Substance / Medication

Dextran 40

Overview

Active Ingredient
dextran 40
RxNorm CUI
3272

Indications

LMD (dextran 40) is indicated for use in the adjunctive treatment of shock or impending shock due to hemorrhage, burns, surgery or other trauma. It is not indicated as a replacement for whole blood or blood components if they are available. It should not replace other forms of therapy known to be of value in the treatment of shock. LMD is also indicated for use as a priming fluid, either as a sole prime or as an additive, in pump oxygenators during extracorporeal circulation. LMD is also indicat

Labeler: Hospira, Inc.Updated: 2025-07-02T00:00:00.000ZFull label on DailyMed

Contraindications

When this intervention should not be used

LMD (dextran 40) is contraindicated in patients with known hypersensitivity to dextran, in those with marked hemostatic defects of all types (thrombocytopenia, hypofibrinogenemia, etc.) including those caused by drugs (heparin, warfarin, etc.), marked cardiac decompensation and in renal disease with

Indications & Related Conditions

Conditions associated via SNOMED clinical relationships

Administration & Protocol

Dosing, route, and treatment protocol

Detailed dosage and administration information is available in the full FDA drug label.

View full prescribing information on DailyMed

Monitoring & Follow-Up

Biomarkers relevant to this intervention via related conditions

No monitoring biomarkers have been mapped yet. Biomarker-intervention linkages are derived through related conditions and will expand as the knowledge graph grows.

Research Evidence

Published studies and systematic reviews

Sort:
Safety and efficacy of low molecular weight dextran (dextran 40) in head and neck free flap reconstruction.
Jayaprasad Kiran, Mathew Jimmy, Thankappan Krishnakumar et al. · J Reconstr Microsurg · 2013
PMID: 23609045Observational
Anaphylactoid reaction to dextran 40 during general anesthesia in two domestic pigs.
Yoshida Kota · Lab Anim · 2021
PMID: 34210185Case Report
Dextran removal by plasmapheresis in a kidney-pancreas transplant recipient with dextran 40-induced osmotic nephrosis.
Bhatt Aash P, Neppalli Vishala T, Kelley Elizabeth A et al. · Am J Kidney Dis · 2011
PMID: 21257240Case Report
Severe pulmonary edema related to dextran 40.
Demirkan Ferit, Unal Sakir, Arslan Emrah et al. · Ann Plast Surg · 2002
PMID: 12187360Case Report
Acute renal failure in a healthy young adult after dextran 40 infusion for external-ear reattachment surgery.
Tsang R K, Mok J S, Poon Y S et al. · Br J Plast Surg · 2000
PMID: 11090330Case Report
Use of Dextran 40 After Pancreas Transplant May Reduce Early Inflammation and Significant Bleeding Compared to a Heparin-Based Protocol.
Innes Ailsa, Tingle Samuel, Ibrahim Ibrahim et al. · Transplant Proc · 2021
PMID: 33308839Other
Protein-free solution containing trehalose and dextran 40 for cryopreservation of human adipose tissue-derived mesenchymal stromal cells.
Fujita Yasutaka, Nishimura Masuhiro, Komori Natsuki et al. · Cryobiology · 2021
PMID: 33823188Other

Research data from MEDLINE/PubMed

Benefits & Expected Outcomes

Benefits, expected outcomes, efficacy data, and NNT (Number Needed to Treat) are pending physician authorship and evidence review.

Risks & Side Effects

Adverse reaction and safety data for this drug is sourced from the FDA-approved label.

View adverse reactions & drug interactions on DailyMed

Related Symptoms

Symptoms associated with conditions this intervention addresses

No related symptoms have been mapped yet. Symptom linkages are derived through associated conditions.

Alternatives & Comparisons

Alternative treatments, comparison data, and clinical decision support are pending physician authorship.

Medical Disclaimer

This information is for educational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult with a qualified healthcare provider regarding any medical condition or treatment plan.

Do not start, stop, or change any treatment without consulting your healthcare provider.

Quick Facts

Type
Substance / Medication
Fully Specified Name
Dextran 40 (substance)
SNOMED CT
66322002
UMLS CUI
C0011793
RxNorm CUI
3272
Labeler
Hospira, Inc.

Clinical Data

This intervention maps to 1 entities in the Ltrl knowledge graph.

1
Conditions
0
Biomarkers
0
Specialists
0
Symptoms

Data is sourced from SNOMED CT, UMLS, and the Ltrl clinical knowledge graph. Content sections marked as pending require physician authorship. Consult a healthcare provider before starting any treatment.