Drug intelligence / Profile preview

dexmedetomidine + ketamine + lidocaine

Development stage
Unknown
Lead developer
National Taiwan University Hospital
Modality
Small Molecules
Administration
Intravenous
01

Overview

Dexmedetomidine + ketamine + lidocaine is a multimodal analgesic combination therapy being evaluated by the National Taiwan University Hospital. This combination leverages the synergistic effects of three distinct pharmacological agents: dexmedetomidine (a highly selective alpha-2 adrenergic agonist), ketamine (an N-methyl-D-aspartate [NMDA] receptor antagonist), and lidocaine (a local anesthetic and systemic sodium channel blocker). The mixture is primarily investigated for its anesthetic-sparing effects and its potential to provide renal protection (reducing the risk of acute kidney injury) in patients undergoing complex procedures such as head and neck cancer surgery with free flap microvascular reconstruction. By targeting multiple pain pathways and reducing the systemic inflammatory response, the combination aims to improve postoperative outcomes and reduce the reliance on high-dose volatile anesthetics and opioids.

Other names
dexmedetomidine-ketamine-lidocaine mixtureDKL mixturedexmedetomidine + ketamine + lidocaine mixture
02

Targets

ADRA2B (α2B)NaV (Voltage-gated sodium channels)ADRA2A (α2A)ADRA2C (α2C)NMDAR (Glutamate receptor ionotropic, NMDA)

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