ISMOLOL

Product: 
ISMOLOL
Formulary: 
Generic Formulary
Category: 
Cardio Vascular System
Sub Group: 
ANTIARRHYTHMIC DRUGS
International Brand Name: 
Brevibloc
Dosages: 
100MG/ML
Unit of Packing: 
Inf- 10 ml
In treatment of: 
Intravenous: rapid temporary control of ventricular rate in superventricular arrhythmias
Adverse Effects: 
Heart failure ;Hypotension; Peripheral ischaemia; Headache; Dizziness; Confusion; Fatigue; Gastrointestinal problems; Nausea; Vomiting; Tiredness
Contraiindication: 
Hypersensitivity to the drug; Second or third degree heart block; Severe Heart failure; Cardiogenic; shock; Sinus bradycardia
Special Precaution: 
Congestive heart failure; Hypotension; Peripheral vascular disease; Renal impairment; Bronchospastic disorders; Diabetes mellitus
Interaction: 
Not Available
Servings: 
Supra ventricular tachycardia: Starts with a loading dose of 500mcg/kg/minute for 1 minute. Followed by a 4-minute maintenance infusion of 50mcg/kg/minute. If tachycardia is not subsides repeat the loading dose and maintenance infusion increased to 100mcg/kg/minute. Continue titration as above as repeating loading dose and with increase in maintenance dose with increments of 50mcg/kg/minute. After therapeutic goal is achieved omit the loading dose and reduce increase in maintenance dosage from 50mcg to 25mcg and increase the interval between titration from 5 to 10 minutes. Maintenance dosage: 50 to 300mcg/minuteFor post operative and intra operative tachycardia and hypertension: 1mg/kg I.V. bolus over 30 seconds followed by 150mcg/kg/minute. Then if required give a loading dose of 500mcg and done the same procedure explained above in Supra ventricular tachycardia

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