Sodium Nitroprusside  -  Vasodilator Antihypertensive

  
Manufacturers of  Sodium Nitroprusside injection, a vasodilator anti hypertensive drug, used in treatment of congenstive heart failure

  

 Action :

It acts by relaxation of vascular smooth muscle; consequently it dilates peripheral arteries and veins. It is more active on veins than on arteries. It reduces both preload & afterload which will reduce workload on the heart. In hypertensive patients, moderate doses induce renal vasodilation roughly proportional to the decrease in systemic blood pressure; thus there is no appreciable change in RBF and GFR. Hypotensive effect is seen within a minute or two after the start of an adequate infusion, and it dissipates almost as rapidly after infusion is discontinued.

  

 Indication :

Hypertensive crisis, Congenstive heart failure, Controlled hypotension, acute mitral regurgination.

 

 Pharmaco-Kinetics :

It is given parenterally and onset of action occurs quickly (within 1 minute). On stopping I.V. infusion, the effect dissipates rapidly.

   

 Contraindication :

Compensatory hypertension.

  

 Adverse-Effects :

None except in overdosage. Nausea, retching, apprehension, headache, restlessness, muscle twitching, dizziness.

  

 Special Precaution :

Sodium nitroprusside decomposes on exposure to light, so the container must be protected from light.

     

 Dosage :

Adults
Hypertensive crisis :  in patients not already receiving antihypertensives, by i.v. infussion 0.3-1mcg / kg / minute initially, then adjusted; lover doses for patients already being reated with antihyper-tensives.

Heart failure :  by i.v. infusion initially 10-15mcg / kg/ minute, increase every 5-10 minutes as necessary, usual range 10-200mcg / kg / minute.

  
Children :
Begin with infusion rate of 0.003 mg / kg / minute and decrease or increase dosage according to response. Only 5% Dextrose in water to be used. No other drug in IV solution. 

    

 Duration of action :

3 - 5 minutes. 

    

 Strength & Packing :

50mg / ml,  5ml  vial.  

  
*  for the use of a registered Medical practitioner or a Hospital or a Laboratory only.

  

  

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Disclaimer : This guide is provided for information purposes only, and for use of a registered medical practitioner or a hospital or a laboratory only. The authors, webmaster, or respective references / links are no way responsible for the content of the information. Although a concerted effort has been made to ensure the validity of the information contained in this document, we give no assurance for the accuracy of the information in this documents.