Atropine 0.6 mg/ml (Injection)

1 ml ampoule: ৳ 5.16 (10's pack: ৳ 51.63)

Medicine Details

Indications

  • Cardiovascular disorders
  • Anaesthetic premedication
  • Anticholinesterase and mushroom poisoning
  • Control of muscarinic side-effects of neostigmine

Pharmacology

  • Binds to and inhibit muscarinic acetylcholine receptors
  • Anticholinergic effects
  • Central stimulation
  • Bradycardia abolition
  • Reduction of heart block
  • Smooth muscle relaxation
  • Reduction of glandular secretions
  • Mydriatic effect
  • Cycloplegic effect

Dosage & Administration

  • Initial doses: 0.5 to 1.0 mg intravenously
  • Paediatric premedication doses
  • Large doses for anticholinesterase and mushroom poisoning
  • Control of muscarinic side-effects of neostigmine dosages
  • Toxic effects in infants and children

Interaction

  • Additive anticholinergic action with other drugs
  • Delaying gastric emptying effect
  • Absorption increase in some cases
  • Effect accentuation by metoclopramide

Contraindications

  • Glaucoma
  • Chronic lung disease
  • Unstable cardiac rhythm
  • Prostatic hypertrophy
  • Reflux oesophagitis
  • Paralytic ileus
  • Pyloric stenosis
  • Elderly

Side Effects

  • Dryness of mouth
  • Difficulty in swallowing and talking
  • Thirst
  • Reduced bronchial secretions
  • Mydriasis
  • Cycloplegia
  • Photophobia
  • Flushing
  • Dryness of skin
  • Transient bradycardia
  • Tachycardia
  • Palpitations
  • Arrhythmias
  • Difficulty in micturition
  • Reduction in the tone and motility of GIT
  • Constipation
  • Vomiting

Pregnancy & Lactation

  • Negligible effects on the human uterus
  • Not teratogenic
  • Appearance in breast milk
  • Reported impairment of milk production

Precautions & Warnings

  • Caution in children and geriatric patients
  • Caution in patients with diarrhoea
  • Risk of provoking hyperpyrexia
  • Increased susceptibility in persons with Down's syndrome
  • Tachycardia caution
  • Risk of exacerbating ischaemia and infarction in acute myocardial infarction
  • Caution in patients with hypertension
  • Potential mental confusion, especially in the elderly
  • Formation of mucous plugs

Therapeutic Class

  • Anticholinergics (antimuscarinics)/ Anti-spasmodics

Storage Conditions

  • Keep below 25°C temperature
  • Away from light & moisture
  • Keep out of the reach of children

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