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Vasopressin 20 International Units /ml Solution for Injection SMPC, Taj Pharmaceuticals
VASOPRESSIN Taj Pharma : Uses, Side Effects, Interactions, Pictures, Warnings, VASOPRESSIN Dosage & Rx Info | VASOPRESSIN Uses, Side Effect s -: Indications, Side Effects, Warnings, VASOPRESSIN - Drug Information - Taj Pharma, VASOPRESSIN dose Taj pharmaceuticals VASOPRESSIN interactions, Taj Pharmaceutical VASOPRESSIN contraindications, VASOPRESSIN price, VASOPRESSIN Taj Pharma Vasopressin 20 International Units /ml Solution for InjectionSMPC- Taj Pharma . Stay connected to all updated on VASOPRESSIN Taj Pharmaceuticals Taj pharmaceuticals Hyderabad.
RX
VASOPRESSIN INJECTION
USP
20IU/ML
1.NAME OF THE MEDICINAL
PRODUCT
Vasopressin 20 International Units /ml Solution
for Injection
2. QUALITATIVE AND
QUANTITATIVE COMPOSITION
20 international units Vasopressin (vasopressin)
per ml.).
For the full list of excipients, see section 6.1.
3. PHARMACEUTICAL FORM
Solution for injection
Clear, sterile solution.
4. CLINICAL PARTICULARS
4.1 Therapeutic indications
For use in diabetes insipidus, when this is not of
nephrogenic origin and control of bleeding from
oesophageal varices.
4.2 Posology and method of administration
Posology
Adults
Diabetes Insipidus:
A dose of 0.25ml to 1ml (5 to 20 units) by
subcutaneous or intramuscular injection every
four hours.
Oesophageal Varices:
For the initial control of variceal bleeding
Vasopressin should be given intravenously.
Vasopressin, 20 units diluted in 100ml dextrose
5% w/v may be infused over a 15 minute period.
Elderly (over 65 years)
As for adults, no clinical or pharmacokinetic
data specific to this age group are available.
However, the drug has been successfully used at
normal dosage in the elderly.
Paediatric population
Not recommended in children below 18 years.
Method of administration
Subcutaneous, intravenous or intramuscular
injection.
4.3 Contraindications
Hypersensitivity to the active substance or to
any of the excipients listed in section 6.1.
Anaphylaxis to the active substance or to the
excipients listed in section 6.1.
Patient with coronary artery disease or those
intended to receive halogenated anaesthetic
agents.
Chronic nephritis with nitrogen retention
contraindicates the use of Vasopressin 20
International Units /ml injection until reasonable
nitrogen blood levels have been attained.
Vascular disease (especially disease of coronary
arteries), chronic nephritis (until reasonable
blood nitrogen concentrations attained).
4.4 Special Warnings and precautions for
use
This drug should not be used in patients with
systemic hypertension or vascular disease,
especially disease of the coronary arteries,
except with extreme caution. In such patients,
even small doses may precipitate pain, and with
larger doses, the possibility of myocardial
infarction should be considered. If this drug
must be used in patients with peripheral vascular
disease then the skin should be observed
carefully for signs of ischaemia.
Vasopressin may produce water intoxication.
The early signs of drowsiness, listlessness and
headaches should be recognised to prevent
terminal coma and convulsions.
Adjustment of dosage in cases immediately
post-hypophysectomy should be controlled on
the basis of measurements of urine osmolality.
Vasopressin should be used cautiously in the
presence of epilepsy, migraine, asthma, heart
Vasopressin 20 International Units /ml Solution for Injection SMPC, Taj Pharmaceuticals
VASOPRESSIN Taj Pharma : Uses, Side Effects, Interactions, Pictures, Warnings, VASOPRESSIN Dosage & Rx Info | VASOPRESSIN Uses, Side Effect s -: Indications, Side Effects, Warnings, VASOPRESSIN - Drug Information - Taj Pharma, VASOPRESSIN dose Taj pharmaceuticals VASOPRESSIN interactions, Taj Pharmaceutical VASOPRESSIN contraindications, VASOPRESSIN price, VASOPRESSIN Taj Pharma Vasopressin 20 International Units /ml Solution for InjectionSMPC- Taj Pharma . Stay connected to all updated on VASOPRESSIN Taj Pharmaceuticals Taj pharmaceuticals Hyderabad.
failure or any state in which a rapid addition to
extracellular water may produce hazard for an
already overburdened system.
Regular monitoring of blood urea nitrogen
(BUN) levels is required in patients with chronic
nephritis to ensure an adequate level is
maintained (see section 4.3).
4.5 Interaction with other medicinal
products and other forms of interaction
The following drugs may potentiate the
antidiuretic effect of vasopressin when used
concurrently: carbamazepine, chlorpropamide,
clofibrate, fludrocortisone, urea or tricyclic
antidepressants.
The following drug may decrease the
antidiuretic effect of vasopressin when given
concurrently: demeclocycline, noradrenaline,
lithium, heparin, alcohol.
Ganglion blocking agents may produce a
marked increase in sensitivity to the pressor
effect of vasopressin.
4.6 Fertility, Pregnancy and lactation
Pregnancy
No animal reproduction studies on Vasopressin
are available.
Oxytocic effect in third trimester has been
reported. However, Vasopressin has been used
successfully during pregnancy for the treatment
of diabetes insipidus with no adverse effects on
the foetus being reported. Nevertheless, as with
all medicines, use during pregnancy should be
avoided if possible and the potential benefit to
the patient weighed against any possible risk to
the foetus.
Breast-feeding
Vasopressin has been administered to breast-
feeding women without apparent adverse effect
on the infant.
4.7 Effects on ability to drive and use
machines
Vasopressin can have an influence on driving as
it may cause vertigo (see section 4.8).
4.8 Undesirable Effects
The following undesirable effects have been
observed and reported during treatment with
Vasopressin with the following frequency:
Not known – cannot be estimated from the
available data.
Immune system disorders
• hypersensitivity
• anaphylaxis
Metabolism and nutrition disorders
• hyperhydration/ water intoxication
Nervous system disorders
• headache
• vertigo
• tremor
Cardiac disorder
• chest pain due to angina
• cardiac arrest
Vascular disorders
• peripheral ischaemia
• pallor
• hypertension
Respiratory, thoracic and mediastinal
disorders
• bronchospasm
Gastrointestinal disorders
• flatulence
• nausea
• vomiting
• diarrhoea
• abdominal pain
Skin and subcutaneous tissue disorders
• gangrene
• hyperhidrosis
Vasopressin 20 International Units /ml Solution for Injection SMPC, Taj Pharmaceuticals
VASOPRESSIN Taj Pharma : Uses, Side Effects, Interactions, Pictures, Warnings, VASOPRESSIN Dosage & Rx Info | VASOPRESSIN Uses, Side Effect s -: Indications, Side Effects, Warnings, VASOPRESSIN - Drug Information - Taj Pharma, VASOPRESSIN dose Taj pharmaceuticals VASOPRESSIN interactions, Taj Pharmaceutical VASOPRESSIN contraindications, VASOPRESSIN price, VASOPRESSIN Taj Pharma Vasopressin 20 International Units /ml Solution for InjectionSMPC- Taj Pharma . Stay connected to all updated on VASOPRESSIN Taj Pharmaceuticals Taj pharmaceuticals Hyderabad.
• urticaria
Renal and urinary disorders
• fluid retention
General disorders and administration site
conditions
• non-cardiac chest pain
Reporting of suspected adverse reactions
Reporting suspected adverse reactions after
authorisation of the medicinal product is
important. It allows continued monitoring of the
benefit/risk balance of the medicinal product.
4.9 Overdose
If water intoxication occurs, no fluids should be
given. In severe cases, small amounts of
hypertonic saline may be administered. Urea and
mannitol infusions may be helpful in cases of
cerebral oedema. If a patient should experience
anginal pain after administration of Vasopressin,
amyl nitrite by inhalation or glyceryl trinitrate
sublingually, may be given.
5. PHARMACOLOGICAL
PROPERTIES
5.1 Pharmacodynamic properties
Pharmacotherapeutic group: Vasopressin and
analogues
Mechanism of action
The antidiuretic action of Vasopressin is
ascribed to increase in reabsorption of water by
the renal tubules. Vasopressin can cause
contraction of smooth muscle of the
gastrointestinal tract, gall bladder, urinary
bladder and all parts of the vascular bed,
especially the capillaries, small arterioles and
venules with less effect on the smooth
musculature of the large veins. The direct effect
on the contractile elements is neither
antagonised by adrenergic blocking agents nor
prevented by vascular denervation.
5.2 Pharmacokinetic properties
Absorption
Following subcutaneous or intramuscular
administration of Vasopressin injection, the
duration of antidiuretic activity is variable, but
effects are usually maintained for 2-8 hours.
Biotransformation
The majority of the dose of Vasopressin is
metabolised and rapidly destroyed in the liver
and kidneys. Vasopressin has a plasma half-life
of about 10 to 20 minutes.
Elimination
Approximately 5% of a subcutaneous dose of
Vasopressin is excreted unchanged in the urine
four hours after dosing.
5.3 Preclinical safety data
Preclinical safety data does not add anything of
further significance to the prescriber.
6. PHARMACEUTICAL
PARTICULARS
6.1 List of excipients
Glacial acetic acid, water for injection
6.2 Incompatibilities
In the absence of compatibility studies, this
medicinal product must not be mixed with other
medicinal products.
6.3 Shelf life
24 months.
6.4 Special precautions for storage
Store in a refrigerator (2°C and 8°C). Do not
freeze.
Keep the ampoules in the outer carton in order to
protect from light.
6.5 Nature and contents of container
Clear OPC/blue glass ampoules with white and
blue rings above the OPC.
The white and blue rings are for product
identification and should not be taken as break
rings. The ampoules should be open cut at the
OPC
Vasopressin 20 International Units /ml Solution for Injection SMPC, Taj Pharmaceuticals
VASOPRESSIN Taj Pharma : Uses, Side Effects, Interactions, Pictures, Warnings, VASOPRESSIN Dosage & Rx Info | VASOPRESSIN Uses, Side Effect s -: Indications, Side Effects, Warnings, VASOPRESSIN - Drug Information - Taj Pharma, VASOPRESSIN dose Taj pharmaceuticals VASOPRESSIN interactions, Taj Pharmaceutical VASOPRESSIN contraindications, VASOPRESSIN price, VASOPRESSIN Taj Pharma Vasopressin 20 International Units /ml Solution for InjectionSMPC- Taj Pharma . Stay connected to all updated on VASOPRESSIN Taj Pharmaceuticals Taj pharmaceuticals Hyderabad.
Available in packs of 10 x1ml ampoules.
6.6 Special precautions for disposal and
other handling
For single use only.
If only part used, discard the remaining solution.
No special requirements for disposal.
Any unused medicinal product or waste material
should be disposed of in accordance with local
requirements.
7. MANUFACTURER:
Manufactured in India by:
TAJ PHARMACEUTICALS LTD.
Mumbai, India
At:388/34, Changodar Industrial Estate
Changodar- 382 210
Dist- Ahmedabad. Gujarat (India)
MFG. LIC NO: G/25A/4795-A

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  • 1. Vasopressin 20 International Units /ml Solution for Injection SMPC, Taj Pharmaceuticals VASOPRESSIN Taj Pharma : Uses, Side Effects, Interactions, Pictures, Warnings, VASOPRESSIN Dosage & Rx Info | VASOPRESSIN Uses, Side Effect s -: Indications, Side Effects, Warnings, VASOPRESSIN - Drug Information - Taj Pharma, VASOPRESSIN dose Taj pharmaceuticals VASOPRESSIN interactions, Taj Pharmaceutical VASOPRESSIN contraindications, VASOPRESSIN price, VASOPRESSIN Taj Pharma Vasopressin 20 International Units /ml Solution for InjectionSMPC- Taj Pharma . Stay connected to all updated on VASOPRESSIN Taj Pharmaceuticals Taj pharmaceuticals Hyderabad. RX VASOPRESSIN INJECTION USP 20IU/ML 1.NAME OF THE MEDICINAL PRODUCT Vasopressin 20 International Units /ml Solution for Injection 2. QUALITATIVE AND QUANTITATIVE COMPOSITION 20 international units Vasopressin (vasopressin) per ml.). For the full list of excipients, see section 6.1. 3. PHARMACEUTICAL FORM Solution for injection Clear, sterile solution. 4. CLINICAL PARTICULARS 4.1 Therapeutic indications For use in diabetes insipidus, when this is not of nephrogenic origin and control of bleeding from oesophageal varices. 4.2 Posology and method of administration Posology Adults Diabetes Insipidus: A dose of 0.25ml to 1ml (5 to 20 units) by subcutaneous or intramuscular injection every four hours. Oesophageal Varices: For the initial control of variceal bleeding Vasopressin should be given intravenously. Vasopressin, 20 units diluted in 100ml dextrose 5% w/v may be infused over a 15 minute period. Elderly (over 65 years) As for adults, no clinical or pharmacokinetic data specific to this age group are available. However, the drug has been successfully used at normal dosage in the elderly. Paediatric population Not recommended in children below 18 years. Method of administration Subcutaneous, intravenous or intramuscular injection. 4.3 Contraindications Hypersensitivity to the active substance or to any of the excipients listed in section 6.1. Anaphylaxis to the active substance or to the excipients listed in section 6.1. Patient with coronary artery disease or those intended to receive halogenated anaesthetic agents. Chronic nephritis with nitrogen retention contraindicates the use of Vasopressin 20 International Units /ml injection until reasonable nitrogen blood levels have been attained. Vascular disease (especially disease of coronary arteries), chronic nephritis (until reasonable blood nitrogen concentrations attained). 4.4 Special Warnings and precautions for use This drug should not be used in patients with systemic hypertension or vascular disease, especially disease of the coronary arteries, except with extreme caution. In such patients, even small doses may precipitate pain, and with larger doses, the possibility of myocardial infarction should be considered. If this drug must be used in patients with peripheral vascular disease then the skin should be observed carefully for signs of ischaemia. Vasopressin may produce water intoxication. The early signs of drowsiness, listlessness and headaches should be recognised to prevent terminal coma and convulsions. Adjustment of dosage in cases immediately post-hypophysectomy should be controlled on the basis of measurements of urine osmolality. Vasopressin should be used cautiously in the presence of epilepsy, migraine, asthma, heart
  • 2. Vasopressin 20 International Units /ml Solution for Injection SMPC, Taj Pharmaceuticals VASOPRESSIN Taj Pharma : Uses, Side Effects, Interactions, Pictures, Warnings, VASOPRESSIN Dosage & Rx Info | VASOPRESSIN Uses, Side Effect s -: Indications, Side Effects, Warnings, VASOPRESSIN - Drug Information - Taj Pharma, VASOPRESSIN dose Taj pharmaceuticals VASOPRESSIN interactions, Taj Pharmaceutical VASOPRESSIN contraindications, VASOPRESSIN price, VASOPRESSIN Taj Pharma Vasopressin 20 International Units /ml Solution for InjectionSMPC- Taj Pharma . Stay connected to all updated on VASOPRESSIN Taj Pharmaceuticals Taj pharmaceuticals Hyderabad. failure or any state in which a rapid addition to extracellular water may produce hazard for an already overburdened system. Regular monitoring of blood urea nitrogen (BUN) levels is required in patients with chronic nephritis to ensure an adequate level is maintained (see section 4.3). 4.5 Interaction with other medicinal products and other forms of interaction The following drugs may potentiate the antidiuretic effect of vasopressin when used concurrently: carbamazepine, chlorpropamide, clofibrate, fludrocortisone, urea or tricyclic antidepressants. The following drug may decrease the antidiuretic effect of vasopressin when given concurrently: demeclocycline, noradrenaline, lithium, heparin, alcohol. Ganglion blocking agents may produce a marked increase in sensitivity to the pressor effect of vasopressin. 4.6 Fertility, Pregnancy and lactation Pregnancy No animal reproduction studies on Vasopressin are available. Oxytocic effect in third trimester has been reported. However, Vasopressin has been used successfully during pregnancy for the treatment of diabetes insipidus with no adverse effects on the foetus being reported. Nevertheless, as with all medicines, use during pregnancy should be avoided if possible and the potential benefit to the patient weighed against any possible risk to the foetus. Breast-feeding Vasopressin has been administered to breast- feeding women without apparent adverse effect on the infant. 4.7 Effects on ability to drive and use machines Vasopressin can have an influence on driving as it may cause vertigo (see section 4.8). 4.8 Undesirable Effects The following undesirable effects have been observed and reported during treatment with Vasopressin with the following frequency: Not known – cannot be estimated from the available data. Immune system disorders • hypersensitivity • anaphylaxis Metabolism and nutrition disorders • hyperhydration/ water intoxication Nervous system disorders • headache • vertigo • tremor Cardiac disorder • chest pain due to angina • cardiac arrest Vascular disorders • peripheral ischaemia • pallor • hypertension Respiratory, thoracic and mediastinal disorders • bronchospasm Gastrointestinal disorders • flatulence • nausea • vomiting • diarrhoea • abdominal pain Skin and subcutaneous tissue disorders • gangrene • hyperhidrosis
  • 3. Vasopressin 20 International Units /ml Solution for Injection SMPC, Taj Pharmaceuticals VASOPRESSIN Taj Pharma : Uses, Side Effects, Interactions, Pictures, Warnings, VASOPRESSIN Dosage & Rx Info | VASOPRESSIN Uses, Side Effect s -: Indications, Side Effects, Warnings, VASOPRESSIN - Drug Information - Taj Pharma, VASOPRESSIN dose Taj pharmaceuticals VASOPRESSIN interactions, Taj Pharmaceutical VASOPRESSIN contraindications, VASOPRESSIN price, VASOPRESSIN Taj Pharma Vasopressin 20 International Units /ml Solution for InjectionSMPC- Taj Pharma . Stay connected to all updated on VASOPRESSIN Taj Pharmaceuticals Taj pharmaceuticals Hyderabad. • urticaria Renal and urinary disorders • fluid retention General disorders and administration site conditions • non-cardiac chest pain Reporting of suspected adverse reactions Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. 4.9 Overdose If water intoxication occurs, no fluids should be given. In severe cases, small amounts of hypertonic saline may be administered. Urea and mannitol infusions may be helpful in cases of cerebral oedema. If a patient should experience anginal pain after administration of Vasopressin, amyl nitrite by inhalation or glyceryl trinitrate sublingually, may be given. 5. PHARMACOLOGICAL PROPERTIES 5.1 Pharmacodynamic properties Pharmacotherapeutic group: Vasopressin and analogues Mechanism of action The antidiuretic action of Vasopressin is ascribed to increase in reabsorption of water by the renal tubules. Vasopressin can cause contraction of smooth muscle of the gastrointestinal tract, gall bladder, urinary bladder and all parts of the vascular bed, especially the capillaries, small arterioles and venules with less effect on the smooth musculature of the large veins. The direct effect on the contractile elements is neither antagonised by adrenergic blocking agents nor prevented by vascular denervation. 5.2 Pharmacokinetic properties Absorption Following subcutaneous or intramuscular administration of Vasopressin injection, the duration of antidiuretic activity is variable, but effects are usually maintained for 2-8 hours. Biotransformation The majority of the dose of Vasopressin is metabolised and rapidly destroyed in the liver and kidneys. Vasopressin has a plasma half-life of about 10 to 20 minutes. Elimination Approximately 5% of a subcutaneous dose of Vasopressin is excreted unchanged in the urine four hours after dosing. 5.3 Preclinical safety data Preclinical safety data does not add anything of further significance to the prescriber. 6. PHARMACEUTICAL PARTICULARS 6.1 List of excipients Glacial acetic acid, water for injection 6.2 Incompatibilities In the absence of compatibility studies, this medicinal product must not be mixed with other medicinal products. 6.3 Shelf life 24 months. 6.4 Special precautions for storage Store in a refrigerator (2°C and 8°C). Do not freeze. Keep the ampoules in the outer carton in order to protect from light. 6.5 Nature and contents of container Clear OPC/blue glass ampoules with white and blue rings above the OPC. The white and blue rings are for product identification and should not be taken as break rings. The ampoules should be open cut at the OPC
  • 4. Vasopressin 20 International Units /ml Solution for Injection SMPC, Taj Pharmaceuticals VASOPRESSIN Taj Pharma : Uses, Side Effects, Interactions, Pictures, Warnings, VASOPRESSIN Dosage & Rx Info | VASOPRESSIN Uses, Side Effect s -: Indications, Side Effects, Warnings, VASOPRESSIN - Drug Information - Taj Pharma, VASOPRESSIN dose Taj pharmaceuticals VASOPRESSIN interactions, Taj Pharmaceutical VASOPRESSIN contraindications, VASOPRESSIN price, VASOPRESSIN Taj Pharma Vasopressin 20 International Units /ml Solution for InjectionSMPC- Taj Pharma . Stay connected to all updated on VASOPRESSIN Taj Pharmaceuticals Taj pharmaceuticals Hyderabad. Available in packs of 10 x1ml ampoules. 6.6 Special precautions for disposal and other handling For single use only. If only part used, discard the remaining solution. No special requirements for disposal. Any unused medicinal product or waste material should be disposed of in accordance with local requirements. 7. MANUFACTURER: Manufactured in India by: TAJ PHARMACEUTICALS LTD. Mumbai, India At:388/34, Changodar Industrial Estate Changodar- 382 210 Dist- Ahmedabad. Gujarat (India) MFG. LIC NO: G/25A/4795-A