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Related to epinephrine: epinephrine reversal, racemic epinephrine


(ĕp'ənĕf`rīn), hormonehormone,
secretory substance carried from one gland or organ of the body via the bloodstream to more or less specific tissues, where it exerts some influence upon the metabolism of the target tissue.
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 important to the body's metabolism, also known as adrenaline. Epinephrine, a catecholaminecatecholamine
, any of several compounds occurring naturally in the body that serve as hormones or as neurotransmitters in the sympathetic nervous system. The catecholamines include such compounds as epinephrine, or adrenaline, norepinephrine, and dopamine.
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, together with norepinephrinenorepinephrine
, a neurotransmitter in the catecholamine family that mediates chemical communication in the sympathetic nervous system, a branch of the autonomic nervous system.
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, is secreted principally by the medulla of the adrenal glandadrenal gland
or suprarenal gland
, endocrine gland (see endocrine system) about 2 in. (5.1 cm) long situated atop each kidney. The outer yellowish layer (cortex) of the adrenal gland secretes about 30 steroid hormones, the most important of which are aldosterone and
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. Heightened secretion caused perhaps by fear or anger, will result in increased heart rate and the hydrolysis of glycogen to glucose. This reaction, often called the "fight or flight" response, prepares the body for strenuous activity. The hormone was first extracted (1901) from the adrenal glands of animals by Jokichi Takamine; it was synthesized (1904) by Friedrich Stolz. Epinephrine is used medicinally as a stimulant in cardiac arrest, as a vasoconstrictor in shock, as a bronchodilator and antispasmodic in bronchial asthma, and to lower intra-ocular pressure in the treatment of glaucoma.


See B. B. Hoffman, Adrenaline (2013).


A hormone which is the predominant secretion from the adrenal medulla; also known as adrenalin, it has the structure shown. Epinephrine is a sympathomimetic substance; that is, it acts on tissue supplied by sympathetic nerves, and generally the effects of its action are the same as those of other nerve stimuli. Conversely, the stimulation of the splanchnic or visceral nerves will cause the rapid release of the hormone from the medullary cells of the adrenal gland. Thus, epinephrine plays an important role in preparing the organism to meet conditions of physiologic emergency.

When injected intravenously, epinephrine causes an immediate and pronounced elevation in blood pressure, which is due to the coincident stimulation of the action of the heart and the constriction of peripheral blood vessels. The chief metabolic changes following the injection of epinephrine are a rise in the basal metabolic rate and an increase of blood sugar. These effects of epinephrine are transitory. See Adrenal gland, Carbohydrate metabolism

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C9H13O3N A hormone secreted by the adrenal medulla that acts to increase blood pressure due to stimulation of heart action and constriction of peripheral blood vessels. Also known as adrenaline.
References in periodicals archive ?
Marguerite Pennoyer, MD, board-certified allergist, said, "Stocking undesignated epinephrine auto-injectors on airplanes will allow someone without formal medical training to administer the epinephrine and save lives.
Epinephrine auto-injector is an emergency injection ("shot") of epinephrine.
The concentration of lidocaine with epinephrine was 1:100,000, with an average dose of 4.
The epinephrine stockpiling is aimed primarily at children who have previously undiagnosed allergies or as a backup for those with known allergies.
As shown in table 3 and 4, we found a significant difference in terms of the mean numbers of total extra systoles and isolated ectopic beats between pure lidocaine with lidocaine + epinephrine and prilocaine with octapressin were significant in the second hour following the injection.
Mylan continues to be committed to help ensure access to epinephrine, the first-line treatment for anaphylaxis, and is working to provide a seamless transition for patients and their caregivers who may now be prescribed EpiPen[sup.
According to the report, though epinephrine is produced in the body, chemically synthesized epinephrine drugs are used in the treatment of anaphylactic shock that occurs in people who are suffering from allergy, cardiac arrest, and asthma.
Deaths from food-induced anaphylaxis have been reported within 30 minutes to 2 hours of exposure, and are associated with delayed use of epinephrine or improper epinephrine dosing, the panel said.
Epinephrine and norepinephrine values were significantly lower in patients under beta-blocker therapy related to patients free of medication: 9.
The role of epinephrine, norepinephrine, and dopamine in blood pressure disturbances in patients with pheochromocytoma.
The hemostatic effect of the epinephrine minimized bleeding, which helped achieve a precise and rapid resection and minimized the risk of recurrence and neural and soft-tissue injury.
Until 1996, epinephrine treatment for anaphylaxis was almost always given subcutaneously and often in the arm.