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Use of Clonidine to Prevent Withdrawal Following Prolonged Dexmedetomidine Infusions

Status
Completed
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT02404077
Enrollment
712
Registered
2015-03-31
Start date
2015-04-30
Completion date
2017-03-31
Last updated
2017-04-20

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Sedation

Keywords

Patients, undergoing, ICU

Brief summary

The investigators' clinical practice makes use of oral clonidine as a means of transitioning from intravenous dexmedetomidine following prolonged infusions (more than 3-5 days). Although this is common clinical practice, there is limited clinical data to demonstrate the efficacy of this technique and to provide clonidine dosing guidelines. The purpose of this study is to retrospectively review the investigators' experience with the use of oral clonidine to prevent withdrawal following the prolonged administration of dexmedetomidine.

Interventions

DRUGClonidine

Sponsors

Joseph D. Tobias
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
RETROSPECTIVE

Eligibility

Sex/Gender
ALL
Healthy volunteers
No

Inclusion criteria

* Patients who received clonidine during the transition from dexmedetomidine.

Exclusion criteria

* None

Design outcomes

Primary

MeasureTime frameDescription
Evidence of withdrawalTwice a day from the first day of taper of dexmedetomidine until 72 hrs. after the last doseWithdrawal is assessed using the Withdrawal Assessment Tool-1 (WAT-1). The 19-item assessment consists of (1) a review of the patient's record for the past 12 hours, (2) direct observation of the patient for 2 minutes, (3) patient assessment during a progressive stimulated exam routinely performed to assess level of consciousness at the beginning of each 12-hour shift, and finally (4) assessment of post-stimulus recovery.

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026