Oxymetazoline
Kelas obat: Agen Antineoplastik
Panganggone Oxymetazoline
Irung Kemacetan
Obat-obat mandiri kanggo ngilangake kemacetan irung sauntara sing gegandhengan karo selesma, demam hay, utawa alergi ambegan ndhuwur liyane.
Sama efektif kaya vasokonstriktor topikal liyane.
Dilabeli lan wis digunakake kanggo ngobati mandhiri kanggo ngilangi kemacetan irung sing ana gandhengane karo sinusitis; Nanging, data khasiat kurang lan / utawa kontroversial. Ing Oktober 2005, FDA ngetokake aturan final kanggo mbusak indikasi iki saka label dekongestan irung OTC. Tanggal kepatuhan kanggo persiapan kanthi dodolan taunan <$25.000 yaiku 11 Oktober 2007; tanggal kepatuhan kanggo kabeh persiapan liyane yaiku 11 April 2007.
Kemacetan Konjungtiva
Obat-obat mandiri kanggo ngilangake mata abang abang amarga iritasi cilik.
Otitic Barotrauma
Wis digunakake kanggo obat mandiri kanggo nyegah gejala barotrauma otitik† [off-label] (aerotitis [barotitis] media); Nanging, ora luwih efektif tinimbang plasebo.
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Carane nggunakake Oxymetazoline
Administrasi
Diwenehake sacara topikal menyang mukosa hidung utawa konjungtiva.
Administrasi Intranasal
Administrasi larutan nasal intranasal minangka semprotan utawa pompa irung.
Sadurunge nggunakake semprotan meteran, inhaler irung utama kanthi nyandhet pompa kanthi kuat sawetara kaping.
Atur semprotan irung utawa pompa menyang saben bolongan irung nalika sirah ngadeg.
Ophthalmic Administration
Administrasi solusi ophthalmic topikal menyang conjunctiva.
Singkirake kontaminasi ujung penetes.
Copot lensa kontak sadurunge menehi solusi ophthalmic.
Aja menehi solusi sing diwarnai utawa mendhung.
Dosis
Kasedhiya minangka oxymetazoline hydrochloride; dosis ditulis ing syarat-syarat uyah.
Pasien Pediatrik
Nasal Congestion IntranasalKanggo obat mandiri ing bocah ≥6 taun: 2 utawa 3 semprotan larutan irung 0,05% ing saben bolongan irung saben 10-12 jam ( biasane ing wayah esuk lan sore), nganti 2 kali saben dina.
Ophthalmic kongesti konjungtivaKanggo obat mandiri ing bocah-bocah ≥6 taun: 1 utawa 2 tetes larutan ophthalmic 0,025% ing mripat sing kena pengaruh saben 6 jam yen perlu.
Dewasa
Nasal Congestion IntranasalKanggo obat mandiri: 2 utawa 3 semprotan larutan irung 0,05% ing saben bolongan irung saben 10-12 jam (biasane ing wayah esuk lan sore), nganti kaping 2 saben dina.
Ophthalmic Conjunctival CongestionKanggo obat mandiri: 1 utawa 2 tetes larutan ophthalmic 0,025% ing mripat sing kena pengaruh saben 6 jam yen perlu.
Batesan Resep
Pasien Pediatrik
Nasal Congestion IntranasalObat mandiri ing bocah ≥6 taun: Maksimal 2 kali (2 dosis) ing wektu 24 jam. (Deleng Saran kanggo Pasien.)
Dewasa
Nasal Congestion IntranasalObat mandiri: Maksimal 2 kali (2 dosis) ing wektu 24 jam. (Deleng Nasehat kanggo Pasien.)
Pènget
Contraindications
Pènget/PanandhapPancegahan Umum
Overuse
Kamungkinan iritasi mukosa irung lan efek sistemik sing saleh (utamane ing bocah-bocah) kanthi dosis sing berlebihan lan/utawa panggunaan intranasal sing dawa utawa kerep banget. Kemungkinan kemacetan hidung utawa hiperemia okular (abang); supaya nggunakake dangu. (Waca Saran kanggo Patients.)
Ingestion ora sengaja saka turunan imidazoline (yaiku, oxymetazoline, naphazoline, tetrahydrozoline) ing bocah-bocah wis nyebabake efek samping sing serius sing mbutuhake rawat inap (contone, koma, bradikardia, nyuda ambegan, sedasi, ngantuk). (Deleng Panganggone Pediatrik ing Ati-ati lan deleng Saran kanggo Pasien.)
Efek SympathomimeticKanthi nggunakake intranasal, bisa uga sirah, hipertensi, kelainan jantung (contone, palpitasi, refleks bradikardia), gugup, mual, pusing, lan insomnia. Gunakake kanthi ati-ati lan miturut arahan saka dokter ing pasien sing nandhang penyakit tiroid (umpamane, hipertiroidisme), penyakit jantung (kalebu angina), hipertensi, kahanan arteriosklerosis lanjut, utawa diabetes mellitus; ing pasien sing ngalami kesulitan urination sekunder kanggo pembesaran prostat; utawa ing pasien sing nampa inhibitor monoamine oxidase (MAO).
GlaukomaPasien glaukoma sudut sempit kudu takon karo dokter sadurunge nggunakake solusi ophthalmic.
Populasi Tertentu
KandhutanKategori C.
LaktasiOra dikawruhi manawa oxymetazoline disebarake menyang susu. Gunakake kanthi ati-ati ing wanita sing nyusoni.
Panggunaan Pediatrik0,05% larutan nasal utawa 0,025% larutan ophthalmic ora dianjurake kanggo ngobati dhewe ing bocah-bocah <6 taun.
Kamungkinan iritasi mukosa irung lan efek sistemik sing ala (kalebu depresi CNS sing jero) sing ana gandhengane karo dosis sing berlebihan, panggunaan sing dawa utawa kerep banget, utawa ingestion larutan irung sing ora sengaja. Solusi ophthalmic OTC utawa semprotan irung sing ngemot turunan imidazoline (yaiku, oxymetazoline, naphazoline, tetrahydrozoline) ing bocah-bocah wis nyebabake efek samping sing serius sing mbutuhake rawat inap, kalebu mual, muntah, lesu, tachycardia, nyuda ambegan, bradikardia, hipotensi, hipertensi, som. , midriasis, stupor, hipotermia, drooling, lan koma. Tetep adoh saka bocah-bocah. (Deleng Nasehat kanggo Pasien.)
Efek Umum sing Sabar
Solusi irung: kobong, stinging, wahing, mundhak metune irung utawa kekeringan mukosa irung.
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