psvt 6mg injection - Adenosine (6mg) medicine

Psvt 6mg Injection

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🏭 Molekule India Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Nov 11, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for termination of PSVT.
Dr. Ravishankar Kumar
Medically Reviewed by Dr. Ravishankar Kumar ✓ Verified Doctor
B.A.M.S. (RMLAU Ayodhya) • Ex-Balrampur Hospital, Lucknow
Dr. Ravishankar Kumar
Clinically Verified by Dr. Ravishankar Kumar (B.A.M.S., RMLAU) — View Medical Verification Profile ↗
Clinical Background: Balrampur Hospital, Lucknow (Emergency Medicine) & SCPM Hospital | Standards: CDSCO, Indian Pharmacopoeia (IP) & WHO

When to Call Your Doctor IMMEDIATELY

  • Severe chest pain or pressure that does not resolve quickly
  • Difficulty breathing or wheezing that worsens
  • Fainting or loss of consciousness
  • Heart rate that becomes very slow or pauses for more than a few seconds
  • Blood pressure that drops dangerously low
  • Swelling of the face, lips, or throat
  • Seizure activity

If experiencing severe symptoms, call emergency services immediately.

What is psvt 6mg injection used for?

This medicine is an intravenous injection containing adenosine 6mg. It is used in hospitals to treat a fast heart rhythm called paroxysmal supraventricular tachycardia by temporarily slowing electrical signals in the heart.

  • Generic Name: Adenosine (6mg)
  • Manufacturer: Molekule India Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 psvt 6mg injection के बारे में (Hindi Summary)

उपयोग: यह दवा एडेनोसिन 6mg इंजेक्शन के रूप में उपलब्ध है और इसका उपयोग अस्पताल में दिल की तेज़ धड़कन (पैरोक्सिस्मल सुप्रावेंट्रिकुलर टैचीकार्डिया) को सामान्य करने के लिए किया जाता है। यह दवा दिल की बिजली की गति को अस्थायी रूप से धीमा करके अनियमित धड़कन को रोकती है। इसे केवल डॉक्टर या प्रशिक्षित स्वास्थ्यकर्मी द्वारा नस में इंजेक्शन के माध्यम से दिया जाता है, और इस दौरान दिल की निगरानी की मशीन लगी रहती है। यह दवा घर पर खुद से नहीं लगाई जाती।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में चेहरे पर गर्मी लगना, सीने में जकड़न या दबाव, सांस लेने में तकलीफ, चक्कर आना, सिरदर्द, जी मिचलाना और मुँह में धातु जैसा स्वाद शामिल हैं। ये प्रभाव आमतौर पर बहुत जल्दी ठीक हो जाते हैं क्योंकि यह दवा शरीर से तेजी से बाहर निकल जाती है। कभी-कभी दिल की धड़कन अस्थायी रूप से धीमी हो सकती है या ब्लड प्रेशर कम हो सकता है। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अस्थमा या सीओपीडी वाले मरीजों में सांस की तकलीफ बढ़ सकती है। अस्पताल में निगरानी के दौरान इन्हें तुरंत संभाला जा सकता है।

सुरक्षा सलाह: यह दवा केवल अस्पताल या आपातकालीन विभाग में प्रशिक्षित डॉक्टर या स्वास्थ्यकर्मी द्वारा ही दी जानी चाहिए। इसे घर पर या बिना निगरानी के कभी न लगवाएं। अगर आपको अस्थमा, सीओपीडी, दिल की धड़कन में रुकावट, सिक साइनस सिंड्रोम, या ब्लड प्रेशर कम होने की समस्या है, तो डॉक्टर को पहले बताएं। इस दवा से पहले कम से कम 12 घंटे तक चाय, कॉफी, कोला और चॉकलेट जैसी कैफीन वाली चीजें न लें, क्योंकि कैफीन इस दवा का असर कम कर सकती है। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें। इस दवा के बाद तुरंत गाड़ी न चलाएं क्योंकि चक्कर आ सकते हैं।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

psvt 6mg injection Uses & Benefits

Paroxysmal supraventricular tachycardia (PSVT) Well-established

This medicine is used to rapidly convert PSVT to normal sinus rhythm by temporarily blocking conduction through the atrioventricular node.

Diagnostic evaluation of supraventricular tachycardia Well-established

This medicine helps doctors identify the mechanism of certain narrow-complex tachycardias by producing a controlled, transient AV block.

Unstable narrow-complex tachycardia (adjunct) Established in guidelines

In selected stable patients with regular narrow-complex tachycardia, this medicine may be used as a diagnostic and therapeutic adjunct under close monitoring.

Off-Label & Investigational Uses:

Pharmacologic stress testing for coronary artery disease Well-established in specialized settings (Off-label)

Adenosine is used in some cardiac imaging protocols to simulate exercise stress in patients who cannot exercise adequately.

Assessment of coronary flow reserve Limited to specialized centers (Off-label)

In specialized catheterization laboratories, adenosine may be used to measure coronary flow reserve during physiological testing.

Primary Treatment for: Paroxysmal supraventricular tachycardia (PSVT)
Also Treats:
Supraventricular tachycardia diagnosis Narrow-complex tachycardia evaluation

📋 Drug Information

Generic Name(s)Adenosine (6mg)
Brand Namepsvt 6mg injection
ManufacturerMolekule India Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassCARDIAC
Action ClassMiscellaneous agents- anti arrhythmic
Route of AdministrationParenteral (intravenous injection)
StorageStore at room temperature between 15°C and 30°C. Protect from light and do not freeze. Keep in the original container until use.
Shelf LifeRefer to the product packaging for the exact shelf life. Do not use after the expiry date.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Administer this medicine only in a monitored setting with continuous ECG and blood pressure monitoring.
2
Ensure resuscitation equipment and trained staff are immediately available before giving this injection.
3
Ask patients to avoid caffeine and methylxanthine-containing products for at least 12 hours before administration.
4
Use with extreme caution in patients with asthma or COPD due to the risk of bronchospasm.
5
Check for concurrent use of dipyridamole or carbamazepine, as these can significantly increase the risk of serious heart rhythm problems.
6
Give the injection as a rapid bolus over 1 to 2 seconds followed by a saline flush for maximum effect.
7
Document the heart rhythm before, during, and after administration to assess response.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Rapid heartbeat (palpitations) with a regular rhythm
This medicine is commonly used in hospitals to treat PSVT.
Likely Use
❌
Chest pain due to a heart attack
This medicine is not used to treat heart attacks.
Not Primary
❌
High blood pressure
This medicine is not a blood pressure medicine.
Not Primary
❌
Fever
This medicine is not a fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionThis medicine is given directly into a vein, so absorption from the gastrointestinal tract does not apply. It reaches the bloodstream immediately after injection.
DistributionAdenosine is distributed rapidly throughout the body fluids. It is taken up by red blood cells and endothelial cells within seconds. Because of its very short presence in blood, detailed distribution volumes are not clinically relevant.
Protein BindingNot established from the available information.
MetabolismAdenosine is rapidly metabolized inside cells by adenosine deaminase and adenosine kinase. It is converted to inosine and then to other purine metabolites. This process occurs mainly in red blood cells and vascular endothelial cells.
Half-LifeThe elimination half-life of adenosine is less than 10 seconds in whole blood.
ExcretionThe metabolites of adenosine are eventually excreted in the urine as uric acid and other purine breakdown products.
BioavailabilityBioavailability is not applicable because this medicine is administered intravenously and reaches the bloodstream directly.
Onset of ActionThe effect of this medicine begins within seconds after intravenous injection, often within 10 to 20 seconds.
Peak Plasma TimePeak plasma concentration occurs immediately after intravenous injection.
Duration of ActionThe duration of action is very short, typically less than 30 seconds to 1 minute, because adenosine is rapidly cleared from the blood.

How It Works

This medicine works by activating specific adenosine receptors on the surface of heart muscle and conduction tissue cells. When adenosine binds to A1 receptors in the atrioventricular node, it opens potassium channels and reduces calcium entry into the cells. This makes the AV node cells less excitable and slows down the electrical signals traveling from the upper chambers to the lower chambers of the heart. In PSVT, the abnormal fast rhythm often depends on a circuit that passes through the AV node. By temporarily blocking this pathway, adenosine can break the circuit and allow the heart's normal pacemaker to take over. The effect is extremely short-lived because adenosine is rapidly taken up by cells and broken down in the blood.

Mechanism Steps

1
Binding to adenosine receptors: This medicine binds to A1 adenosine receptors on the surface of atrioventricular node cells.
2
Activation of potassium channels: Receptor activation opens potassium channels, allowing potassium to leave the cell and making the cell less excitable.
3
Reduced calcium entry: Adenosine also reduces calcium flow into the AV node cells, further slowing electrical conduction.
4
Temporary AV block: The combined effects create a short-lived block of electrical signals through the AV node.
5
Termination of abnormal circuit: If the fast heart rhythm depends on the AV node, this temporary block interrupts the abnormal circuit and allows normal rhythm to return.

💡 How to Take psvt 6mg injection

Strength: Injection: 6 mg in a single-use vial.

1This medicine is given by a healthcare professional as a rapid intravenous injection.
2You will be lying down and connected to a heart monitor during administration.
3The injection is given over 1 to 2 seconds into a vein.
4Your heart rhythm and blood pressure will be monitored closely.
5Report any chest discomfort, difficulty breathing, or dizziness to the medical team immediately.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 6 mg given as a rapid intravenous bolus over 1 to 2 seconds. If the abnormal heart rhythm does not stop within 1 to 2 minutes, a second dose of 12 mg may be given as directed by the physician. The dose must be individualized by a qualified clinician based on the patient's condition, response, and other medical factors. This medicine should only be administered in a monitored setting with resuscitation equipment available.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the effects of this medicine, especially low blood pressure and slow heart rate. The dose should be individualized by a qualified clinician, and close monitoring is recommended.
Renal ImpairmentNo specific dose adjustment is typically required for kidney function, but the dose should be individualized by a qualified clinician based on the patient's overall condition.
Hepatic ImpairmentNo specific dose adjustment is typically required for liver function, but the dose should be individualized by a qualified clinician based on the patient's overall condition.
Maximum Daily DoseThe maximum total dose in a single treatment episode is generally 18 mg (6 mg followed by 12 mg if needed), as determined by the treating physician. Dose must be individualized by a qualified clinician.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

Caffeine-containing foods and drinks
Avoid for at least 12 hours before the procedure
Caffeine blocks adenosine receptors and can reduce the medicine's effect.
Theophylline-containing foods or supplements
Avoid before the procedure
Theophylline can block the effects of adenosine.

⏰ What to Do If You Miss a Dose

📌 This medicine is given as a single dose in a hospital setting
→ Missed dose instructions are not applicable.
💡 It is not used on a scheduled basis at home.

⚠️ Side Effects of psvt 6mg injection

✅ Common Side Effects

Flushing (Common (10-30%))
This usually resolves within a minute. Inform the healthcare team if it feels severe.
Chest pressure or tightness (Common (10-30%))
Report to the medical team. It is usually brief and self-limiting.
Shortness of breath (Common (10-20%))
Tell the healthcare provider immediately so they can assess your breathing.
Dizziness (Common (5-15%))
Remain lying down until the feeling passes. Do not stand up quickly.
Headache (Common (5-15%))
Rest and inform the medical team if it persists.
Nausea (Common (5-10%))
Inform the healthcare team. It usually passes quickly.
Metallic taste (Common (5-10%))
This is temporary and does not require treatment.

🚨 Serious Side Effects

Prolonged heart pause or severe bradycardia (Rare (<1%))
Requires immediate medical attention. The healthcare team will monitor and treat as needed.
Severe hypotension (Rare (<1%))
Stop the injection and manage blood pressure as directed by the medical team.
Bronchospasm (Rare (<1%))
Seek immediate medical help if wheezing or difficulty breathing occurs.
Anaphylaxis (Very rare (<0.1%))
Call for emergency help immediately. Resuscitation equipment must be available.

⚠️ Rare Side Effects

Transient increase in blood pressure
Monitor and inform the medical team.
Seizure
Seek immediate medical attention.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Dipyridamole Major
Carbamazepine Major
Caffeine Major
Theophylline Major
Beta-blockers Moderate
Calcium channel blockers Moderate
Digoxin Moderate
Nicotine Minor
Quinidine Minor
Alcohol Moderate

🚨 Major Interactions

  • Dipyridamole
  • Carbamazepine
  • Methylxanthines (caffeine, theophylline, aminophylline)

⚡ Moderate Interactions

  • Beta-blockers
  • Calcium channel blockers
  • Digoxin

🍷 Alcohol Interaction

Alcohol may increase the risk of dizziness and low blood pressure when given with this medicine. Patients should avoid alcohol before and immediately after receiving this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Second- or third-degree atrioventricular block without a functioning artificial pacemaker","Sick sinus syndrome without a functioning artificial pacemaker","Known hypersensitivity to adenosine","Severe asthma or severe COPD with active wheezing","Concurrent use with dipyridamole"]

⚠️ Warnings & Precautions

["This medicine must be administered only by healthcare professionals in a monitored setting.","Use with caution in patients with asthma or COPD because it can cause bronchospasm.","Use with caution in patients with low blood pressure or heart failure.","Avoid in patients with heart block or sick sinus syndrome unless a pacemaker is present.","Caffeine and methylxanthines should be avoided for at least 12 hours before administration.","Dipyridamole should be stopped before use, or the dose should be reduced.","Resuscitation equipment must be immediately available during administration."]

🤱 Lactation Safety

Adenosine is present naturally in the human body and is rapidly cleared. It is unlikely to pass into breast milk in significant amounts. However, because this medicine is given in a hospital setting for acute conditions, breastfeeding should be discussed with the doctor.

💊 Overdose Management

Overdose with this medicine is unlikely because it is given in a controlled setting and has a very short duration of action. If excessive effects occur, they are usually self-limiting. Supportive care with monitoring of heart rhythm and blood pressure is recommended. In severe cases, treatment may include fluids, vasopressors for low blood pressure, and temporary pacing for severe bradycardia.

⏰ Missed Dose

This medicine is given as a single dose in a hospital or emergency setting. Missed doses are not applicable because it is not used on a scheduled basis at home.

Additional Safety Advice

General Safety

This medicine must only be given by a trained healthcare professional in a hospital or emergency department with continuous heart monitoring and immediate access to resuscitation equipment. Do not attempt to use this product at home or outside a medical facility. Inform your doctor if you have asthma, COPD, heart block, sick sinus syndrome, low blood pressure, or have had a heart transplant, as these conditions may increase the risk of complications. Tell your healthcare team about all medicines you take, especially those that affect heart rhythm, blood pressure, or breathing. Avoid caffeine-containing drinks and foods for at least 12 hours before a scheduled adenosine test or procedure, because caffeine can block the effect of this medicine. If you are pregnant, planning pregnancy, or breastfeeding, discuss the risks and benefits with your doctor before this medicine is used. Do not drive or operate machinery immediately after receiving this medicine, as you may feel dizzy or lightheaded.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the effects of this medicine, especially low blood pressure and slow heart rate. Close monitoring is recommended during administration.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, discuss any heart rhythm conditions with your doctor before conception. This medicine is used only in acute situations and is generally considered acceptable when clinically needed during pregnancy.

🏥 Post-Surgery Considerations

This medicine may be used during surgery or in the recovery period if a rapid heart rhythm occurs. It should be administered by the anesthesia or surgical team with appropriate monitoring.

🦷 Dental Procedures

This medicine is not typically used during dental procedures. If you have a history of PSVT, inform your dentist and discuss any precautions before dental work.

💚 Lifestyle Tips for Better Results

🏃
Limit caffeine intake if you have recurrent episodes of rapid heartbeat.
🥗
Manage stress through relaxation techniques such as deep breathing or meditation.
😴
Stay hydrated and maintain a balanced diet.
💧
Get regular check-ups with your cardiologist if you have a heart rhythm condition.
🧘
Avoid smoking and excessive alcohol consumption.
🌞
Follow your doctor's advice for any underlying heart conditions.

🏋️ Exercise Considerations

After receiving this medicine, you may feel dizzy or lightheaded for a short time. Avoid strenuous exercise or activities requiring balance until you feel completely normal. If you have a heart rhythm condition, discuss appropriate exercise with your doctor.

🥗 Diet Recommendations

Limit caffeine-containing foods and drinks.
Eat a heart-healthy diet rich in fruits, vegetables, and whole grains.
Reduce intake of processed and high-salt foods.
Stay well hydrated unless your doctor advises otherwise.

💼 Impact on Daily Work & Life

This medicine is given in a hospital setting and its effects are short-lived. You should not drive or operate heavy machinery immediately after receiving it. Most people can resume normal activities after being cleared by their doctor.

🛑 When to Stop This Medicine

This medicine is given as a single dose in a hospital setting, so stopping it is not applicable. If you experience any severe side effects, the medical team will stop the injection immediately and provide appropriate care.

📅 Long-Term Use Effects

This medicine is used as a single dose for acute treatment and is not intended for long-term use. There are no known long-term effects from a single dose. If you have recurrent episodes of PSVT, your doctor may recommend other treatments for long-term management.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Vagal maneuvers

Techniques such as bearing down or coughing can sometimes terminate PSVT without medicine.

Evidence: Well-established
Other antiarrhythmic medicines

Medicines like verapamil or beta-blockers may be used to treat PSVT in some patients.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

There are no known interactions between this medicine and vaccines. However, because this medicine is given in an acute hospital setting, vaccination timing should be discussed with your doctor.

📦 Storage Guide

✅ DO

Store at room temperature between 15°C and 30°C.

❌ DON'T

Do not freeze the vial.

✅ DO

Keep in the original container until use.

❌ DON'T

Do not transfer to unmarked containers.

✅ DO

Protect from light.

❌ DON'T

Do not store in direct sunlight.

✅ DO

Check the expiry date before use.

❌ DON'T

Do not use if the solution is discolored or contains particles.

✈️ Traveling with This Medicine

This medicine is given only in a hospital or emergency setting, so travel advice is generally not applicable. If you have a known heart rhythm condition, carry a copy of your prescription and medical records when traveling. Inform your doctor before traveling if you might need this medicine. Do not carry this medicine for self-administration. Store it as directed by the manufacturer if you are a healthcare professional transporting it.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with recurrent episodes of rapid heartbeat
She came to the emergency department with a heart rate of 180 beats per minute. The doctor gave this medicine as a rapid intravenous injection. Within 30 seconds, her heart rhythm returned to normal. She felt a brief period of chest pressure and flushing, which resolved quickly. She was monitored for a few hours and then discharged with follow-up advice.
💡 Lesson: This medicine can rapidly terminate PSVT, but it must be given in a monitored setting where side effects can be managed immediately.
👤 A 60-year-old man with a history of asthma and palpitations
He was given this medicine for a rapid heart rhythm. Shortly after the injection, he developed wheezing and shortness of breath. The medical team immediately provided breathing support. His heart rhythm improved, but he needed additional treatment for the bronchospasm. He was advised to inform all future healthcare providers about his asthma before receiving adenosine.
💡 Lesson: Patients with asthma or COPD are at higher risk of bronchospasm from this medicine and should be monitored very closely.

💬 Questions Patients Often Ask

Q: How long does it take for this medicine to work?

A: This medicine usually works within seconds to one minute after intravenous injection.

Q: Can I receive this medicine if I have asthma?

A: This medicine can cause bronchospasm and should be used with extreme caution in patients with asthma. Inform your doctor about your asthma before receiving it.

Q: What should I avoid before receiving this medicine?

A: Avoid caffeine-containing foods and drinks for at least 12 hours before receiving this medicine, as caffeine can reduce its effectiveness.

Q: Is this medicine safe during pregnancy?

A: This medicine is generally considered acceptable for use during pregnancy when clinically indicated for serious heart rhythm problems, but the decision should be made by your doctor.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can this medicine be given at home?
  • How quickly does this medicine work?
  • What are the serious side effects of this medicine?
  • Can I take this medicine if I have asthma?
  • What should I avoid before receiving this medicine?
  • Is this medicine safe during pregnancy?

🔄 Substitutes for psvt 6mg injection

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Adenosine injection can be used at home for palpitations.
    Fact: This medicine must only be given in a hospital or emergency setting with continuous heart monitoring.
  • Myth: Adenosine is a long-acting heart medicine.
    Fact: Adenosine has a very short duration of action, usually less than one minute.
  • Myth: You can drink coffee before receiving adenosine.
    Fact: Caffeine blocks adenosine receptors and should be avoided for at least 12 hours before the procedure.

🔄 Alternative Options

Generic Alternatives

  • Adenosine injection

Brand Alternatives

  • Adenoject 6mg injection

📊 Comparison with Similar Medicines

MedicineClassRouteMain UseDuration
AdenosinePurine nucleosideIntravenousPSVT terminationVery short (<1 minute)
VerapamilCalcium channel blockerIntravenousPSVT terminationLonger than adenosine
AdenosinePurine nucleosideIntravenousDiagnostic AV blockVery short

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