देश: संयुक्त राज्य
भाषा: अंग्रेज़ी
स्रोत: NLM (National Library of Medicine)
HETASTARCH (UNII: 875Y4127EA) (HETASTARCH - UNII:875Y4127EA), SODIUM CHLORIDE (UNII: 451W47IQ8X) (SODIUM CATION - UNII:LYR4M0NH37, CHLORIDE ION - UNII:Q32ZN48698)
B. Braun Medical Inc.
HETASTARCH
HETASTARCH 6 g in 100 mL
INTRAVENOUS
PRESCRIPTION DRUG
HESPAN® is indicated in the treatment of hypovolemia when plasma volume expansion is desired in settings where adequate alternative treatment is unavailable. It is not a substitute for blood or plasma. The adjunctive use of HESPAN® in leukapheresis has also been shown to be safe and efficacious in improving the harvesting and increasing the yield of granulocytes by centrifugal means. - Do not use HES products, including HESPAN®, unless adequate alternative treatment is unavailable. Hetastarch has been shown to have an embryocidal effect on New Zealand rabbits when given intravenously over the entire organogenesis period in a daily dose 1/2 times the maximum recommended therapeutic human dose (1500 mL) and on BD rats when given intraperitoneally, from the 16th to the 21st day of pregnancy, in a daily dose 2.3 times the maximum recommended therapeutic human dose. When hetastarch was administered to New Zealand rabbits, BD rats, and swiss mice with intravenous daily doses of 2 times, 1/3 times, and 1 times the m
HESPAN® (6% hetastarch in 0.9% sodium chloride injection) is supplied sterile and nonpyrogenic in 500 mL EXCEL® Containers packaged 12 per case. NDC REF Volume 0264-1965-10 L6511 500 mL Exposure of pharmaceutical products to heat should be minimized. Avoid excessive heat. Protect from freezing. Store at room temperature (25°C); however, brief exposure up to 40°C does not adversely affect the product. Storage in automated dispensing machines: Brief exposure up to 2 weeks to ultraviolet or fluorescent light does not adversely affect the product labeling legibility; prolonged exposure can cause fading of the red label. Rotate stock frequently.
New Drug Application
HESPAN- HETASTARCH IN SODIUM CHLORIDE INJECTION, SOLUTION B. BRAUN MEDICAL INC. ---------- HIGHLIGHTS OF PRESCRIBING INFORMATION THESE HIGHLIGHTS DO NOT INCLUDE ALL THE INFORMATION NEEDED TO USE HESPAN® (6% HETASTARCH IN 0.9% SODIUM CHLORIDE INJECTION) SAFELY AND EFFECTIVELY. SEE FULL PRESCRIBING INFORMATION FOR HESPAN® (6% HETASTARCH IN 0.9% SODIUM CHLORIDE INJECTION). HESPAN® (6% HETASTARCH IN 0.9% SODIUM CHLORIDE INJECTION) IN EXCEL® CONTAINER, FOR INTRAVENOUS USE INITIAL U.S. APPROVAL: 1991 WARNING: MORTALITY; KIDNEY INJURY; COAGULOPATHY _SEE FULL PRESCRIBING INFORMATION FOR COMPLETE BOXED WARNING._ USE OF HYDROXYETHYL STARCH (HES) PRODUCTS, INCLUDING HESPAN®, INCREASES RISK OF MORTALITY KIDNEY INJURY COAGULOPATHY DO NOT USE HES PRODUCTS, INCLUDING HESPAN®, UNLESS ADEQUATE ALTERNATIVE TREATMENT IS UNAVAILABLE. INDICATIONS AND USAGE HESPAN® is a hetastarch indicated for treatment of hypovolemia when plasma volume expansion is desired in settings where adequate alternative treatment is unavailable. (1) HESPAN® in leukapheresis has shown to be safe and efficacious in improving the harvesting and increasing the yield of granulocytes by centrifugal means. (1) DOSAGE AND ADMINISTRATION FOR INTRAVENOUS USE ONLY. RECOMMENDED DOSAGE DOSE Adults (2.1) 500 to 1000 mL Leukapheresis (2.2) 250 to 700 mL of HESPAN® (6% hetastarch in 0.9% sodium chloride injection) with citrate anticoagulant is added to the input line of the centrifugation apparatus. DOSAGE FORMS AND STRENGTHS 30 g hetastarch in 500 mL 0.9% sodium chloride injection. (3) CONTRAINDICATIONS Do not use HES products, including HESPAN®, unless adequate alternative treatment is unavailable. WARNINGS AND PRECAUTIONS Avoid use in patients with pre-existing renal dysfunction (5.1) Increased risk of mortality and acute kidney injury (AKI) in critically ill patients, including patients with sepsis; surgical patients; and blunt trauma patients (5.1) Discontinue use of HESPAN® at the first sign of renal injury (5.1) Continue to monitor renal function for at le पूरा दस्तावेज़ पढ़ें