País: Nueva Zelanda
Idioma: inglés
Fuente: Medsafe (Medicines Safety Authority)
Milrinone 1 mg/mL
Max Health Limited
Milrinone 1 mg/mL
1 mg/mL
Concentrate for injection
Active: Milrinone 1 mg/mL Excipient: Glucose Lactic acid Sodium hydroxide Water for injection
Prescription
Erregierre SpA
Milrinone is indicated for the short term intravenous therapy of severe congestive heart failure. The majority of experience with intravenous milrinone has been in patients receiving digoxin and diuretics. Also indicated for low output states following cardiac surgery, including weaning from cardio-pulmonary bypass pump.
Package - Contents - Shelf Life: Ampoule, glass, Type I, 10 mL capacity, packed into cardboard containers - 10 dose units - 36 months from date of manufacture stored at or below 25°C protect from light 72 hours diluted stored at or below 25°C
2015-02-16
Page 1 of 12 DATA SHEET 1 NAME OF MEDICINE Milrinone Generic Health, 1 mg/mL injection concentrate 2 QUALITATIVE AND QUANTITATIVE COMPOSITION Each sterile, single-dose ampoule contains 1 mg/mL milrinone (as lactate) For the full list of excipients, see section 6.1. 3 PHARMACEUTICAL FORM Injection concentrate. Clear, colourless to pale yellow solution, practically free from visible particles. The pH is between 3.2 and 4.0. 4 CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS Milrinone is indicated for the short term intravenous therapy of severe congestive heart failure. The majority of experience with intravenous milrinone has been in patients receiving digoxin and diuretics. Milrinone is also indicated for low output states following cardiac surgery, including weaning from cardio-pulmonary bypass pump. 4.2 DOSE AND METHOD OF ADMINISTRATION Milrinone should be administered with a loading dose followed by a continuous infusion (maintenance dose) according to the following guidelines: LOADING DOSE 50 mcg/kg administered slowly over 10 minutes Page 2 of 12 MAINTENANCE DOSE TABLE 1 INFUSION RATE TOTAL DAILY DOSE (24 HOURS) MINIMUM 0.375 mcg/kg/min 0.60 mg/kg STANDARD 0.50 mcg/kg/min 0.77 mg/kg MAXIMUM 0.75 mcg/kg/min 1.13 mg/kg Note: Administer as a continuous intravenous infusion. The infusion rate should be adjusted according to haemodynamic and clinical response. Patients should be closely monitored. Most patients show an improvement in haemodynamic status as evidenced by increases in cardiac output and reductions in pulmonary capillary wedge pressure. Note: See "Dosage Adjustment in Renally Impaired Patients". Dosage may be titrated to the maximum haemodynamic effect and should not exceed 1.13 mg/kg/day. Duration of therapy should depend upon patient responsiveness. Intravenous infusions of milrinone should be administered as described in Table 2. TABLE 2 • MILRINONE - RATES OF INFUSION FOR CONCENTRATIONS OF 100 MCG/ML, 150 MCG/ML AND 200 MCG/ML. INFUSION DELIVERY RATE MILRINONE (MCG/KG/MIN) 100 MCG/ML (ML/KG/HR) Leer el documento completo