Pharma Medis

Halogenated Anesthetic. Isoflurane 100%.
BOTTLE( Sol.  for inhal.): 100, 250 ml. Dosage must be ajust. individual.
Isoflurane is indicated as a general anesthetic by inhal.
C/I: Hypersens. to isoflurane or other halogen halogenated anaesthetics. Pts. with known or suspected genetic susceptib.to malig. hyperthermia.

General Anesthetic. Ketamine HCl 50 mg/ml.
VIAL.(sol. for inj.): 10 ml. Dosage must be ajust. individ.
As the sole anaesthetic agent for diagnost. and surg. proced. When used by IV or IM inj., Ketamine  is best suited for short proced. With addit. doses, or by IV infus., Ketamine  can be used for long. proced. If skelet.  muscle relax.  is desired, a muscle relax. should be used and respirat.  should be supported. For the induct.of anesthes. prior to the admin.  of other gener.  anesthet. agents. To supplem.  other anesthet. agents. Specific areas of applicat.  or types of procedures: When the IM  route of admin. is preferred. Debridement, painful dressings, and skin grafting in burned pts., as well as other superficial surg.  proced. Neurodiagnost.  proced.  such as pneumoencephalograms, ventriculograms, myelograms, and lumbar punctures. Diagnostic & operat. proced. of the eye, ear, nose, & mouth, includ.  dental extract. Note: Eye movement.  may persist during ophthalmolog.  procedures. Anaesthesia in poor-risk pts. with depress.  of vital funct.  or where depress.  of vital funct. must be avoided, if at all possible. Orthopaed. proced.  such as closed reduct. , manipulat., femoral pinning, amputations, & biopsies. Sigmoidoscopy and minor surg.  of the anus & rectum, circumcise. & pilonidal sinus. Cardiac catheterizat. proced. Caesarian sect. ; as an induct.  agent in the absence of elevat.  blood pres. Anaesthesia in the asthmat.  pts., either to minimise the risks of an attack of bronchospasm develop., or in the presence of bronchospasm where anaesthesia cannot be delayed.
C/I: Pts.  in whom a signific. elevat. of blood pres. would constitute a serious hazard and in those who have shown hypersens. to the drug.

Magnesium Citrate 100 mg, 300 mg.
LOZ: 50 x 610 mg (eq. to 98.6 mg magn.).
3 loz. dly.
GRANULES: 20 sachets x 5 g (eq. to 295.7
mg magn.). 1 sachet dly diss. into 1/2
glass juice, tea or water.
Nutritional supplement.

Anticholinesterase. Neostigmine Methylsulphate 2.5 mg/ml.
AMPOUL.: 10×1ml.  Should be given very slowly by the  IV route. A syr. of Atropine Sulphate should always be available to counteract severe cholinergic react. should they occur.
Myasthen. Gr..: 1 – 2.5 mg by IM or SC inj. at interv. throughout the day, when max. strength is needed. The usual durat.  of act. of a dose is 2- 4 hrs. The total dly. dose is usually 5 – 20 mg by inject. but higher doses may be needed by some pts.
Neonatal Myasthen. Gr. may be treated with 0.1 mg Neostigmine intramuscul. initial. Thereafter, the dose must be titrated individ. But is usually 0.05 – 0.25 mg IM or 0.03 mg/kg IM, every 2 –4 hrs. Because of the self-limiting nature of the dis. in neonates, the dly. dosage should be reduced until the drug can be withdrawn.
Older Child.: (Under 12 yrs. of age) May be given 0.2 – 0.5 mg by inj. as required. Dosage require. should be adjusted accord.  to the response of the pt.
Antagon.to Non-depolariz.  Neuromusc. Blockade: Reversal of Neuromusc. blockade with Neostigmine should not be attempted unless there is spontan. recovery from paralysis.
Adult. & Child.: A single dose of Neostigmine 0.05 – 0.07 mg/kg bdy.-wt. and Atropine 0.02 – 0.03 mg/kg bdy. wt., by slow IV inj. over one min. is usually adequate for complete reversal of Non-depolariz. Muscle Relax.  within 5 – 15 min. The max. recomm. dose of Neostigmine in adult. is 5 mg and in child. 2.5 mg.
Atropine & Neostigmine may be given simultan., but in pts with Bradycardia, the pulse rate should be incr. to 80 per min. with Atropine before admin. Neostigmine.
Paralytic Ileus: Adult.: 0.5 – 2.5 mg Neostigmine Methylsulphate by SC or IM injection.
Child.: 0.125 – 1 mg by inj. Doses may be varied accord. to the individ. needs of the pt.
Myasthen. Grav., antagon. to non- epolarizing neuromusc. blockade, Paralytic Ileus.
C/I: Hypersens. Pts. with mechan. obstruct. of GI or urin. tracts, peritonitis or doubtful bowel viability. Concom. use  with depolaris. muscle relaxants such as suxamethonium as neuromuscul. blockade may be potentiated.

Halogenated Anesthetic. Sevoflurane 100%.
INHAL: 250 ml. To be individualized.
See lit.
Induct. and maint. gen. anesthes.