Кордиамин применяют при острых коллапсе и асфиксии, шоковых состояниях при хирургических операциях и в постоперационном периоде, острых и хронических нарушениях кровообращения, снижении тонуса сосудов, ослаблении дыхания при инфекционных болезнях и в период выздоровления, при асфиксии новорожденных, отравлении наркотическими, снотворными и анальгетическими ...
Кордиамин - раствор для инъекций, оказывающий аналептическое воздействие. Применяется при шоковых состояний, отравлении и угнетении дыхания.
Фармакологические свойства
Аналептическое средство смешанного действия. Механизм действия складывается из центрального и периферического воздействия на нервную систему. Центральный механизм связан с непосредственным влиянием на сосудодвигательный центр продолговатого мозга, приводящим к его возбуждению и опосредованному повышению артериального давления (особенно при изначальном угнетении данного центра). Периферическое воздействие обусловлено возбуждением хеморецепторов каротидного синуса, что приводит к увеличению частоты и глубины дыхательных движений. Прямого влияния на сердечно-сосудистую систему не оказывает.
Показания к применению
Кордиамин применяют при острых коллапсе и асфиксии, шоковых состояниях при хирургических операциях и в постоперационном периоде, острых и хронических нарушениях кровообращения, снижении тонуса сосудов, ослаблении дыхания при инфекционных болезнях и в период выздоровления, при асфиксии новорожденных, отравлении наркотическими, снотворными и анальгетическими средствами.
Противопоказания
Гиперчувствительность, снижение судорожного порога, эпилепсия (в том числе в анамнезе), гипертермия у детей, беременность, период лактации.
Применение при беременности и в период грудного вскармливания
Противопоказано.
Способ применения и дозы
Кордиамин вводят подкожно, внутримышечно и внутривенно. Подкожно, внутримышечно и внутривенно взрослым вводят в дозе 1-2 мл 1-3 раза в день, детям подкожно в зависимости от возраста вводят в дозе 0,1-0,75 мл. Внутривенное введение осуществляют медленно. При интоксикациях наркотиками, анальгетиками, снотворными взрослым внутривенно медленно вводят 3-5 мл препарата (можно вводить также под кожу и в мышцы). Поскольку подкожные и внутримышечные инъекции препарата болезненны, для уменьшения болей в зависимости от ситуации в месте инъекции предварительно вводят новокаин (взрослым - 1 мл 0,5% раствора, детям - соответственно возрасту). Высшие дозы для взрослых подкожно: разовая - 2 мл, суточная - 6 мл. Высшая разовая доза для подкожного и внутривенного введения при отравлении наркотиками составляет 5 мл.
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