西藥品
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西藥品查詢
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外觀描述:
透明液體、透明安瓿

醫令代碼:
33161

商品名:
EPHEDRINE ★ 40MG 1ML

中文名:
鹽酸麻黃素針

學名:
Ephedrine

劑型:
AMP

孕婦用藥分級:
C 級

健保碼:
NC08061209

藥品許可證:
內衛藥製字第008061號

仿單下載:

用藥指導單張:

ATC7藥理類別:

結構式 :

(1R,2S)-2-(methylamino)-1-phenylpropan-1-ol


UpToDate:

藥理作用 :
本品可直接作用在α和β腎上腺素激接受體位,又可間接的促使norepinephrine從突觸前的神經末端釋放出。Ephedrine所產生的支氣管擴張作用比epinephrine所產生的要弱,但是作用期較長。其中樞神經刺激效應也比epinephrine要顯著。

適應症:
支氣管性氣喘、血管運動神經性鼻炎、過敏性鼻炎、脊椎麻醉導致之急性低血壓。

用法用量:

一般成人劑量:
肌肉或皮下注射,25-50mg,必要時重複給藥。
靜脈注射,5-25mg緩慢注射,必要時5-10分鐘再注射一次。
一般成人處方限量:每24小時可達150mg。

一般兒童劑量:
肌肉或皮下注射,每公斤體重500mcg或每平方公尺體表面積16.7mg,每4-6小時一次。


副作用:
副作用包括頭暈、頭痛、焦慮、不規律或加速心跳、失眠及血壓上昇等,長期使用可能會影響心臟功能。

藥物動力學:

Distribution
Excreted in breast milk.

Metabolism
Small amounts are slowly metabolized in the liver.

Elimination
Renally eliminated and mostly as unchanged drug. The t ½ is approximately 3 to 6 h (dependent on urinary pH).

Onset
Immediate (IV). More than 20 min (subcutaneous). 10 to 20 min (IM). 15 to 60 min (oral).

Duration
1 h (parenteral). 3 to 5 h (oral).


交互作用:

Alpha-adrenergic blockers (eg, phentolamine)
Vasoconstricting and hypertensive effects are antagonized.

Diuretics
Vascular response may be decreased.

General anesthetics (eg, halothane, cyclopropane), cardiac glycosides
The potential for the myocardium to be sensitized to the effects of sympathomimetic amines is increased. Arrhythmias may result with coadministration and may respond to beta blockers.

Guanethidine
May negate antihypertensive effects.

MAOIs
Increases pressor response from vasopressors significantly; hypertensive crisis and intracranial hemorrhage are possible.

Rauwolfia alkaloids, methyldopa, furazolidone
May result in hypertension.

Tricyclic antidepressants
May potentiate pressor response.

Urinary acidifiers
May increase elimination of ephedrine.

Urinary alkalinizers
May decrease elimination of ephedrine.

Incompatibility
Ephedrine is chemically incompatible with sodium bicarbonate; avoid admixture.


禁忌:
狹角青光眼,服用MAO抑制劑的病人,嚴重的高血壓,或冠狀動脈疾病。

注意事項:
本品可用於合成amphetamine,故其原料藥列為管制藥。

藥品保存方式:
藥品應置於攝氏 15 ~ 25 度乾燥處所;如發生變質或過期,不可再使用。

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