Displaying 1 - 20 of 24
Active Ingredient GENTAMICIN
Therapeutic Class AMINOGLYCOSIDES
Indications Septicaemia and neonatal sepsis, biliary infections, intraabdominal and UTI, acute pyelonephritis. Severe gram-negative infections, primarily pseudomonas infections.
Caution Increase dose interval in renal impairment in children and the elderly. Use nomogram (see renal disease guidelines p.19-38) and check peak (1 hour) and trough (predose) levels. Nehrotoxicity or ototo More ...
Dose Range i.m. 3-5mg/kg/day in divided doses every 8 hours for 7-10 days. 12
hours (clearance 30-70 ml/min), 24 hours (clearance 10-30ml/min, 48 hours (clearance 5-10ml/min)
Drug Interactions
Pregnancy Risk of auditory or vestibular nerve damage in the infant when aminoglycosides a More ...
Breast Feeding
Active Ingredient TOBRAMYCIN
Therapeutic Class AMINOGLYCOSIDES
Indications Septicaemia and neonatal sepsis, biliary infections, endocarditis, acute pyelonephritis. Tobramycin is slightly more effective for Pseudomonas aeruginosa than gentamicin, but shows less activity agai More ...
Caution Nephrotoxicity and ototoxicity occur with high concentrations. It is less toxic than gentamicin. The dose should be reduced in renal failure and in the elderly. C.f. prescribing in renal disease p. 3 More ...
Dose Range Adult: 3-5mg/kg/day divided every 8 to 12 hours based on renal function and serum tobramy cin levels: or once-daily administration is
4-7mg/kg/day; higher doses may be needed depending on the diagnosis. Pediatric 1 mth- 12 yrs: 2-2.5mg/kg every 8 hours.
Drug Interactions
Pregnancy Risk of auditory or vestibular nerve damage in the infant when aminoglycosides a More ...
Breast Feeding
Active Ingredient ATRACURIUM
Therapeutic Class NEUROMUSCULAR BLOCKING AGENTS
Indications Neuromuscular blockade (short to intermediate duration) for surgery and intubation.
Caution Flushing; hypotension,Bronchospasm; hypersensitivity; skin reactions; tachycardia.
Dose Range Initially 300–600 micrograms/kg, then (by intravenous injection) 100–200 micrograms/kg as required, alternatively (by intravenous injection) initially 300–600 micrograms/kg, followed by (by intravenous infusion) 300–600 micrograms/kg/hour.
Drug Interactions
Pregnancy
Breast Feeding
Active Ingredient CISATRACURIUM
Therapeutic Class NEUROMUSCULAR BLOCKING AGENTS
Indications Neuromuscular blockade.
Caution Bradycardia.
Dose Range
Drug Interactions
Pregnancy
Breast Feeding Discontinue breastfeeding until the mother has recovered from neuromuscular bloc More ...
Active Ingredient PANCURONIUM BROMIDE
Therapeutic Class NEUROMUSCULAR BLOCKING AGENTS
Indications Usual drug of choice for major surgery and for use with long term ventilation of intensive care patients.
Caution Caution in hepatic and renal impairment. C.f. prescribing in renal
disease p. 34.
Dose Range i.v. 0.05-0.1mg/kg, then 0.01-0.02mg/kg as required.
Drug Interactions
Pregnancy
Breast Feeding Discontinue breastfeeding until the mother has recovered from neuromuscular bloc More ...
Active Ingredient SUXAMETHONIUM
Therapeutic Class NEUROMUSCULAR BLOCKING AGENTS
Indications Depolarising muscle relaxant of short duration (about 5 mins). Useful for endotracheal intubation
Caution Tachycardia, apnoea, flushing.
Dose Range Adults and children: i.v. 0.5-2mg/kg dep ending on degree of
relaxation required. c.f. prescribing in liver disease p. 18.
Drug Interactions
Pregnancy Mildly prolonged maternal neuromuscular blockade may occur.
Breast Feeding Discontinue breastfeeding until the mother has recovered from neuromuscular bloc More ...
Active Ingredient TIZANIDINE
Therapeutic Class NEUROMUSCULAR BLOCKING AGENTS
Indications Spasticity associated with multiple sclerosis and cerebrovascular or spinal cord disorders.
Caution Drowsiness, muscle weakness, dry mouth, fatigue, insomnia, G.I. disturbances, dizziness.
Dose Range Adult: 2-4mg three times daily . Maximum dose is 36mg daily. Safety has not been determined in children.See BDS supply protocols pg. 11.
Drug Interactions
Pregnancy Avoid Tizanidine during pregnancy.
Breast Feeding Avoid breastfeeding during Tizanidine therapy.
Active Ingredient PENTOXIFYLLINE
Therapeutic Class HEMORRHEOLOGICS
Indications Peripheral vascular disease. Pentoxifylline is indicated as an adjunct to surgery for treatment of intermittant claudication related to chronic occlusive arterial disease of the limbs.
Caution May take 2-4 weeks to see onset of action. Hypotension, nausea, dizziness.
Dose Range 400mg 2-3 times daily with meals.
Drug Interactions
Pregnancy Use with caution.
Breast Feeding Pentoxifylline is distributed in breastmilk and is not recommended for lactating More ...
Active Ingredient TRANEXAMIC ACID
Therapeutic Class ANTIHEMORRHAGIC AGENTS
Indications Treatment and prophylaxis of haemorrhage associated with excessive fibrinolysis.
Caution Gastrointestinal disturbances, hypotension, dizziness, visual disturbances and musculoskeletal.
Dose Range 1 to 1.5 g (or 15 to 25 mg/kg) 2 or 3 times daily . Slow intravenous injection: 0.5 to 1g 3 times daily (or 10 mg/kg is given 3 or 4 times daily ).
Drug Interactions
Pregnancy Manufacturer advises use only if potential benefit outweighs risk.
Breast Feeding
Active Ingredient PROTAMINE SULPHATE
Therapeutic Class ANTIHEPARIN
Indications Treatment of heparin overdose..
Caution Flushing, hypotension, bradycardia.
Protamine sulfate is a weak anticoagulant and e
+xcess amounts may worsen or trigger bleeding episodes.
Dose Range 1mg neutralises 100 units of heparin when given within 15 minutes.
Drug Interactions
Pregnancy
Breast Feeding
Active Ingredient ABSORBABLE GELATIN
Therapeutic Class HEMOSTATICS
Indications
Caution
Dose Range
Drug Interactions
Pregnancy
Breast Feeding
Active Ingredient AMINOCAPROIC ACID
Therapeutic Class HEMOSTATICS
Indications Increase Fibrinolysis.
Caution Allergic reactions, chills, fever.
Dose Range Initial priming dose 4-5g during the first hour, followed at 1 hour
intervals of 1-1.25g.
Drug Interactions
Pregnancy
Breast Feeding
Active Ingredient FACTOR IX
Therapeutic Class HEMOSTATICS
Indications Treatment of Hemophilia B.
Caution Hypersensitivity reactions.
Dose Range Depends on the desired increase in plasma IX levels. To calculate dose take body weight in kg multiplied by 1iu/kg multip lied by the desired increase in plasma factor IX.
Drug Interactions
Pregnancy Use only if clearly needed.
Breast Feeding
Active Ingredient FACTOR VIII
Therapeutic Class HEMOSTATICS
Indications Treatment of Hemophilia A.
Caution Some patients develop antibodies.
Dose Range The dosage of factor VIII should be determined for each patient and
will vary with the circumstances involving bleeding.
Drug Interactions
Pregnancy
Breast Feeding
Active Ingredient FIBRINOGEN HUMAN
Therapeutic Class HEMOSTATICS
Indications
Caution
Dose Range
Drug Interactions
Pregnancy
Breast Feeding
Active Ingredient AZELASTINE
Therapeutic Class ANTIALLERGIC AGENTS
Indications Allergic conjunctivitis.
Caution Mild transient eye burning/stinging; bitter taste rep orted.
Dose Range Seasonal allergic conjunctivitis: Adult and Child over 4 years:
Instill twice daily increased if necessary to 4 times daily . Perennial conjunctivitis: Adult and Child over 12 years: Instill twice daily , increased if necessary to 4 times daily ;
Drug Interactions
Pregnancy
Breast Feeding
Active Ingredient KETOTIFEN
Therapeutic Class ANTIALLERGIC AGENTS
Indications
Caution
Dose Range
Drug Interactions
Pregnancy
Breast Feeding
Active Ingredient OLOPATADINE
Therapeutic Class ANTIALLERGIC AGENTS
Indications Allergic conjunctivitis.
Caution Headache and stinging or burning of the eye.
Dose Range Adult and children 3 years and over: 0.1% twice daily ; 0.2%
once daily .
Drug Interactions
Pregnancy
Breast Feeding
Active Ingredient EMPAGLIFLOZIN|METFORMIN
Therapeutic Class SODIUM GLUCOSE CO TRANSPORTER INHIBITOR
Indications Indicated as adjunct to diet and exercise to improve glycemic control in adults with type 2 diabetes mellitus (T2DM) when treatment with both empagliflozin and metformin is appropriate
Caution Lactic acidosis is a metabolic complication that can occur due to metformin accumulation during treatment and is fatal in ~50% of cases. Necrotizing fasciitis of the perineum (Fournier gangrene) repor More ...
Dose Range Take twice daily with meals (ie, divide total daily dose into 2 doses/day)
For additional glycemic control, empagliflozin may be increased to maximum total daily dose of 25 mg in patients tolerating 10 mg/day and metformin may be increased to maximum total daily dose of 2,000 mg/day, with gradual escalation to reduce gastrointestinal adverse reactions with metformin.
Drug Interactions
Pregnancy Not recommended during second and third trimester of pregnancy based on animal d More ...
Breast Feeding There is no information regarding presence in human milk, the effects on breastf More ...
Active Ingredient GLIBENCLAMIDE
Therapeutic Class SULPHONYLUREAS
Indications Diabetes Mellitus. More potent than chlorpropamide but shorter
acting and not affected by renal failure. Half-life: 10 hours; Duration of Action: 24 hours. Glyburide is the micronised form More ...
Caution Hypoglycemia: Occurs more commonly in elderly patients, even with low doses. It is best avoided in the elderly . c.f. prescribing in liver and renal disease p. 14; 30.
Dose Range 2.5-5mg to a maximum of 20mg daily . Take with breakfast. See BDS
supply protocols pg. 7.
Drug Interactions
Pregnancy
Breast Feeding