Острые и хронические расстройства кровообращения, снижение сосудистого тонуса, ослабление дыхания (в т.ч. у больных с инфекционными заболеваниями и у выздоравливающих), острый коллапс, асфиксия, шоковые состояния во время и после операций, асфиксия новорожденных, отравление наркотиками, снотворными, анальгетиками.
Противопоказания
Гиперчувствительность, эпилепсия, приступы тонико-клонических судорог в анамнезе, гипертермия у детей.
вспомогательное вещество- вода для инъекций до 1,0 мл.
Фармакологические свойства
Аналептическое средство смешанного действия. Механизм действия складывается из центрального и периферического воздействия на нервную систему.
Центральный механизм связан с непосредственным влиянием на сосудодвигательный центр продолговатого мозга, приводящим к его возбуждению и опосредованному повышению артериального давления (особенно при изначальном угнетении данного центра).
Периферическое воздействие обусловлено возбуждением хеморецепторов каротидного синуса, что приводит к увеличению частоты и глубины дыхательных движений. Прямого влияния на сердечно-сосудистую систему не оказывает.
Фармакокинетика.
Абсорбция - высокая и не зависит от пути введения. Подвергается быстрому метаболизму в печени с образованием неактивных метаболитов, выводящихся, в основном, почками.
Показания к применению
Острые и хронические расстройства кровообращения, снижение сосудистого тонуса, ослабление дыхания (в т.ч. у больных с инфекционными заболеваниями и у выздоравливающих), острый коллапс, асфиксия, шоковые состояния во время и после операций, асфиксия новорожденных, отравление наркотиками, снотворными, анальгетиками.
Противопоказания
Гиперчувствительность, эпилепсия, приступы тонико-клонических судорог в анамнезе, гипертермия у детей.
Применение при беременности и в период грудного вскармливания
Нет достоверных данных о безопасности использования препарата во время беременности и лактации. Не рекомендуется применять данный препарат в период беременности и кормления грудью.
Способ применения и дозы
Препарат вводят внутривенно, внутримышечно и подкожно.
Взрослым и детям старше 14 лет вводят подкожно, внутримышечно и внутривенно в дозе 1-2 мл 1-3 раза в сутки.
Внутривенное введение осуществляют медленно.
Детям - подкожно, в зависимости от возраста, в дозе 0,1-0,75 мл.
Поскольку подкожные и внутримышечные инъекции препарата Кордиамин болезненны, для уменьшения болей в зависимости от ситуации в место предполагаемой инъекции предварительно вводят прокаин (Новокаин) 1 мл 0,5 % раствора. Высшие дозы для взрослых подкожно: разовая - 2 мл, суточная - 6 мл.
Побочное действие
Со стороны пищеварительной системы: рвота.
Со стороны нервной системы: тревога, мышечные сокращения (начинающиеся с круговых мышц рта).
Со стороны кожных покровов: зуд, гиперемия лица.
Со стороны сердечно сосудистой системы: аритмия.
Прочие: боль в месте введения, аллергические реакции.
Меры по оказанию помощи при передозировке: лечение симптоматическое (в т.ч. противосудорожные лекарственные средства).
Взаимодействие с другими лекарственными средствами
Судорожное действие Кордиамина усиливает резерпин, возбуждающий эффект относительно дыхательного центра устраняется средствами для наркоза, действие препарата ослабляют ПАСК и салюзид, к ослаблению аналептического эффекта и судорожного влияния приводят аминазин и другие производные фенотиазина.
Усиливает эффекты психостимуляторов и антидепрессантов. Снижает действие наркотических анальгетиков, снотворных, нейролептиков, транквилизаторов, противосудорожных средств.
Форма выпуска
Раствор.
Условия хранения
В защищенном от света месте, при температуре не выше 25 °C
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Информация предоставляется в справочных целях. Не занимайтесь самолечением. При первых признаках заболевания обратитесь к врачу.
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