ইঙ্গিত ও ব্যবহার
Atosiban EVER is indicated to delay imminent pre-term birth in pregnant adult women with: regular uterine contractions of at least 30 seconds duration at a rate of ≥4 per 30 minutes a cervical dilation of 1 to 3 cm (0-3 for nulliparas) and effacement of ≥50% a gestational age from 24 until 33 completed weeks a normal fetal heart rate
ডোজ নির্দেশিকা
শুধুমাত্র নির্দেশিকা তথ্য
প্রদর্শিত ডোজগুলি সরকারি উৎসের সাধারণ নির্দেশিকা। ব্যক্তিগতকৃত ডোজের জন্য সর্বদা আপনার ডাক্তার বা ফার্মাসিস্টের পরামর্শ নিন।
প্রাপ্তবয়স্ক:
Atosiban is administered intravenously in three successive stages: an initial bolus dose (6.75 mg), performed with Atosiban 6.75 mg/0.9 ml solution for injection, immediately followed by a continuous high dose infusion (loading infusion 300 micrograms/min) of Atosiban 37.5 mg/5 ml concentrate for solution for infusion during three hours, followed by a lower dose of Atosiban 37.5 mg/5 ml concentrate for solution for infusion (subsequent infusion 100 micrograms/min) up to 45 hours. The duration of the treatment should not exceed 48 hours. The total dose given during a full course of Atosiban therapy should preferably not exceed 330.75 mg of atosiban.
পার্শ্বপ্রতিক্রিয়া
Very common (affects more than 1 in 10 people): feeling sick (nausea).Common (affects less than 1 in 10 people): headache, feeling dizzy, hot flushes, being sick (vomiting), fast heartbeat, Low blood pressure. Signs may include feeling dizzy or light-headed, A reaction at the site where the injection was given, high blood sugar.Uncommon (affects less than 1 in 100 people): high temperature (fever), difficulty sleeping (insomnia), itching, rash.
সতর্কতা ও নিষেধাজ্ঞা
সতর্কতা ও সাবধানতা
When Atosiban EVER is used in patients in whom premature rupture of membranes cannot be excluded, the benefits of delaying delivery should be balanced against the potential risk of chorioamnionitis. There is no experience with Atosiban EVER treatment in patients with impaired function of the liver or kidneys. Renal impairment is not likely to warrant a dose adjustment, since only a small extent of Atosiban EVER is excreted in the urine. In patients with impaired hepatic function, Atosiban EVER should be used with caution There is only limited clinical experience in the use of Atosiban EVER in multiple pregnancies or the gestational age group between 24 and 27 weeks, because of the small number of patients treated. The benefit of Atosiban EVER in these subgroups is therefore uncertain. Re-treatment with Atosiban EVER is possible, but there is only limited clinical experience available with multiple re-treatments, up to 3 re-treatments. In case of intrauterine growth retardation, the decision to continue or reinitiate the administration of Atosiban EVER depends on the assessment of fetal maturity. Monitoring of uterine contractions and fetal heart rate during administration of Atosiban EVER and in case of persistent uterine contractions should be considered. As an antagonist of oxytocin, Atosiban EVER may theoretically facilitate uterine relaxation and postpartum bleeding therefore blood loss after delivery should be monitored. However, inadequate uterus contraction postpartum was not observed during the clinical trials. Multiple pregnancy and medicinal products with tocolytic activity like calcium channel blockers and beta- mimetics are known to be associated with increased risk of pulmonary oedema. Therefore, Atosiban EVER should be used with caution in case of multiple pregnancy and/or concomitant administration of other medicinal products with tocolytic activity
নিষেধাজ্ঞা
Atosiban must not be used in the following conditions: Gestational age below 24 or over 33 completed weeks Premature rupture of the membranes >30 weeks of gestation Abnormal foetal heart rate Antepartum uterine haemorrhage requiring immediate delivery Eclampsia and severe pre-eclampsia requiring delivery Intrauterine foetal death Suspected intrauterine infection Placenta praevia Abruptio placenta Any other conditions of the mother or foetus, in which continuation of pregnancy is hazardous