Country: Malaysia
Language: English
Source: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
NALBUPHINE HYDROCHLORIDE
DUOPHARMA (M) SDN. BHD.
NALBUPHINE HYDROCHLORIDE
1ml10Units mL
DUOPHARMA (M) SDN. BHD.
Page 1 of 3 [REVISION DATE: 12.08.2020] [DUOPHARMA (M) SDN BHD] INTAPAN INJECTION 1ML (10MG/ML) AMPOULE DESCRIPTION: Clear, colourless liquid. COMPOSITION: Each ampoule contains Nalbuphine Hydrochloride 10 mg per ml. PHARMACODYNAMICS: Nalbuphine HCl has the effect of lowering the cardiac work load and can be used immediately in myocardial infarction (use caution where emesis is involved). Haemodynamic studies in patients with severe arteriosclerotic heart changes reveal that Nalbuphine has circulatory effects similar to those of morphine, i.e. a minimal decrease in oxygen consumption, cardiac index, left ventricular end diastolic pressure and cardiac work. The antagonist activity of Nalbuphine is ¼ as potent as nalorphine and approximately 1/40 that of naloxone. PHARMACOKINETICS: Nalbuphine HCl is a potent analgesic. Its analgesic potency is essentially equivalent to that of morphine on a milligram basis. The onset of action occurs within 2-3 min. after IV administration and in < 15 min. following SC or IM injection. The plasma half-life of Nalbuphine is ¼ as potent as nalorphine and 10 times that of pentazocine._ _ INDICATION: Moderate to severe pain. Preoperative and postoperative analgesics, as a supplement to surgical anaesthesia, for obstetrical analgesia, during labour. RECOMMENDED DOSAGE: The usual recommended adult dose is 10 mg for 70 kg individual, administered SC, IM or IV; this dose may be repeated every 3-6 hours as necessary. Dosage should be adjusted according to the severity of the pain, physical status of the patients, and other medications which the patients may be receiving, see Interactions (other CNS depressants). In non- tolerant individuals, the recommended single maximum dose is 20 mg, with a maximum total daily dose of 160 mg. The use of Nalbuphine as a supplement to balanced anaesthesia requires larger doses than those recommended for analgesic. Induction doses of nalbuphine range from 0.3 – 3 mg/kg IV to be administered over 10 to 15 min period with maintenance doses of 0.25 – 0.5 Read the complete document