País: Israel
Idioma: anglès
Font: Ministry of Health
METHADONE HYDROCHLORIDE
TEVA PHARMACEUTICAL INDUSTRIES LTD, ISRAEL
N07BC02
SOLUTION
METHADONE HYDROCHLORIDE 0.4 MG/ML
PER OS
Required
TEVA PHARMACEUTICAL INDUSTRIES LTD, ISRAEL
METHADONE
METHADONE
Relief of moderate to severe pain.
2012-02-28
ADOLAN 30 1. 2012, RH " ע עבקנ הז ןולע טמרופ " רשואו קדבנ ונכותו תואירבה דרשמ י ." רשואמ ןולע : ראוני 2012 “This leaflet format has been determined by the Ministry of Health and the content thereof has been checked and approved.” Date of approval: January 2012. ADOLAN 0.04% SOLUTION COMPOSITION _Active Ingredient _ Methadone hydrochloride 0.04% (0.4 mg/ml) _ _ _Other Ingredients _ Saccharin, methylparaben, propylparaben, edicol supra blue EGS, water for injection. MECHANISM OF ACTION Methadone hydrochloride is a synthetic narcotic agent with analgesic and antitussive properties equal to those of morphine but with lower sedative and addictive effects. The onset of action occurs 30-60 minutes after an oral dose, with peak effect after 90-120 minutes. The duration of action is 4-6 hours. Methadone is readily absorbed from the gastrointestinal tract. It is widely distributed in the tissues and diffuses across the placenta. It is highly plasma-bound with a half life of 15-25 hours. Methadone is metabolized in the liver mainly by N-demethylation and cyclization. The metabolites are excreted in the bile and urine. A variable amount of the dose appears in the urine unchanged. Some metabolites are active. With repeated administration, half life may be greatly prolonged and duration of action may increase to 22-48 hours, possibly because of accumulation of methadone or of active metabolites. Renal excretion is dependent on urinary pH and is higher in acidic urine. INDICATIONS Relief of moderate to severe pain. CONTRAINDICATIONS Known hypersensitivity to methadone or to any other ingredient of the preparation. Respiratory depression, obstructive airways disease (especially in the presence of cyanosis and excessive bronchial secretions) and during an acute asthma attack Patients dependent on non-opioid drugs Concurrent administration with monoamine oxidase inhibitors (including moclobemide) or within 2 weeks of discontinuation of them. Head injury and raised intrac Llegiu el document complet