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ব্যবসার জন্য পাইকারি দামে পণ্য কিনতে রেজিস্টেশন করুন
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Normo-K
Square Pharmaceuticals PLC.
Generic: Sodium polystyrene sulfonate
Medicine Overview of Normo-K 15gm Sachet
বাংলা
English
Indication
Hyperkalemia
Administration
Oral Preparation For each gram of powdered resin add 3-4 mL of water or syrup Do not heat solution to improve dissolution; heat impairs resin exchange Rectal Preparation Suspend dose in 100 mL of aqueous liquid (eg, water, sorbitol 25%, methylcellulose 1%, dextrose 10%) Oral Administration Shake suspension well before administering Administer PO or via NG tube with patient in upright position Do not take other oral medications within 3 hr of dosing (6 hr for patients with gastroparesis or other conditions) because of potential GI binding Do not mix with potassium containing liquids or food (eg, orange juice, bananas)...
... Show moreAdult Dose
Oral
Hyperkalaemia
Adult: As suspension in water or syrup or as sweetened paste: 15 g up to 4 times daily. Not to be taken with fruit juices that have high potassium content.
Rectal
Hyperkalaemia
Adult: As enema (suspension): 30 g in 100 ml of 2% methylcellulose '450' and 100 ml of water, retained for at least 9 hr, if possible. Higher doses may be retained for a shorter period of time. Irrigate colon after retention to remove the resin.
Child Dose
Oral
Hyperkalaemia
Child: Acute hyperkalaemia: 1 g/kg daily in divided doses. Maintenance: 500 mg/kg daily.
Rectal
Hyperkalaemia
Child: and neonates: Acute hyperkalaemia: 1 g/kg daily in divided doses. Maintenance: 500 mg/kg daily.
Contraindication
Hypersensitivity to polystyrene sulfonate resins. Oral admin to neonates; neonates with reduced gut motility; obstructive bowel disease. Hypokalaemia.
Mode of Action
Sodium polysytrene sulfonate exchanges sodium ions for potassium ions and other cations in the GI tract before the resin is excreted in the faeces.
Precaution
Renal failure and conditions requiring a restricted sodium intake e.g. heart failure and severe hypertension. Rectal admin to neonates and children. Monitor for electrolyte disturbances and symptoms of hypokalaemia. Discontinue treatment if clinically significant constipation develops. Irrigate colon after admin of enema to ensure removal of resin. Pregnancy; lactation.
Lactation
Not absorbed systemically by the mother, so breastfeeding is not expected to result in risk to the infant
Side Effect
1-10%
GI disturbance
Constipation
Hypokalemia
Hypocalcemia
Hypomagnesemia
Sodium retention
Nausea
Vomiting
Frequency Not Defined
GI concretions (bezoars) after oral use
GI tract ulceration or necrosis, which could lead to perforation
Fecal impaction after rectal administration (especially in children)
Acute bronchitis or bronchopneumonia associated with inhalation of polystyrene particles (rare)
Interaction
Reduces absorption of thyroxine and lithium salts. Enhances adverse effects of cardiac glycosides. Potassium-lowering effect may be reduced when used with other cation-containing antacids.
ব্যবসার জন্য পাইকারি দামে পণ্য কিনতে রেজিস্টেশন করুন
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