For injections piratcetama resort in cases where the patient is not possible to take medication orally (swallowing problems, the patient is unconscious). Below, we will examine how to prick Piracetam intramuscularly and intravenously.
intravenous injection
To begin with intravenous infusion, because it is more preferred in some myoclonus type diseases. Correctly prick Piracetam need via catheter which give a day, while the solution is supplied with a stable velocity in the vein (if the patient is in a coma or suffering from severe myoclonus).
Dilution of the drug is added:
- hydroxyethyl starch;
- mannitol;
- dextrose;
- Sodium chloride;
- fructose;
- Ringer.
The total concentration of the solution for injection is calculated based on the state of health of the patient and the therapeutic indication.
Piracetam should prick into the vein (in the treatment of, for example, vazookklyuzionnogo crisis) for at least two minutes, and the daily dose is partitioned into several equal intervals.
intramuscular injection
Piracetam is necessary to prick in the arm:
- hindrance when introducing it into the vein;
- when the patient overexcited.
Although the concentration of the drug should be limited, especially if the patient - a child or a decrease in body weight. In addition, because of the large amount of solution may occur during painful intramuscular injections. But solution was injected into the muscle, the volume should not be more than 5 ml. Admission piracetam in a reduced volume should occur both orally and intravenously.
If possible, we can apply the oral route of administration (this indicated in the therapeutic use of an oral preparation instruction).
Duration of therapy is determined by a doctor based on the nature of the disease and the severity of symptoms.
Dosage in various diseases
Treatment of vestibular disorders, and vertigo:
- 2400-4800 mg / day.
Treatment of psycho-organic syndrome:
- 4800 mg / day, whereupon Piracetam stabbing need in dosage 1200-2400 mg / day.
Cortical myoclonus:
- Initial dosage - 7200 mg / day;
- Every three or four days - increase the dosage to 4800 mg / day. up to a maximum dosage of administration of 24,000 mg / day. Drug should prick during the entire period of the disease;
- Six months later, should strive to reduce the dosage or discontinue the drug, the dose should be reduced gradually to 1200 mg / day every other day;
- If such therapy is ineffective or inefficient in general, Piracetam should not be thrust further.
Vazookklyuzionny crisis for patients of all ages:
- In order to prevent daily dosage should be about 150 mg / kg body weight, divided into four equal parts;
- In the treatment of crisis Piracetam must prick intravenously with 300 mg / kg / day., Divided into four equal parts.
When the child dyslexia 8 years and above (in combination with other therapeutic agents):
- Recommended daily administered 3200 mg, divided into two equal parts.
In the treatment of alcoholism:
- 1200 mg / day. the manifestation of "cancellation" syndrome.
When comatose states:
- Initial dosage - 9000-12000 mg / day, then stabbing 24,000 mg, therapy - 3 weeks.;
- The dose for children - 30-50 mg / day.
In the treatment of kidney diseases need to adjust the dosing based on creatinine clearance. Elderly stabbing Piracetam be based on the availability of kidney disease, if present, need to monitor renal response to the drug.
sources:
Vidal: https://www.vidal.ru/drugs/piracetam__41225
GRLS: https://grls.rosminzdrav.ru/Grls_View_v2.aspx? routingGuid = c6acfe2a-e191-431d-90ad-3d92e4f3eb7d & t =
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