Uses of Tanaallery-f
Tanaallery-f medicine has the main ingredients: Phenylephrin hydrochloride 5mg, Chlorpheniramine 4mg. The drug is effective in the treatment of eye diseases. Refer to the article below to get more useful information about the use of Tanaallery-f
1. Uses of Tanaallery-f
Tanaallery-f drug has a Phenylephrin component that helps to selectively stimulate alpha 1 - adrenergic causing vasoconstriction, increased blood pressure. The drug is indicated in the following cases:
Eye drops to dilate the pupil (in the treatment of uveitis with the potential to cause adhesions; preparation before intraocular surgery; for diagnosis). Eye drops to relieve conjunctival congestion (in acute conjunctivitis). Nasal drops to relieve congestion in the nose and sinuses caused by colds. Treatment of hypotension in shock after adequate fluid resuscitation Treatment of hypotension due to spinal anesthesia Prolong the duration of anesthesia in spinal or regional anaesthesia. On the other hand, Tanaallery-f is not prescribed in the following cases:
Patients who are allergic to any of the components of the drug Severe cardiovascular disease Atherosclerosis Hyperthyroidism Hyperthyroidism Cardiac arrest due to ventricular fibrillation Diabetes Sugar Glaucoma Obstructive urinary retention.
2. Dosage of Tanaallery-f
Dosage of Tanaallery-f can be adjusted depending on age and purpose of treatment. Specifically:
Hypotension: Initial dose of 2 - 5 mg (0.2 - 0.5 ml of 1% solution), subcutaneous or intramuscular injection; dose after 1 - 10 mg if necessary depending on response. A slow intravenous injection of 100–500 micrograms (0.1–0.5 ml of a 10-fold dilution i.e. 0.1%) can be performed, repeated if necessary after at least 15 minutes. Severe hypotension: Dissolve 1 ampoule of 10 mg in 500 ml of 5% glucose solution or 0.9% sodium chloride (concentration of 20 micrograms/ml), intravenous infusion at an initial rate of up to 180 micrograms/min. then gradually decrease depending on the response to 30-60 micrograms/min. Hypotension during spinal anesthesia: Prophylaxis of hypotension: 2-3 mg subcutaneously or intramuscularly 3-4 minutes before spinal anesthesia. Treatment of hypotension that has occurred in adults: Intravenous, initial dose of 0.2 mg; Any subsequent dose should not exceed the previous dose 0.1 to 0.2 mg, and a single dose should not exceed 0.5 mg. Extending the duration of anesthesia in spinal anesthesia: 2 - 5 mg of phenylephrine hydrochloride can be added to the anesthetic solution. Vasoconstriction in regional anesthesia: According to the manufacturer, the optimal drug concentration is 0.05 mg/ml (1 : 20 000). Prepare the anesthetic solution by adding 1 mg of phenylephrine to every 20 ml of the anesthetic solution. Paroxysmal supraventricular tachycardia: For cessation, rapid intravenous injection (within 20 to 30 seconds) recommended starting dose should not exceed 0.5 mg; Subsequent doses may be increased by 0.1 to 0.2 mg depending on the patient's blood pressure response. Systolic blood pressure should not be higher than 160 mmHg with a maximum dose of 1 mg. Dosage of Tanaallery-f for ophthalmic use in adults and adolescents:
Mydriasis and vasoconstriction: Instill 1 drop of a 2.5% or 10% solution into the conjunctiva, repeat 1 hour later if needed . Prolonged pupil dilation: Instill 1 drop of 2.5% or 10% solution into the conjunctiva, 2-3 times a day. Uveitis with posterior iris adhesions (treatment or prophylaxis): Instill 1 drop of 2.5% or 10% solution into the conjunctiva, repeat 1 hour later if necessary, but not to exceed 3 times/day . Treatment can be continued the next day if needed. Atropine sulfate and hot compresses can also be used if indicated. Red eyes (treatment): Instill 1 drop of 0.12% solution into the conjunctiva, every 3-4 hours as needed. Induce pupil dilation before surgery: Instill 1 drop of 2.5% or 10% solution into the conjunctiva 30-60 minutes before surgery. Induce pupil dilation for diagnosis
Refractometry: Instill 1 drop of drug paralyzing the ciliary body into the conjunctiva; 5 minutes later, add 1 drop of 2.5% phenylephrine solution. The need for additional blepharoplasty and the time to wait before blepharoparesis depends on the blepharospasm medication used. Ophthalmoscopy: Instill 1 or 2 drops of 2.5% solution 15 to 30 minutes before ophthalmoscopy, can be repeated after 10-60 minutes if needed. Retinoscopy: Instill 1 drop of 2.5% solution into the conjunctiva. Blanching test: To distinguish between conjunctivitis and iridocyclitis, instill 1 drop of a 2.5% solution into the infected eye; 5 minutes after instillation, observe the white area around the sclera-corneal margin. Dosage of Tanaallery-f for children:
Mydriasis and vasoconstriction: Instill 1 drop of 2.5% solution into the conjunctiva, repeat 1 hour later if necessary. Long-term pupil dilation: Instill 1 drop of 2.5% solution into the conjunctiva, 2-3 times a day. Uveitis with posterior adhesions (treatment): Instill 1 drop of 2.5% solution into the conjunctiva, repeat after 1 hour if necessary. Treatment can be continued the next day. If indicated, atropin sulfate and hot compresses can be used. Pupil dilation before surgery: Instill 1 drop of 2.5% solution 30-60 minutes before surgery. Dosage for pupil dilation for children to conduct diagnosis:
Refractometry: Instill 1 drop of 1% atropin solution into the conjunctiva; 10 – 15 minutes later, add 1 drop of 2.5% phenylephrine solution, and 5-10 minutes later, a second drop of 1% atropine solution. Within 1 to 2 hours, the eye is ready for measurement. Ophthalmoscopy, retinal examination, whitening test, red eyes: The dose is the same as for adults. Nasal drops to relieve nasal congestion for both adults and children: Instill 2 - 3 drops (or mist) of 0.25 - 0.5% solution in each nostril, every 4 hours as needed. If you have a lot of stuffy nose, you can use 1% solution at first.
3. Tanaallery-f . side effects
During the use of Tanaallery medicine, patients may experience some side effects such as:
Common side effects such as: nervous excitement, restlessness, anxiety, trouble sleeping, weakness, dizziness. , chest pain, tremor, paresthesia of extremities, Uncommon side effects: Hypertension with pulmonary edema, arrhythmia, bradycardia, peripheral and visceral vasoconstriction, decreased perfusion of these organs , respiratory failure, hallucinations, paranoia Rare side effects: Focal myocarditis, subpericardial hemorrhage.
4. Tanaallery-f . drug interactions
Tanaallery may be less effective or increase side effects if used in combination with the above drugs.
Phentolamines and alpha-adrenergic blockers Phenothiazines (e.g. clorpromazine) Propranolol and beta-adrenergic blockers Birth control (oxytocic) Sympathomimetics Anesthesia Tricyclic antidepressants (such as imipramine) or guanethidine also increase the effect. phenylephrine hypertension. Atropine sulfate and other blepharospasm agents, when combined with phenylephrine, will block the reflex bradycardia, increase the blood pressure and mydriasis effects of phenylephrine, furosemide or other diuretics that reduce the increased response. phenylephrine-induced blood pressure Tanaallery-f is widely used in the treatment of eye and nose diseases. However, patients need to adhere to the dosage instructions from the doctor to promote the best effect.
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Bài viết này được viết cho người đọc tại Sài Gòn, Hà Nội, Hồ Chí Minh, Phú Quốc, Nha Trang, Hạ Long, Hải Phòng, Đà Nẵng.