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Edrophonium (cl)

    DEA Class;  Rx

    Common Brand Names; Enlon

    • Myasthenia Gravis Agents

    Parenteral cholinesterase inhibitor
    Used for diagnosing myasthenia gravis, assessing cholinesterase inhibitor therapy, differentiating cholinergic and myasthenic crises, and reversing effects of nondepolarizing neuromuscular blockers after surgery; adjunct to atropine for treating respiratory depression associated with curare overdosage
    Drug of choice for diagnosing myasthenia gravis because of rapid action and short duration of effect

    Indicated for myasthenia gravis diagnosis.

    For the assessment of cholinesterase inhibitor therapy in patients with myasthenia gravis.

    For use to differentiate a myasthenic crisis from a cholinergic crisis (e.g., myasthenic crisis diagnosis).

    For use in nondepolarizing neuromuscular blockade reversal.

    For the treatment of paroxysmal supraventricular tachycardia (PSVT) or diagnosis of supraventricular arrhythmias

    Hypersensitivity

    Asthma, Peptic ulcer disease, Hyperthyroidism, Breast-feeding

    Edrophonium is contraindicated in GI obstruction or ileus and urinary tract obstruction because cholinergic stimulation of smooth muscle increases the risk of damage to or perforation of these systems.

    Seizures 
    Bradycardia 
    Respiratory arrest 
    Cardiac arrest 
    Laryngospasm

    Dysphagia 
    Conjunctival hyperemia
    Dysphonia
    Dysarthria 
    Respiratory depression 
    Hypotension

    Diarrhea 
    Nausea 
    Abdominal pain
    Hypersalivation 
    Miosis 
    Lacrimation 
    Diplopia 
    Diaphoresis 
    Dronchial secretions
    Weakness 
    Increased urinary Frequency

    The manufacturer warns that the safe use of edrophonium during breast-feeding has not been established. However, the drug’s effect is manifested within 30 to 60 seconds after injection and lasts an average of 10 minutes. Edrophonium is ionized at physiological pH and is therefore not believed to be excreted in breast milk. Consider the benefits of breast-feeding, the risk of potential infant drug exposure, and the risk of an untreated or inadequately treated condition. If a breast-feeding infant experiences an adverse effect related to a maternally administered drug, healthcare providers are encouraged to report the adverse effect to the FDA.

    AV block, bradycardia, cardiac arrhythmias, cardiac disease, hypotension

    Adults

    10 mg/dose IV.

    Geriatric

    10 mg/dose IV.

    Adolescents

    > 34 kg: 10 mg IV.

    Children

    > 34 kg: 10 mg IV.
    <= 34 kg: 5 mg IV.

    Infants

    0.5 mg IV.

    Enlon Intramuscular Inj Sol: 1mL, 10mg
    Enlon Intravenous Inj Sol: 1mL, 10mg