Johnson & Johnson IMODIUM 2mg compresse orosolubili 洛哌丁胺止泻药片 12粒装

Description

【主要成分】

明胶,甘露醇,阿斯巴甜,薄荷香精,碳酸氢钠。

【适应症】

IMODIUM适用于急性腹泻的对症治疗。

【用法用量】

IMODIUM 2毫克片剂:初始剂量为成人2片(4毫克),儿童1片(2毫克),使其在舌头上溶解几秒钟。

【注意事项】

对于成年人,最大每日剂量为每天8胶囊或片剂(16毫克)。对于儿童,剂量应与体重有关(3粒或20公斤/粒),但每天最多不得超过8粒。请勿使用超过2天。实际上,在急性腹泻时,盐酸洛哌丁胺通常能够在48小时内缓解症状。在此期间没有明显效果后,请停止治疗并咨询医生。在正常情况下,如果大便恢复正常,12小时没有排便或出现便秘,则必须中断治疗。老年人老年人无需调整剂量。肾功能不全 肾功能不全的患者无需调整剂量。肝功能障碍尽管尚无肝功能障碍患者的数据,但由于首过代谢受损,这些患者应谨慎使用盐酸洛哌丁胺

过量

病征:中枢神经系统抑郁症(木僵,运动不协调,嗜睡,瞳孔缩小,肌肉过度紧张,呼吸抑制),肠梗阻和尿潴留。儿童对成年人过量服用IMODIUM的影响比对成年人更敏感。因此,建议不要将产品放在无法拿到的地方,因为意外摄入,尤其是在4岁以下的儿童中,会导致便秘和中枢神经系统抑制,并引起嗜睡和呼吸缓慢。过量服用的措施:洗胃,引起呕吐,灌肠或服用泻药。紧急措施:使用纳洛酮,并可能在1-3小时后重复治疗,因为洛哌丁胺的作用时间长于解毒剂。然后建议至少对患者进行48小时的监测,以突出中枢神经系统抑郁症的任何恶化。

怀孕和母乳喂养

不建议在怀孕期间服用Imodium。因此,孕妇或哺乳期妇女应咨询医生以进行适当治疗。

警告
用盐酸洛哌丁胺治疗腹泻只是有症状的。因此,在可能的情况下,也建议对疾病的原因进行干预。在急性腹泻发作中,盐酸洛哌丁胺通常能够在48小时内停止症状。在此期间没有明显效果后,必须中断治疗,并且必须告知患者需要去医生处咨询。在腹泻患者中,尤其是儿童,可能会大量流失水分和电解质。在这种情况下,正确补充液体和电解质本身非常重要。尽管尚无肝功能不全患者的药代动力学数据,由于强烈的首过代谢,洛哌丁胺盐酸盐应谨慎用于这些患者。肝功能不全的患者应谨慎使用该药物,因为它可能导致相对过量的中枢神经系统毒性。用盐酸洛哌丁胺治疗腹泻的艾滋病患者应在出现腹胀的最初迹象时停止治疗。在这些接受过盐酸洛哌丁胺治疗的细菌性或病毒性感染性结肠炎患者中,分离出的肠梗阻病例中毒性巨结肠风险增加。如果出现便秘,腹胀或肠梗阻,请立即停止治疗。有关于滥用和滥用洛哌丁胺的报道,对这类物质上瘾的人用作阿片类药物的替代品。据报道,与过量服用有关的心脏事件包括QT和QRS复杂性延长和尖端扭转型室速。有些情况是致命的。过量可以使Brugada综合征的存在表现出来。患者不应超过推荐剂量和/或延长治疗时间。小儿科人群:在6至12岁的儿童中,该药物只能在医学监督下使用。关于在12岁以下儿童中使用盐酸洛哌丁胺的可用数据有限。有关某些成分的重要信息:这种来自2毫克片剂的药物含有微量的亚硫酸盐:亚硫酸盐很少会引起严重的超敏反应和支气管痉挛。

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