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Generic Name : Doxapram
Pronunciation : DOX-uh-pram
Therapeutic Classification : Respiratory stimulants
Trade Name(s): India- Caropram inj, Doxapram. International- Dopram. Why it is prescribed (Indications) : This medication is a respiratory stimulant, prescribed for airway obstruction and drug induced respiratory depression. It alters neurotransmitters in the brain that stimulate breathing center. When it is not to be taken (Contraindications): Contraindicated in patients with epilepsy, blood clot in lungs, stroke, heart failure, severe high blood pressure and hypersensitivity.
Dosage & When it is to be taken : Adult: IV- Post-op resp depression- Initial: 0.5-1.5 mg/kg via injection. May repeat hourly if needed. Max total: 4 mg/kg. Acute resp failure- 1.5-4 mg/min via infusion. How it should be taken : It comes as a solution for injection, to be administered by a healthcare provider into the vein. Warnings and Precautions : * Monitor blood pressure, pulse rate, kidney and liver functions regularly while taking this medication. * Avoid rapid administration; otherwise it will lead to breakdown of blood cells. * Patient may develop with increased risk of low blood pressure or difficulty in breathing; if so consult with your doctor. * Caution should be exercised in patients with history of heart, liver or kidney disease, during pregnancy and breastfeeding. Side Effects : Central Nervous Systems- Fever, flushing, tingling, feeling warmth, burning or hot sensation, disorientation, hallucinations, headache, dizziness, hyperactivity, involuntary movements, increased deep tendon reflexes and convulsions. Respiratory- Difficulty in breathing, increased cough, fast breath and asthma. Heart- Inflammation of vein, irregular heart rate, chest pain, tightness in chest and high blood pressure. Gastrointestinal- Nausea, vomiting and diarrhea. Genitourinary- Uncontrolled urination, urinary retention and elevation of Blood Urea Nitrogen and albumin in urine. Blood- Breakdown of blood cells, anemia and decrease in white blood cells. Skin- Sweating and itching. Eye- Pupil dilation. * Patient must be provided with adequate oxygen and ventilation. * Avoid excess/low dosage. Storage Conditions : Store it at room temperature (20°-25°C) and in an airtight container. |
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