Details About Generic Salt ::  Ipecac

Main Medicine Class:: Antidote   

(IPP-uh-kak syrup)

Available as generic only,  PMS-Ipecac

Class: Antidote

 

Drugs Class ::

 Action Produces vomiting by local irritant effect and stimulation of chemoreceptor trigger zone.

Indications for Drugs ::

 Indications Treatment of drug overdose and certain poisonings.

Drug Dose ::

 Route/Dosage

ADULTS: PO 15 to 30 ml followed by 3 to 4 glasses of water. May repeat dose within 20 min if vomiting does not occur. CHILDREN < 1 YR: PO 5 to 10 ml followed by ½ glass of water. CHILDREN 1–12 YR: PO 15 ml followed by 1 to 2 glasses of water.

Contraindication ::

 Contraindications Do not use in semiconscious, unconscious, pregnant, or lactating persons; do not use if strychnine, corrosives (eg, alkalis, strong acids), or petroleum distillates have been ingested.

Drug Precautions ::

 Precautions

Pregnancy: Category C. Lactation: Undetermined. Abuse: Severe cardiomyopathies and death may occur in bulimic and anorexic persons abusing ipecac syrup. Syrup/Fluid extract: Do not confuse ipecac syrup with ipecac fluid extract, which is 14 times stronger and has caused some deaths.

PATIENT CARE CONSIDERATIONS

Drug Side Effects ::

 Adverse Reactions

CV: Heart conduction disturbances; atrial fibrillation; fatal myocarditis. CNS: Depression. GI: Diarrhea.

Drug Mode of Action ::  

 Action Produces vomiting by local irritant effect and stimulation of chemoreceptor trigger zone.

Drug Interactions ::

 Interactions

Activated charcoal: Will absorb ipecac syrup. Give activated charcoal only after ipecac syrup has produced vomiting. Milk or carbonated beverages: Do not administer with ipecac syrup.

Drug Assesment ::

 Assessment/Interventions

• Obtain patient history, including drug history and any known allergies. Determine what was ingested, paying particular attention to products for which ipecac is contraindicated (eg, caustic substances, oils).
• Assess patient’s level of consciousness.
• Assess for adverse reactions such as CNS stimulation or depression, respiratory depression, prolonged vomiting, lethargy, or diarrhea.
• Assess effectiveness of drug shortly after administration.
• Assess respiratory rate and pattern, BP, and heart rate.
• Monitor for cardiac arrhythmias in patient receiving high doses of ipecac syrup, particularly if patient is very young (< 1 yr) or elderly.
• Notify physician if adverse reactions occur.
• Take safety precautions if sedation occurs: Place bed in low position with head of bed elevated, put side rails up, and assist patient with ambulation.
• Repeat initial dose of ipecac syrup in 20 min if first dose was not effective.
• Inform physician frequently about effectiveness of drug (frequency and amount of vomiting).
• Save all emesis for laboratory identification of ingested poison.
• If patient experiences extreme vomiting, take measures to maintain hydration, such as IV fluid support including electrolytes.
• If vomiting does not occur within 30 min after second dose, perform gastric lavage.

OVERDOSAGE: SIGNS & SYMPTOMS   Cardiac conduction disturbances, bradycardia, atrial fibrillation, hypotension, fatal myocarditis

Drug Storage/Management ::

 Administration/Storage

• Consult poison control center before administering, especially in children < 1 yr.
• Have patient sit upright with head forward before administering dose and for at least 30 min after administration.
• Follow administration with 3 to 4 glasses of water for adults and ½ to 2 glasses for children.
• If vomiting does not occur within 20 min, dose may be repeated.
• Do not administer with milk or carbonated beverages.
• Do not give to patient who is unconscious or convulsing.
• Do not give if patient has ingested caustic substances or oils.
• Administer activated charcoal only after vomiting has been induced and completed.

Drug Notes ::

 Patient/Family Education

• Caution parents not to induce vomiting if child has swallowed caustic substance or petroleum product or if child is unconscious, semiconscious, or having convulsions.
• Instruct parents of children < 1 yr to keep small amount (one 30 ml bottle) on hand for emergencies.
• Instruct parents to always consult physician or poison control center before administration.
• Teach parents not to exceed recommended amounts.
• Teach families to give drug with adequate amounts of water — not milk or carbonated beverages.
• Advise parents that drug has shelf life of 1 yr and should be replaced yearly. Instruct parents to check expiration date before purchasing product.
• Do not give ipecac syrup to an unconscious or very drowsy child because vomited material may enter lungs and cause pneumonia.
• Teach parents to repeat dose if child does not vomit within 20 min and then to take child to emergency room, because gastric lavage may be necessary.

Disclaimer ::

The Information available on this site is for only Informational Purpose , before any use of this information please consult your Doctor .Price of the drugs indicated above may not match to real price due to many possible reasons may , including local taxes etc.. These are only approximate indicative prices of the drug.