Milrinone
Milrinone (milrinone) is a small molecule pharmaceutical. Milrinone was first approved as Primacor on 1987-12-31. It is used to treat heart failure in the USA. The pharmaceutical is active against cGMP-inhibited 3',5'-cyclic phosphodiesterase 3A. In addition, it is known to target cGMP-dependent 3',5'-cyclic phosphodiesterase, cGMP-inhibited 3',5'-cyclic phosphodiesterase 3B, and cGMP-specific 3',5'-cyclic phosphodiesterase.
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Commercial
Therapeutic Areas
Therapeutic Area | MeSH |
|---|---|
| cardiovascular diseases | D002318 |
Trade Name
FDA
EMA
Milrinone (discontinued: Milrinone, Primacor)
Drug Products
FDA
EMA
New Drug Application (NDA)
New Drug Application (NDA)
Abbreviated New Drug Application (ANDA)
Abbreviated New Drug Application (ANDA)
Labels
FDA
EMA
Brand Name | Status | Last Update |
|---|---|---|
| milrinone lactate | ANDA | 2025-09-26 |
| milrinone lactate in 5% dextrose | ANDA | 2025-09-13 |
| milrinone lactate in dextrose | ANDA | 2025-03-10 |
Indications
FDA
EMA
Indication | Ontology | MeSH | ICD-10 |
|---|---|---|---|
| heart failure | EFO_0003144 | D006333 | I50 |
Agency Specific
FDA
EMA
No data
Patent Expiration
No data
HCPCS
Code | Description |
|---|---|
| J2260 | Injection, milrinone lactate, 5 mg |
Clinical
Clinical Trials
80 clinical trials
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Indications Phases 4
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
|---|---|---|---|---|---|---|---|---|---|
| Pulmonary hypertension | D006976 | EFO_0001361 | I27.20 | 2 | 4 | 3 | 1 | 2 | 10 |
| Cardiogenic shock | D012770 | — | R57.0 | 1 | 1 | — | 3 | 4 | 9 |
| Low cardiac output | D002303 | — | — | 1 | 2 | 2 | 1 | 2 | 7 |
| Shock | D012769 | — | R57.1 | — | 1 | 1 | 1 | 3 | 5 |
| Intracranial vasospasm | D020301 | EFO_1000994 | G45.9 | — | 1 | 1 | 1 | 1 | 4 |
| Septic shock | D012772 | — | A48.3 | — | 2 | 1 | 1 | 1 | 4 |
| Anesthesia | D000758 | — | — | — | — | — | 1 | 1 | 2 |
| Cardiomyopathies | D009202 | EFO_0000318 | I42 | 1 | — | — | 1 | — | 2 |
| Acute coronary syndrome | D054058 | EFO_0005672 | — | — | — | — | 1 | — | 1 |
| Pulmonary edema | D011654 | EFO_1001134 | J81 | — | — | — | 1 | — | 1 |
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Indications Phases 3
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
|---|---|---|---|---|---|---|---|---|---|
| Subarachnoid hemorrhage | D013345 | EFO_0000713 | I60 | — | 3 | 1 | — | 1 | 5 |
| Hypertension | D006973 | EFO_0000537 | I10 | 1 | 1 | 1 | — | 2 | 4 |
| Renal insufficiency | D051437 | — | N19 | — | 1 | 1 | — | 1 | 3 |
| Pulmonary arterial hypertension | D000081029 | — | — | — | — | 1 | — | 1 | 2 |
| Syndrome | D013577 | — | — | — | — | 1 | — | 1 | 2 |
| Cardiac surgical procedures | D006348 | — | — | — | — | 1 | — | 1 | 2 |
| Spasm | D013035 | — | M62.83 | — | 1 | 1 | — | — | 2 |
| Mitral valve insufficiency | D008944 | — | — | — | — | 1 | — | — | 1 |
| Aneurysm | D000783 | — | I72.9 | — | — | 1 | — | — | 1 |
| Vasodilation | D014664 | — | — | — | — | 1 | — | — | 1 |
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Indications Phases 2
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
|---|---|---|---|---|---|---|---|---|---|
| Heart failure | D006333 | EFO_0003144 | I50 | 5 | 7 | — | — | 9 | 18 |
| Congenital heart defects | D006330 | — | Q24.9 | 1 | 4 | — | — | 3 | 7 |
| Hemorrhage | D006470 | MP_0001914 | R58 | — | 2 | — | — | 2 | 4 |
| Right ventricular dysfunction | D018497 | — | — | 1 | 1 | — | — | 1 | 3 |
| Myocardial ischemia | D017202 | EFO_1001375 | I20-I25 | — | 1 | — | — | 2 | 3 |
| Persistent fetal circulation syndrome | D010547 | EFO_1001103 | P29.3 | — | 1 | — | — | 2 | 3 |
| Cardio-renal syndrome | D059347 | — | — | — | 1 | — | — | 1 | 2 |
| Healthy volunteers/patients | — | — | — | 1 | 1 | — | — | 1 | 2 |
| Ischemia | D007511 | EFO_0000556 | — | — | 1 | — | — | — | 1 |
| Cerebral infarction | D002544 | — | I63 | — | 1 | — | — | — | 1 |
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Indications Phases 1
No data
Indications Without Phase
Indication | MeSH | Ontology | ICD-10 | Ph 1 | Ph 2 | Ph 3 | Ph 4 | Other | Total |
|---|---|---|---|---|---|---|---|---|---|
| Heart diseases | D006331 | EFO_0003777 | I51.9 | — | — | — | — | 4 | 4 |
| Acute kidney injury | D058186 | — | N17 | — | — | — | — | 3 | 3 |
| Cardiopulmonary bypass | D002315 | — | — | — | — | — | — | 2 | 2 |
| Sprains and strains | D013180 | — | — | — | — | — | — | 2 | 2 |
| Wounds and injuries | D014947 | — | T14.8 | — | — | — | — | 2 | 2 |
| Covid-19 | D000086382 | — | U07.1 | — | — | — | — | 1 | 1 |
| Infections | D007239 | EFO_0000544 | — | — | — | — | — | 1 | 1 |
| Coronavirus infections | D018352 | EFO_0007224 | B34.2 | — | — | — | — | 1 | 1 |
| Menorrhagia | D008595 | EFO_0003945 | N92.0 | — | — | — | — | 1 | 1 |
| Hemophilia a | D006467 | EFO_0007267 | D66 | — | — | — | — | 1 | 1 |
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Epidemiology
Epidemiological information for investigational and approved indications
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Drug
General
| Drug common name | Milrinone |
| INN | milrinone |
| Description | Milrinone is a member of the class of bipyridines that is 2-pyridone which is substituted at positions 3, 5, and 6 by cyano, pyrid-4-yl, and methyl groups, respectively. It is used (particularly intravenously, as the lactate) for the short-term management of severe heart failure. It has a role as an EC 3.1.4.17 (3',5'-cyclic-nucleotide phosphodiesterase) inhibitor, a platelet aggregation inhibitor, a vasodilator agent and a cardiotonic drug. It is a pyridone, a nitrile and a member of bipyridines. |
| Classification | Small molecule |
| Drug class | cardiotonics (amrinone type) |
| Image (chem structure or protein) |  |
| Structure (InChI/SMILES or Protein Sequence) | Cc1[nH]c(=O)c(C#N)cc1-c1ccncc1 |
Identifiers
| PDB | — |
| CAS-ID | 78415-72-2 |
| RxCUI | — |
| ChEMBL ID | CHEMBL189 |
| ChEBI ID | 50693 |
| PubChem CID | 4197 |
| DrugBank | DB00235 |
| UNII ID | JU9YAX04C7 (ChemIDplus, GSRS) |
Target
Agency Approved
No data
Alternate
PDE2A
PDE2A
PDE3B
PDE3B
TTR
TTR
Organism
Homo sapiens
Gene name
PDE2A
Gene synonyms
NCBI Gene ID
Protein name
cGMP-dependent 3',5'-cyclic phosphodiesterase
Protein synonyms
cGMP-stimulated phosphodiesterase 1, cGMP-stimulated phosphodiesterase 2, cGMP-stimulated phosphodiesterase 4, CGS-PDE, cGSPDE, Cyclic GMP-stimulated phosphodiesterase, phosphodiesterase 2A, cGMP-stimulated
Uniprot ID
Mouse ortholog
Pde2a (207728)
cGMP-dependent 3',5'-cyclic phosphodiesterase (Q922S4)
Variants
No data
Financial
No data
Trends
PubMed Central
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Safety
Black-box Warning
No Black-box warning
Adverse Events
Top Adverse Reactions
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1,100 adverse events reported
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