Adrenalinum amp 0.18% 1ml #10

Adrenaline Zdorovye

Solution for Injection, 0.18%, 1ml Ampoule

Composition:

Active substance: Epinephrine.
1 ml of solution contains 1.82 mg of epinephrine hydrotartrate.
Excipients: Sodium metabisulfite (E223), sodium chloride, water for injection.

Indications:

• Immediate-type allergic reactions: anaphylactic shock caused by medications, serums, blood transfusions, insect bites, or allergen exposure.

• Bronchial asthma – relief of acute attacks.

• Arterial hypotension of various origins (post-hemorrhagic, toxic, infectious).

• Hypoglycemia due to insulin overdose.

• Asystole, cardiac arrest.

• Prolongation of local anesthetic effects.

• Asystole, including that occurring in the setting of third-degree AV block.

Contraindications:

• Hypersensitivity to the components of the preparation

• Hypertrophic obstructive cardiomyopathy

• Severe aortic stenosis

• Tachyarrhythmia

• Ventricular fibrillation

• Pheochromocytoma

• Closed-angle glaucoma

• Shock (except anaphylactic)

• General anesthesia with inhalation agents: fluorothane, cyclopropane, chloroform

• Second stage of labor

• Injection into fingers, toes, nose, genital area

Dosage and Administration:

Adults:

• Anaphylactic shock: Administer 0.5 ml slowly IV, diluted in 20 ml of 40% glucose solution. If necessary, continue with IV infusion at 1 mcg/min, by diluting 1 ml of adrenaline in 400 ml of isotonic sodium chloride or 5% glucose. If the patient’s condition allows, IM or SC injection of 0.3–0.5 ml (diluted or undiluted) is preferred.

• Bronchial asthma: Administer 0.3–0.5 ml SC (diluted or undiluted). If needed, repeat every 20 minutes (up to 3 times). IV administration of 0.3–0.5 ml (diluted) is also possible. As a vasoconstrictor, it can be infused IV at 1 mcg/min (increasing up to 2–10 mcg/min if necessary).

• Asystole: Inject 0.5 ml intracardially, diluted in 10 ml of 0.9% sodium chloride. During resuscitation: 1 ml (diluted) IV slowly every 3–5 minutes.

Children:

• Asystole in newborns: Administer 10–30 mcg/kg IV slowly every 3–5 minutes.

• Anaphylactic shock: Administer 10 mcg/kg SC or IM (max 0.3 mg); repeat every 15 minutes if needed (up to 3 times).

• Bronchospasm: Administer 10 mcg/kg SC (max 0.3 mg); repeat every 15 minutes (3–4 times) or every 4 hours.

Storage:

Store in the original packaging at temperatures not exceeding 25°C.
Keep out of reach of children.