By F. Bradley. Holy Family College. 2018.
Remarks – For young children 20 mg tadacip for sale impotence nerve, if the oral solution is not available buy 20mg tadacip mastercard hcpcs code for erectile dysfunction pump, crush the tablet and mix it with a liquid cheap tadacip 20 mg with mastercard erectile dysfunction with normal testosterone levels. If necessary, these doses may be gradually increased up to 20 mg/day according to clinical response. Once the patient is stable, the maintenance dose is administered once daily in the evening. Duration – Acute psychosis: minimum 3 months; chronic psychosis: minimum one year. Contra-indications, adverse effects, precautions – Do not administer to patients with cardiac disorders (cardiac failure, recent myocardial infarction, conduction disorders, bradycardia, etc. Remarks – Haloperidol produces less orthostatic hypotension than chlorpromazine and has little anticholinergic effects. It is less sedative than chlorpromazine but produces more extrapyramidal symptoms. Dosage – Hypertension Adult: 25 to 50 mg/day in 2 divided doses – Oedema Child: 1 mg/kg/day in 2 divided doses Adult: 50 to 100 mg in the morning, on alternate days Duration – According to clinical response Contra-indications, adverse effects, precautions – Do not administer if severe renal failure, allergy to sulphonamides; for other types of oedema, especially those due to kwashiorkor. Contra-indications, adverse effects, precautions – Do not administer tablets to children under 6 years (use injectable hyoscine butylbromide). Contra-indications, adverse effects, precautions – May cause: • throat irritation, headache, cough, vomiting; • anticholinergic effects: dryness of the mouth, constipation, dilation of the pupils, blurred vision, urinary retention, tachycardia. The diluted solution is dispersed with oxygen at a flow rate of 6 to 8 litres/minute. Remarks – Prophylactic treatment should be considered only after excluding active tuberculosis. Dosage and duration – Histoplasmosis (moderate symptoms) Child: 5 mg/kg once daily for 6 to 12 weeks Adult: 600 mg/day in 3 divided doses for 3 days then 200 mg once daily or 400 mg/day in 2 divided doses for 6 to 12 weeks – Histoplasmosis (severe symptoms, disseminated form) Same treatment for 12 weeks, preceded by one to 2 weeks of treatment with amphotericin B – Penicilliosis (moderate symptoms) Adult: 400 mg/day in 2 divided doses for 8 weeks – Penicilliosis (severe symptoms) Same treatment for 10 weeks, preceded by 2 weeks of treatment with amphotericin B – Secondary prophylaxis of histoplasmosis and penicilliosis Adult: 200 mg once daily as long as required – Dermatophytosis of the scalp Child: 3 to 5 mg/kg once daily for 4 weeks Adult: 200 mg once daily for 2 to 4 weeks Contra-indications, adverse effects, precautions – Administer with caution and monitor use in patients > 60 years or with hepatic or renal impairment or congestive heart failure. Stop treatment in the event of anaphylactic reaction, hepatic disorders or severe skin reaction. Do not administer in the event of dermatophytosis of the scalp (apply a topical treatment until it is possible to use itraconazole). Repeat the treatment every 6 or 12 months to maintain the parasite load below the threshold at which clinical signs appear. A single dose may be sufficient; a 2nd dose one week later reduces the risk of treatment failure. Contra-indications, adverse effects, precautions – May cause: • increased itching; • moderate reactions in patients with onchocerciasis: ocular irritation, headache, arthralgia, myalgia, lymphadenopathy, fever, oedema; • severe reactions in patients co-infected with Loa loa: marked functional impairment if Loa loa microfilaraemia > 8,000 mf/ml; encephalopathy if Loa loa microfilaraemia > 30,000 mf/ml. If it is not possible to perform a thick film examination: ivermectin may be administered if the patient has no history of loiasis (migration of an adult worm under the conjunctiva or transient « Calabar » swellings), nor history of severe adverse reactions following a previous treatment with ivermectin. In other cases, it is wiser either to treat under supervision, or to choose an alternative treatment (doxycycline), or decide not to treat, according to the severity of the onchocerciasis and the previous history. Increase if necessary in 100 to 200 mg increments until an effective dose is reached, usually 400 to 800 mg/day (max. Regular follow up (frequency/consistency of stools) is essential in order to adjust dosage correctly. Contra-indications, adverse effects, precautions – Do not administer to patients with Crohn’s disease, ulcerative colitis, intestinal obstruction, undiagnosed abdominal pain. Contra-indications, adverse effects, precautions – Administer with caution to patients with history of hepatic disorders. Increase in increments of 50 to 125 mg every day or on alternate days, to individual optimal dose. Duration – According to clinical response Contra-indications, adverse effects, precautions – Do not administer if severe psychosis, mental confusion, closed-angle glaucoma, recent myocardial infarction, malignant melanoma. It is also possible to start at any moment of the cycle (if the woman is not pregnant). Contra-indications, adverse effects, precautions – Do not administer to women with breast cancer, severe or recent liver disease, unexplained vaginal bleeding, current thromboembolic disorders. However, if it is the only contraceptive method available or acceptable, it can be started 3 weeks after childbirth. Remarks – Levonorgestrel is a possible alternative when estroprogestogens are contra-indicated or poorly tolerated. However, it has a lesser contraceptive effect than estroprogestogens and requires taking tablets at a precise time (no more than 3 hours late). It is therefore recommended to use an additional contraceptive method: condoms for 7 days and, if she has had sexual intercourse within 5 days before forgetting the tablet, emergency contraception. It is however recommended to administer the treatment up to 120 hours (5 days) after unprotected intercourse. Carry out a pregnancy test if there is no menstruation: • within 5 to 7 days after the expected date, if the date is known; • or within 21 days following treatment. Dosage – Child from 2 to 5 years: 3 mg/day in 3 divided doses – Child from 6 to 8 years: 4 mg/day in 2 divided doses – Child over 8 years: 6 mg/day in 3 divided doses age 0-2 years 2-5 years 6-8 years > 8 years Weight < 13 kg 13 - 20 kg 20 - 30 kg > 30 kg Oral solution 1 tsp x 3 2 tsp x 2 2 tsp x 3 Do not administer Capsule – 1 cap. Contra-indications, adverse effects, precautions – Do not administer to patients with severe hepatic impairment. If refrigeration is not available, oral solution kept below 25°C may be stored for 6 weeks maximum. MebenDazole Prescription under medical supervision Therapeutic action – Anthelminthic Indications – Ascariasis (Ascaris lumbricoides), trichuriasis (Trichuris trichiura), hookworm infections (Ancylostoma duodenale, Necator americanus), enterobiasis (Enterobius vermicularis), trichinellosis (Trichinella spp) Presentation – 100 mg and 500 mg tablets Dosage and duration – Ascariasis, trichuriasis, hookworm infections Child over 6 months and adult: 100 mg twice daily for 3 days Child over 6 months but under 10 kg: 50 mg twice daily for 3 days – Enterobiasis Child over 6 months and adult: 100 mg as a single dose Child over 6 months but under 10 kg: 50 mg as a single dose A second dose may be given after 2 to 4 weeks. Therapeutic action – Antimalarial Indications – Treatment of uncomplicated falciparum malaria, in combination with artesunate – Completion treatment following parenteral therapy for severe falciparum malaria, in combination with artesunate – Prophylaxis of falciparum malaria for non-immune individuals Presentation – 250 mg scored tablet Dosage and duration – Treatment of falciparum malaria (in combination with artesunate administered on D1, D2, D3) Child 3 months and over (≥ 5 kg) and adult: 25 mg base/kg as a single dose – Prophylaxis of falciparum malaria Child 3 months and over (≥ 5 kg): 5 mg base/kg once a week Adult: 250 mg base once a week Travellers should start prophylaxis 2 to 3 weeks before departure and continue throughout the stay and for 4 weeks after return. Contra-indications, adverse effects, precautions – Do not administer to patients with neuropsychiatric disorders (or history of), seizures, hypersensitivity to mefloquine or quinine; mefloquine treatment in the previous 4 weeks.
This assessment is based on the full range of preparation and administration options described in the monograph trusted tadacip 20 mg impotence is the. It is a dopamine inhibitor; it has antiemetic activity; it has muscle relaxant properties; and it inhibitsthe heat-regulating centre purchase tadacip 20 mg without prescription impotence by smoking. Prochlorperazine | 709 * Caution in renal or hepatic impairment tadacip 20mg line erectile dysfunction protocol diet, Parkinson disease, hypothyroidism, cardiac failure, myas- thenia gravis, prostate hypertrophy, history of narrow-angle glaucoma or agranulocytosis. Technical information Incompatible with Not relevant Compatible with Not relevant pH1 5. Special handling Handle solutions with care to avoid risk of contact sensitisation. Counselling Patients on long-term prochlorperazine should avoid exposure to direct sunlight as they may develop photosensitisation. This assessment is based on the full range of preparation and administration options described in the monograph. Procyclidine hydrochloride 5mg/mL solution in 2-mL ampoules * Procyclidine hydrochloride is an antimuscarinic drug. Use the lower end of the dosage range in elderly patients or those of low bodyweight. Inspect visually for particulate matter or discolor- ation prior to administration and discard if present. Technical information Incompatible No information with Compatible with Flush: NaCl 0. Monitoring Measure Frequency Rationale Observe For acute dystonias: the * To ensure that treatment is effective. Additional information Common and serious undesirable effects Common: Constipation, nausea, dry mouth, blurred vision, urinary retention. Action in case of overdose Symptoms to watch for: Agitation, restlessness and severe sleeplessness lasting 24 hours or more. Active measures such as the use of cholinergic agents or haemodialysis are unlikely to be of value. This assessment is based on the full range of preparation and administration options described in the monograph. Progesterone | 713 Progesterone 50mg/mL oily solution in 1-mL and 2-mL ampoules * Progesterone is a natural hormone that acts on the endometrium. Pre-treatment checks * Avoid in undiagnosed vaginal bleeding, missed or incomplete abortion, mammary or genital tract carcinoma, thrombophlebitis, cerebral haemorrhage, severe hepatic dysfunction. Technical information Incompatible Not relevant with Compatible with Not relevant pH Not relevant -- oily injection Sodium content Nil Excipients Contains benzyl alcohol. Visual disturbances On presentation * If unexplained, sudden or gradual, partial or complete loss of vision, proptosis or diplopia, papilloedema, retinal vascular lesions or migraine occur, the drug should be discontinued and appropriate diagnostic and therapeutic measures instituted. Additional information Common and serious Injection-related: Local: pain and swelling at the injection site. Action in case of Observe and if required symptomatic and supportive measures should be overdose provided. This assessment is based on the full range of preparation and administration options described in the monograph. Promethazine hydrochloride | 715 Prom ethazine hydrochloride 25mg/mL solution in 1-mL and 2-mL ampoules * Promethazine hydrochloride is a phenothiazine derivative. It acts as a sedating antihistamine with significant sedative, antimuscarinic, and some serotonin-antagonist properties. Pre-treatment checks * Avoid inpatientstakingmonoamine oxidaseinhibitors upto14dayspreviouslybecauseof "risk of extrapyramidal side-effects. Dose in hepatic impairment: avoid in severe liver disease, may precipitate coma and is hepatotoxic. Inspect visually for particulate matter or discolor- ation prior to administration and discard if present. Take care to avoid extravasation or inadvertent intra-arterial injection (can cause necrosis and peripheral gangrene). Additional information Common and serious Immediate: Anaphylaxis and other hypersensitivity reactions have undesirable effects been reported very rarely. Other: Drowsiness, dizziness, restlessness, headaches, nightmares, tiredness, disorientation, blurred vision, dry mouth, urinary retention, rash, pruritus. Antidote: No known antidote; stop administration and give supportive therapy as appropriate. This assessment is based on the full range of preparation and administration options described in the monograph. Propranolol hydrochloride 1mg/mL solution in 1-mL ampoules * Propranolol hydrochloride is a non-cardioselective beta-adrenoceptor blocker. Inspect visually for particulate matter or discolor- ation prior to administration and discard if present. Monitoring Measure Frequency Rationale Heart rate Continuously * Consider withholding therapy if pulse drops to 50-- 55 bpm or lower. Respiratory function After initial dosing * May cause bronchoconstriction in susceptible or oxygen saturation individuals, e. Antidote: Stop administration and give supportive therapy as appropriate (may include atropine, bronchodilators, glucagon, dopamine -- see relevant entries). Counselling Patients may experience fatigue and cold extremities during therapy, and should report wheezing. This assessment is based on the full range of preparation and administration options described in the monograph.
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