Toronto Paramedic Services (TPS) has been made aware of a supply shortage of “single strength” dopamine in the 200mg/250mL (800mcg/mL) bag format. It is currently unknown when this concentration will become available again. In the interim, the Base Hospital has authorized the use of “double strength” dopamine, 400mg/250mL (1600mcg/mL).
TPS has purchased this new concentration and, for a short period of time, will have both concentrations in circulation. Paramedics should continue to utilize the Medication Administration Cross Check to verify the concentration of dopamine prior to administration.
To support Paramedics, the Ontario Paramedic Clinical Guide app has been updated with a dosing chart for the new concentration.