Nordrine 25 mg/5 ml (Injection)

5 ml ampoule: ৳ 25.00 (2 x 5: ৳ 250.00)

Medicine Details

Indications

  • Reverse hypotension induced by spinal or epidural anaesthesia

Pharmacology

  • Stimulant drug
  • Sympathomimetic
  • Alpha and beta adrenergic agonist
  • Enhances release of norepinephrine

Dosage & Administration

  • 3 to 6 mg Ephedrine Hydrochloride by slow intravenous injection
  • Maximum total dose is 30 mg
  • Also given by intramuscular or subcutaneous injection

Interaction

  • May cause hypertensive crisis in patients receiving Monoamine Oxidase Inhibitor
  • Avoid or use with care in patients undergoing anaesthesia with volatile anaesthetics
  • Increased risk of arrhythmias if given to patients receiving certain medications

Contraindications

  • Contraindicated in the presence of coronary thrombosis
  • Use with caution in patients with organic heart disease, hyperthyroidism, hypertension, and angina pectoris

Side Effects

  • Nausea
  • Vomiting
  • Tachycardia
  • Arrhythmias
  • Anginal pain
  • Hypotension
  • Hypertension
  • Dizziness
  • Headache
  • Anxiety
  • Restlessness
  • Confusion
  • Insomnia
  • Tremor
  • Difficulty in micturition
  • Changes in blood-glucose concentration

Pregnancy & Lactation

  • Category C for pregnancy
  • Not recommended for use during lactation due to risk of adverse effects in the infant

Precautions & Warnings

  • Use with care in patients with hyperthyroidism, diabetes mellitus, ischemic heart disease, hypertension, renal impairment, or angle-close glaucoma
  • May increase difficulty with micturition in patients with prostatic enlargement
  • Increased fetal heart rate reported with parenteral use
  • Irritability and disturbed sleep reported in breast-fed infants

Overdose Effects

  • Giddiness
  • Headache
  • Nausea
  • Vomiting
  • Sweating
  • Palpitations
  • Difficulty in micturition
  • Tremors
  • Anxiety
  • Restlessness
  • Insomnia

Therapeutic Class

  • Adrenoceptor stimulants
  • Vasoconstrictor
  • Venotonic

Storage Conditions

  • Store in a cool, dry place
  • Protected from light
  • Keep out of reach of children

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