Dr asif kamal

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Its About My Professional Life .....

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19/03/2016

Banned Combination .....
Sr. NO. Product Name (Irrational FDC)
1 Aceclofenac + Paracetamol + Rabeprazole
2 Nimesulide + Diclofenac
3 Nimesulide + Cetirizine + Caffeine
4 Nimesulide + Tizanidine
5 Paracetamol + Cetirizine + Caffeine
6 Diclofenac + Tramadol + Chlorzoxazone
7 Dicyclomine + Paracetamol + Domperidone
8 Nimesulide + Paracetamol
9 Paracetamol + Phenylephrine + Caffeine
10 Diclofenac+ Tramadol + Paracetamol
11 Diclofenac + Paracetamol + Chlorzoxazone + Famotidine
12 Naproxen + Paracetamol
13 Nimesulide + Serratiopeptidase
14 Paracetamol + Diclofenac + Famotidine
15 Nimesulide + Pifofenone + Fenpiverinium + Benzyl Alcohol
16 Omeprazole + Paracetamol + Diclofenac
17 Nimesulide + Paracetamol injection
18 Tamsulosin + Diclofenac
19 Paracetamol + Phenylephrine + Chlorpheniramine + Dextromethorphan + Caffeine
20 Diclofenac + Zinc Carnosine
21 Diclofenac + Paracetamol + Chlorpheniramine Maleate + Magnesium Trisillicate
22 Paracetamol + Pseudoephedrine + Cetrizine
23 Phenylbutazone + Sodium Salicylate
24 Lornoxicam + Paracetamol + Trypsin
25 Paracetamol + Mefenamic Acid + Ranitidine + Dicylomine
26 Nimesulide + Dicyclomine
27 Heparin + Diclofenac
28 Glucosamine + Methyl Sulfonyl Methane + Vitamini D3 + Maganese + Boron + Copper + Zinc
29 Paracetamol + Tapentadol
30 Tranexamic Acid + Proanthocyanidin
31 Benzoxonium Chloride + Lidocaine
32 Lornoxicam + Paracetamol + Tramadol
33 Lornoxicam + Paracetamol + Serratiopeptidase
34 Diclofenac + Paracetamol + Magnesium Trisilicate
35 Paracetamol + Domperidone + Caffeine
36 Ammonium Chloride + Sodium Citrate + Chlorpheniramine Maleate + Menthol
37 Paracetamol + Prochlorperazine Maleate
38 Serratiopeptidase (enteric coated 20000 units) + Diclofenac Potassium & 2 tablets of Doxycycline
39 Nimesulide + Paracetamol Suspension
40 Aceclofenac + Paracetamol + Famotidine
41 Aceclofenac + Zinc Carnosine
42 Paracetamol + Disodium Hydrogen Citrate + Caffeine
43 Paracetamol + DL Methionine
44 Disodium Hydrogen Citrate + Paracetamol
45 Paracetamol + Caffeine + Codeine
46 Aceclofenac (SR) + Paracetamol
47 Diclofenac + Paracetamol injection
48 Azithromycin + Cefixime
49 Amoxicillin + Dicloxacillin
50 Amoxicillin 250 mg + Potassium Clavulanate Diluted 62.5 mg
51 Azithromycin + Levofloxacin
52 Cefixime + Linezolid
53 Amoxicillin + Cefixime + Potassium Clavulanic Acid
54 Ofloxacin + Nitazoxanide
55 Cefpodoxime Proxetil + Levofloxacin
56 Azithromycin, Secnidazole and Fluconazole kit
57 Levofloxacin + Ornidazole + Alpha Tocopherol Acetate
58 Nimorazole + Ofloxacin
59 Azithromycin + Ofloxacin
60 Amoxycillin + Tinidazole
61 Doxycycline + Serratiopeptidase
62 Cefixime + Levofloxacin
63 Ofloxacin + Metronidazole + Zinc Acetate
64 Diphenoxylate + Atropine + Furazolidonee
65 Fluconazole Tablet, Azithromycin Tablet and Ornidazole Tablets
66 Ciprofloxacin + Phenazopyridine
67 Amoxycillin + Dicloxacillin + Serratiopeptidase
68 Azithromycin + Cefpodoxime
69 Lignocaine + Clotrimazole + Ofloxacin + Beclomethasone
70 Cefuroxime + Linezolid
71 Ofloxacin + Ornidazole + Zinc Bisglycinate
72 Metronidazole + Norfloxacin
73 Amoxicillin + Bromhexine
74 Ciprofloxacin + Fluticasone + Clotrimazole + Neomycin is
75 Metronidazole + Tetracycline
76 Cephalexin + Neomycin + Prednisolone
77 Azithromycin + Ambroxol
78 Cilnidipine + Metoprolol Succinate + Metoprolol Tartrate
79 L-Arginine + Sildenafil
80 Atorvastatin + Vitamin D3 + Folic Acid + Vitamin B12 + Pyridoxine
81 Metformin + Atorvastatin
82 Clindamycin + Telmisartan
83 Olmesartan + Hydrochlorothiazide + Chlorthalidone
84 L-5-Methyltetrahydrofolate Calcium + Escitalopram
85 Pholcodine + Promethazine
86 Paracetamol + Promethazine
87 Betahistine + Ginkgo Biloba Extract + Vinpocetine + Piracetam
88 Cetirizine + Diethyl Carbamazine
89 Doxylamine + Pyridoxine + Mefenamic Acid + Paracetamol
90 Drotaverine + Clidinium + Chlordiazepoxide
91 Imipramine + Diazepam
92 Flupentixol + Escitalopram
93 Paracetamol + Prochloperazine
94 Gabapentin + Mecobalamin + Pyridoxine + Thiamine
95 Imipramine + Chlordiazepoxide + Trifluoperazine + Trihexyphenidyl
96 Chlorpromazine + Trihexyphenidyl
97 Ursodeoxycholic Acid + Silymarin
98 Metformin 1000/1000/500/500mg + Pioglitazone 7.5/7.5/7.5/7.5mg + Glimepiride
99 Gliclazide 80 mg + Metformin 325 mg
100 Voglibose+ Metformin + Chromium Picolinate
101 Pioglitazone 7.5/7.5mg + Metformin 500/1000mg
102 Glimepiride 1mg/2mg/3mg + Pioglitazone 15mg/15mg/15mg + Metformin 1000mg/1000mg/1000mg
103 Glimepiride 1mg/2mg+ Pioglitazone 15mg/15mg + Metformin 850mg/850mg
104 Metformin 850mg + Pioglitazone 7.5 mg + Glimepiride 2mg
105 Metformin 850mg + Pioglitazone 7.5 mg + Glimepiride 1mg
106 Metformin 500mg/500mg+Gliclazide SR 30mg/60mg + Pioglitazone 7.5mg/7.5mg
107 Voglibose + Pioglitazone + Metformin
108 Metformin + Bromocriptine
109 Metformin + Glimepiride + Methylcobalamin
110 Pioglitazone 30 mg + Metformin 500 mg
111 Glimepiride + Pioglitazone + Metformin
112 Glipizide 2.5mg + Metformin 400 mg
113 Pioglitazone 15mg + Metformin 850 mg
114 Metformin ER + Gliclazide MR + Voglibose
115 Chromium Polynicotinate + Metformin
116 Metformin + Gliclazide + Piogllitazone + Chromium Polynicotinate
117 Metformin + Gliclazide + Chromium Polynicotinate
118 Glibenclamide + Metformin (SR)+ Pioglitazone
119 Metformin (Sustainded Release) 500mg + Pioglitazone 15 mg + Glimepiride 3mg
120 Metformin (SR) 500mg + Pioglitazone 5mg
121 Chloramphenicol + Beclomethasone + Clomitrimazole + Lignocaine
122 of Clotrimazole + Ofloxaxin + Lignocaine + Glycerine and Propylene Glycol
123 Chloramphennicol + Lignocaine + Betamethasone + Clotrimazole + Ofloxacin + Antipyrine
124 Ofloxacin + Clotrimazole + Betamethasone + Lignocaine
125 Gentamicin Sulphate + Clotrimazole + Betamethasone + Lignocaine
126 Clotrimazole + Beclomethasone + Ofloxacin + Lignocaine
127 Becloemthasone + Clotrimazole + Chloramphenicol + Gentamycin + Lignocaine Ear
128 Flunarizine + Paracetamole + Domperidone
129 Rabeprazole + Zinc Carnosine
130 Magaldrate + Famotidine + Simethicone
131 Cyproheptadine + Thiamine
132 Magaldrate + Ranitidine + Pancreatin + Domperidone
133 Ranitidine + Magaldrate + Simethicone
134 Magaldrate + Papain + Fungul Diastase + Simethicone
135 Rabeprazole + Zinc + Domperidone
136 Famotidine + Oxytacaine + Magaldrate
137 Ranitidine + Domperidone + Simethicone
138 Alginic Acid + Sodium Bicarbonate + Dried Aluminium Hydroxide + Magnesium Hydroxide
139 Clidinium + Paracetamol + Dicyclomine + Activated Dimethicone
140 Furazolidone + Metronidazole + Loperamide
141 Rabeprazole + Diclofenac + Paracetamol
142 Ranitidine + Magaldrate
143 Norfloxacin+ Metronidazole + Zinc Acetate
144 Zinc Carnosine + Oxetacaine
145 Oxetacaine + Magaldrate + Famotidine
146 Pantoprazole (as Enteric Coated Tablet) + Zinc Carnosine (as Film Coated Tablets)
147 Zinc Carnosine + Magnesium Hydroxide + Dried Aluminium Hydroxide + Simethicone
148 Zinc Carnosine + Sucralfate
149 Mebeverine & Inner HPMC capsule (Streptococcus Faecalis + Clostridium butyricum + Bacillus
mesentricus + Lactic Acid Bacillus)
150 Clindamycin + Clotrimazole + Lactic Acid Bacillus
151 Sildenafil + Estradiol Valerate
152 Clomifene Citrate + Ubidecarenone + Zinc + Folic Acid + Methylcobalamin + Pyridoxine + Lycopene
+ Selenium + Levocarnitine Tartrate + L-Arginine
153 Thyroxine + Pyridoxine + Folic Acid
154 Gentamycin + Dexamethasone + Chloramphenicol + Tobramycin + Ofloxacin
155 Dextromethorphan + Levocetirizine + Phenylephrine + Zinc
156 Nimesulide + Loratadine + Phenylephrine + Ambroxol
157 Bromhexine + Phenylephrine + Chlorepheniramine Maleate
158 Dextromethorphan + Bromhexine + Guaiphenesin
159 Paracetamol + Loratadine + Phenylephrine + Dextromethorphan + Caffeine
160 Nimesulide + Phenylephrine + Caffeine + Levocetirizine
161 Azithromycin + Acebrophylline
162 Diphenhydramine + Terpine + Ammonium Chloride + Sodium Chloride + Menthol
163 Nimesulide + Paracetamol + Cetirizine + Phenylephrine
164 Paracetamol + Loratadine + Dextromethophan + Pseudoepheridine + Caffeine
165 Chlorpheniramine Maleate + Dextromethorphan + Dextromethophan + Guaiphenesin + Ammonium
Chloride + Menthol
166 Chlorpheniramine Maleate + Ammonium Chloride + Sodium Citrate
167 Cetirizine + Phenylephrine + Paracetamol + Zinc Gluconate
168 Ambroxol
+ Guaiphenesin + Ammonium Chloride + Phenylephrine + Chlorpheniramine Maleate + Menthol
169 Dextromethorphen + Bromhexine + Chlorpheniramine Maleate + Guaiphenesin
170 Levocetirizine + Ambroxol + Phenylephrine + Guaiphenesin
171 Dextromethorphan + Chlorpheniramine + Chlorpheniramine Maleate
172 Cetirizine + Ambroxol + Guaiphenesin + Ammonium Chloride + Phenylephrine +
Menthol
173 hlorpheniramine + Phenylephrine + Caffeine
174 Dextromethorphan + Triprolidine + Phenylephrine
175 Dextromethorphan + Phenylephrine + Zinc Gluconate + Menthol
176 Chlorpheniramine + Codeine + Sodium Citrate + Menthol Syrup
177 Enrofloxacin + Bromhexin
178 Bromhexine + Dextromethorphan + Phenylephrine + Menthol
179 Levofloxacin + Bromhexine
180 Levocetirizine + Phenylephrine + Ambroxol + Guaiphenesin + Paracetamol
181 Cetirizine + Dextromethorphan + Phenylephrine + Zinc Gluconate + Paracetamol + Menthol
182 Paracetamol + Pseudoephedrine + Dextromethorphan+Cetirizine
183 Diphenhydramine + Guaiphenesin + Ammonium Chloride + Bromhexine
184 Chlorpheniramine + Dextromethorphan + Phenylephrine + Paracetamol
185 Dextromethorphen + Promethazine
186 Diethylcabamazine Citrate + Cetirizine + Guaiphenesin
187 Chlorpheniramine + Phenylephrine + Dextromethophan + Menthol
188 Ambroxol + Terbutaline + Dextromethorphan
189 Dextromethorphan + Chlorpheniramine + Guaiphenesin
190 Terbutaline + Bromhexine + Guaiphenesin + Dextromethorphan
191 Dextromethorphan + Tripolidine + Phenylephirine
192 Paracetamol + Dextromethorphan + Chlorpheniramine
193 Codeine + Levocetirizine + Menthol
194 Dextromethorphan + Ambroxol + Guaifenesin + Phenylephrine + Chlorpheniramine
195 Cetirizine + Phenylephrine + Dextromethorphan + Menthol
196 Roxithromycin + Serratiopeptidase
197 Paracetamol + Phenylephrine + Triprolidine
198 Cetirizine + Acetaminophen + Dextromethorphan + Phenyephrine + Zinc Gluconate
199 Diphenhydramine + Guaifenesin + Bromhexine + Ammonium Chloride + Menthol
200 Chlopheniramine Maleate + Codeine Syrup
201 Cetirizine + Dextromethorphan + Zinc Gluconate + Menthol
202 Paracetamol + Phenylephrine + Desloratadine + Zinc Gluconate + Ambroxol
203 Levocetirizine + Montelukast + Acebrophylline
204 Dextromethorphan + Phenylephrine + Ammonium Chloride + Menthol
205 Acrivastine + Paracetamol + Caffeine + Phenylephrine
206 Naphazoline + Carboxy Methyl Cellulose + Menthol + Camphor + Phenylephrine
207 Dextromethorphan + Cetirizine
208 Nimesulide + Paracetamol + Levocetirizine + Phenylephrine + Caffeine
209 Terbutaline + Ambroxol + Guaiphenesin + Zinc + Menthol
210 Dextromethorphan + Phenylephrine + Guaifenesin + Triprolidine
211 Ammomium Chloride + Bromhexine + Dextromethorphan
212 Diethylcarbamazine + Cetirizine + Ambroxol
213 Ethylmorphine + Noscapine + Chlorpheniramine
214 Cetirizine + Dextromethorphan + Ambroxol
215 Ambroxol + Guaifenesin + Phenylephrine + Chlorpheniramine
216 Paracetamol + Phenylephrine + Chlorpheniramine + Zinc Gluconate
217 Dextromethorphan + Phenylephrine + Cetirizine + Paracetamol + Caffeine
218 Dextromethophan + Chlorpheniramine + Guaifenesin + Ammonium Chloride
219 Levocetirizine + Dextromethorphan + Zinc
220 Paracetamol + Phenylephrine + Levocetirizine + Caffeine
221 Chlorphaniramine + Ammonium Chloride + Sodium Chloride
222 Paracetamol + Dextromethorphan + Bromhexine + Phenylephrine + Diphenhydramine
223 Salbutamol + Bromhexine + Guaiphenesin + Menthol
224 Cetirizine + Dextromethorphan + Bromhexine + Guaifenesin
225 Diethyl Carbamazine + Chlorpheniramine + Guaifenesin
226 Ketotifen + Cetirizine
227 Terbutaline + Bromhexine + Etofylline
228 Ketotifen + Theophylline
229 Ambroxol + Salbutamol + Theophylline
230 Cetririzine + Nimesulide + Phenylephrine
231 Chlorpheniramine + Phenylephrine + Paracetamol + Zink Gluconate
232 Acetaminophen + Guaifenesin + Dextromethorphan + Chlorpheniramine
233 Cetirizine + Dextromethorphan + Phenylephrine + Tulsi
234 Cetirizine + Phenylephrine + Paracetamol + Ambroxol + Caffeine
235 Guaifenesin + Dextromethorphan
236 Levocetirizine + Paracetamol + Phenylephirine + Caffeine
237 Caffeine + Paracetamol + Phenylephrine + Chlorpheniramine
238 Levocetirizine + Paracetamol + Phenylephirine + Caffeine
239 Caffeine + Paracetamol + Phenylephrine + Chlorpheniramine
240 Ketotifen + Levocetrizine
241 Paracetamol + Levocetirizine + Phenylephirine + Zink Gluconate
242 Paracetamol + Phenylephrine + Triprolidine + Caffeine
243 Caffeine + Paracetamol + Phenylephrine + Cetirizine
244 Caffeine + Paracetamol + Chlorpheniramine
245 Ammonium Chloride + Dextromethorphan + Cetirizine + Menthol
246 Dextromethorphan + Paracetamol + Cetirizine + Phenylephrine
247 Chlorpheniramine + Terpin + Antimony Potassium Tartrate + Ammonium Chloride + Sodium
Citrate + Menthol
248 Terbutaline + Etofylline + Ambroxol
249 Paracetamol + Codeine + Chlorpheniramine
250 Paracetamol+Pseudoephedrine+Certirizine+Caffeine
251 Chlorpheniramine+Ammonium Chloride + Menthol
252 N-Acetyl Cysteine + Ambroxol + Phenylephrine + Levocertirizine
253 Dextromethorphan + Phenylephrine + Tripolidine + Menthol
254 Salbutamol + Certirizine + Ambroxol
255 Dextromethorphan + Phenylephrine + Bromhexine + Guaifenesin + Chlorpheniramine
256 Nimesulide + Certirizine + Phenylephrine
257 Naphazoline + Chlorpheniramine + Zinc Sulphate + Boric Acid + Sodium Chloride + Chlorobutol
258 Paracetamol + Bromhexine + Phenylephrine + Chlorpheniramine + Guaifenesin
259 Salbutamol + Bromhexine
260 Dextromethorphan + Phenylephrine + Guaifenesin + Certirizine + Acetaminophen
261 Guaifenesin + Bromhexine + Chlorpheniramine + Paracetamo
262 Chlorpheniramine + Ammonium Chloride + Chloroform + Menthol
263 Salbutamol + Choline Theophylinate + Ambroxol
264 Chlorpheniramine + Codeine Phosphate + Menthol Syrup
265 Pseudoephedrine + Bromhexine
266 Certirizine + Phenylephrine + Paracetamol + Caffeine + Nimesulide
267 Dextromethorphan + Cetirizine + Guaifenesin + Ammonium Chloride
268 Dextromethorphan + Cetirizine + Guaifenesin + Ammonium Chloride
269 Ambroxol + Salbutamol + Choline Theophyllinate + Menthol
270 Paracetamol + Chlorpheniramine + Ambroxol + Guaifenesin + Phenylephrine
271 Chlorpheniramine + Vasaka + Tolubalsm + Ammonium Chloride + Sodium Citrate + Menthol
272 Bromhexine + Cetrizine + Phenylephrine IP+Guaifenesin + Menthol
273 Dextromethorphan + Ambroxol + Ammonium Chloride + Chlorpheniramine + Menthol
274 Dextromethorphan + Phenylephrine + Cetirizine + Zinc + Menthol
275 Terbutaline + N-Acetyl L-Cysteine + Guaifenesin
276 Calcium Gluconate + Levocetirizine
277 Paracetamol + Levocetirizine + Pseudoephedrine
278 Salbutamol + Choline Theophylinate + Carbocisteine
279 Chlorpheniramine + Vitamin C
280 Calcium Gluconate + Chlorpheniramine + Vitamin C
281 Chlorpheniramine + Paracetamol + Pseudoephedrine + Caffeine
282 Guaifenesin + Bromhexine + Chlorpheniramine + Phenylephrine + Paracetamol + Serratiopeptidase
(as enteric coated granules) 10000 SP Units
283 Paracetamol + Pheniramine
284 Betamethasone + Fusidic Acid + Gentamycin + Tolnaftate + lodochlorhydroxyquinoline (ICHQ
285 Clobetasol + Ofloxacin + Miconazole + Zinc Sulphate
286 Clobetasole + Gentamicin + Miconazole + Zinc Sulphate
287 Levocetirizine + Ambroxol + Phenylephrine + Paracetamol
288 Permethrin + Cetrimide + Menthol
289 Beclomethasone + Clotimazole + Neomycin + lodochlorohydroxyquinone
290 Neomycin + Doxycycline
291 Ciprofloxacin + Fluocinolone + Clotrimazole + Neomycin + Chlorocresol
292 Clobetasol + Ofloxacin + Ketoconazol + Zinc Sulphate
293 Betamethasone + Gentamicin + Tolnaftate + lodochlorhydroxyquinoline
294 Clobetasol + Gentamicin + Tolnaftate + lodochlorhydroxyquinone + Ketoconazole
295 Allantoin + Dimethieone + Urea + Propylene + Glycerin + Liquid Paraffin
296 Acriflavine + Thymol + Cetrimide
297 Betamethasone + Neomycin + Tolnaftate + lodochlorohydroxyquinoline + Cholorocresol
298 Clobetasol + Neomycin + Miconazole + Clotrimazole
299 Ketoconazole + Tea Tree oil + Allantion + Zinc Oxide + Aloe Vera + Jojoba oil +
Lavander oil + Soa noodels
300 Clobetasol Propionate + Ofloxacin + Ornidazole + Terbinafine
301 Clobetasol + Neomycin + Miconazole + Zinc Sulphate
302 Beclomethasone Diproprionate + Neomycin + Tolnaftate + lodochlorhydroxyquinoline +
Chlorocresol
303 Betamethasone + Gentamycin + Zinc Sulphate + Clotrimoazole + Chlorocresol
304 Borax + Boric Acid + Naphazoline + Menthol + Camphor + Methyl Hydroxy Benzoate
305 Bromhexine + Dextromethorphan
306 Dextromethophan + Chlopheniramine + Bromhexine
307 Menthol + Anesthetic Ether
308 Dextrometharphan + Chlopheniramine + Ammonium + Sodium Citrate + Menthol
309 Ergotamine Tartrate + Belladona Dry Extarct+Caffeine + Paracetamol
310 Phenytoin + Phenobarbitone
311 Gliclazide 40mg + Metformin 400mg
312 Paracetamol + Ambroxol + Phenylephrine + Chlorpheniramine
313 Oflaxacin + Ornidazole Suspension
314 Albuterol + Etofylline + Bromhexine + Menthol
315 Albuterol + Bromhexine + Theophylline
316 Salbutamol+Hydroxyethyltheophylline (Etofylline) + Bromhexine
317 Paracetamol+Phenylephrine+Levocetirizine+Sodium Citrate
318 Paracetamol + Propyphenazone + Caffeine
319 Guaifenesin + Diphenhydramine + Bromhexine + Phenylephrine
320 Dried Alumnium Hydroxie Gel + Prophantheline + Diazepam
321 Bromhenxine + Phenylephrine + Chlorpheniramine + Paracetamol
322 Beclomethasone + Clotrimazole + Gentamicin + lodochlorhydroxyquinoline
323 Telmisartan + Metformin
324 Ammonium Citrate + Vitamin B 12 + Folic Acid + Zinc Sulphate
325 Levothyroxine + Phyridoxine + Nicotinamide
326 Benfotiamine + Metformin
327 Thyroid + Thiamine + Riboflavin + Phyridoxine + Calcium Pantothenate + Tocopheryl Acetate +
Nicotinamide
328 Ascorbic Acid + Manadione Sodium Bisulphate + Rutin + Dibasic Calcium Phosphate +
Adrenochrome mono Semicarbazone
329 Phenylephrine + Chlorpheniramine + Paracetamol + Bromhexine + Caffeine
330 Clotrimazole + Beclomethasone + Lignocaine + Ofloxacin + Acetic Aicd + Sodium Methyl Paraben +
Propyl Paraben

Acetylsalicylic Acid ' Aspirin ' :Trade name: AspirinClassification:Non-narcotic analgesic, antipyretic, anti-inflammato...
14/03/2015

Acetylsalicylic Acid ' Aspirin ' :
Trade name: Aspirin
Classification:
Non-narcotic analgesic, antipyretic, anti-inflammatory, antirhumatic, ant platelet,
NSAID.
Pregnancy: (Category C)
Action:
The antipyretic effect is due to an action on the hypothalamus that results in heat
loss by vasodilatation of peripheral blood vessels & promoting sweating.
The anti-inflammatory effects probably by decreasing prostaglandin synthesis &
other mediators of the pain response.
The analgesic action is not fully known but may be due to improvement of the
inflammatory condition .
N.B.: Aspirin also produces inhibition of platelet aggregation.
Uses:
- Pain - Myalgia
- Arthralgia - Headache
- Dysmenorrhea - Antipyretic (reduce fever)
- Anti-inflammatory (arthritis, gout, rheumatic fever)
- To reduce the risk of recurrent ischemic attacks & strokes in men.
٧
- Reduction of risk of death or nonfatal MI in patients with history of
infarction or unstable angina pectoris.
Dose:
As "ant platelet" A single dose of aspirin 150–300 mg is given
As soon as possible after an ischemic event, preferably
Dispersed in water or chewed.
The initial dose is followed by maintenance treatment with
Aspirin 75–150 mg daily.
Anti-inflammatory: 0.3–1 g every 4 hours after food; max.
In acute conditions 8 g daily; CHILD, juvenile arthritis, up
to 80 mg/kg daily in 5–6 divided doses after food,
Increased in acute exacerbations to 130 mg/kg
Note: High doses of aspirin are very rarely required and are now
Given under specialist supervision only, and with plasma
Monitoring (especially in children)
Contraindications:
Hypersensitivity to salicylates.
Asthma in conjunction with anticoagulant therapy.
Vitamin deficiency (risk for bleeding increase with Vitamin K deficiency).
Chickenpox or influenza (potential risk for Reye’s syndrome among children and
teenagers).
Pregnancy and lactation.
One week before & after surgery.
Patients receiving anticoagulants.
Patients with bleeding disorders (ie, hemophilia)
GI bleeding or hemorrhage from other sites.
History of GI ulcers.
Side effects:
Children e chicken pox (rays syndrome).
Heartburn, nausea, anorexia, occult blood loss..
GI bleeding, potentation of peptic ulcer.
Bronchospasm.
Anaphylaxis
Skin rashes.
Increase bleeding time.
٨
Salicylate toxicity
- Salicylism: nausea, vomiting, dizziness, tinnitus, difficulty hearing, diarrhea,
mental confusion.
- Acute aspirin poisoning: Respiratory alkalosis, hyperpnea, tachpnea,
hemorrhage, confusion, pulmonary edema, convulsion, tetany, metabolic
acidosis.
Drug interactions:
Risk for bleeding increase if taken with other anticoagulants.
Risk of GI bleeding increase if taken with steroids, alcohol, or other NSAINDs.
Increased risk for salicylate toxicity if taken with frusimide (lasix)
Hypotension may occur if taken with nitroglycerin.
Nursing considerations:
1.Take drug with or after food or with milk to decrease GI irritation.
2.Assess for history of asthma and history of hypersensitivity.
3.Do not use with other anticoagulants.
4.Note any history of peptic ulcer.
5.Report signs of side effect e.g. gastric irritation if occurs.
6.Aspirin is not given 1 week before & after surgery to prevent bleeding.
7. If patient is diabetic, discuss the possibility of hypoglycemia occurring Patients
should monitor their blood glucose level frequently.
8. Teaches patient about the toxic symptoms
(ringing in the ears) dizziness, mental confusion-etc) and
ask him/her to report it to physician.
DR----ASIF@@@......................

07/07/2014

1. Paracetamol-poisoning :- acetyl cysteine
2. acute bronchial- asthma :- salbutamol
3. acute gout :- NSAIDS
4. acute hyperkalemia:- calcium gluconate
5. severe DIGITALIS toxicity :- DIGIBIND
6. acute migraine :- sumatriptan
7. cheese reaction :- phentolamine
8. atropine poisoning :- physostigmine
9. cyanide poisoning :- amyl nitrite
10. benzodiazepine poisoning:- flumazenil
11. cholera :- tetracycline
12. KALA-AZAR :- lipozomal amphotericin- B
13. iron poisoning :- desferrioxamine
14. MRSA :- vancomycin
15. VRSA :- LINEZOLID
16. warfarin overdose :- vitamin-K
17. OCD :- fluoxetine
18. alcohol poisoning :- fomepizole
19. epilepsy in pregnency :- phenobarbitone
20. anaphylactic shock :- Adrenaline.

14/06/2014

thanx bro...................,

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