{"id":24765,"date":"2022-08-31T07:35:53","date_gmt":"2022-08-31T07:35:53","guid":{"rendered":"https:\/\/zeepedia.com\/?p=24765"},"modified":"2022-09-01T07:34:54","modified_gmt":"2022-09-01T07:34:54","slug":"terlipressin-sun","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/terlipressin-sun\/","title":{"rendered":"Terlipressin SUN &#8211; Terlipressin acetate uses, dose and side effects"},"content":{"rendered":"\n<p>1 mg&nbsp;solution&nbsp;<\/p>\n\n\n\n<p>for injection<br>terlipressin acetate<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Terlipressin SUN is and what it is used for<\/h2>\n\n\n\n<p>Terlipressin SUN is a synthetic pituitary hormone.<\/p>\n\n\n\n<p>Terlipressin SUN is used to treat bleeding from veins in the esophagus, leading down to the stomach (bleeding&nbsp;oesophageal varices&nbsp;).<\/p>\n\n\n\n<p>The terlipressin contained in Terlipressin SUN may also be approved to treat other conditions not mentioned in this leaflet.\u00a0Ask your doctor, pharmacist, or other healthcare professional if you have further questions, and always follow their instructions.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before using Terlipressin SUN<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Terlipressin SUN<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to terlipressin or any of the other ingredients of this medicine (listed in section 6).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and precautions<\/h2>\n\n\n\n<p>This medicine is given to you if you have serious or life-threatening bleeding in the gullet (esophagus).<\/p>\n\n\n\n<p>It is given under&nbsp;continuous&nbsp;monitoring of your heart and blood circulation.<\/p>\n\n\n\n<p>If you can, tell the doctor if you suffer from any of the following conditions:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you suffer from a severe\u00a0infection\u00a0called\u00a0septic\u00a0shock<\/li><li>if you suffer from\u00a0bronchial asthma\u00a0or other conditions that affect your breathing<\/li><li>if you suffer from\u00a0acute\u00a0coronary syndrome (i.e. symptoms caused by poor blood flow to the heart muscle leading to a heart attack. This results in chest <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/brain-and-nerves\/pain\/\">pain<\/a>, or\u00a0angina pectoris\u00a0.)<\/li><li>if you suffer from uncontrolled high\u00a0blood pressure, insufficient blood circulation in the\u00a0vessels\u00a0of the heart (e.g. angina), have previously had a heart attack (myocardial infarction), or if you have atherosclerosis (\u00a0arteriosclerosis\u00a0)<\/li><li>if you suffer from irregular heartbeats (\u00a0cardiac arrhythmias\u00a0)<\/li><li>if you have poor blood flow to the brain (e.g. if you have had a\u00a0stroke\u00a0) or to the\u00a0extremities\u00a0(\u00a0peripheral\u00a0vascular disease)<\/li><li>if you suffer from reduced kidney function (\u00a0renal\u00a0insufficiency\u00a0)<\/li><li>if you suffer from an imbalance in the levels of salts (\u00a0electrolytes\u00a0) in the blood<\/li><li>if you suffer from dehydration or have already lost a large amount of blood<\/li><li>if you are older than 70 years<\/li><li>if you are pregnant.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p>Terlipressin SUN is not recommended for use in children and adolescents due to insufficient experience.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Terlipressin SUN<\/h2>\n\n\n\n<p>Tell the doctor or nurse if you are using, have recently used, or might be using other medicines.<\/p>\n\n\n\n<p>Inform the doctor immediately if you are using any of the following medicines:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>medicines that affect the heart rate (eg\u00a0beta blockers\u00a0or protocol)<\/li><li>medicines that can trigger irregular heartbeats (\u00a0arrhythmia\u00a0) such as e.g.\u00a0following:<ul><li>antiarrhythmics\u00a0called\u00a0class IA\u00a0(\u00a0quinidine,\u00a0procainamide\u00a0,\u00a0disopyramide\u00a0) and class III (\u00a0amiodarone, sotalol, ibutilide, dofetilide)<\/li><li>an\u00a0antibiotic\u00a0called erythromycin<\/li><li>antihistamines\u00a0(mainly used to treat\u00a0allergies\u00a0but also found in some <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/cough-in-children\/\">cough<\/a> and <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/cold\/\">cold<\/a> medicines)<\/li><li>medicines used to treat depression called\u00a0tricyclic\u00a0antidepressants<\/li><li>medicines that can change the level of salts or\u00a0electrolytes\u00a0in the blood, especially\u00a0diuretics\u00a0(used to treat high\u00a0blood pressure\u00a0and\u00a0heart failure\u00a0).<\/li><\/ul><\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<p>Terlipressin SUN should only be used during pregnancy if the treatment is vital for you.\u00a0If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, consult your doctor before being given this medicine.<\/p>\n\n\n\n<p>It is not known whether Terlipressin SUN is present in breast milk.&nbsp;Therefore, possible effects on your child are not known.&nbsp;You should discuss the potential risk to your child with a doctor.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving ability and use of machinery<\/h2>\n\n\n\n<p>No studies have been carried out regarding the effects on the ability to drive vehicles and use machines.\u00a0Therefore, you should not drive or operate machinery if you feel unwell after receiving an\u00a0injection.<\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires increased attention.\u00a0One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or\u00a0side effects.\u00a0A description of these effects and\u00a0side effects\u00a0can be found in other sections.\u00a0Read all the information in this leaflet for guidance.\u00a0Discuss with a doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Terlipressin SUN contains sodium<\/h2>\n\n\n\n<p>This medicinal product contains 15.7 mmol (or 361 mg)\u00a0of sodium\u00a0per\u00a0dose.\u00a0This should be taken into account by patients prescribed a low-salt diet.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to use Terlipressin SUN<\/h2>\n\n\n\n<p>This medicine is always administered by a doctor.&nbsp;Ask the doctor for further information regarding its use.<\/p>\n\n\n\n<p><strong>How much Terlipressin SUN is given<\/strong><\/p>\n\n\n\n<p><strong>Adults<\/strong><\/p>\n\n\n\n<p>Initially, 1-2 mg of terlipressin acetate (equivalent to 8.5-17 ml\u00a0solution for injection\u00a0) is given via\u00a0injection\u00a0into the vein.\u00a0Your\u00a0dose\u00a0depends on your body weight.\u00a0After the initial\u00a0injection, the\u00a0dose\u00a0can be reduced to 1 mg of terlipressin acetate (equivalent to 8.5 ml of solution) every 4 to 6 hours.<\/p>\n\n\n\n<p>The maximum&nbsp;dose&nbsp;you can receive each day is approximately 120 micrograms\/kg body weight.<\/p>\n\n\n\n<p><strong>Older<\/strong><\/p>\n\n\n\n<p>If you are older than 70 years, you should talk to your doctor before you are given Terlipressin SUN.<\/p>\n\n\n\n<p><strong>How Terlipressin SUN is given<\/strong><\/p>\n\n\n\n<p>Terlipressin SUN should be injected slowly\u00a0and intravenously.<\/p>\n\n\n\n<p><strong>How often you will be given Terlipressin SUN<\/strong><\/p>\n\n\n\n<p>Use is limited to 2-3 days depending on the course of your condition.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you have used too much Terlipressin SUN<\/h2>\n\n\n\n<p>You must not use more than the recommended\u00a0dose\u00a0of Terlipressin SUN.\u00a0If you get too much, your\u00a0blood pressure\u00a0can rise quickly, especially if you already suffer from high\u00a0blood pressure.\u00a0If this happens, you need another medicine called an alpha\u00a0blocker\u00a0(eg\u00a0clonidine\u00a0) to control\u00a0blood pressure,\u00a0etc.<\/p>\n\n\n\n<p>Tell the doctor if you feel dizzy or faint as this may be a sign of a low heart rate.&nbsp;This can be treated with a medicine called atropine.<a><\/a><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to use Terlipressin SUN<\/h2>\n\n\n\n<p>You will be given Terlipressin SUN in the hospital under the doctor&#8217;s supervision.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you stop using Terlipressin SUN<\/h2>\n\n\n\n<p>If you have any further questions about this medicine, ask your doctor, pharmacist, or nurse.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n<p><strong>Important&nbsp;side effects&nbsp;or signs you should be aware of and measures to be taken if you are affected<\/strong><\/p>\n\n\n\n<p>Serious\u00a0side effects\u00a0are possible in very rare cases when you are given terlipressin.\u00a0If you are affected by any of the following\u00a0side effects, tell the doctor immediately if you can.\u00a0The doctor should not give you more terlipressin.<\/p>\n\n\n\n<p>Pronounced shortness of breath due to an asthma attack, great difficulty in breathing or cessation of breathing, pronounced pain in the chest (angina), pronounced and persistent irregular heartbeat, local dead skin (\u00a0necrosis\u00a0), convulsions (seizures),\u00a0kidney failure.<\/p>\n\n\n\n<p><strong>Other possible\u00a0side effects\u00a0are<\/strong><\/p>\n\n\n\n<p><em>Common (may affect up to 1 in 10 people)<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>headache<\/li><li>too low heart rate<\/li><li>signs of insufficient blood circulation in the heart vessels according to the\u00a0ECG<\/li><li>high\u00a0blood pressure<\/li><li>low\u00a0blood pressure<\/li><li>insufficient blood circulation in arms, legs, and skin, pale skin<\/li><li>abdominal cramps<\/li><li>diarrhea<\/li><\/ul>\n\n\n\n<p><em>Uncommon (may affect up to 1 in 100 people)<\/em><\/p>\n\n\n\n<p>&#8211; too little&nbsp;sodium&nbsp;in the blood (&nbsp;hyponatremia&nbsp;)&nbsp;&nbsp;<em>if not controlled<\/em><\/p>\n\n\n\n<p>&#8211; dead skin (&nbsp;necrosis&nbsp;) in areas other than the injection site<\/p>\n\n\n\n<p>&#8211; rapid increase in&nbsp;blood pressure&nbsp;et<\/p>\n\n\n\n<p>&#8211; too high heart rate (&nbsp;palpitations&nbsp;)<\/p>\n\n\n\n<p>&#8211; swelling of&nbsp;tissue&nbsp;in the body or fluid in the lungs<\/p>\n\n\n\n<p>&#8211; chest <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/brain-and-nerves\/pain\/\">pains<\/a><\/p>\n\n\n\n<p>&#8211; heart attack<\/p>\n\n\n\n<p>&#8211; too much fluid in the lungs<\/p>\n\n\n\n<p>&#8211;&nbsp;heart failure&nbsp;(&nbsp;Torsade de pointes&nbsp;)<\/p>\n\n\n\n<p>&#8211; insufficient blood flow to the intestines<\/p>\n\n\n\n<p>&#8211; cramps in the uterus<\/p>\n\n\n\n<p>&#8211; reduced blood flow to the uterus<\/p>\n\n\n\n<p>&#8211; bluish discoloration of the skin or lips<\/p>\n\n\n\n<p>&#8211; ramparts<\/p>\n\n\n\n<p>&#8211; temporary nausea<\/p>\n\n\n\n<p>&#8211; occasional vomiting<\/p>\n\n\n\n<p>&#8211;\u00a0inflammation\u00a0of the lymph vessels (thin red streaks under the skin extending from the affected area to the armpit or groin with <a href=\"https:\/\/zeepedia.com\/medical\/diseases\/cold\/\">fever<\/a>, chills, headache, and muscle pain).<\/p>\n\n\n\n<p><em>Rare (may affect up to 1 in 1,000 people)<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>shortness of breath<\/li><\/ul>\n\n\n\n<p><em>Very rare (may affect up to 1 in 10,000 people)<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>too much sugar in the blood (&nbsp;hyperglycemia&nbsp;)<\/li><li>stroke<\/li><\/ul>\n\n\n\n<p><em>Unknown (cannot be calculated from available data)<\/em><\/p>\n\n\n\n<p>&#8211; cramps in the uterus<\/p>\n\n\n\n<p>&#8211; reduced blood flow to the uterus.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Terlipressin SUN<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Use before the expiry date stated on the carton and&nbsp;ampoule&nbsp;one after Ex.date.&nbsp;The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>Store in a refrigerator at 2\u00b0C\u20138\u00b0C.<\/p>\n\n\n\n<p>Medicines must not be thrown into the drain or among the household waste.\u00a0Ask the pharmacist how to dispose of medicines that are no longer used.\u00a0These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Contents declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substance is terlipressin in the form of acetate.\u00a0Each\u00a0ampoule\u00a0contains 1 mg of terlipressin acetate in an 8.5 ml\u00a0solution for injection, corresponding to 0.85 mg of terlipressin.\u00a0This corresponds to 0.12 mg of terlipressin acetate per ml, corresponding to 0.1 terlipressin per ml.<\/li><li>Other ingredients are sodium acetate trihydrate, sodium chloride, acetic acid (for\u00a0pH\u00a0adjustment), and water for\u00a0injection.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Appearance and package sizes of the medicine<\/h2>\n\n\n\n<p>Terlipressin SUN is a clear, colorless&nbsp;solution for injection&nbsp;without visible particles.<\/p>\n\n\n\n<p>Terlipressin SUN is packaged in a carton with 5\u00a0ampoules.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing authorization holder and manufacturer<\/h2>\n\n\n\n<p>Sun Pharmaceutical Industries Europe BV<\/p>\n\n\n\n<p>87 Polaris Avenue<\/p>\n\n\n\n<p>2132 JH Hoofddorp<\/p>\n\n\n\n<p>Netherlands<\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Sun Pharmaceutical Industries Europe BV<\/p>\n\n\n\n<p>87 Polaris Avenue<\/p>\n\n\n\n<p>2132 JH Hoofddorp<\/p>\n\n\n\n<p>Netherlands<\/p>\n\n\n\n<p>SC Terapia SA<\/p>\n\n\n\n<p>124 Fabricii Street<\/p>\n\n\n\n<p>400632, Cluj-Napoca<\/p>\n\n\n\n<p>Cluj Country<\/p>\n\n\n\n<p>Romania<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>This medicine is approved in the European Economic Area under the names:<\/strong><\/td><\/tr><tr><td>Denmark:<\/td><td>Terlipressin Acetate SUN<\/td><\/tr><tr><td>Germany:<\/td><td>Terlipressin SUN 0.1 mg\/ml Injection solution<\/td><\/tr><tr><td>Finland:<\/td><td>Terlipressiini SUN 0.1 mg\/ml injection test, liuos<\/td><\/tr><tr><td>France:<\/td><td>Terlipressin SUN 0.12 mg\/ml, solution injectable<\/td><\/tr><tr><td>Italy:<\/td><td>Terlipressina SUN 0.1 mg\/ml soluzione iniettabile<\/td><\/tr><tr><td>Netherlands:<\/td><td>Terlipressine SUN 0.1 mg\/ml, oplossing voor injectionie<\/td><\/tr><tr><td>Norway:<\/td><td>Terlipressin SUN 1 mg injection, solution<\/td><\/tr><tr><td>Spain:<\/td><td>Terlipresina SUN 1 mg soluci\u00f3n injectable EFG<\/td><\/tr><tr><td>Sweden:<\/td><td>Terlipressin SUN 1 mg&nbsp;solution&nbsp;for injection<\/td><\/tr><tr><td>UK:<\/td><td>Terlipressin acetate SUN 0.12 mg\/ml solution for&nbsp;injection<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Terlipressin SUN is used to treat bleeding from veins in the esophagus, leading down to the stomach (bleeding\u00a0oesophageal varices\u00a0).<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,22500],"tags":[14158,25684,14154,14159,25681,25685,14155,25682,14156,25683],"class_list":["post-24765","post","type-post","status-publish","format-standard","hentry","category-medicines","category-t","tag-benefits-of-terlipressin-acetate","tag-benefits-of-terlipressin-sun","tag-terlipressin-acetate","tag-terlipressin-acetate-side-effects","tag-terlipressin-sun","tag-terlipressin-sun-side-effects","tag-what-is-terlipressin-acetate","tag-what-is-terlipressin-sun","tag-what-terlipressin-acetate-is-used-for","tag-what-terlipressin-sun-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/24765","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=24765"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/24765\/revisions"}],"predecessor-version":[{"id":24801,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/24765\/revisions\/24801"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=24765"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=24765"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=24765"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}