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Table 56-11

Intrathecal DrugDosingComments
Clonidine15–45 µg improves the quality of spinal blockade in outpatient surgerySide effects increase significantly at intrathecal doses >150 µg
Epinephrine0.1–0.6 mg
Produces dose-related increase in the return of motor function and micturition
Not recommended for outpatient surgery
Neostigmine6.25–50 µg
Produces dose-related increase in motor blockade, time for resolution of the block, and nausea and vomiting
Further studies of the appropriate intrathecal dose that optimizes analgesia while minimizing side effects are needed