Dexmedetomidine (Precedex, Dexdor)

Other Medications · Approved since 1999

US FDA Approved EU EMA Approved ES Hospital use other indication IV 4 Clinical Trials
Alpha-2 adrenergic receptors

Description

Dexmedetomidine is a highly selective alpha-2 adrenergic receptor agonist used as a sedative and analgesic adjunct during colorectal cancer surgery. In CRC treatment, it serves as perioperative supportive care to provide sedation, reduce anesthetic requirements, and potentially improve postoperative pain control during laparoscopic colectomy and other colorectal surgical procedures. The medication is particularly valued for its ability to provide conscious sedation without significant respiratory depression.

Mechanism of Action

Dexmedetomidine acts as a selective agonist of alpha-2 adrenergic receptors in the central nervous system, particularly in the locus coeruleus. This action results in decreased sympathetic nervous system activity, producing sedation, anxiolysis, and analgesia while maintaining respiratory function. The drug's analgesic properties may also contribute to reduced opioid requirements during and after colorectal surgery.

Molecular Targets

Side Effects

Hypotension Bradycardia Dry mouth Nausea Hypertension (during loading dose) Atrial fibrillation Hypoxia Anemia

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT07239479 Not Applicable
Recruiting
DEXDES Trial: Dexmedetomidine-Desflurane Combination in Laparoscopic Colectomy
Vietnam
NCT05742438 Not Applicable
Archived
Effects of Dexmedetomidine/Lidocaine/Intrathecal Morphine on Cancer Metastasis Biomarker After Colorectal Surgery
South Korea
NCT03370588 Not Applicable
Archived
The Influence of Perioperative Administration of Dexmedetomidine on Inflammation Response and Postoperative Outcomes in Patients Undergoing Hyperthermic Intraperitoneal Chemotherapy (HIPEC) Cytoreductive Surgery; Double Blind Randomized Controlled Trial
South Korea
NCT01373021 Phase 4
Archived
The Effect of Dexmedetomidine on Postoperative Analgesia
South Korea