Physostigmine salicylate - Antidotes for Tricyclic, Diazepam
Drug Name:
Physostigmine salicylate - Antidotes for Tricyclic, Diazepam
List Of Brands:
Indication Type Description:
Pharmacology/ Pharmacokinetics
Indication:
Anticholinergic toxicity- reverse toxic effects of CNS effects
Pregnancy and lactation:
Pregnancy-
Use only if clearly needed and potential benefitsoutweigh hazards to the fetus.
Lactation-
Safety for usehas not been established.
Children-
Reserve for life-threatening situations only.
Drug Interaction:
None reported
Adverse Reaction:
Nausea, vomiting, salivation, bradycardia and convulsions
Contra-Indications:
Asthma, gangrene, diabetes, cardiovascular disease, GI or GU obstruction.
Special precautions:
Benzyl alcohol contained in this product as a preservative, has been associated with a fatal
- gasping syndrome- in premature infants.
Sulfite sensitivity- the product contains sulfites that
may cause allergic-type reactions.
Warnings-
Discontinue drug- if symptoms of excessive salivation or emesis ,frequent urinnation, or diarrhea occur. If excessive
sweating or nausea occurs, reduce dosage.
Administration rate- rapid administration can cause bradycardia, hypersalivation (leading to respiratory difficulties
and seizures.
Hypersensitivity- because of the posibility of hypersentivity, atropine sufate should be available as an antagonist and
antidote for phytpostigmine.
Pregnancy- use only if clearly needed and potential benefitsoutweigh hazards to the fetus.
Lactation- safety for usehas not been established.
Children- reserve for life-threatening situations only.
Dosages/ Overdosage Etc:
Indications:
Anticholinergic toxicity- reverse toxic effects of CNS effects
Dosage:
Anticholinergic toxicity- 2mg Im or IV .Administer IV slowly.
Pharmacology/ Pharmacokinetics:
Pharmacology:
The action of acetylcholine is transcient because of hydrolysis by acetylcholinesterase.
Physiostigmine a reversible anticholineterase drug, increases the acetylcholine at the site of
cholinergic transmission and prolongs and exaggerates the effects of acetylcholine.
Pharmacokinetics:
Readily absorbed and crosses the blood brain barrier following IM or IV admin.