Page last updated: 2024-10-26

droperidol and Torsade de Pointes

droperidol has been researched along with Torsade de Pointes in 27 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has been eliminated with the introduction of a double bond in the piperidine ring, and the 4-chlorophenyl group has been replaced by a benzimidazol-2-on-1-yl group.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.

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)
"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)
"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 Food and Drug Administration issued a black box warning regarding the use of droperidol and the potential for torsade de pointes."3.79Does low-dose droperidol increase the risk of polymorphic ventricular tachycardia or death in the surgical patient? ( Ackerman, MJ; Malone, AM; Marienau, ME; Michels, CA; Nuttall, GA; Oliver, WC; Renk, TD; Trudell, LC, 2013)
"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)
"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)
"Torsades de pointes have been observed during treatment with droperidol, a butyrophenone neuroleptic agent."1.30Droperidol lengthens cardiac repolarization due to block of the rapid component of the delayed rectifier potassium current. ( DeschĂȘnes, D; Drolet, B; January, CT; Nadeau, S; Rail, J; Turgeon, J; Zhang, S; Zhou, Z, 1999)

Research

Studies (27)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's2 (7.41)18.2507
2000's16 (59.26)29.6817
2010's7 (25.93)24.3611
2020's2 (7.41)2.80

Authors

AuthorsStudies
Kramer, J1
Obejero-Paz, CA1
Myatt, G1
Kuryshev, YA1
Bruening-Wright, A1
Verducci, JS1
Brown, AM1
Cisewski, D1
Long, B1
Gottlieb, M1
Cole, JB1
Lee, SC1
Martel, ML2
Smith, SW1
Biros, MH1
Miner, JR1
Sosis, MB2
Nuttall, GA3
Tracz, K1
Owczuk, R1
Halloran, K1
Barash, PG1
Mehta, D1
Sanatani, S1
Whyte, SD1
Malone, AM1
Michels, CA1
Trudell, LC1
Renk, TD1
Marienau, ME2
Oliver, WC2
Ackerman, MJ2
Abourjaily, HM1
Rosenberg, M1
Kao, LW1
Kirk, MA1
Evers, SJ1
Rosenfeld, SH1
Richards, JR1
Schneir, AB1
Orr, EJ1
Habib, AS2
Gan, TJ2
Shale, JH1
Shale, CM1
Mastin, WD1
Martinez, JB1
Moos, DD1
Dahlen, LL1
Charbit, B1
Funck-Brentano, C1
Eckerman, KM1
Jacob, KA1
Pawlaski, EM1
Wigersma, SK1
Narr, BJ1
Ludwin, DB1
Shafer, SL1
Rappaport, BA1
Drolet, B1
Zhang, S1
DeschĂȘnes, D1
Rail, J1
Nadeau, S1
Zhou, Z1
January, CT1
Turgeon, J1
SoRelle, R1
Horowitz, BZ1
Bizovi, K1
Moreno, R1
Guy, JM1
André-Fouet, X1
Porte, J1
Bertrand, M1
Lamaud, M1
Verneyre, H1

Reviews

5 reviews available for droperidol and Torsade de Pointes

ArticleYear
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
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

Trials

2 trials available for droperidol and Torsade de Pointes

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
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

Other Studies

20 other studies available for droperidol and Torsade de Pointes

ArticleYear
MICE models: superior to the HERG model in predicting Torsade de Pointes.
    Scientific reports, 2013, Volume: 3

    Topics: ERG1 Potassium Channel; Ether-A-Go-Go Potassium Channels; Humans; Models, Theoretical; Patch-Clamp T

2013
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
A plea for the cautious use of droperidol.
    Anesthesiology, 2013, Volume: 119, Issue:3

    Topics: Antiemetics; Droperidol; Female; Humans; Male; Surgical Procedures, Operative; Tachycardia, Ventricu

2013
In reply.
    Anesthesiology, 2013, Volume: 119, Issue:3

    Topics: Antiemetics; Droperidol; Female; Humans; Male; Surgical Procedures, Operative; Tachycardia, Ventricu

2013
Does low-dose droperidol increase the risk of polymorphic ventricular tachycardia or death in the surgical patient?
    Anesthesiology, 2013, Volume: 118, Issue:2

    Topics: Adult; Aged; Aged, 80 and over; Antiemetics; Databases, Factual; Droperidol; Electrocardiography; Fe

2013
The black box warning.
    Journal of the Massachusetts Dental Society, 2002,Fall, Volume: 51, Issue:3

    Topics: Adjuvants, Anesthesia; Adverse Drug Reaction Reporting Systems; Antiemetics; Droperidol; Drug Labeli

2002
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
Safety of patients reason for FDA black box warning on droperidol.
    Anesthesia and analgesia, 2004, Volume: 98, Issue:2

    Topics: Antiemetics; Arrhythmias, Cardiac; Droperidol; Torsades de Pointes; United States; United States Foo

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-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
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
Droperidol lengthens cardiac repolarization due to block of the rapid component of the delayed rectifier potassium current.
    Journal of cardiovascular electrophysiology, 1999, Volume: 10, Issue:12

    Topics: Action Potentials; Animals; Disease Models, Animal; Dopamine Antagonists; Droperidol; Electrocardiog

1999
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