Trimethobenzamide
Jeneng merek: Tigan
Kelas obat:
Agen Antineoplastik
Panganggone Trimethobenzamide
Mual lan Muntah
Kontrol mual lan muntah, kalebu perawatan mual lan muntah sawise operasi.
Pengobatan mual sing gegandhèngan karo gastroenteritis.
Kurang efektif tinimbang phenothiazine, nanging bisa uga ana efek sing luwih sithik.
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Carane nggunakake Trimethobenzamide
Administrasi
Atur kanthi lisan utawa injeksi IM.
Ora dianjurake kanggo administrasi IV.
Persiapan kanggo administrasi dubur ora kasedhiya kanggo komersial ing AS; FDA wis mbatalake persetujuan aplikasi obat anyar (NDA) kanggo supositoria rektum amarga ora ana bukti khasiat. (Deleng Preparasi.)
Administrasi IM
Nyilikake efek ala lokal kanthi nyuntikake jero menyang kuadran njaba ndhuwur gluteus maximus; nyegah infiltrasi lokal saka solusi ing sadawane trek jarum.
Dosis
Kasedhiya minangka trimethobenzamide hidroklorida; dosis ditulis ing syarat-syarat uyah.
Pasien Anak
Mual lan Muntah OralBocah sing bobote 13,6–45 kg: 100 utawa 200 mg 3 utawa 4 kali dina; Utawa, bocah bisa nampa 15-20 mg / kg saben dina diwenehi ing 3 utawa 4 dosis dibagi. Nanging, wangun dosis oral sing cocok ora kasedhiya maneh ing AS.
Dewasa
Mual lan Muntah OralDosis biasa: 300 mg 3 utawa 4 kaping dina. Setel dosis miturut indikasi kanggo nggunakake, keruwetan gejala, lan respon pasien.
IMDosis biasa: 200 mg 3 utawa 4 kali dina. Nyetel dosis miturut indikasi kanggo nggunakake, keruwetan gejala, lan respon pasien.
Populasi Khusus
Ora ana rekomendasi dosis populasi khusus ing wektu iki.
Pènget
Kontraindikasi
Pènget/PanandhapPènget
Depresi SSP
Bisa ngrusak kemampuan kanggo nindakake aktivitas sing mbutuhake kewaspadaan mental utawa koordinasi fisik (contone, operasi mesin, nyopir kendaraan bermotor); supaya nggunakake concomitant karo alkohol.
Efek NeurologisReaksi neurologis sing mungkin (contone, opisthotonos, kejang, koma, reaksi ekstrapiramidal); bisa uga padha karo tandha lan gejala CNS sing diiringi kelainan tartamtu (contone, penyakit febrile akut, encephalitis, sindrom Reye, encephalopathy, gastroenteritis, dehidrasi, ketidakseimbangan elektrolit), utamane ing bocah-bocah lan ing pasien geriatrik utawa debilitated. Diagnosa kelainan kasebut bisa uga ora dingerteni utawa tandha-tandha lan gejala sing gegandhengan karo penyakit bisa uga salah didiagnosis minangka akibat saka obat.
Gunakake kanthi ati-ati ing pasien sing nandhang kelainan kasebut, utamane ing wong sing nembe nampa obat CNS liyane (contone, fenotiazin, barbiturat, turunan Belladonna). (Deleng Obat Spesifik ing Interaksi.)
Aja nggunakake ing pasien pediatrik kanthi tandha lan gejala sing nuduhake sindrom Reye. (Deleng Panganggone Pediatrik ing Ati-ati.)
Mungkasi obat yen ana gejala CNS.
Reaksi Sensitivitas
Reaksi HipersensitivitasReaksi hipersensitivitas kalebu reaksi kulit alergi wis dilaporake; mandheg ing tandha pisanan sensitisasi.
Pancegahan Umum
Efek HepatikJaundice dilaporake; mungkasi obat kasebut yen ana jaundice.
Efek hepatotoksik sing potensial bisa ngowahi dalane sindrom Reye. (Deleng Panganggone Pediatrik ing Ati-ati.)
Efek HematologiDiscrasias getih dilaporake; mungkasi obat kasebut yen ana dyscrasia getih.
Efek GIEfek antiemetik bisa nutupi tandha-tandha overdosis obat liya utawa bisa nyamarke panyebab muntah ing macem-macem kelainan (contone, apendisitis).
Mungkasi tamba yen exaggeration saka mual wis ana.
Populasi Tertentu
KandhutanKategori C.
LaktasiOra dingerteni manawa trimethobenzamide disebarake menyang susu. Keamanan ora ditetepake.
Panggunaan PediatrikInjeksi kontraindikasi ing bocah-bocah. Bentuk dosis oral sing cocog lan supositoria rektum kanggo panggunaan pediatrik ora kasedhiya ing AS. (Deleng Preparasi.)
Gunakake trimethobenzamide kanthi ati-ati ing bocah-bocah. Ora dianjurake kanggo perawatan muntah sing ora rumit ing bocah-bocah; mbatesi panggunaan kanggo perawatan muntah sing dawa saka etiologi sing dikenal. Aja nggunakake ing pasien pediatrik kanthi pratandha lan gejala sing nuduhake sindrom Reye.
Efek ekstrapiramidal saka trimethobenzamide bisa nyamarke diagnosis utawa bingung karo manifestasi CNS saka sindrom Reye utawa encephalopathies liyane. (Deleng Efek Neurologis ing Ati-ati.)
Potensi efek hepatotoksik saka trimethobenzamide bisa ngowahi dalane sindrom Reye.
Bocah-bocah sing lara demam akut, encephalitides, gastroenteritis, dehidrasi, utawa ketidakseimbangan elektrolit bisa uga duwe risiko tambah kanggo efek CNS sing ala (contone, reaksi ekstrapiramidal, opisthotonos, kejang, koma). Gunakake kanthi ati-ati ing bocah-bocah kasebut, utamane sing bubar nampa agen CNS liyane.
Panggunaan GeriatrikPasien geriatrik lan cacat kanthi penyakit demam akut, ensefalitides, gastroenteritis, dehidrasi, utawa ketidakseimbangan elektrolit bisa nambah risiko efek CNS sing ala (contone, reaksi ekstrapiramidal, opisthotonos, kejang, koma). Gunakake kanthi ati-ati ing individu kasebut, utamane sing bubar nampa agen CNS liyane.
Efek Sabar sing Umum
Efek sing ora becik bisa uga kalebu penglihatan kabur, depresi, disorientasi, pusing, ngantuk, sirah, gejala ekstrapiramidal, diare, opisthotonos, lan kram otot. Kajaba iku, reaksi ing situs injeksi (nyeri, perih, abang, bengkak ) lan hipotensi bisa kedadeyan sawise injeksi IM.
Apa obatan liyane bakal mengaruhi Trimethobenzamide
Obat Spesifik
Obat
Interaksi
Komentar
Alkohol
Gangguan kewaspadaan mental/koordinasi fisik
Aja nggunakake bebarengan
Obat CNS (contone, barbiturat, turunan belladonna, fenotiazin)
Bisa tambah risiko reaksi CNS
Gunakake kanthi ati-ati
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