Page last updated: 2024-10-26

droperidol and Long QT Syndrome

droperidol has been researched along with Long QT Syndrome in 47 studies

Droperidol: A butyrophenone with general properties similar to those of HALOPERIDOL. It is used in conjunction with an opioid analgesic such as FENTANYL to maintain the patient in a calm state of neuroleptanalgesia with indifference to surroundings but still able to cooperate with the surgeon. It is also used as a premedicant, as an antiemetic, and for the control of agitation in acute psychoses. (From Martindale, The Extra Pharmacopoeia, 29th ed, p593)
droperidol : An organofluorine compound that is haloperidol in which the hydroxy group has been eliminated with the introduction of a double bond in the piperidine ring, and the 4-chlorophenyl group has been replaced by a benzimidazol-2-on-1-yl group. It is used in the management of chemotherapy-induced nausea and vomiting, and in conjunction with an opioid analgesic such as fentanyl to maintain the patient in a calm state of neuroleptanalgesia with indifference to surroundings but still able to cooperate with the surgeon.

Long QT Syndrome: A condition that is characterized by episodes of fainting (SYNCOPE) and varying degree of ventricular arrhythmia as indicated by the prolonged QT interval. The inherited forms are caused by mutation of genes encoding cardiac ion channel proteins. The two major forms are ROMANO-WARD SYNDROME and JERVELL-LANGE NIELSEN SYNDROME.

Research Excerpts

ExcerptRelevanceReference
"The US Food and Drug Administration issued a black box warning regarding the use of droperidol and the potential for torsade de pointes (TdP)."7.74Does low-dose droperidol administration increase the risk of drug-induced QT prolongation and torsade de pointes in the general surgical population? ( Ackerman, MJ; Eckerman, KM; Jacob, KA; Marienau, ME; Narr, BJ; Nuttall, GA; Oliver, WC; Pawlaski, EM; Wigersma, SK, 2007)
"Droperidol is a highly potent butyrophenone used for the therapy of postoperative nausea and vomiting."5.36The subtype-specific effects of droperidol on action potential duration in cellular and computational models of long QT syndrome. ( Ehmke, H; Friederich, P; Kebernik, J; Schwoerer, AP, 2010)
"When used in treatment of postoperative nausea and vomiting, a situation where prolongation of the QTc interval seems to occur, the safety of 5-hydroxytryptamine type 3 antagonists may not be superior to that of low-dose droperidol."5.33Prolongation of QTc interval after postoperative nausea and vomiting treatment by droperidol or ondansetron. ( Albaladejo, P; Charbit, B; Funck-Brentano, C; Legrand, M; Marty, J; Samain, E, 2005)
"Droperidol is an effective and safe option for the treatment of acute agitation, migraine, nausea, and pain for patients in the ED setting."5.05Reintegrating droperidol into emergency medicine practice. ( Brown, CS; Cabrera, D; Friend, K; Mattson, A, 2020)
"Scientific studies report that there is no basis to issue a black-box warning for perioperative administration of droperidol for postoperative nausea and vomiting on the basis of the potential of adverse cardiac events (prolongation of the QT interval and/or development of torsades de pointes)."4.86Inside the black box: current policies and concerns with the United States Food and Drug Administration's highest drug safety warning system. ( Barash, PG; Halloran, K, 2010)
" In the patient described in this article, heart block occurred and the Q-Tc interval became prolonged after muscle relaxant reversal with neostigmine; both were considered to be related to the combination of agents used in the case, as well as to other predisposing factors such as morbid obesity."4.84Heart block and prolonged Q-Tc interval following muscle relaxant reversal: a case report. ( Shields, JA, 2008)
"Current evidence suggests that droperidol is a safe and effective medication for treating nausea and vomiting, headache, vertigo, and agitation in the ED setting."4.12Emergency medicine updates: Droperidol. ( Cisewski, D; Gottlieb, M; Long, B, 2022)
"The US Food and Drug Administration issued a black box warning regarding the use of droperidol and the potential for torsade de pointes (TdP)."3.74Does low-dose droperidol administration increase the risk of drug-induced QT prolongation and torsade de pointes in the general surgical population? ( Ackerman, MJ; Eckerman, KM; Jacob, KA; Marienau, ME; Narr, BJ; Nuttall, GA; Oliver, WC; Pawlaski, EM; Wigersma, SK, 2007)
"The statistically significant prolongation of QTc time after a sedative dose of droperidol is of concern because it may increase the risk for malignant cardiac arrhythmias."3.72Droperidol for perioperative sedation causes a transient prolongation of the QTc time in children under volatile anesthesia. ( Berens, RJ; Cava, JR; Hoffman, GM; Stucke, AG; Stuth, EA, 2004)
"Drugs used for postoperative nausea and vomiting prophylaxis are believed to provoke torsadogenic changes in cardiac repolarization."2.80Small doses of droperidol do not present relevant torsadogenic actions: a double-blind, ondansetron-controlled study. ( Owczuk, R; Tracz, K, 2015)
"Droperidol is a butyrophenone commonly used as an antiemetic and antipsychotic in the United States since US Food and Drug Administration (FDA) approval in 1970."2.42Droperidol, QT prolongation, and sudden death: what is the evidence? ( Evers, SJ; Kao, LW; Kirk, MA; Rosenfeld, SH, 2003)
"Droperidol is an antipsychotic and antiemetic drug that has been used extensively by emergency physicians, psychiatrists, and anesthesiologists worldwide since 1967."2.42Droperidol in the emergency department: is it safe? ( Richards, JR; Schneir, AB, 2003)
"Droperidol is a highly potent butyrophenone used for the therapy of postoperative nausea and vomiting."1.36The subtype-specific effects of droperidol on action potential duration in cellular and computational models of long QT syndrome. ( Ehmke, H; Friederich, P; Kebernik, J; Schwoerer, AP, 2010)
"When used in treatment of postoperative nausea and vomiting, a situation where prolongation of the QTc interval seems to occur, the safety of 5-hydroxytryptamine type 3 antagonists may not be superior to that of low-dose droperidol."1.33Prolongation of QTc interval after postoperative nausea and vomiting treatment by droperidol or ondansetron. ( Albaladejo, P; Charbit, B; Funck-Brentano, C; Legrand, M; Marty, J; Samain, E, 2005)

Research

Studies (47)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's1 (2.13)18.2507
2000's32 (68.09)29.6817
2010's9 (19.15)24.3611
2020's5 (10.64)2.80

Authors

AuthorsStudies
Cavalli, A1
Poluzzi, E1
De Ponti, F1
Recanatini, M1
Hernández-Rodríguez, L1
Bellolio, F1
Cabrera, D2
Mattson, AE1
VanMeter, D1
Grush, AE1
Oliveira J E Silva, L1
Cisewski, D1
Long, B1
Gottlieb, M1
Cole, JB1
Lee, SC1
Martel, ML2
Smith, SW1
Biros, MH1
Miner, JR1
Mattson, A1
Friend, K1
Brown, CS1
DiSalvo, PC1
Backus, TC1
Chiang, WK1
Patel, J1
Scott, JP1
Stuth, EA2
Stucke, AG2
Cava, JR2
Berens, RJ2
Tracz, K1
Owczuk, R1
Charbit, B3
Alvarez, JC1
Dasque, E1
Abe, E1
Démolis, JL1
Funck-Brentano, C3
Sneyd, JR1
Halloran, K1
Barash, PG1
Schwoerer, AP1
Kebernik, J1
Ehmke, H1
Friederich, P1
Mehta, D1
Sanatani, S1
Whyte, SD1
Schroeter, E1
Schmitz, A1
Haas, T1
Weiss, M1
Gerber, AC1
Spevak, C1
Hamsher, C1
Brown, CQ1
Wedam, EF1
Haigney, MC1
Faine, B1
Hogrefe, C1
Kao, LW1
Kirk, MA1
Evers, SJ1
Rosenfeld, SH1
Meyer, RJ1
Richards, JR1
Schneir, AB1
Orr, EJ1
Gómez-Arnau, JI1
Chang, N1
Simone, A1
Schultheis, L1
Rappaport, B1
Young, D1
Zhang, Y1
Luo, Z1
White, PF3
Shale, JH1
Shale, CM1
Mastin, WD1
Hoffman, GM1
Scuderi, PE1
Albaladejo, P1
Legrand, M1
Samain, E1
Marty, J1
Song, D1
Abrao, J2
Klein, KW1
Navarette, B1
Katz, RI1
Sosis, MB2
Martinez, JB1
Moos, DD1
Dahlen, LL1
Zbinden, S1
Nuttall, GA1
Eckerman, KM1
Jacob, KA1
Pawlaski, EM1
Wigersma, SK1
Marienau, ME1
Oliver, WC1
Narr, BJ1
Ackerman, MJ1
Wyllie, AR1
Carvalhana, VV1
Burry, LD1
Teresi, JE1
Shields, JA1
Habib, AS1
Gan, TJ1
Ludwin, DB1
Shafer, SL1
Rappaport, BA1
SoRelle, R1
Horowitz, BZ1
Bizovi, K1
Moreno, R1
Guy, JM1
André-Fouet, X1
Porte, J1
Bertrand, M1
Lamaud, M1
Verneyre, H1

Reviews

9 reviews available for droperidol and Long QT Syndrome

ArticleYear
Reintegrating droperidol into emergency medicine practice.
    American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 2020, 10-30, Volume: 77, Issue:22

    Topics: Dose-Response Relationship, Drug; Droperidol; Drug Labeling; Drug Monitoring; Drug Utilization; Emer

2020
Droperidol- and ondansetron-induced life-threatening arrhythmias.
    Journal of emergency nursing, 2013, Volume: 39, Issue:4

    Topics: Aged; Antiemetics; Arrhythmias, Cardiac; Droperidol; Fatal Outcome; Female; Humans; Long QT Syndrome

2013
Inside the black box: current policies and concerns with the United States Food and Drug Administration's highest drug safety warning system.
    Current opinion in anaesthesiology, 2010, Volume: 23, Issue:3

    Topics: Adverse Drug Reaction Reporting Systems; Antiemetics; Arrhythmias, Cardiac; Consumer Product Safety;

2010
The clinical significance of QT interval prolongation in anesthesia and pain management: what you should and should not worry about.
    Pain medicine (Malden, Mass.), 2012, Volume: 13, Issue:8

    Topics: Adjuvants, Anesthesia; Analgesics, Opioid; Anesthetics, Inhalation; Droperidol; Humans; Long QT Synd

2012
Droperidol, QT prolongation, and sudden death: what is the evidence?
    Annals of emergency medicine, 2003, Volume: 41, Issue:4

    Topics: Adverse Drug Reaction Reporting Systems; Antiemetics; Antipsychotic Agents; Causality; Death, Sudden

2003
Droperidol in the emergency department: is it safe?
    The Journal of emergency medicine, 2003, Volume: 24, Issue:4

    Topics: Antiemetics; Antipsychotic Agents; Death, Sudden, Cardiac; Droperidol; Drug Labeling; Emergency Trea

2003
Safety of droperidol in behavioural emergencies.
    Expert opinion on drug safety, 2004, Volume: 3, Issue:4

    Topics: Adjuvants, Anesthesia; Antipsychotic Agents; Droperidol; Drug Labeling; Emergency Services, Psychiat

2004
Droperidol's effect on QT interval.
    Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses, 2006, Volume: 21, Issue:2

    Topics: Adjuvants, Anesthesia; Adverse Drug Reaction Reporting Systems; Antiemetics; Contraindications; Drop

2006
Heart block and prolonged Q-Tc interval following muscle relaxant reversal: a case report.
    AANA journal, 2008, Volume: 76, Issue:1

    Topics: Adjuvants, Anesthesia; Adult; Anesthesia, Inhalation; Anesthesia, Intravenous; Anesthetics, Inhalati

2008

Trials

4 trials available for droperidol and Long QT Syndrome

ArticleYear
Small doses of droperidol do not present relevant torsadogenic actions: a double-blind, ondansetron-controlled study.
    British journal of clinical pharmacology, 2015, Volume: 79, Issue:4

    Topics: Adolescent; Adult; Antiemetics; Dose-Response Relationship, Drug; Double-Blind Method; Droperidol; E

2015
Droperidol and ondansetron-induced QT interval prolongation: a clinical drug interaction study.
    Anesthesiology, 2008, Volume: 109, Issue:2

    Topics: Adult; Antiemetics; Area Under Curve; Cross-Over Studies; Double-Blind Method; Droperidol; Drug Inte

2008
The effects of droperidol and ondansetron on dispersion of myocardial repolarization in children.
    Paediatric anaesthesia, 2010, Volume: 20, Issue:10

    Topics: Ambulatory Surgical Procedures; Antiemetics; Child, Preschool; Droperidol; Electrocardiography; Fema

2010
Effect of low-dose droperidol on the QT interval during and after general anesthesia: a placebo-controlled study.
    Anesthesiology, 2005, Volume: 102, Issue:6

    Topics: Adult; Anesthesia, General; Double-Blind Method; Droperidol; Female; Follow-Up Studies; Humans; Intr

2005

Other Studies

34 other studies available for droperidol and Long QT Syndrome

ArticleYear
Toward a pharmacophore for drugs inducing the long QT syndrome: insights from a CoMFA study of HERG K(+) channel blockers.
    Journal of medicinal chemistry, 2002, Aug-29, Volume: 45, Issue:18

    Topics: Anti-Arrhythmia Agents; Cation Transport Proteins; Cluster Analysis; Databases, Factual; Ether-A-Go-

2002
Prospective real-time evaluation of the QTc interval variation after low-dose droperidol among emergency department patients.
    The American journal of emergency medicine, 2022, Volume: 52

    Topics: Adjuvants, Anesthesia; Adult; Antiemetics; Dose-Response Relationship, Drug; Droperidol; Emergency S

2022
Emergency medicine updates: Droperidol.
    The American journal of emergency medicine, 2022, Volume: 53

    Topics: Droperidol; Emergency Medicine; Headache; Humans; Long QT Syndrome; Nausea; Torsades de Pointes; Uni

2022
The Incidence of QT Prolongation and Torsades des Pointes in Patients Receiving Droperidol in an Urban Emergency Department.
    The western journal of emergency medicine, 2020, Jul-02, Volume: 21, Issue:4

    Topics: Adult; Critical Illness; Droperidol; Electrocardiography; Emergency Service, Hospital; Female; Human

2020
Comment on "The Incidence of QT Prolongation and Torsades des Pointes in Patients Receiving Droperidol in an Urban Emergency Department".
    The western journal of emergency medicine, 2021, 01-11, Volume: 22, Issue:2

    Topics: Droperidol; Emergency Service, Hospital; Humans; Incidence; Long QT Syndrome

2021
Droperidol transiently prolongs the QT interval in children undergoing single ventricle palliation.
    Pediatric cardiology, 2015, Volume: 36, Issue:1

    Topics: Adjuvants, Anesthesia; Child; Child, Preschool; Droperidol; Electrocardiography; Female; Heart Defec

2015
Droperidol: past, present and future.
    Anaesthesia, 2009, Volume: 64, Issue:11

    Topics: Anesthesiology; Antiemetics; Droperidol; Drug Administration Schedule; Drug Therapy, Combination; Hu

2009
The subtype-specific effects of droperidol on action potential duration in cellular and computational models of long QT syndrome.
    Anesthesia and analgesia, 2010, Volume: 111, Issue:3

    Topics: Action Potentials; Adult; Animals; Anti-Arrhythmia Agents; Antiemetics; Cardioplegic Solutions; Cell

2010
[Low-dose droperidol in children: rescue therapy for persistent postoperative nausea and vomiting].
    Der Anaesthesist, 2012, Volume: 61, Issue:1

    Topics: Adolescent; Antiemetics; Child; Databases, Factual; Dexamethasone; Dose-Response Relationship, Drug;

2012
News flash: Old Mother Hubbard reports the cupboard is bare...time for the FDA to let droperidol out of the (black) box.
    The Annals of pharmacotherapy, 2012, Volume: 46, Issue:9

    Topics: Antiemetics; Droperidol; Drug Labeling; Emergency Service, Hospital; Long QT Syndrome; Nausea; Unite

2012
FDA "black box" labeling.
    Annals of emergency medicine, 2003, Volume: 41, Issue:4

    Topics: Adverse Drug Reaction Reporting Systems; Antiemetics; Antipsychotic Agents; Arrhythmias, Cardiac; Dr

2003
Vestibular neuritis.
    The New England journal of medicine, 2003, 06-05, Volume: 348, Issue:23

    Topics: Droperidol; Drug Labeling; Humans; Long QT Syndrome; Torsades de Pointes; Vestibular Neuronitis

2003
[Droperidol and cardiac arrhythmias].
    Revista espanola de anestesiologia y reanimacion, 2003, Volume: 50, Issue:5

    Topics: Adjuvants, Anesthesia; Antiemetics; Death, Sudden, Cardiac; Dose-Response Relationship, Drug; Droper

2003
Reviewing case reports and the droperidol warning: FDA response.
    Anesthesia and analgesia, 2003, Volume: 97, Issue:5

    Topics: Adjuvants, Anesthesia; Droperidol; Humans; Injections, Intravenous; Long QT Syndrome; Product Survei

2003
FDA advisory panel discusses droperidol concerns.
    American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 2004, Feb-01, Volume: 61, Issue:3

    Topics: Advisory Committees; Droperidol; Drug Labeling; Humans; Long QT Syndrome; Product Surveillance, Post

2004
A model for evaluating droperidol's effect on the median QTc interval.
    Anesthesia and analgesia, 2004, Volume: 98, Issue:5

    Topics: Algorithms; Antiemetics; Dose-Response Relationship, Drug; Droperidol; Electrocardiography; Heart Ra

2004
Ziprasidone for sedation of the agitated ED patient.
    The American journal of emergency medicine, 2004, Volume: 22, Issue:3

    Topics: Antipsychotic Agents; Droperidol; Drug Labeling; Emergency Treatment; Humans; Long QT Syndrome; Pipe

2004
Droperidol for perioperative sedation causes a transient prolongation of the QTc time in children under volatile anesthesia.
    Paediatric anaesthesia, 2004, Volume: 14, Issue:10

    Topics: Adjuvants, Anesthesia; Anesthesia, Inhalation; Arrhythmias, Cardiac; Cardiac Surgical Procedures; Dr

2004
You (still) can't disprove the existence of dragons.
    Anesthesiology, 2005, Volume: 102, Issue:6

    Topics: Droperidol; Drug Labeling; Humans; Long QT Syndrome; United States; United States Food and Drug Admi

2005
Prolongation of QTc interval after postoperative nausea and vomiting treatment by droperidol or ondansetron.
    Anesthesiology, 2005, Volume: 102, Issue:6

    Topics: Adult; Droperidol; Electrocardiography; Female; Humans; Long QT Syndrome; Male; Middle Aged; Ondanse

2005
Some points regarding anesthesia for patients with congenital long QT syndrome.
    Anesthesiology, 2005, Volume: 103, Issue:6

    Topics: Adjuvants, Anesthesia; Anesthesia; Anesthetics; Droperidol; Humans; Long QT Syndrome

2005
Drug-induced prolongation of the QT interval: what's the point?
    Anesthesiology, 2006, Volume: 104, Issue:2

    Topics: Antiemetics; Droperidol; Electrocardiography; Humans; Long QT Syndrome; Postoperative Nausea and Vom

2006
Droperidol has been reported to cause serious arrhythmias.
    Anesthesiology, 2006, Volume: 104, Issue:2

    Topics: Antiemetics; Arrhythmias, Cardiac; Droperidol; Humans; Long QT Syndrome

2006
[Long QT syndrome].
    Der Anaesthesist, 2006, Volume: 55, Issue:9

    Topics: Antiemetics; Droperidol; Drug Labeling; Humans; Long QT Syndrome; Perioperative Care; Product Survei

2006
Droperidol-induced proarrhythmia: the beginning of an answer?
    Anesthesiology, 2007, Volume: 107, Issue:4

    Topics: Adjuvants, Anesthesia; Droperidol; Ether-A-Go-Go Potassium Channels; Humans; Long QT Syndrome; Potas

2007
Does low-dose droperidol administration increase the risk of drug-induced QT prolongation and torsade de pointes in the general surgical population?
    Anesthesiology, 2007, Volume: 107, Issue:4

    Topics: Adjuvants, Anesthesia; Anesthesia, General; Antiemetics; Droperidol; Electrocardiography; Long QT Sy

2007
Sufficiency of data for resuming use of low-dose droperidol.
    American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists, 2008, Feb-01, Volume: 65, Issue:3

    Topics: Antiemetics; Droperidol; Humans; Long QT Syndrome; Vomiting

2008
Pro: The Food and Drug Administration Black box warning on droperidol is not justified.
    Anesthesia and analgesia, 2008, Volume: 106, Issue:5

    Topics: Antiemetics; Consumer Product Safety; Dose-Response Relationship, Drug; Droperidol; Drug Approval; D

2008
Con: The black box warning on droperidol should not be removed (but should be clarified!).
    Anesthesia and analgesia, 2008, Volume: 106, Issue:5

    Topics: Antiemetics; Consumer Product Safety; Dose-Response Relationship, Drug; Droperidol; Drug Approval; D

2008
FDA response to droperidol black box warning editorials.
    Anesthesia and analgesia, 2008, Volume: 106, Issue:5

    Topics: Antiemetics; Consumer Product Safety; Dose-Response Relationship, Drug; Droperidol; Drug Approval; D

2008
The black box warning for droperidol.
    Anesthesiology, 2008, Volume: 108, Issue:5

    Topics: Antiemetics; Droperidol; Humans; Long QT Syndrome; Nerve Block; Torsades de Pointes

2008
Warnings strengthened on tranquilizer inapsine (Droperidol).
    Circulation, 2001, Dec-18, Volume: 104, Issue:25

    Topics: Antipsychotic Agents; Dose-Response Relationship, Drug; Droperidol; Humans; Long QT Syndrome; Produc

2001
Droperidol--behind the black box warning.
    Academic emergency medicine : official journal of the Society for Academic Emergency Medicine, 2002, Volume: 9, Issue:6

    Topics: Adverse Drug Reaction Reporting Systems; Antiemetics; Dose-Response Relationship, Drug; Droperidol;

2002
[Torsades de pointes and prolongation of the duration of QT interval after injection of droperidol].
    Annales de cardiologie et d'angeiologie, 1991, Volume: 40, Issue:9

    Topics: Adult; Aged; Aged, 80 and over; Droperidol; Electrocardiography; Female; Humans; Long QT Syndrome; M

1991