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Anekain

See also Bupivacaine

Roman name

Anekain

The composition and the form of

1 ml solution for injection contains bupiwakaina hydrochloride 5 mg; Patients in the 20 ml, in a Box 5 bottles.

Farmakodinamika

In spinal anaesthesia is a modest relaxation of muscles of lower limbs grow long hours In mejreberna blockade continues to 7-14 hours; Epiduralna the blockade, 3-4 hours; To blockade abdominal muscles, 45-60 min.

Clinical pharmacology

Anaesthesia is 5-10 min. Analgeziruty effect continues after the end of anaesthesia, which reduces the need for aftercare admission painkillers.

Indications

Local anaesthesia (especially if prolonged action) : epiduralnaya, kaudalnaya and provodnikova anaesthesia; Anaesthesia in vpravlenia dislocation of joints upper and lower limbs; Infiltrazionnaya local anaesthesia.

Pregnancy and lactation

With caution.

Contraindications

Hypersensitivity, paratzervikalnaya blok-anesthesia deliveries (possible aetiology and fetal loss), in / with a regional anesthetic.

Side-Effects

Initiation, anxiety, dizziness, ringing in the ears, impaired vision, tremor, convulsions, nausea, vomiting, chills, narrowing pupils, oppression sokratimosti and conductivity attacks, the decline of the impactor, aetiology, gipotenzia, ventrikuliarnae arrhythmia (tachycardia, fibrillace); Allergic reactions (redness, urticaria, itching, sneezing, swelling angioneuroticeski, including laryngeal edema, tachycardia, sweating, the temperature, etc.), incl. anaphylactoidnykh signs and sincopalnah states.

Patient interaction

MAO inhibitors, fenyprazin, prazosin, beta-adrenoblokatora may increase toxicity (due to the impact on the allocation); Barbiturates lower concentration (by induction liver enzymes).

Precautions

It recommended the appointment of children under 12 years of age. A selection of individual doses in the elderly, patients with mental handicap, gipotenziei, vnutriserdecnami blockades, cardiovascular failure. Particular caution is required when re-use in patients with renal and hepatic insufficiency. Not to be confused with other local anaesthetics and alkaline substances. After opening a bottle should be used immediately.

Dosing and Administration

Misleading slowly with multiple aspiraciei, minimal dose capable of the necessary chemicals. Under dose should not exceed 175 mg (2 mg / kg). For epiduralna anaesthesia using 10-20 ml (50-100 mg), for cutting-15-30 ml (75-150 mg) for peripheral blockade, 5-30 ml (25-150 mg).

Storage conditions

List B. The temperature 15-25 ° C

Shelf life

3 years

The registration

014528/01-2002

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