Χώρα: Ηνωμένες Πολιτείες
Γλώσσα: Αγγλικά
Πηγή: NLM (National Library of Medicine)
SODIUM POLYSTYRENE SULFONATE (UNII: 1699G8679Z) (POLYSTYRENE SULFONIC ACID - UNII:70KO0R01RY)
Major Pharmaceuticals
SODIUM POLYSTYRENE SULFONATE
SODIUM POLYSTYRENE SULFONATE 1 g in 1 g
PRESCRIPTION DRUG
Abbreviated New Drug Application
SODIUM POLYSTYRENE SULFONATE- SODIUM POLYSTYRENE SULFONATE POWDER MAJOR PHARMACEUTICALS ---------- KIONEX SODIUM POLYSTYRENE SULFONATE, USP CATION-EXCHANGE RESIN DESCRIPTION Sodium polystyrene sulfonate is a benzene, diethenyl- polymer with ethenylbenzene, sulfonated, sodium salt and has the following structural formula: CHEMICAL STRUCTURE The drug is a cream to light brown finely ground, powdered form of sodium polystyrene sulfonate, a cation-exchange resin prepared in the sodium phase with an _in vitro_ exchange capacity of approximately 3.1 mEq (_in vivo_ approximately 1 mEq) of potassium per gram. The sodium content is approximately 100 mg (4.1 mEq) per gram of the drug. It can be administered orally or in an enema. CLINICAL PHARMACOLOGY As the resin passes along the intestine or is retained in the colon after administration by enema, the sodium ions are partially released and are replaced by potassium ions. For the most part, this action occurs in the large intestine, which excretes potassium ions to a greater degree than does the small intestine. The efficiency of this process is limited and unpredictably variable. It commonly approximates the order of 33 percent but the range is so large that definitive indices of electrolyte balance must be clearly monitored. Metabolic data are unavailable. INDICATIONS AND USAGE Sodium polystyrene sulfonate is indicated for the treatment of hyperkalemia. CONTRAINDICATIONS This product is contraindicated in the following conditions: patients with hypokalemia, patients with a history of hypersensitivity to polystyrene sulfonate resins, obstructive bowel disease, neonates with reduced gut motility (postoperatively or drug induced) and oral administration in neonates (see PRECAUTIONS). ® WARNINGS ALTERNATIVE THERAPY IN SEVERE HYPERKALEMIA: Since effective lowering of serum potassium with this product may take hours to days, treatment with this drug alone may be insufficient to rapidly correct severe hyperkalemia associated with states of rapid tissue breakdown (e.g., burns a Διαβάστε το πλήρες έγγραφο