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- Pharmacology For Ammonium chloride + Sodium citrate + Chlorpheniramine Maleate + Ephedrine
Ammonium chloride + Sodium citrate + Chlorpheniramine Maleate + Ephedrine Pharmacology
Ammonium chloride + Sodium citrate + Chlorpheniramine Maleate + Ephedrine
About Ammonium chloride + Sodium citrate + Chlorpheniramine Maleate + EphedrineN/AMechanism of Action of Ammonium chloride + Sodium citrate + Chlorpheniramine Maleate + EphedrineN/APharmacokinets of Ammonium chloride + Sodium citrate + Chlorpheniramine Maleate + EphedrineN/AOnset of Action for Ammonium chloride + Sodium citrate + Chlorpheniramine Maleate + EphedrineN/ADuration of Action for Ammonium chloride + Sodium citrate + Chlorpheniramine Maleate + EphedrineN/AHalf Life of Ammonium chloride + Sodium citrate + Chlorpheniramine Maleate + EphedrineN/ASide Effects of Ammonium chloride + Sodium citrate + Chlorpheniramine Maleate + EphedrineN/AContra-indications of Ammonium chloride + Sodium citrate + Chlorpheniramine Maleate + EphedrineN/ASpecial Precautions while taking Ammonium chloride + Sodium citrate + Chlorpheniramine Maleate + EphedrineN/APregnancy Related InformationContraindicated. Since Chlorpheniramine Maleate is contraindicated in pregnancy the combination generic cannot be used in pregnancy.Old Age Related InformationN/ABreast Feeding Related InformationContraindicated. Since Chlorpheniramine Maleate is contraindicated in breast feeding mother the combination generic cannot be used in lactationChildren Related InformationN/AIndications for Ammonium chloride + Sodium citrate + Chlorpheniramine Maleate + Ephedrine1.Cough due to allergy
2.Cold
Interactions for Ammonium chloride + Sodium citrate + Chlorpheniramine Maleate + EphedrineN/ATypical Dosage for Ammonium chloride + Sodium citrate + Chlorpheniramine Maleate + Ephedrine1 - 2 teaspoonful to be taken 3 - 4 times dailySchedule of Ammonium chloride + Sodium citrate + Chlorpheniramine Maleate + EphedrineN/AStorage Requirements for Ammonium chloride + Sodium citrate + Chlorpheniramine Maleate + EphedrineN/AEffects of Missed Dosage of Ammonium chloride + Sodium citrate + Chlorpheniramine Maleate + EphedrineN/AEffects of Overdose of Ammonium chloride + Sodium citrate + Chlorpheniramine Maleate + EphedrineN/AAmmonium chloride
About Ammonium chlorideAmmonium compound, Acidifier,Expectorant.Mechanism of Action of Ammonium chlorideN/APharmacokinets of Ammonium chlorideN/AOnset of Action for Ammonium chlorideN/ADuration of Action for Ammonium chlorideN/AHalf Life of Ammonium chlorideN/ASide Effects of Ammonium chlorideN/AContra-indications of Ammonium chlorideN/ASpecial Precautions while taking Ammonium chlorideN/APregnancy Related InformationN/AOld Age Related InformationN/ABreast Feeding Related InformationN/AChildren Related InformationN/AIndications for Ammonium chlorideN/AInteractions for Ammonium chlorideN/ATypical Dosage for Ammonium chlorideN/ASchedule of Ammonium chlorideN/AStorage Requirements for Ammonium chlorideN/AEffects of Missed Dosage of Ammonium chlorideN/AEffects of Overdose of Ammonium chlorideN/ASodium citrate
About Sodium citrateSodium compound,citrates, Urinary alkalinizing agent, a directly acing expectorant.Mechanism of Action of Sodium citrateSodium citrate is an alkalinizing agent which is used to make the urine more alkaline (less acidic).It prevents certain kinds of kidney stones and also relieve discomfort in mild urinary tract infections such as cystitis. Sodium citrate also makes the blood more alkaline in certain conditions. Sodium citrate is a directly acing expectorant which increases bronchial secretion by salt action.Pharmacokinets of Sodium citrateAbsorption: Administered orally, Metabolism: Metabolized in to sodium bicarbonate, Excretion: Excreted through urine.Onset of Action for Sodium citrateN/ADuration of Action for Sodium citrateN/AHalf Life of Sodium citrateN/ASide Effects of Sodium citrate1. Polyuria
2. Hypernatremia
3. Metabolic alkalosis
4. Diarrhea
5. Loose bowel movements
6. Allergic reactions (rare)
7. Chest pain (rare)
8. Shortness of breath (rare)
Contra-indications of Sodium citrateHypersensitivity to the drugSpecial Precautions while taking Sodium citrate1. Renal impairment
2. Edema
3. Hypertension
4. Patients on a sodium restricted diet
5. Along with other medication
6. Addison`s disease
7. Type 2 diabetes mellitus
8. Chronic Diarrhea
9. Cardiac diseases
10. Toxemia of pregnancy
11. Urinary tract infections
Pregnancy Related InformationUse with cautionOld Age Related InformationUse with cautionBreast Feeding Related InformationUse with cautionChildren Related InformationMay be usedIndications for Sodium citrate1. Expectorant
2. Kidney stones
3. Cystitis
4. Gout
5. Urine and blood alkaliniser
6. Symptomatic treatment of nausea and vomiting
Interactions for Sodium citrateN/ATypical Dosage for Sodium citrateOral:
Expectorant: 0.3 to 1g
As alkaliniser: Dosage individualized and varies in different combinations Symptomatic treatment of nausea and vomiting: Use 5%Sodium citrate in the following doses:
Adults: 2 to3 g; 3 to 4 times daily.
Children (up to 3 months): 0.05 g;
Children (3 to 6 months): 0.1 g;
Children (6 to 12 months): 0.25 g;
Children (2 to 3 years): 0.30 g;
Children (4 to 7 years): 0.50 g;
Children (8 to 14 years): 1 to 2 g; 3 to 4 times daily
Schedule of Sodium citrateN/AStorage Requirements for Sodium citrateStore in a cool dry area in a tightly closed container. Protect from direct light, heat, and moistureEffects of Missed Dosage of Sodium citrateTake the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.
Effects of Overdose of Sodium citrateProvide symptomatic treatment and supportive measures.Chlorpheniramine Maleate
About Chlorpheniramine MaleateN/AMechanism of Action of Chlorpheniramine MaleateN/APharmacokinets of Chlorpheniramine MaleateN/AOnset of Action for Chlorpheniramine MaleateN/ADuration of Action for Chlorpheniramine MaleateN/AHalf Life of Chlorpheniramine MaleateN/ASide Effects of Chlorpheniramine MaleateN/AContra-indications of Chlorpheniramine MaleateFirst Generation alkylamine H1 Antagonist, Antihistamine.Special Precautions while taking Chlorpheniramine MaleateN/APregnancy Related InformationN/AOld Age Related InformationN/ABreast Feeding Related InformationN/AChildren Related InformationN/AIndications for Chlorpheniramine MaleateN/AInteractions for Chlorpheniramine MaleateN/ATypical Dosage for Chlorpheniramine MaleateN/ASchedule of Chlorpheniramine MaleateN/AStorage Requirements for Chlorpheniramine MaleateN/AEffects of Missed Dosage of Chlorpheniramine MaleateN/AEffects of Overdose of Chlorpheniramine MaleateN/AEphedrine
About EphedrineAlpha/Beta Adrenergic Agonist , Sympathomimetic amine, Stimulant, vasopressor(parenteral), bronchodilator.Mechanism of Action of EphedrineEphedrine is a mixed acting sympathomimetic drug which mainly acting indirectly but also has some direct action on alpha and beta adrenergic receptors. It causes release of nor-epinephrine from it`s storage sites and stimulates alpha and beta adrenergic receptors. It relaxes bronchial smooth muscle by stimulating beta-2 adrenergic receptors and thus causes increased vital capacity, relief of mild bronchospasm, improved air exchange and decreased residual volume. Ephedrine produces cardiac stimulation with increased systolic and diastolic pressure when nor-epinephrine stores aren`t depleted. It produces positive inotropic effects with low doses through action on beta-1 receptors in heart. It causes vasodilatation through beta-2 receptors and vasoconstriction through alpha adrenergic receptors. Presser effects results from vasoconstriction, cardiac stimulation, and increased cardiac output. It produces nasal decongestant action by stimulating alpha receptors in blood vessels of nasal mucosa and causing vasoconstriction and nasal decongestion.Pharmacokinets of EphedrineAbsorption: Well absorbed after Oral, S.C., or I.M. administration.
Distribution: Widely distributed throughout the body
Metabolism: Slowly metabolized in liver by oxidative deamination, demethylation, aromatic hydroxylation and conjugation.
Excretion: Excreted mainly through urine as unchanged drug.
Onset of Action for EphedrineOral: 15 to 60 minutes
I.V.: 5minutes
I.M., S.C.: 10 to 20 minutes
Duration of Action for EphedrineOral: 3 to 5 hours
I.V.: 60 minutes
I.M.: S.C.: 30 to 60 minutes
Half Life of EphedrineN/ASide Effects of Ephedrine1. Arrhythmias
2. Palpitations
3. Tachycardia
4. Hypertension
5. Precordial pain
6. Insomnia
7. Nervousness
8. Headahe
9. Dizziness
10. Confusion
11. Euphoria
12. Delirium
13. Mucosal irritation
14. Dry nose and throat
15. Nausea
16. Vomiting
17. Anorexia
18. Urine retention
19. Painful urination
20. Muscle weakness
21. Diaphoresis.
Contra-indications of Ephedrine1. Hypersensitivity to the drug or other sympathomimetics
2. Severe coronary artery disease
3. Porphyria
4. Arrhythmias
5. Angina pectoris
6. Susstatial organic heart disease
7. Cardiovascular diseases
8. Angle closure glaucoma
9. Psychoneurosis
10. In those taking MAO inhibitors
Special Precautions while taking Ephedrine1. Hypertension
2. Hyperthyroidism
3. Nervous or excitable states
4. Diabetes
5. Prostatic hyperplasia
6. Diabetes
Pregnancy Related InformationContraindicatedOld Age Related InformationUse with cautionBreast Feeding Related InformationContraindicatedChildren Related InformationUse with cautionIndications for Ephedrine1. As nasal decongestant
2. As bronchodilator
3. Acute severe bronchospasm
4. Hypotension
5. Enuresis
Interactions for EphedrineN/ATypical Dosage for EphedrineOral:
Adults:
As bronchodilator or nasal decongestant:12.5 to 50mg at every 3 to 4 hours; as required. Do not exceed 150mg in 24 hours.
Orthostatic hypotension: 25mg 1 to 4 times daily as required.
Children:
Above 12 years:12.5 to 50mg at every 3 to 4 hours; as required. Do not exceed 150mg in 24 hours.
Age 6 to 12: 6.25 to 12.5mg every four hours. Do not exceed 75mg in 24 hours.
Children over 2 years: 2 to 3mg/kg/day in 4 to 6 divided doses.
Orthostatic hypotension: 3mg/kg/day divided in to 4 to 6 doses.
Enuresis: 25 to 50mg at bed time.
Nasal spray:
As nasal decongestant:
Adults and children over 12 years: 2 to 3 sprays to each nostril; not more than every four hours.
Children (age 6 to 12): 1 to 2 sprays to each nostril; not more than every four hours.
I.M., S.C., or I.V.:
Acute severe bronchospasm: 12.5 to 25mg I.M., S.C., or I.V.
Hypotension:
Adults: 25 to 50mg S.C. or I.M., or 10 to 25mg as slow I.V. bolus. A second I.M. dose of 50mg or I.V. dose of 25mg is administered if required. Repeat I.V. doses in 5 to 10minutes if required.
Maximum dose: 150mg/day.
Children: 3mg/kg/day S.C. or I.V. divided in to 4 to 6 doses
Schedule of EphedrineN/AStorage Requirements for EphedrineStore at controlled room temperature at a range of 15 to 30 degree C. in a well closed container. Protect from light.Effects of Missed Dosage of EphedrineTake the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.
Effects of Overdose of EphedrineProvide supportive treatment and symptomatic measures. If patient is conscious induce emesis and reduce absorption by administration of activated charcoal. Perform gastric lavage if required. Maintain airway and blood pressure and closely monitor vital signs. Do not administer vasopressors. Beta blockers such as propranolol are used to treat arrhythmias. Use cardio selective beta blockers in asthmatic patients. Treat hypertension with Phentolamine, Seizures with paraldehyde or Diazepam, Pyrexia with seizures.
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