Dobutamine and Protamine interaction

Dobutamine and Protamine: both prescribing labels flag this combination with the strongest language, such as a contraindication, a boxed warning, or an instruction to avoid it.

Major

Do not combine without a prescriber's guidance. The label language below is the strongest FDA uses.

What the FDA labels say

From the Protamine (Protamine Sulfate) label · effective 2025-04-29

Major

Vasopressors and resuscitation equipment should be immediately available in case of a severe reaction to protamine.

Boxed warningby drug classView label on DailyMed

From the Dobutamine (Dobutamine Hydrochloride in Dextrose) label · effective 2023-09-08

Minor

Drug Interactions There was no evidence of drug interactions in clinical studies in which dobutamine was administered concurrently with other drugs, including digitalis preparations, furosemide, spironolactone, lidocaine, glyceryl trinitrate, isosorbide dinitrate, morphine, atropine, heparin, protamine, potassium chloride, folic acid, and acetaminophen.

Drug interactionsnames ProtamineView label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.