{"id":4848,"date":"2020-12-02T10:09:04","date_gmt":"2020-12-02T10:09:04","guid":{"rendered":"https:\/\/zeepedia.com\/?p=4848"},"modified":"2021-08-11T07:33:50","modified_gmt":"2021-08-11T07:33:50","slug":"adrenaline-mylan","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/adrenaline-mylan\/","title":{"rendered":"Adrenaline Mylan &#8211; Adrenaline uses, dose and side effects"},"content":{"rendered":"\n<p>Solution for injection 1 mg \/ ml&nbsp;<br>(Solution for injection)<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What Adrenaline Mylan is and what it is used for<\/h2>\n\n\n\n<p>Adrenaline&nbsp;Mylan is used in emergency care in connection with&nbsp;asthma, cardiopulmonary resuscitation (cardiac arrest), and allergic reactions (&nbsp;hypersensitivity reactions&nbsp;and anaphylactic&nbsp;shock&nbsp;).<\/p>\n\n\n\n<p>Adrenaline contained&nbsp;in&nbsp;Adrenaline&nbsp;Mylan may also be approved for the treatment of other conditions not mentioned in this product information.&nbsp;Ask your doctor, pharmacist, or other healthcare professionals if you have any further questions, and always follow their instructions.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What You Need to Know Before You Get Adrenaline Mylan<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Adrenaline Mylan<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to&nbsp;adrenaline, sodium metabisulphite (a&nbsp;preservative&nbsp;), 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 cautions<\/h2>\n\n\n\n<p>Due to the increased risk of&nbsp;adverse reactions&nbsp;following the use of&nbsp;adrenaline, special care should be taken in patients with<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>cardiovascular diseases (such as angina, myocardial infarction, arrhythmias, pulmonary heart disease, atherosclerosis, and high&nbsp;blood pressure&nbsp;)<\/li><li>overactive thyroid function<\/li><li>adrenal tumor<\/li><li>narrow-angle glaucoma&nbsp;(&nbsp;glaucoma&nbsp;&#8211; increased eye pressure)<\/li><li>severe renal impairment<\/li><li>enlarged&nbsp;prostate&nbsp;that causes urine to remain in the bladder<\/li><li>the increased amount of calcium in the blood<\/li><li>decreased amount of potassium in the blood<\/li><li>diabetes<\/li><li>Parkinson&#8217;s disease<\/li><\/ul>\n\n\n\n<p>Special care should also be taken in elderly and pregnant patients.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other drugs and Adrenaline Mylan<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines.<br><\/p>\n\n\n\n<p>This is especially important if you use any of the following:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>beta-blockers&nbsp;(eg pindolol and propranolol), as concomitant use may cause high&nbsp;blood pressure&nbsp;and decreased heart rate<\/li><li>anesthetics (eg ethyl chloride, halothane, enflurane, trichloroethylene, and chloroform), as concomitant use of certain anesthetics, may increase the risk of arrhythmias<\/li><li>medicines that may increase the risk of heart rhythm disorders (eg&nbsp;digitalis&nbsp;and&nbsp;quinidine&nbsp;)<\/li><li>certain antidepressants<\/li><li>such as tricyclic and tetracyclic antidepressants or&nbsp;monoamine oxidase inhibitors&nbsp;(&nbsp;MAOIs&nbsp;) (eg clomipramine, amitriptyline, maprotiline, and moclobemide), as the effect of adrenaline may be enhanced<\/li><li>insulin&nbsp;or diabetes medications are taken by mouth, as&nbsp;adrenaline&nbsp;increases blood sugar levels<\/li><li>medicines for&nbsp;Parkinson&#8217;s disease&nbsp;such as catechol-O-methyltransferase inhibitors (COMT inhibitors) and&nbsp;levodopa&nbsp;as the effect of adrenaline may be enhanced<\/li><li>drugs that make it easier to breathe, used against&nbsp;asthma&nbsp;(theophylline), as the effect of adrenaline can be enhanced<\/li><li>medicines used in connection with childbirth (&nbsp;oxytocin&nbsp;), as the effect of adrenaline can be enhanced<\/li><li>drugs for thyroid disease (eg levothyroxine), as the effect of adrenaline, maybefp enhanced<\/li><li>drugs used to treat&nbsp;allergies&nbsp;such as diphenhydramine or chlorpheniramine (&nbsp;antihistamines&nbsp;), as the effect of adrenaline may be enhanced<\/li><li>drugs that act on the nervous system (parasympatholytics, eg atropine), as the effect of adrenaline may be enhanced&nbsp;<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Adrenaline Mylan and alcohol<\/h2>\n\n\n\n<p>Tell your doctor if you drink alcohol as the effect of&nbsp;adrenaline&nbsp;can be amplified.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy and breastfeeding<\/h2>\n\n\n\n<p>If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor, pharmacist, or nurse for advice before taking this medicine.<br><\/p>\n\n\n\n<p>Experience from use in pregnant women is limited.<br><\/p>\n\n\n\n<p>There is no information on whether&nbsp;adrenaline&nbsp;passes into breast milk.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Adrenaline Mylan contains sodium metabisulfite and sodium<\/h2>\n\n\n\n<p>This medicine contains sodium metabisulphite 0.1 mg \/ ml.&nbsp;Sodium metabisulfite can in rare cases cause severe hypersensitivity reactions and convulsions in the trachea of \u200b\u200bsensitive individuals, especially those with previously known&nbsp;asthma.<\/p>\n\n\n\n<p>This medicine contains less than 1 mmol&nbsp;sodium&nbsp;(23 mg) per ml&nbsp;solution for injection, ie essentially &#8216;sodium-free&#8217;.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to take Adrenaline Mylan<\/h2>\n\n\n\n<p>Adrenaline&nbsp;Mylan is used in connection with emergency medical care and is given to you by medical staff.<\/p>\n\n\n\n<p>Your doctor will decide which&nbsp;dose&nbsp;is right for you.<\/p>\n\n\n\n<p>It is unlikely that you will receive too much of this medicine as it is only given by a doctor or nurse.<\/p>\n\n\n\n<p>Overdose of&nbsp;adrenaline&nbsp;can cause anxiety, anxiety, tremors, headaches, increased heart rate, palpitations, pallor, cold sweats, nausea, vomiting.&nbsp;At high&nbsp;doses,&nbsp;you can see dilation of the&nbsp;pupils, high&nbsp;blood pressure, irregular heartbeat,&nbsp;heart failure,&nbsp;pulmonary edema.<\/p>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor, pharmacist, or nurse.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause&nbsp;side effects, although not everybody gets them.<\/p>\n\n\n\n<p>The most common&nbsp;side effects&nbsp;of&nbsp;adrenaline&nbsp;are effects on the circulation and&nbsp;side effects&nbsp;on the&nbsp;central nervous system.&nbsp;About 1\/3 of patients suffer from&nbsp;side effects.<br><\/p>\n\n\n\n<p>Common&nbsp;side effects&nbsp;(may affect up to 1 in 10 people)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Headache, dizziness.<\/li><li>Fast heart rate, high&nbsp;blood pressure&nbsp;(in high&nbsp;doses&nbsp;), heart rhythm disturbances.<\/li><li>Anxiety, trembling.<\/li><\/ul>\n\n\n\n<p>Has been reported (occurs in an unknown number of users)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Temporary cardiac muscle weakness (&nbsp;cardiomyopathy&nbsp;).<\/li><li>Palpitation<\/li><li>Ventricular fibrillation&nbsp;(heart rhythm disturbance)<\/li><li>Angina (chest pain of varying&nbsp;intensity&nbsp;)<\/li><li>Pallor<\/li><li>Difficulty breathing<\/li><li>Nausea, vomiting<\/li><li>Sweating<\/li><li>Impotence<\/li><li>Accidental&nbsp;injections&nbsp;can lead to injury at the injection site, such as bruising, bleeding, discoloration, reddening of the skin, or skeletal damage.<\/li><\/ul>\n\n\n\n<p><em>Reporting of side effects<\/em><\/p>\n\n\n\n<p>If you get any side effects, talk to your doctor, pharmacist, or nurse.&nbsp;This includes any possible side effects not listed in this leaflet.&nbsp;You can also report side effects directly to the Medical Products Agency,&nbsp;www.lakemedelsverket.se.&nbsp;By reporting side effects, you can help increase drug safety information.&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store Adrenaline Mylan<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<br><\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the carton after EXP.&nbsp;The expiration date is the last day of the specified month.<br><\/p>\n\n\n\n<p>Store in the original package.&nbsp;Sensitive to light.<\/p>\n\n\n\n<p>Store at 2 \u00b0 C &#8211; 8 \u00b0 C (in a refrigerator).<\/p>\n\n\n\n<p>Shelf life 12 months at a maximum of 25 \u00baC when stored in emergency bags.<br><\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6. Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substance is adrenaline tartrate.&nbsp;1 ml contains adrenaline tartrate corresponding to&nbsp;1 mg&nbsp;adrenaline.<\/li><li>The other ingredients are sodium chloride, sodium metabisulfite (E223), disodium edetate,&nbsp;hydrochloric acid&nbsp;to&nbsp;pH&nbsp;3.0-3.8, water for injections.<\/li><\/ul>\n\n\n\n<p>Adrenaline&nbsp;Mylan&nbsp;solution for injection&nbsp;has a&nbsp;pH of&nbsp;about 3.5.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>10 x 1 ml,&nbsp;glass ampoule&nbsp;is.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorisation Holder<\/h2>\n\n\n\n<p>Mylan AB<\/p>\n\n\n\n<p>Box 23033<\/p>\n\n\n\n<p>104 35 Stockholm<br><\/p>\n\n\n\n<p>This leaflet was last modified on July 6, 2020<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The following information is intended for medical or healthcare professionals only<\/h2>\n\n\n\n<p><strong>Dosage<\/strong><\/p>\n\n\n\n<p><strong><em>Adults<\/em><\/strong><br><\/p>\n\n\n\n<p>Individual&nbsp;dosage<br><\/p>\n\n\n\n<p><em>Bronchial asthma&nbsp;mainly in seizures:<\/em><\/p>\n\n\n\n<p>0.3-0.5 mg&nbsp;intramuscularly&nbsp;(on the outside of the thigh).&nbsp;If necessary,&nbsp;the injection&nbsp;can be&nbsp;repeated at intervals of 5-10 minutes until relief is obtained.&nbsp;In case of concomitant cardiovascular disease only with great caution.<\/p>\n\n\n\n<p><em>Cardiac arrest (cardiopulmonary resuscitation):<\/em><\/p>\n\n\n\n<p>Adrenaline&nbsp;should be dosed and administered according to current treatment recommendations.&nbsp;The following&nbsp;dosage&nbsp;of&nbsp;adrenaline&nbsp;is based on the recommendations of the ERC (European Resuscitation Council) 2010.<\/p>\n\n\n\n<p>1 mg as an&nbsp;intravenous&nbsp;bolus dose&nbsp;every 3-5 minutes.<\/p>\n\n\n\n<p>If the drug is injected through a&nbsp;peripheral&nbsp;venous catheter, the drug must be flushed with at least 20 ml of 0.9% sodium chloride before&nbsp;injection&nbsp;(to facilitate entry into the central circulation).<\/p>\n\n\n\n<p>If venous access is not available, the intraosseous&nbsp;administration is&nbsp;recommended.<\/p>\n\n\n\n<p><em>Hypersensitivity&nbsp;s<\/em><br><\/p>\n\n\n\n<p><em>Urticaria&nbsp;and Quincke&#8217;s edema:<\/em><\/p>\n\n\n\n<p>0.3-0.5 mg&nbsp;intramuscularly&nbsp;(not in the affected area).&nbsp;Repeat as needed.<br><\/p>\n\n\n\n<p><em>The asthmatic reaction in allergic hypersensitivity reactions:<\/em>&nbsp;<\/p>\n\n\n\n<p>0.5-0.8 mg&nbsp;intramuscularly,&nbsp;preferably in repeated divided doses if the condition is not alarming.&nbsp;In case of a more severe reaction, 0.1-0.25 mg is given&nbsp;intravenously, preferably after dilution.&nbsp;This&nbsp;dose&nbsp;can be repeated every 10 to 20 minutes if the need arises.<br><\/p>\n\n\n\n<p><em>Anaphylactic shock:<\/em><\/p>\n\n\n\n<p>Intramuscular&nbsp;administration&nbsp;is preferred in the treatment of&nbsp;anaphylaxis.&nbsp;Intravenous&nbsp;administration&nbsp;is generally more appropriate in intensive care units or emergency rooms.<\/p>\n\n\n\n<p>Adrenaline&nbsp;1 mg \/ ml is not suitable for iv&nbsp;administration&nbsp;.&nbsp;If&nbsp;adrenaline&nbsp;0.1 mg \/ ml is not available, 1 mg \/ ml must be diluted to 0.1 mg \/ ml before iv&nbsp;administration&nbsp;.&nbsp;Administration&nbsp;iv must be done with extreme caution and should be performed by specialists experienced in the iv&nbsp;administration&nbsp;of&nbsp;adrenaline.<br><\/p>\n\n\n\n<p>If IV entry is absent: 0.5 mg of&nbsp;adrenaline&nbsp;is given directly&nbsp;intramuscularly.<\/p>\n\n\n\n<p>If IV entry is present or if there is no improvement: Solution diluted to 0.1 mg\/ml: 1 ml 1 mg\/ml solution (1 mg&nbsp;adrenaline&nbsp;) is mixed with 9 ml of&nbsp;isotonic&nbsp;sodium chloride in the syringe.<\/p>\n\n\n\n<p>Diluted solution (0.1 mg \/ ml) is given 2-3 ml&nbsp;intravenously&nbsp;(0.2-0.3 mg&nbsp;adrenaline&nbsp;), observing&nbsp;heart rate&nbsp;and&nbsp;blood pressure&nbsp;.&nbsp;Repeat after 2 minutes if no improvement.<\/p>\n\n\n\n<p><em>Anaphylactic reaction&nbsp;under anesthesia:<\/em><\/p>\n\n\n\n<p>Adrenaline&nbsp;is given&nbsp;intravenously&nbsp;under&nbsp;anesthesia&nbsp;after dilution to a maximum of 0.1 mg\/ml solution.<\/p>\n\n\n\n<p>Hypotension&nbsp;or unconsciousness:&nbsp;Adrenaline&nbsp;is given&nbsp;intravenously in&nbsp;case of unconsciousness and&nbsp;hypotension&nbsp;if repeated&nbsp;doses&nbsp;of&nbsp;Adrenaline&nbsp;intramuscularly have not been effective.&nbsp;Adrenaline&nbsp;is given&nbsp;intravenously&nbsp;after dilution to a maximum of 0.1 mg\/ml solution, 1 (-3) ml, slowly (5-10 minutes) under&nbsp;ECG monitoring.&nbsp;Repeated&nbsp;doses&nbsp;in the lower dose range are preferred.<\/p>\n\n\n\n<p><strong><em>Pediatric&nbsp;population<\/em><\/strong><br><\/p>\n\n\n\n<p><em>Cardiac arrest (cardiopulmonary resuscitation):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Children over 12 years of age: 1 mg as an&nbsp;intravenous&nbsp;bolus dose&nbsp;every 3-5 minutes.<\/li><li>Children under 12 years of age: 0.01 mg\/kg as an&nbsp;intravenous&nbsp;bolus dose.&nbsp;The maximum single&nbsp;dose&nbsp;is 1 mg.<\/li><li>Newborns: 0.01-0.03 mg \/ kg as&nbsp;intravenous&nbsp;bolus dose&nbsp;.&nbsp;Administration&nbsp;via an umbilical venous catheter is recommended.<\/li><\/ul>\n\n\n\n<p>If the drug is injected through a&nbsp;peripheral&nbsp;venous catheter, the drug must be flushed with at least 20 ml of 0.9% sodium chloride before&nbsp;injection&nbsp;(to facilitate entry into the central circulation).&nbsp;If venous access is not available, the intraosseous&nbsp;administration is&nbsp;recommended.<\/p>\n\n\n\n<p><em>Anaphylaxis:<\/em><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Age<\/strong><\/td><td>Dosage&nbsp;adrenaline&nbsp;1 mg \/ ml<\/td><\/tr><tr><td>Over 12 years<\/td><td>0.5 mg im (0.5 ml)<\/td><\/tr><tr><td>6 &#8211; 12 years<\/td><td>0.3 mg im (0.3 ml)<\/td><\/tr><tr><td>6 months &#8211; 6 years<\/td><td>0.15 mg im (0.15 ml)<\/td><\/tr><tr><td>For 6 months<\/td><td>0.01 mg \/ kg im (0.01ml \/ kg)<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>If necessary, these&nbsp;doses can&nbsp;be repeated several times at intervals of 5 &#8211; 15 minutes depending on&nbsp;blood pressure,&nbsp;heart rate,&nbsp;and&nbsp;respiratory&nbsp;function.&nbsp;A&nbsp;small volume of&nbsp;the syringe&nbsp;should be used.<\/p>\n\n\n\n<p>Incompatibilities<\/p>\n\n\n\n<p>Can be diluted with&nbsp;isotonic&nbsp;sodium chloride solution or glucose solution.<br><\/p>\n\n\n\n<p>Any unused product or waste material should be disposed of in accordance with local requirements.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Adrenaline Mylan is used in emergency care in connection with asthma, cardiopulmonary resuscitation (cardiac arrest), and allergic reactions ( hypersensitivity reactions and anaphylactic shock ).<\/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":[2201,2200],"tags":[4044,4471,11533,11536,11525,11537,11526,11538,11524,11535,4045,11534],"class_list":["post-4848","post","type-post","status-publish","format-standard","hentry","category-a","category-medicines","tag-adrenaline","tag-adrenaline-injection","tag-adrenaline-mylan","tag-adrenaline-mylan-injection","tag-benefits-of-adrenaline","tag-benefits-of-adrenaline-mylan","tag-side-effects-of-adrenaline","tag-side-effects-of-adrenaline-mylan","tag-what-adrenaline-is-used-for","tag-what-adrenaline-mylan-is-used-for","tag-what-is-adrenaline","tag-what-is-adrenaline-mylan"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/4848","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=4848"}],"version-history":[{"count":5,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/4848\/revisions"}],"predecessor-version":[{"id":13063,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/4848\/revisions\/13063"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=4848"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=4848"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=4848"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}