from sympathetic neurons. Pressor effects by direct alpha- and beta-adrenergic receptor activation are mediated by increases in arterial pressures, cardiac output, and peripheral resistance. Indirect adrenergic stimulation is caused by norepinephrine release from sympathetic nerves.

Source: US FDA prescribing information

Dosing overview

• Should be administered by trained healthcare providers. • AKOVAZ injection, 50 mg/mL, must be diluted before administration as an intravenous bolus dose. • AKOVAZ injection, 5 mg/mL in a pre-filled syringe, is a premixed formulation. Do not dilute prior to use. • Bolus intravenous injection: 5 mg to 10 mg as needed, not to exceed 50 mg.

Source: US FDA prescribing information

Warnings and precautions

• Pressor Effects with Concomitant Use with Oxytocic Drugs: Pressor effect of sympathomimetic pressor amines is potentiated. • Tachyphylaxis and Tolerance: Repeated administration of ephedrine may cause tachyphylaxis

Source: US FDA prescribing information

Side effects

The following adverse reactions associated with the use of ephedrine sulfate were identified in the literature. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to estimate their frequency reliably or to establish a causal relationship to drug exposure. Gastrointestinal disorders: Nausea, vomiting Cardiac disorders: Tachycardia, palpitations (thumping heart), reactive hypertension, bradycardia, ventricular ectopics, R-R variability Nervous system disorders: Dizziness Psychiatric disorders: Restlessness Most common adverse reactions during treatment: nausea, vomiting, and tachycardia.

Source: US FDA prescribing information

Interactions

Interactions that Augment the Pressor Effect Oxytocin and oxytocic drugs Clinical Impact: Serious postpartum hypertension has been described in patients who received both a vasopressor (i.e., methoxamine, phenylephrine, ephedrine) and an oxytocic (i.e., methylergonovine, ergonovine). Some of these patients experienced a stroke. Intervention: Carefully monitor the blood pressure of individuals who have received both ephedrine and an oxytocic. Clonidine, propofol, monoamine oxidase inhibitors (MAOIs), atropine Clinical Impact: These drugs augment the pressor effect of ephedrine. Intervention: Carefully monitor the blood pressure of individuals who have received both ephedrine and any of these drugs. Interactions that Antagonize the Pressor Effect Clinical Impact: These drugs antagonize the pressor effect of ephedrine.

Source: US FDA prescribing information

Storage

Store AKOVAZ (ephedrine sulfate injection), at 25°C (77°F), excursions permitted to 15°C to 30°C (59°F to 86°F). Store in carton until time of use.

Source: US FDA prescribing information

For healthcare professionals and buyers. This is not medical advice. Treatment decisions belong to the prescriber.

All presentations

9 presentations of Ephedrine, sorted by availability.

MedicineManufacturerRegisterAvailability
Ephedrine 50 mg/1 mL injectionIntravenousGeneric name—US FDAAvailable on request
Ephedrine 50 mg/10 mL injectionIntravenousGeneric name—US FDAAvailable on request
Ephedrine 25 mg/5 mL injectionIntravenousGeneric name—US FDAAvailable on request
Akovaz 25 mg/5 mL injectionIntravenousExela Pharma SciencesUS FDAAvailable on request
Akovaz 50 mg/1 mL injectionIntravenousExela Pharma SciencesUS FDAAvailable on request
Emerphed 50 mg/10 mL injectionIntravenousNexus PharamaceuticalsUS FDAAvailable on request
Emerphed PFS 25 mg/5 mL injectionIntravenousNexus PharmaceuticalsUS FDAAvailable on request
Emerphed PFS 50 mg/10 mL injectionIntravenousNexus PharmaceuticalsUS FDAAvailable on request
Ephedrine 50 mg/mL injectionIntravenousGeneric name—US FDAAvailable on request

Brands by market

3 brand names across 1 markets.

Brand names by country

Manufacturers

Regulatory status

Approval facts from US FDA, EMA and CDSCO data, and registration status by country where we hold register data.

RegisterStatusSource
US FDAFirst approved 29 April 2016Drugs@FDA
EU (EMA)Not recorded—
India (CDSCO)Not yet confirmed against CDSCO approval lists—
United StatesRegisteredUS FDA (NDC directory, openFDA)Checked 12 November 2026

Conditions

Conditions linked to Ephedrine in public data. This is not a list of approved uses, see the clinical information.

Questions and answers

Is Ephedrine available for export from India?

Yes, on request. MedsAcross lists 9 presentations of Ephedrine and sources them for licensed hospitals, importers and physicians against valid import documents.

What brand names does Ephedrine have?

The catalogue lists 3 brand names for Ephedrine, including Akovaz, Emerphed, Emerphed PFS.

Is Ephedrine approved by the US FDA?

Yes. The US FDA first approved Ephedrine on 29 April 2016, according to Drugs@FDA.

Does Ephedrine need cold chain shipping?

No listed presentation of Ephedrine is recorded as needing a cold chain. Storage conditions are shown on each presentation page.

Which ATC class is Ephedrine in?

Ephedrine is classified under ATC code C01CA26 (Ephedrine).

References

  1. Akovaz prescribing information (Exela Pharma Sciences). U.S. National Library of Medicine, DailyMed. Retrieved 27 November 2020

Request Ephedrine for export supply

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