Ethyl morphine + Noscapine + Chlorpheniramine Maleate + Ephedrine Pharmacology

Ethyl morphine + Noscapine + Chlorpheniramine Maleate + Ephedrine

About Ethyl morphine + Noscapine + Chlorpheniramine Maleate + Ephedrine
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Mechanism of Action of Ethyl morphine + Noscapine + Chlorpheniramine Maleate + Ephedrine
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Pharmacokinets of Ethyl morphine + Noscapine + Chlorpheniramine Maleate + Ephedrine
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Onset of Action for Ethyl morphine + Noscapine + Chlorpheniramine Maleate + Ephedrine
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Duration of Action for Ethyl morphine + Noscapine + Chlorpheniramine Maleate + Ephedrine
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Half Life of Ethyl morphine + Noscapine + Chlorpheniramine Maleate + Ephedrine
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Side Effects of Ethyl morphine + Noscapine + Chlorpheniramine Maleate + Ephedrine
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Contra-indications of Ethyl morphine + Noscapine + Chlorpheniramine Maleate + Ephedrine
N/A
Special Precautions while taking Ethyl morphine + Noscapine + Chlorpheniramine Maleate + Ephedrine
N/A
Pregnancy Related Information
N/A
Old Age Related Information
N/A
Breast Feeding Related Information
N/A
Children Related Information
N/A
Indications for Ethyl morphine + Noscapine + Chlorpheniramine Maleate + Ephedrine
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Interactions for Ethyl morphine + Noscapine + Chlorpheniramine Maleate + Ephedrine
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Typical Dosage for Ethyl morphine + Noscapine + Chlorpheniramine Maleate + Ephedrine
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Schedule of Ethyl morphine + Noscapine + Chlorpheniramine Maleate + Ephedrine
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Storage Requirements for Ethyl morphine + Noscapine + Chlorpheniramine Maleate + Ephedrine
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Effects of Missed Dosage of Ethyl morphine + Noscapine + Chlorpheniramine Maleate + Ephedrine
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Effects of Overdose of Ethyl morphine + Noscapine + Chlorpheniramine Maleate + Ephedrine
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Ethyl Morphine

About Ethyl Morphine
Opioids , Antitussive ,Analgesic.
Mechanism of Action of Ethyl Morphine
Ethylmorphine exerts it`s action through opioid receptors and posses antitussive properties. It directly acts on cough centre and suppresses cough. It also posses analgesic action due to it`s agonistic action on opioid receptors
Pharmacokinets of Ethyl Morphine
Absorption: Well absorbed orally.Metabolism: It is converted in to Morphine and norethylmorphine in the body.
Onset of Action for Ethyl Morphine
N/A
Duration of Action for Ethyl Morphine
N/A
Half Life of Ethyl Morphine
N/A
Side Effects of Ethyl Morphine
1. Constipation
2. Nausea
3. Vomiting
4. Drymouth
5. Respiratory depression
6. Hypotension
7. Bradycardia
8. Dizziness
9. Sedation
10. Euphoria
11. Urine retention
12. Flushing
13. Pruritus
14. Diaphoresis
15. Physical dependence
16. Hepatic impairment
17. Renal impairment
18. Thrombocytopenia
19. Change in libido
20. Miosis
21. Altered glucose tolerance
Contra-indications of Ethyl Morphine
1. Hypersensitivity to the drug
2. Respiratory insufficiency
3. Cough accompanied by expectorations
4. Paralytic ileus
5. Head injury

Special Precautions while taking Ethyl Morphine
1. Renal impairment
2. Hepatic impairment
3. Increased CSF pressure
4. Hypothyroidism
5. COPD
6. In deliberate individuals
7. Prostatic hypertrophy
8. Epilepsy
9. The duration of the treatment should be as small as possible

Pregnancy Related Information
Contraindicated
Old Age Related Information
Use with caution
Breast Feeding Related Information
Use with caution
Children Related Information
Use with caution
Below 8 years: Contraindicated
Indications for Ethyl Morphine
1. As antitussive
Interactions for Ethyl Morphine
N/A
Typical Dosage for Ethyl Morphine
Oral:
Adults: 10 to 15mg 3 to 4 times daily up to 50mg/day.
Maximum dose: 100mg/day
Children (age 8 to 14): 15 to 30mg daily as equally divided doses.Maximum dose:5mg/10kg/day.

Schedule of Ethyl Morphine
N/A
Storage Requirements for Ethyl Morphine
Store at controlled room temperature at a range of 15 to 30 degree C.
Effects of Missed Dosage of Ethyl Morphine
Take 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 Ethyl Morphine
Establish adequate respiratory exchange via a patent airway and ventilation as needed. Administer opioid antagonist Naloxone to reverse respiratory depression; use repeatedly as required. (Naloxone shouldn`t be administered unless patient has clinically significant respiratory or cardiovascular depression.). If patient shows signs and symptoms within 2 hours of ingestion empty the stomach by gastric lavage and induced emesis. Reduce absorption by administration of activated charcoal. Closely monitor vital parameters and correct fluid and electrolyte balance. Provide symptomatic and supportive treatment.

Noscapine

About Noscapine
A benzylisoquinoline alkaloid(opium alkaloid), Antitussive, mild analgesic.
Mechanism of Action of Noscapine
It acts as antitussive by selectively suppressing cough without narcotic, analgesic, or dependence inducing properties.
Pharmacokinets of Noscapine
Absorption: Well absorbed orally, Distribution: Widely distributed in the body and appears in the breast milk.
Onset of Action for Noscapine
N/A
Duration of Action for Noscapine
N/A
Half Life of Noscapine
N/A
Side Effects of Noscapine
1. Headache
2. Drowsiness
3. Nausea
4. Bronchoconstriction
5. Rashes.
Contra-indications of Noscapine
1. Intolerance to Noscapine
2. Bronchial asthma
3. Along with alcohol or CNS depressants.
Special Precautions while taking Noscapine
N/A
Pregnancy Related Information
Contraindicated
Old Age Related Information
Use with caution
Breast Feeding Related Information
Use with caution
Children Related Information
Use with caution
Indications for Noscapine
1.Spasmodic cough
2.Irritant dry cough
3.Bronchitis
4.Tracheitis
5.Viral infections of the upper respiratory tract
6.Pertussis (Whooping cough)
Interactions for Noscapine
N/A
Typical Dosage for Noscapine
Oral:
(5ml syrup contains 15mg Noscapine)
Adults: 15 to 30mg up to 4 times daily.
Children (6 to 12years): 7.5 to 15mg up to 4 times daily.
Children (2 to 6years): 3.75 to 7.5 mg up to 4 times daily.
Schedule of Noscapine
N/A
Storage Requirements for Noscapine
Store in a cool dry area and protect from light. Keep out of reach of children.
Effects of Missed Dosage of Noscapine
Take 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 Noscapine
Provide symptomatic treatment and supportive measures.

Chlorpheniramine Maleate

About Chlorpheniramine Maleate
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Mechanism of Action of Chlorpheniramine Maleate
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Pharmacokinets of Chlorpheniramine Maleate
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Onset of Action for Chlorpheniramine Maleate
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Duration of Action for Chlorpheniramine Maleate
N/A
Half Life of Chlorpheniramine Maleate
N/A
Side Effects of Chlorpheniramine Maleate
N/A
Contra-indications of Chlorpheniramine Maleate
First Generation alkylamine H1 Antagonist, Antihistamine.
Special Precautions while taking Chlorpheniramine Maleate
N/A
Pregnancy Related Information
N/A
Old Age Related Information
N/A
Breast Feeding Related Information
N/A
Children Related Information
N/A
Indications for Chlorpheniramine Maleate
N/A
Interactions for Chlorpheniramine Maleate
N/A
Typical Dosage for Chlorpheniramine Maleate
N/A
Schedule of Chlorpheniramine Maleate
N/A
Storage Requirements for Chlorpheniramine Maleate
N/A
Effects of Missed Dosage of Chlorpheniramine Maleate
N/A
Effects of Overdose of Chlorpheniramine Maleate
N/A

Ephedrine

About Ephedrine
Alpha/Beta Adrenergic Agonist , Sympathomimetic amine, Stimulant, vasopressor(parenteral), bronchodilator.
Mechanism of Action of Ephedrine
Ephedrine 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 Ephedrine
Absorption: 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 Ephedrine
Oral: 15 to 60 minutes
I.V.: 5minutes
I.M., S.C.: 10 to 20 minutes
Duration of Action for Ephedrine
Oral: 3 to 5 hours
I.V.: 60 minutes
I.M.: S.C.: 30 to 60 minutes
Half Life of Ephedrine
N/A
Side Effects of Ephedrine
1. 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 Ephedrine
1. 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 Ephedrine
1. Hypertension
2. Hyperthyroidism
3. Nervous or excitable states
4. Diabetes
5. Prostatic hyperplasia
6. Diabetes

Pregnancy Related Information
Contraindicated
Old Age Related Information
Use with caution
Breast Feeding Related Information
Contraindicated
Children Related Information
Use with caution
Indications for Ephedrine
1. As nasal decongestant
2. As bronchodilator
3. Acute severe bronchospasm
4. Hypotension
5. Enuresis
Interactions for Ephedrine
N/A
Typical Dosage for Ephedrine
Oral:
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 Ephedrine
N/A
Storage Requirements for Ephedrine
Store 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 Ephedrine
Take 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 Ephedrine
Provide 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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