NICODOM IR Drugs, 1463 Spectra
Total Page:16
File Type:pdf, Size:1020Kb
Load more
Recommended publications
-
Pharmacy and Poisons (Third and Fourth Schedule Amendment) Order 2017
Q UO N T FA R U T A F E BERMUDA PHARMACY AND POISONS (THIRD AND FOURTH SCHEDULE AMENDMENT) ORDER 2017 BR 111 / 2017 The Minister responsible for health, in exercise of the power conferred by section 48A(1) of the Pharmacy and Poisons Act 1979, makes the following Order: Citation 1 This Order may be cited as the Pharmacy and Poisons (Third and Fourth Schedule Amendment) Order 2017. Repeals and replaces the Third and Fourth Schedule of the Pharmacy and Poisons Act 1979 2 The Third and Fourth Schedules to the Pharmacy and Poisons Act 1979 are repealed and replaced with— “THIRD SCHEDULE (Sections 25(6); 27(1))) DRUGS OBTAINABLE ONLY ON PRESCRIPTION EXCEPT WHERE SPECIFIED IN THE FOURTH SCHEDULE (PART I AND PART II) Note: The following annotations used in this Schedule have the following meanings: md (maximum dose) i.e. the maximum quantity of the substance contained in the amount of a medicinal product which is recommended to be taken or administered at any one time. 1 PHARMACY AND POISONS (THIRD AND FOURTH SCHEDULE AMENDMENT) ORDER 2017 mdd (maximum daily dose) i.e. the maximum quantity of the substance that is contained in the amount of a medicinal product which is recommended to be taken or administered in any period of 24 hours. mg milligram ms (maximum strength) i.e. either or, if so specified, both of the following: (a) the maximum quantity of the substance by weight or volume that is contained in the dosage unit of a medicinal product; or (b) the maximum percentage of the substance contained in a medicinal product calculated in terms of w/w, w/v, v/w, or v/v, as appropriate. -
1: Gastro-Intestinal System
1 1: GASTRO-INTESTINAL SYSTEM Antacids .......................................................... 1 Stimulant laxatives ...................................46 Compound alginate products .................. 3 Docuate sodium .......................................49 Simeticone ................................................... 4 Lactulose ....................................................50 Antimuscarinics .......................................... 5 Macrogols (polyethylene glycols) ..........51 Glycopyrronium .......................................13 Magnesium salts ........................................53 Hyoscine butylbromide ...........................16 Rectal products for constipation ..........55 Hyoscine hydrobromide .........................19 Products for haemorrhoids .................56 Propantheline ............................................21 Pancreatin ...................................................58 Orphenadrine ...........................................23 Prokinetics ..................................................24 Quick Clinical Guides: H2-receptor antagonists .......................27 Death rattle (noisy rattling breathing) 12 Proton pump inhibitors ........................30 Opioid-induced constipation .................42 Loperamide ................................................35 Bowel management in paraplegia Laxatives ......................................................38 and tetraplegia .....................................44 Ispaghula (Psyllium husk) ........................45 ANTACIDS Indications: -
170 Limited Use of Anticholinergic Drugs For
170 Penning-van Beest F1, Sukel M1, Reilly K2, Kopp Z2, Erkens J1, Herings R1 1. PHARMO Institute, 2. Pfizer Inc LIMITED USE OF ANTICHOLINERGIC DRUGS FOR OVERACTIVE BLADDER: A PHARMO STUDY Hypothesis / aims of study The aim of the study was to determine the prevalence of use of anticholinergic drugs for overactive bladder (OAB) in men and women in the Netherlands in the period 1998-2003. Study design, materials and methods Data were obtained from the PHARMO Record Linkage System, which includes patient centric data of drug-dispensing records and hospital records of more than one million patients in the Netherlands. Currently four anticholinergic drugs are available on the Dutch market for the treatment of OAB: tolterodine immediate release (IR), since 1998, tolterodine extended release (ER), since 2001, oxybutynin, since 1986, and flavoxate, since 1979. All patients who were ever prescribed these OAB drugs in the period January 1998 until December 2003 were included in the study cohort. The prevalence of use of tolterodine ER, tolterodine IR, oxybutynin and flavoxate was determined per calendar year, stratified by gender, by counting the number of patients having a dispensing with a duration of use including a single fixed day a year. Results The number of OAB drug users included in the study cohort increased from about 3,800 in 1998 to 5,000 in 2003. About 60% of the OAB drug users in the study cohort were women and about 42% of the OAB drug users were 70 years or older. The use of OAB drugs increased from 100 users per 100,000 men in 1998 to 140 users per 100,000 men in 2003 (table). -
MMC International BV
M.M.C. International Steroid Substances Steroid Test A Colour Steroid Test B Colour Steroid Test B Colour with UV Light Stanozolol/ Oxandrolone Test Clenbuterol/ Oxymetholone Test Ephedrine Test Alfadolone Orange Yellow Nil - - - Androsterone Orange Yellow White - - - Beclometasone Brown–yellow Orange Nil - - - Betamethasone Orange–brown Pink–Orange Nil - - - Boldenone Base (Equipoise, Ganabol) (pure powder) Warm red after 2 min. Dark Orange after 2 min. Bright Light Orange - - - Boldenone Undecanoate (oil) Dark brownish-red Dark Red Bright Light Orange - - - Boldenone Undecylenate (oil) Orange - Light Brown Dark Orange → Brown Bright Light Orange-Yellow - - - Carbenoxolone (CBX) Orange Yellow Yellow - - - Cholesterol Violet Orange White - - - Clenbuterol (Spiropent, Ventipulmin) - - - - Purple - Dark brown with yellow-green on the Dark brown with yellow-green on the Clomiphene (Androxal, Clomid, Omifin) Nil Dark brown to black No reaction Dark brown to black sides of the ampoule sides of the ampoule Cortisone Orange Yellow Green - - - Desoxycortone Blue–black Yellow Yellow - - - Dexamethasone Yellow Orange–pink Nil - - - Dienestrol Yellow Orange–red Nil - - - Diethylstilbestrol (DES) Orange (→yellow–green) Nil - - - Dimethisterone Brown–green Orange–red Yellow - - - Drostanolone Propionate (Masteron) (oil) Bright green Yellow-Orange Orange - - - Dydrogesterone (Duphaston) - Orange Green-Yellow - - - Enoxolone Orange Yellow Green-Yellow - - - Ephedrine (also for Pseudo- and Nor-Ephedrine) - - - - - Orange Estradiol (Oestradiol) Orange -
121 Comparative Evaluation of Human Mucosa And
121 Oki T1, Luvsandorj O1, Suzuki K1, Kageyama A1, Otsuka A2, Shinbo H2, Ozono S2, Yamada S1 1. Department of Pharmacokinetics and Pharmacodynamics, Sch of Pharm Sci, University of Shizuoka, 2. Department of Urology, Hamamatsu University School of Medicine COMPARATIVE EVALUATION OF HUMAN MUCOSA AND DETRUSOR MUSCARINIC RECEPTOR BINDING BY ANTICHOLINERGIC AGENTS IN THE TREATMENT OF OVERACTIVE BLADDER Hypothesis / aims of study The urothelium is the epithelial lining of the urinary tract. Our traditional understanding of the function of this region was simply that of passive barrier between the urinary tract and its contents. In recent years, the urothelium exhibits neuron-like properties that contribute to sensory function. Although the function of such an innervation may be unclear, recent studies in humans and animals have indicated that muscarinic receptors (mAChRs) are present on both mucosa and detrusor of the urinary bladder [1, 2]. The mucosal mAChRs may represent a novel site of action of agents for the treatment of bladder disorders. Anticholinergic agents such as oxybutynin and propiverine are widely used for the treatment of overactive bladder. Tolterodine and darifenacin have been currently developed as novel anticholinergic agents that may exhibit pharmacological selectivity in the bladder. Furthermore, oxybutynin, propiverine and tolterodine are metabolized in the intestine and liver to form active metabolites, N-desethyl-oxybutynin (DEOB), 1- methyl-4-piperidyl benzilate N-oxide (DPr-P-4(N→O)) and 5-hydroxymethyl metabolite (5-HM), respectively. Although these metabolites are assumed to contribute to the mAChR blockade of parent compounds, their mAChR binding characteristics in the mucosa have not been examined. -
Guideline for Preoperative Medication Management
Guideline: Preoperative Medication Management Guideline for Preoperative Medication Management Purpose of Guideline: To provide guidance to physicians, advanced practice providers (APPs), pharmacists, and nurses regarding medication management in the preoperative setting. Background: Appropriate perioperative medication management is essential to ensure positive surgical outcomes and prevent medication misadventures.1 Results from a prospective analysis of 1,025 patients admitted to a general surgical unit concluded that patients on at least one medication for a chronic disease are 2.7 times more likely to experience surgical complications compared with those not taking any medications. As the aging population requires more medication use and the availability of various nonprescription medications continues to increase, so does the risk of polypharmacy and the need for perioperative medication guidance.2 There are no well-designed trials to support evidence-based recommendations for perioperative medication management; however, general principles and best practice approaches are available. General considerations for perioperative medication management include a thorough medication history, understanding of the medication pharmacokinetics and potential for withdrawal symptoms, understanding the risks associated with the surgical procedure and the risks of medication discontinuation based on the intended indication. Clinical judgement must be exercised, especially if medication pharmacokinetics are not predictable or there are significant risks associated with inappropriate medication withdrawal (eg, tolerance) or continuation (eg, postsurgical infection).2 Clinical Assessment: Prior to instructing the patient on preoperative medication management, completion of a thorough medication history is recommended – including all information on prescription medications, over-the-counter medications, “as needed” medications, vitamins, supplements, and herbal medications. Allergies should also be verified and documented. -
Anticholinergics for Overactive Bladder Evidence, Clinical Issues and Comparisons
Anticholinergics for Overactive Bladder Evidence, Clinical Issues and Comparisons RxFiles Academic Detailing Program March 2008 Saskatoon City Hospital 701 Queen Street, Saskatoon, SK S7K 0M7 www.RxFiles.ca Recent Guidelines: Overactive Bladder – Background • Special caution should be used for the elderly who Canadian Urological1: • Overactive bladder (OAB) is also known as urge are especially sensitive to side effects from ACs. Can J Urol. 2006;13(3):3127-38 incontinence and occurs when there is an inability Some with dementia or cognitive impairment may 2 not tolerate ACs at all. If using an AC in the NICE (UK) 2006 : to delay voiding when an urge is perceived. elderly, start at the lowest dose, titrate up and www.nice.org.uk/nicemedia/pdf/CG • OAB is differentiated from stress urinary 40fullguideline.pdf reassess for effectiveness and adverse effects. incontinence (SUI) which is associated with a loss of Remember that many drugs contribute to the total urine secondary to intra-abdominal pressure such as anticholinergic load (e.g. antidepressants, antipsychotics).14 Systematic Reviews: occurs with coughing, sneezing and exercise.9 Cochrane: Hay-Smith J et al. • ACs should not be used with acetylcholinesterase • Anticholinergics (ACs) are useful drugs for Which anticholinergics drug for inhibitors (e.g. ARICEPT, REMINYL, EXELON) given treating OAB, however their use is limited by the overactive bladder symptoms in their opposing mechanisms.23 adults. Cochrane Systematic side effects of dry mouth and constipation. 3 Reviews 2005, Issue 3. 4 Oregon 2005 : Are non-drug treatment options effective? Oxybutynin (Oxy) vs Tolterodine (Tol) • A Cochrane systematic review found 3: www.ohsu.edu/drugeffectiveness/rep • Bladder training (a gradual time lengthening orts/documents/OAB%20Final%20 no statistically significant differences for Report%20Update%203.pdf between voids) or urge suppression may be useful 10 patient perceived improvement, leakage Canada in OAB, especially in addition to ACs. -
CONTRAINDICATIONS ------Pediatric Patients (486 on DETROL LA, 224 on Placebo) Is Available
HIGHLIGHTS OF PRESCRIBING INFORMATION • Controlled Narrow-Angle Glaucoma: use caution in patients being These highlights do not include all the information needed to use Detrol® treated for narrow-angle glaucoma. (5.3) LA safely and effectively. See full prescribing information for Detrol LA. • Myasthenia Gravis: use caution in patients with myasthenia gravis. (5.6) • QT Prolongation: Consider observations from the thorough QT study in ® Detrol LA (tolterodine tartrate extended release capsules) clinical decisions to prescribe DETROL LA to patients with a known For oral administration history of QT prolongation or to patients who are taking Class IA (e.g., Initial U.S. Approval: December 2000 quinidine, procainamide) or Class III (e.g., amiodarone, sotalol) antiarrhythmic medications (5.7) ----------------------------INDICATIONS AND USAGE--------------------------- Detrol LA is an antimuscarinic indicated for the treatment of overactive ------------------------------ADVERSE REACTIONS------------------------------- bladder with symptoms of urge urinary incontinence, urgency, and frequency. The most common adverse reactions (incidence >4% and >placebo) were dry (1) mouth , headache, constipation and abdominal pain. (6.1) ----------------------DOSAGE AND ADMINISTRATION----------------------- • 4 mg capsules taken orally once daily with water and swallowed To report SUSPECTED ADVERSE REACTIONS, contact Pfizer Inc. at whole. (2.1) 1-800-438-1985 or FDA at 1-800-FDA-1088 or www.fda.gov/medwatch. • 2 mg capsules taken orally once daily with water and swallowed whole in the presence of: ------------------------------DRUG INTERACTIONS------------------------------- o mild to moderate hepatic impairment (Child-Pugh • Potent CYP3A4 inhibitors: Co-administration may increase systemic class A or B) (2.2) exposure to DETROL LA. Reduce DETROL LA dose to 2 mg once o severe renal impairment [Creatinine Clearance (CCr) daily. -
Otorhinolaryngological Adverse Effects of Urological Drugs ______
REVIEW ARTICLE Vol. 47 (4): 747-752, July - August, 2021 doi: 10.1590/S1677-5538.IBJU.2021.99.06 Otorhinolaryngological adverse effects of urological drugs _______________________________________________ Nathalia de Paula Doyle Maia 1, Karen de Carvalho Lopes 2, Fernando Freitas Ganança 2 1 Programa de Pós-Graduação em Medicina, Otorrinolaringologia da Universidade Federal de São Paulo - Escola Paulista de Medicina - UNIFESP, São Paulo, SP, Brasil; 2 Departamento de Otorrinolaringologia e Cirurgia de Cabeça e Pescoço da Universidade Federal de São Paulo - Escola Paulista de Medicina - UNIFESP, São Paulo, SP, Brasil ABSTRACT ARTICLE INFO Purpose: To describe the otorhinolaryngological adverse effects of the main drugs used Fernando Gananca in urological practice. http://orcid.org/0000-0002-8703-9818 Materials and Methods: A review of the scientific literature was performed using a combination of specific descriptors (side effect, adverse effect, scopolamine, Keywords: sildenafil, tadalafil, vardenafil, oxybutynin, tolterodine, spironolactone, furosemide, Cholinergic Antagonists; hydrochlorothiazide, doxazosin, alfuzosin, terazosin, prazosin, tamsulosin, Adrenergic alpha-1 Receptor desmopressin) contained in publications until April 2020. Manuscripts written in Antagonists; Deamino Arginine Vasopressin English, Portuguese, and Spanish were manually selected from the title and abstract. The main drugs used in Urology were divided into five groups to describe their Int Braz J Urol. 2021; 47: 747-52 possible adverse effects: alpha-blockers, anticholinergics, diuretics, hormones, and phosphodiesterase inhibitors. Results: The main drugs used in Urology may cause several otorhinolaryngological _____________________ adverse effects. Dizziness was most common, but dry mouth, rhinitis, nasal congestion, Submitted for publication: epistaxis, hearing loss, tinnitus, and rhinorrhea were also reported and varies among June 24, 2020 drug classes. -
Prescribing Patterns of Antiparkinson Drugs in a Group of Colombian
Biomédica 2018;38:417-26 Prescribing patterns of antiparkinson drugs doi: https://doi.org/10.7705/biomedica.v38i4.3781 ORIGINAL ARTICLE Prescribing patterns of antiparkinson drugs in a group of Colombian patients, 2015 Jorge Enrique Machado-Alba, Luis Felipe Calvo-Torres, Andrés Gaviria-Mendoza, Juan Daniel Castrillón-Spitia Grupo de Investigación en Farmacoepidemiología y Farmacovigilancia, Universidad Tecnológica de Pereira-Audifarma, S.A., Pereira, Colombia Introduction: Parkinson’s disease, whose prevalence in Colombia is 4.7 per 1,000 inhabitants, is a public health problem and a therapeutic challenge for health professionals. Objective: To determine the prescribing patterns of antiparkinson drugs and the variables associated with its use in a population from Colombia. Materials and methods: We conducted a descriptive cross-sectional study. We selected patients who had been given antiparkinson drugs uninterruptedly between January 1st and March 31st, 2015 from a systematized database of approximately 3.5 million people affiliated to the Colombian health system. We included sociodemographic, pharmacologic and comedication variables. For the multivariate analysis, we used the IBM SPSS™-22 software. Results: A total of 2,898 patients was included; the mean age was 65.1years, and 50.7% were men; 69.4% (n=2010) of people received monotherapy and 30.6% combination therapy with two to five antiparkinson drugs. The most frequently prescribed drugs were: levodopa 45.5% (n=1,318 patients), biperiden 23.1% (670), amantadine 18.3% (531) and pramipexole 16.3% (471). The most commonly used association was levodopa/carbidopa + entacapone (n=311; 10.7%). Multivariate analysis showed that being male (OR=1.56; 95%CI: 1.321-1.837), over 60 years (OR=1.41; 95%CI 1.112-1.782) and receiving treatment in the city of Barranquilla (OR=2.23; 95%CI 1.675-2.975) were statistically associated with a greater risk of using combination therapy; 68.2% (n=1,977) patients were given concomitant treatment with other drugs. -
Your DETROL® LA (Tolterodine Tartrate Extended Release Capsules) Diary a Personal Place to Track Your Symptoms and Your Daily Medication Usage
Your DETROL® LA (tolterodine tartrate extended release capsules) Diary A personal place to track your symptoms and your daily medication usage Your Next Doctor’s Office Visit DATE: TIME: • Discuss your overactive bladder (OAB) symptoms with your doctor • Use this diary to help you in the discussion with your doctor • Ask your doctor if prescription DETROL LA is still right for you Log on to DetrolLA.com • Download another copy of this diary to track your OAB symptoms and medication usage • Download other support materials designed to help you take an active role in your OAB treatment plan DETROL LA treats the symptoms of overactive bladder (leaks, strong sudden urges to go, going too often). Important Safety Information If you have certain stomach problems, glaucoma, or cannot empty your bladder, you should not take DETROL LA. DETROL LA may cause allergic reactions that may be serious. Symptoms of a serious allergic reaction may include swelling of the face, lips, throat, or tongue. If you experience these symptoms, you should stop taking DETROL LA and get emergency medical help right away. Please see continued Important Safety Information on next page and accompanying Full Prescribing Information and Patient Information. Track Your Daily Activities Over the next 2 weeks, use the tracker below and on the next page to record your OAB symptoms and your experience with DETROL® LA (tolterodine tartrate extended release capsules). Then share this diary with your doctor during your next appointment. Take your medicine Strong, sudden Rate your -
Interactions of Nandrolone and Psychostimulant Drugs on Central Monoaminergic Systems. National Institute for Health and Welfare (THL), Research 30
Sanna Kailanto Sanna Kailanto Interactions of Nandrolone Sanna Kailanto and Psychostimulant Drugs RESEARCH Interactions of Nandrolone and RESEARCH Psychostimulant Drugs on Central on Central Monoaminergic Monoaminergic Systems Systems Monoaminergic Systems Monoaminergic Central on Drugs Psychostimulant and Nandrolone of Interactions This study had four main aims. First, it aimed to explore the effects of nandrolone decanoate on dopaminergic and serotonergic activities in rat brains. Second, it set out to assess whether nandrolone pre-exposure modulates the acute neurochemical and behavioral effects of psychostimulant drugs in experimental animals. A third aim was to investigate if AAS-pretreatment-induced changes in brain reward circuitry are reversible. Finally, the study was also intended to evaluate the role of androgen receptors in nandrolone’s ability to modulate the dopaminergic and serotonergic effects of stimulants. The results of the study show that AAS pretreatment inhibits the reward- related neurochemical and behavioral effects of amphetamine, MDMA and cocaine in experimental animals. Given that LMA, stereotyped behavior and accumbal outflow of DA and 5-HT are all related to reward, this study suggests that nandrolone, at tested doses, significantly affects the rewarding properties of stimulant drugs. Furthermore, it seems that these effects could be long- lasting and that the ability of nandrolone to modulate reward-related effects of stimulants depends on AR or ER activation. .!7BC5<2"HIFILD! National Institute for Health and Welfare P.O. Box 30 (Mannerheimintie 166) FI-00271 Helsinki, Finland Telephone: +358 20 610 6000 30 ISBN 978-952-245-258-0 www.thl.fi 30 2010 30 Sanna Kailanto Interactions of Nandrolone and Psychostimulant Drugs on Central Monoaminergic Systems Academic dissertAtIoN To be presented with the permission of the Faculty of Biological and Environmental Sciences, University of Helsinki, for public examination in the Arppeanum auditorium, Helsinki University Museum, Snellmaninkatu 3, Helsinki, on April 29nd, at 12 o’clock noon.