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Systematic (IUPAC) name
CAS number 59-41-6
ATC code C01BD02
PubChem 2431
DrugBank APRD00830
Chemical data
Formula C11H17BrN+
Mol. mass 243.163 g/mol
Pharmacokinetic data
Bioavailability NA
Protein binding NA
Metabolism None
Half life 7-8 hours
Excretion Renal
Therapeutic considerations
Pregnancy cat.


Legal status


Routes IV, IM

Bretylium (also bretylium tosylate) blocks the release of noradrenaline from the peripheral sympathetic nervous system, and is used in emergency medicine, cardiology, & other specialties for the acute management of ventricular tachycardia & ventricular fibrillation. It is contraindicated in patients with AV (atrioventricular) heart block or digoxin toxicity. Bretylium is only used in an ICU setting and should not be used elsewhere due to its dramatic actions and its predominant side effect of hypotension.

Bretylium is no longer taught in ACLS.

This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "Bretylium". A list of authors is available in Wikipedia.
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