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Nitriate Injection 50 mg 5 Amp
- Does this requires a prescription ? Yes
- Generic Name: Sodium Nitroprusside
- Manufactured by : Acti-med Pharma
- Drug Strength : 50 mg
- Drug Form : Injection
- Pack Size : 5 AMP
- Product SKU : pg_16176_22450
Out of stock
Nitriate Injection contains Sodium Nitroprusside | belongs to Antihypertensive: Vasodilator
Alternate brands of Nitriate Injection 50 mg 5 Amp
Brand Name | Price | Savings |
---|---|---|
Nitrop Injection 50 mg 1 Amp | ₨ 607.00 | You can save 2428 |
How it works
Nitriate Injection 50 mg 5 Amp relaxes and dilates the blood vessels. This allows the blood to circulate freely and smoothly and reduces blood pressure.
Side effects
Major & minor side effects for Nitriate Injection 50 mg 5 Amp
- Chest pain or discomfort
- Injection site pain
- Fast or irregular heartbeat
- Trouble breathing
- Dizziness
- Headache
- Constipation
- Weight gain
Uses of Nitriate Injection 50 mg 5 Amp
What is it prescribed for?
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Hypertensive Emergency
This medicine is used to lower the blood pressure during a hypertensive crisis (a life-threatening high blood pressure). It also helps in producing controlled low blood pressure during surgeries to reduce the bleeding.
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Congestive Heart Failure
This medicine is used in the treatment of congestive heart failure, a condition where the heart doesn't pump blood adequately.
Concerns
Frequently asked questions
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Onset of action
The effect of this medicine can be observed within 2 minutes of administration of the dose.
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Duration of Effect
The effect of this medicine lasts for an average duration of 1 to 10 minutes.
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Safe with Alchohol?
Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.
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Is it habit forming?
No habit-forming tendencies were reported.
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Usage in pregnancy?
This medicine is not recommended for pregnant women unless absolutely necessary. The potential benefits and risks should be discussed with the doctor before receiving this medicine.
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Usage while breast-feeding?
This medicine is not recommended in breastfeeding women unless absolutely necessary. The potential benefits and risks should be discussed with the doctor before receiving this medicine.
When not to use?
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Allergy
This medicine is not recommended for use in patients with a known allergy to Nitriate Injection 50 mg 5 Amp or any other inactive ingredients present along with it.
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Compensatory Hypertension
This medicine is not recommended for use in patients with compensatory hypertension due to the risk of worsening of the patient's condition.
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Acute congestive heart failure due to reduced peripheral vascular resistance
This medicine is not recommended for use in patients with acute congestive heart failure associated with decreased peripheral vascular resistance due to the risk of worsening of the patient's condition.
Warnings
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Pregnancy
This medicine is not recommended for pregnant women unless absolutely necessary. The potential benefits and risks should be discussed with the doctor before receiving this medicine.
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Breast-feeding
This medicine is not recommended in breastfeeding women unless absolutely necessary. The potential benefits and risks should be discussed with the doctor before receiving this medicine.
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Intracranial hypertension
This medicine should be used with caution in patients with intracranial hypertension (increased pressure within the brain) due to the increased risk of adverse effects. Close monitoring of the clinical condition, appropriate dose adjustments, or replacement with a suitable alternative may be required in some cases based on the clinical condition of the patient.
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Liver impairment
This medicine should be used with caution in patients with liver impairment due to the increased risk of adverse effects. Close monitoring of liver function, appropriate dose adjustments, or replacement with a suitable alternative may be required in some cases based on the clinical condition of the patient.
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Kidney impairment
This medicine should be used with caution in patients with kidney impairment due to the increased risk of adverse effects. Close monitoring of kidney function, appropriate dose adjustments, or replacement with a suitable alternative may be required in some cases based on the clinical condition of the patient.
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Hypothyroidism
This medicine should be used with caution in patients with hypothyroidism (a condition of lack of enough thyroid hormones) due to the increased risk of adverse effects. Close monitoring of thyroid function, appropriate dose adjustments, or replacement with a suitable alternative may be required in some cases based on the clinical condition of the patient.
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Cyanide toxicity
Cyanide toxicity may occur in some patients on therapy with this medicine. Appropriate corrective measures, dose adjustments, or replacement with a suitable alternative may be required in some cases based on the clinical condition of the patient.
Dosage
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Missed Dose
Since this medicine is usually administered by a qualified healthcare professional in the clinical/hospital setting, the likelihood of a missed dose is very low.
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Overdose
Since this medicine is administered in the hospital setting by a qualified healthcare professional, the likelihood of an overdose is very less. However, emergency medical treatment will be initiated by the doctor if an overdose is suspected.
Interactions
Interaction with Medicines- Corticosteroids moderate
- Alprazolam moderate
- Tizanidine severe
- Asenapine moderate
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severe
This medicine is not recommended for use in patients with conditions that obstruct the arteries that supply blood to the brain due to the risk of worsening of the patient's condition. An alternative treatment option should be considered based on the clinical condition of the patient.
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moderate
This medicine should be used with extreme caution in patients with anemia due to the risk of worsening of the patient's condition. The anemia should be corrected in such patients before starting therapy with this medicine. Appropriate dose adjustments or replacement with a suitable alternative should be done under your doctor's supervision.
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moderate
This medicine should be used with caution in patients with liver impairment due to the increased risk of adverse effects. Close monitoring of liver function, appropriate dose adjustments, or replacement with a suitable alternative may be required in some cases based on the clinical condition of the patient.
General Instructions
This medicine is usually administered in the clinical/hospital setting under the supervision of a qualified healthcare professional. Follow all the instructions given by your doctor. Inform the doctor if you have a known allergy to this medicine. Report all your current medicines as well as your medical conditions to the doctor before receiving this medicine.
Other details
- Usage does not depend on food timings
- To be taken as instructed by doctor
- May cause sleepiness
References
- dailymed - SODIUM NITROPRUSSIDE [Internet]. Available from: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=5a599880-c133-44ef-a9f2-bd1b681563be [cited 1/12/2021]. 2020
How to use Nitriate Injection 50 mg 5 Amp
IV: IV infusion only, use only as an infusion with 5% dextrose in water. Infusion pump required. Not for direct injection. Note: A blue colour indicates almost complete degradation & breakdown of cyanide. Solutions should be wrapped with aluminium foil or other opaque material to protect from light(do as soon as possible).
Compatibility: Stable in LR.
Y-site administration:
Drug to Drug IV Compatibility: Amikacin, aztreonam, bumetanide, calcium gluconate, cephazolin, ceftriaxone, cimetidine, dexamethasone, diltiazem, dopamine, enalapril, epinephrine, esmolol, famotidine, fentanyl, fluconazole, furosemide, gentamicin, heparin, hydrocortisone, hydromorphone, insulin regular, labetalol, linezolid, lorazepam, magnesium sulphate, methylprednisolone, metoclopramide, midazolam, milrinone, morphine, nitroglycerin, norepinephrine, ondansetron, phenylephrine, piperacillin/tazobactam, propofol, ranitidine, tobramycin, vancomycin, vasopressin, vecuronium.
Drug to Drug IV Incompatibility: Acyclovir, cisatracurium, diphenhydramine, levofloxacin.
When admixed: Incompatible with atracurium.
Stability: Store at 15°C-30°C (59°F-86°F). If properly protected from light, the freshly reconstituted and diluted solution is stable for 24 hours. Protect the diluted solution from light by promptly wrapping with the supplied opaque sleeve, aluminium foil, or other opaque material. It is not necessary to cover the infusion drip chamber or the tubing.
UNLICENSED USE
Children: Hypertensive emergencies: Continuous IV infusion. Neonate, 500 nanograms/kg/minute then increased in steps of 200 nanograms/kg/minute as necessary to max. 8 micrograms/kg/minute (max 4 mcg/kg/minute if used for longer than 24 hr); 1 mth-18 yr, 500 nanograms/kg/ minute then increased in steps of 200 nanograms/kg/minute as necessary to max 8 mcg/kg/minute (max 4 mcg/kg/minute if used for longer than 24 hr).
what are the adverse effects of Nitriate Injection 50 mg 5 Amp?
Associated with over rapid reduction in blood pressure (reduce infusion rate); headache, dizziness, nausea, retching, abdominal pain, perspiration, palpitation, anxiety, retrosternal discomfort; occasionally reduced platelet count, acute transient phlebitis.
What happens if I miss a dose of Nitriate Injection 50 mg 5 Amp?
Adults: Hypertensive crisis: By IV infusion, initially 0.5-1.5 mcg/kg/min, then increased in steps of 500 nanograms/kg/min every 5 min within range 0.5-8 mcg/kg/min (lower doses in patients already receiving other antihypertensives); stop if response unsatisfactory with max dose in 10 min. Lower initial dose of 300 nanograms/kg/min has been used. Maintenance of blood pressure at 30-40% lower than pretreatment diastolic blood pressure, 20-400 mcg/min (lower doses for patients being treated with other antihypertensives).
Controlled hypotension in surgery: By IV infusion, max 1.5 mcg/kg/min.
Heart failure: By IV infusion, initially 10-15 mcg/min, increased every 5-10 min as necessary; usual range 10-200 mcg/min normally for max 3 days.
Children: Not recommended.
One of the following licensed pharmacy from the nearest location will deliver Nitriate Injection 50 mg 5 Amp. The details of the licensed pharmacy shall be shared once you request the drugs and the respective pharmacy accepts your request based on valid prescription and availability.
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