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Tserulin 0.5% / 2 ml ampoules 10s

  • $5.80
Sku: a475c0a5755d
Ingredient: Metoclopramide
The instruction for use
of medicine for

Tserulin's experts

the Trade name
Tserulin

Mezhdunarodnoye the unlicensed


name Metoclopramide Lekarstvennaya a form
Solution for injections of 0.5% 2 ml

Structure
of 2 ml of solution for injections contain
active agent - Metoclopramidum a hydrochloride of 10 mg,
excipients: sodium sulfite of 0.25 mg, sodium chloride of 16 mg, dinatrivy salt of ethylene diamine tetraacetic acid (EDTA dinatrium)
of 0.8 mg, water for injections up to 2 ml.

The description
the Transparent, colourless or slightly painted liquid.

The pharmacotherapeutic group
Stimulators of motility of digestive tract
the Code of automatic telephone exchange A03FA01

the Pharmacological

Pharmacokinetics Drug properties is quickly distributed in the majority of fabrics, easily passes through hematoencephalic and placentary barriers. Linking with proteins of plasma about 30%. It is metabolized in a liver. Half-life period of 4 - 6 h. It is excreted by kidneys (85% of a dose during 72 h) both in not changed look, and in the form of metabolites.

The pharmacodynamics
Antiemetic, promotes reduction of nausea, a hiccups, stimulates a digestive tract vermicular movement. Antiemetic action is caused by blockade of dopamine receptors and increase in a threshold of chemoceptors of a trigger zone. Promotes acceleration of gastric emptying by prevention of relaxation of a body of a stomach and increase in activity of antral department of a stomach and upper parts of a small intestine. Lowers physical activity of a gullet, raises a tone of the lower sphincter of a gullet, accelerates gastric emptying and also accelerates advance of food on a small intestine, without causing diarrhea. Metoclopramidum stimulates secretion of prolactin and causes tranzitorny increase in level of the circulating Aldosteronum that can be followed by a short-term delay of liquid.

Indications
- vomiting, nausea, a hiccups of various genesis
- an atony and hypotonia of a stomach and intestines (including
postoperative)
- dyskinesia of biliary tract
- a reflux esophagitis
- a meteorism
- as a part of complex therapy of exacerbations of a peptic ulcer of a stomach and
a duodenum
- acceleration of a vermicular movement when performing X-ray
inspection of digestive tract and duodenal sounding


Enter the Route of administration and doses intramusculary or intravenously, the adult on 10 mg (2 ml of 0.5% of solution) 1-3 times a day, in severe nausea or vomiting.
Maximum daily concentration of 60 mg. The average duration of a course is 4-6 weeks.
To children 6 years of 5 mg (1 ml of 0.5% of solution) 1-3 times a day, a daily dose of 15 mg are more senior.
For children under 6 years the daily dose makes 0.5-1 mg/kg, reception frequency 1-3 times a day. Inside to children aged 3-5lt appoint 2 mg of 2-3 times/days, at the age of 1-3 years - on 1 mg of 2-3 times/days, to 1goda-on 1 mg of 2 times/days.
For X-ray inspection enter adult 10-20 mg (2-4 ml of 0.5% of solution) intravenously.

Side effects
- a constipation, diarrhea, dryness in a mouth
- feeling of fatigue, drowsiness, dizziness, a headache, a depression, an akathisia. Emergence of extrapyramidal symptoms at children and persons of young age is possible (even after single use of Metoclopramidum): the spasm of facial muscles, hyperkinesias, a spastic wryneck (as a rule, pass right after the termination of intake of Metoclopramidum)
- an agranulocytosis
- skin rash
- at prolonged use in high doses - a galactorrhoea, a gynecomastia, disturbances of a menstrual cycle
- at prolonged use, is more often at patients of advanced age, the phenomena of parkinsonism, dyskinesia
- are possible at use in high doses asymptomatic weak hyperaemia of mucous membranes of the nasal courses

of the Contraindication
- hypersensitivity
- bleedings from digestive tract
- a pyloric stenosis
- mechanical intestinal impassability
- perforation of a stomach or intestines
- a pheochromocytoma
- extrapyramidal disturbances
- epilepsy
- prolaktinozavisimy tumors
- simultaneous use of anticholinergic drugs
- glaucoma
- pregnancy, breastfeeding
- age up to 2 years
- Parkinson's disease

Medicinal interactions
At simultaneous use Metoclopramidum strengthens absorption of acetylsalicylic acid, paracetamol, ethanol, a levodopa, tetracycline, ampicillin, reduces absorption of digoxin and Cimetidinum. At simultaneous use with Cimetidinum the decrease in efficiency of its absorption, posledny because of disturbance, is possible. It is not necessary to appoint Metoclopramidum along with neuroleptics (especially fenotiazinovy row and phenyl propyl ketone derivatives) as the risk of emergence of extrapyramidal reactions increases. Strengthens effect of alcohol and the drugs oppressing central nervous system.

Special instructions
With care apply at patients from renal/hepatic insufficiency, bronchial asthma, arterial hypertension. It is not effective in vomiting of vestibular genesis. Do not appoint after digestive tract surgeries (pyloroplasty or an anastomosis of intestines) as vigorous muscular contractions interfere with healing of seams.
The feature of influence of medicine on ability to run the vehicle or potentially dangerous mechanisms
At administration of drug should avoid potentially dangerous types of activity requiring special attention, fast mental and motor reaction (control of vehicles, etc.).

Overdose
Symptoms: drowsiness, confusion of consciousness, irritability, spasms, extrapyramidal motive disorders, dysfunctions of a cardiovascular system with bradycardia and arterial hypo - or hypertensia. Treatment: carry out symptomatic therapy.

A form of release and packing
Solution for injections of 0.5% in ampoules on 2 ml, a cardboard box on 10 pieces, in blister strip packaging on 5 and 10 pieces.


To Store storage conditions in the dry, protected from light place, at a temperature from + 2 wasps to + 30 wasps.
To store in the places inaccessible for children!

An expiration date
3 years
After an expiration date not to use drug.

Prescription status
According to the prescription

the Producer: JSC Khimpharm, Shymkent, REPUBLIC OF KAZAKHSTAN, Rashidov St.,/N, ph.: 560882
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