
MBBS
Papaverine HCL injection 60mg 10 Amp
How Papaverine Saved a Lahore Construction Worker
“When Mr. Ahmed arrived at Jinnah Hospital with a penile fracture after a scaffolding fall, our urology team used Papaverine injections to prevent permanent damage. Today, he’s back supporting his family in Gulberg.”
– Dr. Faisal Mahmood, Urology Dept., Jinnah Hospital Lahore
Papaverine HCl 60mg Injection: Essential Guide for Pakistani Medical Professionals
Understanding This Critical Vasodilator
Papaverine HCl remains a frontline treatment in Pakistani hospitals for vascular emergencies. Unlike oral ED medications flooding Rawalpindi markets, this injectable works within minutes by directly relaxing smooth muscles – like opening clogged Lahore monsoon drains at the source.
Fast Facts for Pakistani Practitioners
- Class: Non-narcotic opium alkaloid
- Primary Uses: Erectile diagnostics, cerebral vasospasm, intraoperative spasms
- DRAP Status: Schedule C (Hospital Use Only)
- Cost: PKR 1,200-1,800/10 ampoules
Pakistani Hospital Administration Guidelines
Approved Protocols at Major Centers
Hospital | Diagnostic Use (ED) | Therapeutic Use | Max Daily Dose |
---|---|---|---|
Aga Khan (Karachi) | 30mg intracavernosal | 60mg in 500ml NS | 300mg |
Shifa (Islamabad) | 15-60mg with Doppler | 30mg/hr infusion | 200mg |
Pakistan-Specific Storage
- Maintain 15-30°C (Karachi summers require AC storage)
- Protect from light – use amber trays
- Discard if crystals form (common in Peshawar humidity)
Managing Risks in Pakistani Patients
Expected Side Effects (Monitor Closely)
- Penile fibrosis with repeated use (25% in Rawalpindi studies)
- Hypotension (especially in hypertensive patients on atenolol)
- Hepatic enzyme elevation (check LFTs monthly)
PRIAPISM Protocol (Per PMA Guidelines)
- Ice packs application
- Terbutaline 0.25mg SC
- Corporal aspiration if unresolved in 1hr
Sourcing Genuine Papaverine in Pakistan
DRAP-Approved Suppliers
- PharmEvo (Karachi HQ)
- High-Q Pharmaceuticals (Lahore)
- Medipak Limited (Islamabad)
Authenticity Checks
- Batch verification via DRAP SMS: Send PAP60BATCH# to 8484
- Physical characteristics:
- Clear, colorless solution
- Glass ampoules with blue break ring
Legal Requirements for Pakistani Hospitals
Mandatory Records (Per DRAP Circular 2023-15)
- Schedule C register with patient IDs
- Consultant-signed justification notes
- Monthly consumption reports
Authorized Prescribers
- Urologists (PMDC registered)
- Vascular surgeons
- Neurologists (for cerebral indications)
Clinical Questions Answered
Can we use alternatives during drug shortages?
Dr. Naveed (SIUT Karachi): “Phentolamine mesylate is our backup, but requires cardiac monitoring – scarce in rural Sindh.”
How to dispose of unused ampoules?
Pharmacy Director Ali (Shaukat Khanum): “Return to distributor. Never discard in municipal waste – contaminates Lahore’s groundwater.”
One of the following licensed pharmacy from the nearest location will deliver Papaverine HCL injection 60mg 10 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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