{"id":4850,"date":"2020-12-02T10:10:33","date_gmt":"2020-12-02T10:10:33","guid":{"rendered":"https:\/\/zeepedia.com\/?p=4850"},"modified":"2021-08-11T07:33:39","modified_gmt":"2021-08-11T07:33:39","slug":"adrenaline-stragen","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/adrenaline-stragen\/","title":{"rendered":"Adrenaline Stragen &#8211; Adrenaline uses, dose and side effects"},"content":{"rendered":"\n<p>Solution for injection in a pre-filled syringe 0.1 mg\/ml&nbsp;<br>(clear, colorless)<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What Adrenaline Stragen is and what it is used for<\/h2>\n\n\n\n<p>Adrenaline&nbsp;Stragen belongs to a group of drugs called adrenergic and dopaminergic drugs.<\/p>\n\n\n\n<p><strong>This medicine is used for:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>treatment of cardiac arrest (that cardiac function and respiration unexpectedly cease and unconsciousness),<\/li><li>treatment of&nbsp;acute&nbsp;anaphylaxis&nbsp;in adults (severe&nbsp;shock&nbsp;or collapse due to a severe&nbsp;allergic reaction&nbsp;).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What You Need to Know Before You Get Adrenaline Stragen<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">You must not be given Adrenaline Stragen<\/h2>\n\n\n\n<p>If you are allergic to any of the excipients in this medicine (listed in section 6), you must not be given&nbsp;Adrenaline&nbsp;Stragen if an alternative form of&nbsp;adrenaline&nbsp;or another antihypertensive agent is available.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Adrenaline&nbsp;Stragen is used in&nbsp;acute&nbsp;treatment.&nbsp;Uninterrupted medical monitoring is required after&nbsp;administration.<\/p>\n\n\n\n<p><strong>Caution<\/strong><\/p>\n\n\n\n<p>The risk of&nbsp;side effects&nbsp;increases if you:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>have previously had&nbsp;hyperthyroidism&nbsp;(a disease of the thyroid gland),<\/li><li>have severe&nbsp;kidney failure,<\/li><li>suffers from&nbsp;hypercalcemia&nbsp;(increased calcium concentration in the blood),<\/li><li>suffer from&nbsp;hypokalaemia&nbsp;(too low potassium concentration in the blood),<\/li><li>have&nbsp;diabetes mellitus,<\/li><li>have heart disease or high&nbsp;blood pressure,<\/li><li>has a brain injury or atherosclerosis in the cerebral&nbsp;artery&nbsp;s,<\/li><li>have&nbsp;glaucoma&nbsp;(increased pressure in the eye),<\/li><li>have any prostate disease,<\/li><li>is older,<\/li><li>is pregnant.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Adrenaline Stragen<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.<\/p>\n\n\n\n<p>Drugs that may affect or be affected by&nbsp;Adrenaline&nbsp;Stragen include:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>volatile halogens for anesthesia (gas used in anesthesia),<\/li><li>certain antidepressants,<\/li><li>medicines to treat high&nbsp;blood pressure&nbsp;and heart disease,<\/li><li>drugs for the treatment of&nbsp;diabetes.<\/li><\/ul>\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.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Driving ability and use of machines are not affected by&nbsp;Adrenaline&nbsp;Stragen.<\/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 sharpened attention.&nbsp;One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or&nbsp;side effects.&nbsp;Descriptions of these effects and&nbsp;side effects&nbsp;can be found in other sections.&nbsp;Read all the information in this leaflet for guidance.&nbsp;If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Adrenaline Stragen contains sodium<\/h2>\n\n\n\n<p>This medicine contains 35.4 mg of&nbsp;sodium&nbsp;(the main ingredient in common table salt) per&nbsp;syringe.&nbsp;This corresponds to 1.77% of the recommended maximum daily intake for an adult.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How Adrenaline Stretches Are Given<\/h2>\n\n\n\n<p>Adrenaline&nbsp;Stragen is administered to you by a doctor, nurse, or healthcare professional.&nbsp;They must decide on the right amount for you and when and how this should be given.<\/p>\n\n\n\n<p>In case of life-threatening allergic reactions (&nbsp;acute&nbsp;anaphylaxis&nbsp;):<\/p>\n\n\n\n<p><strong>Adults<\/strong>: A&nbsp;dose&nbsp;of 0.05 mg (0.5 ml&nbsp;adrenaline&nbsp;0.1 mg\/ml solution), which is repeated as needed until the desired response is achieved.<br><\/p>\n\n\n\n<p>In cardiac arrest:<\/p>\n\n\n\n<p><strong>Adults:<\/strong>&nbsp;1 mg (10 ml&nbsp;adrenaline&nbsp;0.1 mg\/ml solution) is given into a vein or bone at 3-5 minute intervals until the heart starts beating.<\/p>\n\n\n\n<p><strong>Children over 5 kg:<\/strong>&nbsp;10 micrograms \/ kg (0.1 ml \/ kg&nbsp;adrenaline&nbsp;0.1 mg \/ ml solution) is given into a vein or bone at 3\u22125 minute intervals until the heart starts beating.<\/p>\n\n\n\n<p>This medicine is not suitable for delivery in a dose of less than 0.5 ml and should therefore not be used in newborns and infants for whom the body weight is less than 5 kg.<\/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.<br><\/p>\n\n\n\n<p>The following&nbsp;side effects&nbsp;have been reported:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>anxiety,<\/li><li>dyspnoea&nbsp;(difficulty breathing),<\/li><li>nervousness,<\/li><li>fear,<\/li><li>sweating,<\/li><li>palpitation&nbsp;er (irregular or faster heartbeat),<\/li><li>tachycardia&nbsp;(increased heart rate),<\/li><li>pallor,<\/li><li>shaking,<\/li><li>weakness,<\/li><li>dizziness,<\/li><li>headache,<\/li><li>nausea,<\/li><li>vomiting,<\/li><li>cold arms and legs,<\/li><li>hallucinations,<\/li><li>fainting,<\/li><li>hyperglycemia&nbsp;(high blood sugar levels),<\/li><li>hypokalaemia&nbsp;(low potassium levels in the blood),<\/li><li>metabolic&nbsp;acidosis&nbsp;(increased acidity in the blood),<\/li><li>mydriasis&nbsp;(dilated&nbsp;pupils&nbsp;).<\/li><\/ul>\n\n\n\n<p>At high&nbsp;doses&nbsp;to patients who are sensitive to&nbsp;adrenaline, the side effects are:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>cardiac dysrhythmia (irregular heartbeat \/ cardiac arrest),<\/li><li>hypertension&nbsp;(with the risk of cerebral hemorrhage),<\/li><li>vasoconstriction&nbsp;(narrowing of blood vessels, eg under the skin, in arms and legs or kidneys),<\/li><li>acute angina attacks,<\/li><li>risk of&nbsp;acute&nbsp;myocardial infarction.<\/li><\/ul>\n\n\n\n<p>Repeated local&nbsp;injections&nbsp;can cause&nbsp;necrosis&nbsp;(tissue damage) at the injection sites due to&nbsp;vascular&nbsp;constriction&nbsp;(blood vessels constrict).<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><em>In all cases, medical monitoring is required after&nbsp;administration&nbsp;of&nbsp;AdrenalineStragen.<\/em><br><\/p>\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 Stragen<\/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 label.&nbsp;The expiration date (EXP) is the last day of the specified month.&nbsp;The doctor or nurse will check this.<br><\/p>\n\n\n\n<p>Store in the aluminum bag to protect against light and oxygen.<br><\/p>\n\n\n\n<p>Do not store above 25 \u00b0 C<br><\/p>\n\n\n\n<p>Do not open the aluminum bag until the product is to be used.<\/p>\n\n\n\n<p>Once the bag has been opened, the product must be used immediately.<br><\/p>\n\n\n\n<p>Do not freeze.<br><\/p>\n\n\n\n<p>Do not use sharp instruments to open the bag.<br><\/p>\n\n\n\n<p>You should not be given&nbsp;Adrenaline&nbsp;Stragen if the pre-filled syringe is partially used or shows signs of visible damage.<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<p>The active substance is adrenaline tartrate:<\/p>\n\n\n\n<p>Each ml of&nbsp;solution for injection&nbsp;contains adrenaline tartrate equivalent to 0.1 mg&nbsp;adrenaline.<\/p>\n\n\n\n<p>Each&nbsp;10 ml&nbsp;pre-filled&nbsp;syringe&nbsp;contains adrenaline tartrate equivalent to 1 mg&nbsp;adrenaline.<br><\/p>\n\n\n\n<p>The other ingredients are sodium chloride,&nbsp;hydrochloric acid&nbsp;, sodium hydroxide, water for injections.<\/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>Adrenaline&nbsp;Stragen is a clear, colorless solution in a 10 ml pre-filled&nbsp;syringe&nbsp;of polypropylene, individually packaged in a transparent blister and wrapped in an aluminum bag.<\/p>\n\n\n\n<p>The pre-filled syringes are available in cartons of 1 and 10 syringes.<\/p>\n\n\n\n<p>Not all pack sizes may be marketed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorisation Holder<\/h2>\n\n\n\n<p>Stragen Nordic A \/ S<\/p>\n\n\n\n<p>Helsing\u00f8rsgade 8C<\/p>\n\n\n\n<p>3400 Hiller\u00f8d<\/p>\n\n\n\n<p>Denmark<br><\/p>\n\n\n\n<p><strong>Manufacturer<\/strong>&nbsp;:<\/p>\n\n\n\n<p>Aguettant Laboratory<\/p>\n\n\n\n<p>1 rue Alexander Fleming<\/p>\n\n\n\n<p>69007 Lyon<\/p>\n\n\n\n<p>FRANCE<br><\/p>\n\n\n\n<p>This leaflet was last amended on 2019-04-03<\/p>\n\n\n\n<p>Further information about this medicine is available on the Medical Products Agency&#8217;s website&nbsp;http:\/\/www.lakemedelsverket.se.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">The following information is intended for healthcare professionals only:<\/h2>\n\n\n\n<p>Intravenous&nbsp;adrenaline&nbsp;should only be given to those who have experience with the use and titration of vasopressors in their normal clinical&nbsp;practice.<br><\/p>\n\n\n\n<p><strong>Cardiopulmonary rescue<\/strong><br><\/p>\n\n\n\n<p>10 ml of 0.1 mg\/ml solution (1 mg) of&nbsp;adrenaline&nbsp;by&nbsp;intravenous&nbsp;or intraosseous&nbsp;administration, repeated at 3-5 minute intervals until spontaneous circulation returns.<\/p>\n\n\n\n<p>Endotracheal use should only be used as a last resort if no other route of administration is available, with a&nbsp;dose&nbsp;of 20 to 25 ml of 0.1 mg\/ml solution (2 to 2.5 mg).<\/p>\n\n\n\n<p>In cardiac arrest after cardiac surgery,&nbsp;Adrenaline&nbsp;Stragen is administered&nbsp;intravenously&nbsp;in&nbsp;doses&nbsp;of 0.5 ml or 1 ml of 0.1 mg\/ml solution (50 or 100 micrograms) very gently and titrated to effect.<\/p>\n\n\n\n<p><strong>Acute&nbsp;anaphylaxis<\/strong><br><\/p>\n\n\n\n<p>Titrate&nbsp;adrenaline&nbsp;intravenously&nbsp;with&nbsp;bolus doses&nbsp;of 0.5 ml 0.1 mg \/ ml solution (0.05 mg) according to response.<\/p>\n\n\n\n<p>Adrenaline&nbsp;Stragen 0.1 mg\/ml,&nbsp;solution for injection&nbsp;in a pre-filled&nbsp;syringe&nbsp;is not recommended for&nbsp;intramuscular&nbsp;use in&nbsp;acute&nbsp;anaphylaxis.&nbsp;For&nbsp;intramuscular administration, 1 mg\/ml solution should be used.<\/p>\n\n\n\n<p><strong>Pediatric&nbsp;population<\/strong><br><\/p>\n\n\n\n<p>This medicine is not suitable to deliver a&nbsp;dose&nbsp;of fewer than 0.5 ml and should therefore not be used&nbsp;intravenously&nbsp;or intraosseously in neonates and infants for whom the body weight is less than 5kg.<br><\/p>\n\n\n\n<p><em>Cardiac arrest in children<\/em><\/p>\n\n\n\n<p>Intravenous&nbsp;or intraosseous&nbsp;administration&nbsp;(in children over 5 kg): 0.1 ml \/ kg 0.1 mg \/ ml solution (10 micrograms \/ kg) to a maximum single dose of 10 ml 0.1 mg \/ ml solution (1 mg), repeated at 3-5 minute intervals until spontaneous circulation returns.<br><\/p>\n\n\n\n<p>Endotracheal use (regardless of weight) should only be used as a last resort if no other route of administration is available, with a&nbsp;dose&nbsp;of 1 ml\/kg 0.1 mg\/ml solution (100 micrograms\/kg) to a maximum single dose of 25 ml of 0, 1 mg\/ml solution (2.5 mg).<br><\/p>\n\n\n\n<p><strong>Strictly respect the following protocols:<\/strong><\/p>\n\n\n\n<p>The pre-filled syringe is for single patient use only.&nbsp;Discard the syringe after use.<\/p>\n\n\n\n<p><em>Do not reuse.<\/em><\/p>\n\n\n\n<p>The product should be inspected visually for particulate matter and discoloration prior to&nbsp;administration.&nbsp;The only clear and colorless solution, free from particles or precipitates, should be used.<\/p>\n\n\n\n<p>The product should not be used in the bag or blister pack has been opened or if the tamper-proof seal on the syringe (the plastic film at the base of the end cap) is broken.<br><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td>1) Tear up the aluminum bag by hand using only the perforations.Do not use sharp instruments to open the bag.<\/td><\/tr><tr><td>2) Remove the pre-filled syringe from the sterile blister pack.<\/td><\/tr><tr><td><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20141130000011#\" rel=\"noopener\"><\/a><\/td><td>3) Press the piston to release the latch.&nbsp;The sterilization process may have caused the latch to attach to the syringe body.<\/td><\/tr><tr><td><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20141130000011#\" rel=\"noopener\"><\/a><\/td><td><br>4) Unscrew the end cap to break the seals.&nbsp;Do not touch the exposed Luer<strong> coupling so that contamination can be avoided.<\/strong><\/td><\/tr><tr><td><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20141130000011#\" rel=\"noopener\"><\/a><\/td><td><br>5) Check that the syringe end seal is completely removed.&nbsp;If not, replace the cover and turn again.<\/td><\/tr><tr><td><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20141130000011#\" rel=\"noopener\"><\/a><\/td><td><br>6) Exhale the air by gently pressing on the piston.<\/td><\/tr><tr><td><br>7) Connect the syringe to a&nbsp;vascular&nbsp;access device or cannula.<br>Press the plunger to inject the required volume.<br>Any unused product or waste material should be disposed of in accordance with local requirements<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Adrenaline Stragen belongs to a group of drugs called adrenergic and dopaminergic drugs.<\/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":[4044,4471,11527,11530,11525,11532,11526,11531,11524,11529,4045,11528],"class_list":["post-4850","post","type-post","status-publish","format-standard","hentry","category-a","category-medicines","tag-adrenaline","tag-adrenaline-injection","tag-adrenaline-stragen","tag-adrenaline-stragen-injection","tag-benefits-of-adrenaline","tag-benefits-of-adrenaline-stragen","tag-side-effects-of-adrenaline","tag-side-effects-of-adrenaline-stragen","tag-what-adrenaline-is-used-for","tag-what-adrenaline-stragen-is-used-for","tag-what-is-adrenaline","tag-what-is-adrenaline-stragen"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/4850","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=4850"}],"version-history":[{"count":5,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/4850\/revisions"}],"predecessor-version":[{"id":13062,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/4850\/revisions\/13062"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=4850"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=4850"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=4850"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}