Land: Vereinigte Staaten
Sprache: Englisch
Quelle: NLM (National Library of Medicine)
Epinephrine (UNII: YKH834O4BH) (Epinephrine - UNII:YKH834O4BH)
General Injectables & Vaccines, Inc
Epinephrine
Epinephrine 1 mg in 1 mL
PRESCRIPTION DRUG
New Drug Application
EPINEPHRINE- EPINEPHRINE INJECTION, SOLUTION GENERAL INJECTABLES & VACCINES, INC ---------- EPINEPHRINE 1 MG/ML INJECTION, USP 1 ML 5 PK SINGLE DOSE AMPULE DES CRIPTION AMPUL PROTECT FROM LIGHT UNTIL READY TO USE. RX ONLY Epinephrine Injection, USP 1:1000 is a sterile, nonpyrogenic solution. Each mL contains epinephrine 1 mg; sodium chloride 9 mg; sodium metabisulfite 0.9 mg added. May contain hydrochloric acid for pH adjustment. The solution contains no bacteriostat or antimicrobial agent. It is administered by the following routes: intravenous, intracardiac (left ventricular chamber), via endotracheal tube into the bronchial tree, subcutaneous or intramuscular. Epinephrine, USP is a sympathomimetic (adrenergic) agent designated chemically as 4-[1-hydroxy-2 (methylamino) ethyl]-1,2 benzenediol, a white, microcrystalline powder. It has the following structural formula: Sodium Chloride, USP is chemically designated NaCl, a white, crystalline compound freely soluble in water. CLINICAL PHARMACOLOGY The actions of epinephrine resemble the effects of stimulation of adrenergic nerves. To a variable degree it acts on both alpha and beta receptor sites of sympathetic effector cells. Its most prominent actions are on the beta receptors of the heart, vascular and other smooth muscle. When given by rapid intravenous injection, it produces a rapid rise in blood pressure, mainly systolic, by (1) direct stimulation of cardiac muscle which increases the strength of ventricular contraction, (2) increasing the heart rate and (3) constriction of the arterioles in the skin, mucosa and splanchnic areas of the circulation. When given by slow intravenous injection epinephrine usually produces only a moderate rise in systolic and a fall in diastolic pressure. Although some increase in pulse pressure occurs, there is usually no great elevation in mean blood pressure. Accordingly, the compensatory reflex mechanisms that come into play with a pronounced increase in blood pressure do not antagonize the direct cardiac actions of epinephrine Lesen Sie das vollständige Dokument