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Piafen, comprimate

Prospect

Compozitie

Comprimate

Fiole

Metamizol sodic 500 mg 2,5000 g
Clorhidrat de pitofenona 5 mg 0,0100 g
Bromometilat de fenpipramida 0,1 mg 0,0001 g
Excipienti pana la 690 mg -
apa distilata - pana la 5 ml


Forma de prezentare: flacoane cu 20 de comprimate. Cutii cu 5 fiole a 5 ml. Cutii cu 100 fiole a 5 ml.
Supozitoare cu piafen: Noraminofenazona 1,0000 g, Clorhidrat de pitofenona 0,0100 g, Bromometilat de fenpipramida 0,0001 g, excipienti pana la 2,9 g

Actiune terapeutica
Metamizolul sodic, derivat pirazolonic, are actiune analgezica puternica, efecte antispastice directe asupra fibrei musculare netede, efecte antipiretice. Clorhidratul de pitofenona este un antispastic musculotrop, iar bromometilatul de fenpipramida are actiune anticolinergica marcata si ganglioplegica discreta. Asocierea celor trei substante confera un efect analgezic si antispastic marcat. Datorita actiunii analgezice intense, poate inlocui, adesea analgezicele de tip morfinic, fiind totodata lipsit de reactiile adverse ale acestora (dependenta, deprimarea respiratiei, somnolenta).
Noraminofenazona, derivat pirazolonic, are o actiune analgezica energica, efecte antispastice prin mecanism direct asupra fibrei musculare netede, de asemenea, efecte antipiretice. Clorhidratul de pitofenona este un antispastic (de tip papaverinic), iar bromometilatul de fenpipramida are actiune anticolinergica marcata si ganglioplegica discreta. Prin asocierea celor trei substante se realizeaza un efect analgezic si antispastic marcat, fara efecte de tip atropinic evidente, cu toxicitate redusa si o buna toleranta clinica. Gratie actiunii sale analgezice intense, poate inlocui, adesea, analgezicele de tip morfinic, fiind, totodata, lipsit de inconvenientele acestora (obisnuinta, deprimarea respiratiei, somnolenta).

Indicatii
Forma injectabila este indicata, in special, in sindroamele algice severe (colica nefretica, colica biliara, pancreatita cronica, algii neoplazice), de asemenea, in interventiile chirurgicale pe abdomen si micul bazin (determina analgezie fara tulburari de tranzit) si in unele manevre de explorare instrumentala. Comprimatele sunt destinate pentru tratamentul unor algii mai putin acute (cefalee, migrene, odontologii, diskinezii hepatobiliare, colite, cistalgii, dismenoree, dureri postoperatorii si posttraumatice).

Doze si mod de administrare
Injectii i.m. profund sau i.v. lent (1-1,5 ml/min.), 1-3 fiole pe zi; oral, cate 2 comprimate de 1-3 ori pe zi.
Fiole: 1-4 fiole pe zi, intravenos lent (cel putin un minut) sau intramuscular profund. Pentru prelungirea efectului terapeutic sau pentru realizarea mai rapida a analgeziei se recomanda sa se injecteze, simultan, 1 fiola i.v. si 1 fiola i.m. Preparatul se poate administra si in perfuzie venoasa (indeosebi in obstetrica, in cazul nasterilor distocice). Comprimate si supozitoare: 2 comprimate sau 1 supozitor de 1-3 ori pe zi. Atentie! Formele farmaceutice, enumerate mai sus, sunt improprii pentru uz pediatric.

Contraindicatii
Alergie la metamizol si alti pirazoli, antecedente de agranulocitoza toxica, deficit de G-6PD, porfirie hepatica acuta, glaucom cu unghi inchis, adenom de prostata cu tendinta la retentie urinara, colaps, insuficienta cardiaca grava, angina pectorala, infarct miocardic acut, tahicardie, obstructie mecanica a tubului digestiv, megacolon. Prudenta la asocierea cu amantadina, chinidina, antidepresive triciclice (cresc efectele atropinice).

Reactii adverse
reactii alergice la Metamizol, eruptii cutanate, foarte rar reactii grave (soc anafilactic, anemie, agranulocitoza). Dozele mari pot provoca fenomene atropinice: uscaciunea gurii, tulburari de vedere, tahicardie, mictiune dificila. injectarea intravenoasa rapida poate fi cauza de hipotensiune arteriala si soc.

Conditii de pastrare: La adapost de lumina, caldura si umiditate.

eficienta

28 voturi
efecte secundare

14 voturi
pret medicament

28 voturi

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