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Pronunciation |
|
(DEKS
tran
won) |
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U.S. Brand
Names |
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Promit® |
|
|
Generic
Available |
|
No |
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|
Pharmacological Index |
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Plasma Volume Expander |
|
|
Use |
|
Prophylaxis of serious anaphylactic reactions to I.V. infusion of
dextran |
|
|
Pregnancy Risk
Factor |
|
C |
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Contraindications |
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Hypersensitivity to dextrans or any component; dextran
contraindicated |
|
|
Warnings/Precautions |
|
Severe hypotension and bradycardia can occur. If any reaction occurs, do not
administer dextran. Mild dextran-induced anaphylactic reactions are not
prevented. |
|
|
Adverse
Reactions |
|
<1% (Limited to important or life-threatening symptoms): Mild hypotension,
tightness of chest, wheezing |
|
|
Stability |
|
Protect from freezing |
|
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Mechanism of
Action |
|
Binds to dextran-reactive immunoglobulin without bridge formation and no
formation of large immune complexes |
|
|
Usual Dosage |
|
I.V. (time between dextran 1 and dextran solution should not exceed 15
minutes):
Adults: 20 mL 1-2 minutes before I.V. infusion of dextran
|
|
|
Cardiovascular
Considerations |
|
Dextran use in patients with restrictive cardiovascular disease or renal and
hepatic impairment should be used with extreme caution. Dextran can also result
in an anaphylactoid reaction. Patients should be observed closely during the
first several minutes of the infusion in case anaphylactoid reaction
occurs. |
|
|
Dental Health: Local
Anesthetic/Vasoconstrictor
Precautions |
|
No information available to require special precautions |
|
|
Dental Health:
Effects on Dental Treatment |
|
No effects or complications reported |
|
|
Nursing
Implications |
|
Do not dilute or admix with dextrans |
|
|
Dosage Forms |
|
Injection: 150 mg/mL (20 mL) |
|
|
References |
|
Renck H, Ljungstrom KG, Hedin H, et al,
"Prevention of Dextran-Induced Anaphylactic Reactions by Hapten Inhibition,"
Acta Chir Scand, 1983, 149(4):355-60.
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