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compositionComposition:DEXMEDETOMIDINE-200MCG
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Prescription Medicine
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Dexmeto 200 mcg Injection 2 ml belongs to the class of sedative and hypnotic medicines used to sedate patients in acute settings such as the ICU, during surgical procedures and in those who require a mechanical ventilator. This medicine works by inhibiting the release of norepinephrine and subsequently blocks pain signals. Common side effects include slow heart rate, a change in blood pressure and an alteration in breathing pattern.

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Written By Veda Maddala , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Composition :

DEXMEDETOMIDINE-200MCG

Manufacturer/Marketer :

Miracalus Pharma Pvt Ltd

Consume Type :

Parenteral

Expires on or after :

Jan-28

Return Policy :

Not Returnable

About Dexmeto 200 mcg Injection 2 ml

Dexmeto 200 mcg Injection 2 ml is a prescription sedative given as an injection or continuous drip into a vein. It is primarily used to keep patients calm, comfortable, and sleepy while they are in an intensive care unit (ICU) or undergoing certain medical and surgical procedures. By providing controlled sedation, it helps patients tolerate mechanical breathing tubes or medical examinations without feeling anxious or distressed.

Because this medication is given directly into a vein in a hospital setting, it is administered continuously or as a one-time dose by healthcare professionals, rather than on a set home schedule. It is injected directly into your bloodstream, meaning it does not need to be taken with food. While you are recovering, a light diet and avoiding strenuous physical activity can help support your body's healing process.

While receiving Dexmeto 200 mcg Injection 2 ml, you may experience mild side effects such as temporary changes in blood pressure, a slower heart rate, or dry mouth. Your care team will monitor you constantly, but you should let them know immediately if you face specific serious side effects like severe dizziness, breathing difficulties, or chest pain.

Before starting Dexmeto 200 mcg Injection 2 ml, tell your doctor if you have a history of severe heart rhythm problems, low blood pressure, or liver damage. Do not take this if you are highly sensitive to sedatives or have specific untreated heart blocks.

Dexmeto 200 mcg Injection 2 ml can interact with other sedatives, strong pain relievers, and blood pressure medications, which may cause your heart rate or blood pressure to drop too low. If you are pregnant, breastfeeding, or an older adult, you should consult your healthcare provider to ensure this treatment is safe for your specific situation. Dexmeto 200 mcg Injection 2 ml may also be used in children in specialized hospital settings, particularly in pediatric intensive care units. Dosing and monitoring requirements differ in children and are determined by a pediatric specialist.

Uses of Dexmeto 200 mcg Injection 2 ml

Dexmeto 200 mcg Injection 2 ml is used for Sedation. The detailed uses of Dexmeto 200 mcg Injection 2 ml are as follows:

  • Sedation in the Intensive Care Unit (ICU): Helps patients who are on a breathing machine (ventilator) stay calm, relaxed, and cooperative without depressing their natural breathing.
  • Procedural Sedation: Keeps patients relaxed, comfortable, and cooperative during short surgical or diagnostic procedures while they remain awake and able to respond to verbal commands.

Key Benefits

Dexmeto 200 mcg Injection 2 ml helps provide calm and controlled sedation in critically ill patients and during certain medical procedures. Promoting a cooperative, sleep-like state helps improve comfort while allowing appropriate medical monitoring and care.
Benefits may include:

  • Provides calm, controlled sedation while allowing patients to be more easily awakened when needed.
  • Helps reduce anxiety, agitation, and discomfort during intensive care or medical procedures.
  • Supports communication and neurological assessments when appropriate.
  • Helps maintain breathing function better than some other sedative medicines.
  • May assist in the transition away from ventilator support under close medical supervision.
  • Promotes patient comfort and supports a smoother recovery process in the hospital setting.
     
Side effects of Dexmeto 200 mcg Injection 2 ml
Managing Low Blood Pressure Triggered by Medication: Expert Advice:
  • If you experience low blood pressure symptoms like dizziness, lightheadedness, or fainting while taking medication, seek immediate medical attention.
  • Make lifestyle modifications and adjust your medication regimen under medical guidance to manage low blood pressure.
  • As your doctor advises, regularly check your blood pressure at home. Record your readings to detect any changes and share them with your doctor.
  • Fluid intake plays a vital role in managing blood pressure by maintaining blood volume, regulating blood pressure, and supporting blood vessel function. Drinking enough fluids helps prevent dehydration, maintain electrolyte balance, and regulate fluid balance.
  • Take regular breaks to sit or lie down if you need to stand for long periods.
  • When lying down, elevate your head with extra pillows to help improve blood flow.
  • Avoid heavy exercise or strenuous activities that can worsen low blood pressure.
  • Wear compression socks as your doctor advises to enhance blood flow, reduce oedema, and control blood pressure.
  • If symptoms persist or worsen, or if you have concerns about your condition, seek medical attention for personalized guidance and care.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
  • Exercising regularly helps lower the risk of heart problems.
  • Maintain a healthy diet, including vegetables and fruits.
  • Rest well; get enough sleep.
  • Manage stress with yoga and meditation.
  • Limit alcohol and smoking.
Here are the steps to manage the medication-triggered Tachycardia (Fast Heart Rate):
  • Contact your doctor immediately if you're experiencing a fast heart rate, palpitations, or other heart-related symptoms. This is crucial to determine whether the symptoms are related to your medication.
  • Your doctor may need to adjust your medication regimen to alleviate the fast heart rate symptoms. This could involve changing the medication, reducing the dosage, or adding new medications to counteract the side effects.
  • Follow your doctor's advice on monitoring your heart rate and blood pressure. This will help track any changes and ensure your heart rate returns normal.
  • If you experience severe symptoms such as chest pain, dizziness, or shortness of breath, seek immediate medical attention. These symptoms can indicate a more serious condition that requires prompt treatment.
Here's a comprehensive approach to managing medication-triggered fever:
  • Inform your doctor immediately if you experience a fever after starting a new medication.
  • Your doctor may adjust your medication regimen or dosage as needed to minimize fever symptoms.
  • Monitor your body temperature to monitor fever progression.
  • Drink plenty of fluids, such as water or electrolyte-rich beverages, to help your body regulate temperature.
  • Get plenty of rest and engage in relaxation techniques, such as deep breathing or meditation, to help manage fever symptoms.
  • Under the guidance of your doctor, consider taking medication, such as acetaminophen or ibuprofen, to help reduce fever.
  • If your fever is extremely high (over 103°F), or if you experience severe symptoms such as confusion, seizures, or difficulty breathing, seek immediate medical attention.
Here are the steps to Dry Mouth (xerostomia) caused by medication:
  • Inform your doctor about dry mouth symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Drink plenty of water throughout the day to help keep your mouth moist and alleviate dry mouth symptoms.
  • Chew sugar-free gum or candies to increase saliva production and keep your mouth moisturized.
  • Use saliva substitutes, such as mouthwashes or sprays, only if your doctor advises them to help moisturize your mouth and alleviate dry mouth symptoms.
  • Avoid consuming smoking, alcohol, spicy or acidic foods, and other irritants that may aggravate dry mouth symptoms.
  • Schedule regular dental check-ups to keep track of your oral health and handle any dry mouth issues as they arise.
To prevent, manage, and treat Constipation caused by medication usage, follow these steps:
  • Preventing Vomiting (Before it Happens)
  • Take medication exactly as prescribed by your doctor. This can help minimize side effects, including vomiting.
  • Having a small meal before taking your medication can help reduce nausea and vomiting.
  • Talk to your doctor about taking anti-nausea medication along with your prescribed medication.
  • Managing Vomiting (If it Happens)
  • Try taking ginger in the form of tea, ale, or candy to help alleviate nausea and vomiting.
  • What to Do if Vomiting Persists
  • Consult your doctor if vomiting continues or worsens, consult the doctor for guidance on adjusting your medication or additional treatment.

Directions for Use

  • Your doctor will decide the dosage and timing of Dexmeto 200 mcg Injection 2 ml, depending on the desired level of sedation and your response to treatment.
  • Dexmeto 200 mcg Injection 2 ml will be administered by a healthcare professional in a hospital setting.
  • Do not self-administer this medication.

How Dexmeto 200 mcg Injection 2 ml Works

Dexmeto 200 mcg Injection 2 ml works by targeting specific docking sites in the brain called alpha-2 receptors. When it binds to these receptors, it decreases the release of a natural chemical messenger called norepinephrine, which is responsible for keeping the brain alert, active, and responsive to stress. By lowering the levels of this chemical, Dexmeto 200 mcg Injection 2 ml naturally reduces brain activity, leading to calmness, sleepiness, and mild pain relief. Because it targets these specific brain pathways, it does not cause the deep, heavy respiratory suppression associated with some other classes of sedatives.
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Alcohol

Unsafe

There can be a reaction of alcohol with Dexmeto 200 mcg Injection 2 ml. Use of Dexmeto 200 mcg Injection 2 ml with alcohol is hence not recommended. Please consult your doctor if you have any concerns.

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Pregnancy

Caution

Dexmeto 200 mcg Injection 2 ml should be used with caution during pregnancy. Please consult your doctor if you have any concerns.

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Breast Feeding

Caution

Dexmeto 200 mcg Injection 2 ml should be used with caution during breastfeeding. Please consult your doctor if you have any concerns.

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Driving

Unsafe

Dexmeto 200 mcg Injection 2 ml is used only in hospitalised patients. Avoid driving or operating machinery as Dexmeto 200 mcg Injection 2 ml causes sedation.

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Liver

Caution

Exercise caution before using Dexmeto 200 mcg Injection 2 ml in case of liver conditions. Please consult your doctor to address any concerns.

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Kidney

Caution

Exercise caution before using Dexmeto 200 mcg Injection 2 ml in case of kidney problems. Please consult your doctor to address any concerns.

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Children

Unsafe

Dexmeto 200 mcg Injection 2 ml is not recommended for use in children below 12 years of age. Please consult your physician if you have any concerns.

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Heart

Caution

Dexmeto 200 mcg Injection 2 ml should be administered with caution in patients with heart problems. Please inform your doctor about any existing heart problems before receiving Dexmeto 200 mcg Injection 2 ml.

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Geriatrics

Caution

Dexmeto 200 mcg Injection 2 ml should be administered with caution in elderly patients due to an increased risk of side effects. Seek medical advice if you have any concerns.

What if I have taken an overdose of Dexmeto 200 mcg Injection 2 ml

Because your dose is continuously controlled and monitored by medical professionals using specialized equipment, an overdose is extremely rare. However, if an excessive amount is given, it can lead to very low blood pressure or a dangerously slow heart rate. The medical team is trained to recognize these signs immediately and will stop the infusion or adjust the rate to treat any symptoms right away.

Diet & Lifestyle Advise

  • Avoid alcohol and sleep aids: Do not consume alcohol or use over-the-counter sleep medications for at least 24 hours after receiving this medicine, as they can increase drowsiness and sedation.
  • Avoid activities requiring alertness: Do not drive, operate heavy machinery, or perform tasks that require full mental concentration for at least 24 hours after your procedure, as the effects of sedation may persist.
  • Eat light meals after sedation: Begin with light, easily digestible foods such as clear broths, crackers, or toast when you resume eating to help prevent stomach discomfort.
  • Change positions slowly: Stand up gradually from a sitting or lying position during your recovery period to help reduce the risk of dizziness or lightheadedness caused by sudden drops in blood pressure.
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How Soon It Starts Working

The time required for Dexmeto 200 mcg Injection 2 ml to start to work: Dexmeto 200 mcg Injection 2 ml ideally shows its action within 5 to 10 minutes after administration. The time for which the effects of Dexmeto 200 mcg Injection 2 ml last: The effect of Dexmeto 200 mcg Injection 2 ml lasts for 2 to 3 hours.

What if you forget to take Dexmeto 200 mcg Injection 2 ml

Since this medication is given in a hospital or clinical setting under the direct supervision of healthcare providers, it is highly unlikely that you will miss a dose. Your medical team will manage and monitor the timing of your infusion.

Storage

•It should be kept at room temperature, ideally between 20°C and 25°C (68°F to 77°F). • Keep the vials in their original packaging to protect them from direct light.

Drug Warnings

  • Inspect the solution before use: Ensure the healthcare provider checks the vial before administration. The solution should be clear, colorless, and free of visible particles.
  • Inform your doctor about heart conditions: Tell your healthcare provider if you have a history of chronic heart failure, severe heart rhythm disorders, or significant cardiovascular instability, as Dexmeto 200 mcg Injection 2 ml can slow the heart rate and may require close monitoring.
  • Discuss recent medications with your care team: Inform your doctor or nurse about all medicines you have taken in the 24 hours before your procedure, especially blood pressure medicines and other sedatives.
  • Report unusual symptoms during treatment: Tell your nurse immediately if you experience sudden shivering, significant changes in body temperature, or any unexpected symptoms during or after the infusion.
  • Arrange support after treatment: If you are discharged on the same day, ensure a responsible adult is available to drive you home and stay with you until the effects of the sedative have worn off.
  • Advanced heart block: Do not use Dexmeto 200 mcg Injection 2 ml if you have advanced heart block (a severe delay in the heart's electrical signals) unless you have a functioning pacemaker.
  • Allergy to Dexmeto 200 mcg Injection 2 ml: Do not receive Dexmeto 200 mcg Injection 2 ml if you are allergic to Dexmeto 200 mcg Injection 2 ml or any of its ingredients.
  • Severe low blood pressure or unstable circulation: Dexmeto 200 mcg Injection 2 ml should not be used in patients with severe untreated low blood pressure or unstable circulation unless the healthcare team determines that the benefits outweigh the risks.
     

Drug-Drug Interactions

verifiedApollotooltip
  • Anesthetics and other sedatives: Taking these medicines alongside Dexmeto 200 mcg Injection 2 ml may cause excessive sedation and slow breathing.
  • Strong pain relievers (e.g., opioids): Combining these with Dexmeto 200 mcg Injection 2 ml may increase the risk of severe drowsiness, low blood pressure, and breathing difficulties.
  • Blood pressure medicines (e.g., beta-blockers): Taking these alongside Dexmeto 200 mcg Injection 2 ml may cause a dangerously slow heart rate or a significant drop in blood pressure.
  • Herbal supplements with sedative effects (e.g., valerian, kava, melatonin): These products may increase drowsiness and sedation. Inform your healthcare team about any supplements or over-the-counter products you use before receiving Dexmeto 200 mcg Injection 2 ml.
DexmedetomidineTizanidine
Severe

Drug-Drug Interactions

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DexmedetomidineTizanidine
Severe
How does the drug interact with Dexmeto 200 mcg Injection 2 ml:
Combining Tizanidine and Dexmeto 200 mcg Injection 2 ml can increase the risk of low blood pressure.

How to manage the interaction:
Taking Tizanidine and Dexmeto 200 mcg Injection 2 ml together can lead to an interaction, but it can be taken if your doctor advises. However, if you experience any symptoms like dizziness, palpitations, chest pain, or excessive sweating, contact your doctor immediately. Do not discontinue any medications without consulting your doctor.

Drug-Food Interactions

verifiedApollotooltip
  • No clinically significant food interactions are known with Dexmeto 200 mcg Injection 2 ml when used as directed.
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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All Substitutes & Brand Comparisons

Habit Forming

No

Therapeutic Class

[SEDATIVES AND HYPNOTICS]

FAQs

Dexmeto 200 mcg Injection 2 ml belongs to the group of sedatives used to sedate patients in acute settings such as the ICU, during surgical procedures and in those who require a mechanical ventilator. Sedation is defined as a state of relaxation, drowsiness or sleep.
Dexmeto 200 mcg Injection 2 ml works by inhibiting the release of an active neurotransmitter (nerve substance) called norepinephrine and subsequently blocks pain signals.
Inform your doctor if you have high blood pressure or if you are taking blood pressure-lowering medicines as Dexmeto 200 mcg Injection 2 ml may cause alterations in blood pressure.
No, Dexmeto 200 mcg Injection 2 ml is not a controlled substance. It is a sedative for patients in acute settings such as the ICU, during surgical procedures, and in those who require a mechanical ventilator.
Yes, Dexmeto 200 mcg Injection 2 ml is approved by the FDA in the year 1999.
The common side effects of Dexmeto 200 mcg Injection 2 ml, which may occur in some individuals, include a slow heart rate, blood pressure changes, and breathing patterns. If these side effects persist, you are advised to consult your doctor.
No, Dexmeto 200 mcg Injection 2 ml is a sterile solution that must only be administered by qualified healthcare professionals in a hospital or clinic where continuous monitoring equipment is available. Talk to your doctor.
The sedative effects of Dexmeto 200 mcg Injection 2 ml typically wear off within a few hours after the infusion is stopped, but you may still feel slightly sleepy or relaxed for up to 24 hours. Talk to your doctor.
While Dexmeto 200 mcg Injection 2 ml is not designed to cause complete memory loss, many patients experience a relaxed, sleepy state and may have little to no memory of the medical procedure. Talk to your doctor.
Yes, a slower heart rate is a known effect of Dexmeto 200 mcg Injection 2 ml. Your medical team will constantly monitor your heart rhythm during the infusion to keep you safe. Talk to your doctor.
Yes, but older adults may be more sensitive to its effects, particularly blood pressure and heart rate changes. Doctors often adjust the delivery rate and monitor elderly patients more closely. Talk to your doctor.
Since this medication is given for procedures or in intensive care, your medical team will provide specific fasting instructions based on the procedure you are undergoing. Always follow their guidance. Talk to your doctor.
No, you should not drive or operate machinery for at least 24 hours after receiving this medication, as it can temporarily impair your reflexes and judgment. Arrange for a family member or friend to drive you home. Talk to your doctor.
You must tell your healthcare team about all your medical conditions, especially heart, liver, or kidney problems, and all medications you are currently taking, including over-the-counter drugs and supplements. Talk to your doctor.

Disclaimer

While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Reference

  1. Electronic Medicines Compendium (EMC). Pil.4783 Patient Information Leaflet (PIL). Cheshire, UK: Datapharm; 2025. [Accessed on 02 Jun. 2026]Check here
  2. U.S. Food and Drug Administration (FDA). 021038S021Lbl [FDA Prescribing Information]. Silver Spring, MD: FDA; 2024. [Accessed on 02 Jun. 2026]Check here
  3. National Center for Biotechnology Information (NCBI). Pmc1291306 Scientific Research Publication. Bethesda, MD: NLM; 2025. [Accessed on 02 Jun. 2026]Check here
  4. ScienceDirect Topics. Dexmedetomidine - Research & Medical Applications Summary. Amsterdam, Netherlands: Elsevier; 2025. [Accessed on 02 Jun. 2026]Check here
  5. Dexmedetomidine hydrochloride. 1999. [Accessed on 12 Feb. 2019]Check here
  6. Drugs and Lactation Database (LactMed) [Internet]. 2006. [Accessed on 20 Feb. 2020]Check here
  7. Manpreet Kaur and P. M. Singh1. Current role of dexmedetomidine in clinical anesthesia and intensive care. NIH, National Library of Medicine, National center for biotechnology information. PubMed Central. Jul-Dec 2011. [Accessed on 1st December 2022]Check here

Country of origin

India

Manufacturer/Marketer address

213, Shivai Dongre Industrial Premises, Andheri - Kurla Road, Andheri(E), Mumbai - 400 072, Maharashtra, India.
Other Info - DEX0397

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