1 Dopexamine is an agonist at peripheral dopamine receptors and at P2-adrenoceptors.2 Dopexamine has approximately one-third the potency of dopamine in stimulating the vascular DA,-receptor in the dog, resulting in a fall in renal vascular resistance of 20% at 2.3 x 10-8 mol kg-' (i.a.). 3 Prejunctional DA2-receptors are also stimulated by dopexamine, resulting in a reduction of neurogenic vasoconstriction in the rabbit isolated ear artery (IC5o of 1.15 x 10-6 M) and of neurogenic tachycardia in the cat (ID5o of 5.4 x 10-8mol kg-', i.v.), with a potency six and four times less respectively than that of dopamine. 4 By contrast, dopexamine is approximately 60 times more potent than dopamine as an agonist at the P2-adrenoceptor of the guinea-pig isolated tracheal chain, with an EC50 of 1.5 x 10-6 M.5 Both dopexamine and dopamine are weak agonists at the guinea-pig atrial P,-adrenoceptor over the concentration range 10-7 to 10-4 M, but dopexamine has an intrinsic activity ofonly 0.16 relative to dopamine. 6 Dopexamine does not stimulate postjunctional a,-or M2-adrenoceptors in the canine isolated saphenous vein, whereas dopamine is an agonist, approximately 120 times less potent than noradrenaline. 7 Unlike dopamine and salbutamol, dopexamine does not cause arrhythmias in the guinea-pig isolated perfused heart at doses of up to 10 5mol, which is a thousand times the minimum cardiostimulant dose.8 The combination of agonist properties at peripheral dopamine receptors and at V2-adrenoceptors, with little or no activity at a-and P3-adrenoceptors gives dopexamine a novel pharmacological profile. This may confer advantages over dopamine in the treatment of acute heart failure.