Avoid Mishaps if Your Pharmacy Stocks Bretylium

February 2020

You might hear that the injectable antiarrhythmic, bretylium, is back...after decades of being off the market.

Bretylium was a crash cart staple until the late 1990s...when it was discontinued partly because of raw material shortages.

Now the manufacturer is pushing to put bretylium in crash carts again. But it's not better or safer than amiodarone or lidocaine...and it costs about $250/dose versus about $4 for amiodarone or lidocaine.

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