Nchi: Israeli
Lugha: Kiingereza
Chanzo: Ministry of Health
ARGIPRESSIN
AOP ORPHAN PHARMACEUTICALS ISRAEL LTD, ISRAEL
H01BA06
CONCENTRATE FOR SOLUTION FOR INFUSION
ARGIPRESSIN 40 IU / 2 ML
I.V
Required
AMOMED PHARMA GMBH, AUSTRIA
ARGIPRESSIN
Embesin is indicated for the treatment of catecholamine-refractory hypotension following septic shock in patients older than 18 years. A catecholamine-refractory hypotension is present if the mean arterial blood pressure cannot be stabilized to 65 – 75 mmHg despite adequate volume substitution and application of catecholamines.
2020-03-11
Page 1 of 6 1. NAME OF THE MEDICINAL PRODUCT Embesin 2. QUALITATIVE AND QUANTITATIVE COMPOSITION One ampoule with 2 ml concentrate for solution for infusion contains 40 I.U. argipressin (equating 133 microgram). 1 ml concentrate for solution for infusion contains 20 I.U. argipressin (equating 66.5 microgram). Excipients with known effect: Each ml contains less than 23 mg of sodium. For the full list of excipients, see section 6.1. 3. PHARMACEUTICAL FORM Concentrate for solution for infusion. The solution is clear, colourless and free from visible particles with a pH between 2.5 - 4.5. 4. CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS Embesin is indicated for the treatment of catecholamine refractory hypotension following septic shock in patients older than 18 years. A catecholamine refractory hypotension is present if the mean arterial blood pressure cannot be stabilised to 65 – 75 mmHg despite adequate volume substitution and application of catecholamines (see section 5.1). 4.2 POSOLOGY AND METHOD OF ADMINISTRATION The therapy with argipressin in patients with catecholamine refractory hypotension is slowly started by a continuous intravenous infusion of 0.01 I.U. per minute using a perfusor / motor pump. Dependent on the clinical response, the dose may be increased every 15 – 20 minutes up to 0.03 I.U. per minute. For intensive care patients, the usual target blood pressure is 65 – 75 mmHg. Argipressin should only be used in addition to conventional vasopressor therapy with catecholamines. Doses above 0.03 I.U. per minute should only be applied as emergency treatment, as this may cause gut and skin necrosis (see section 4.4). Dose reductions of Embesin should be done in accordance with the clinical course. The treatment duration should also be chosen according to the individual clinical picture. The solution for infusion is prepared by diluting 40 I.U. Embesin with NaCl 9 mg/ml (0.9%) solution. The total volume after dilution should be 50 ml (equivalent to 0.8 I.U. argipressin per ml). Infusion rates acc Soma hati kamili