• Swagata Tripathy
  • Suma Rabab Ahmad


Neuro-critical care involves the use of various drugs. Knowledge of these drugs in terms of dose, adverse effects, and use in special populations is essential for good patient care. It is imperative that medications are used appropriately during neuro-emergencies and neurological life support. The right choice of medication depends upon the knowledge of the pharmacodynamics and pharmacokinetics of the drug. Medications discussed here include antiepileptic drugs, sedatives, analgesics, neuromuscular blocking drugs, antihypertensive agents, thrombolytic agents, antiplatelets, oral anticoagulants, and hemostatic agents. Drugs used in subarachnoid hemorrhage, for reducing intracranial pressure, managing hyponatremia and myasthenia gravis are also briefly mentioned. Patients presenting with neuro-emergencies are either already consuming these drugs and having certain adverse drug reactions or the physician will have to use these for curtailing the acute episode. The chapter covers salient pearls for using these medications by first responders in the emergency department and neuro-critical care unit.


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Copyright information

© The Editor(s) (if applicable) and The Author(s)  2020

Authors and Affiliations

  • Swagata Tripathy
    • 1
  • Suma Rabab Ahmad
    • 1
  1. 1.All India Institute of Medical SciencesBhubaneshwarIndia

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