Atropine
(Atropair, Atropen, Isopto Atropine, Sal-Tropine) |
Category:
Description:
-
Anticholinergic,
antispasmotic, antiasthmatic, bronchodilator, mydriatic
Indications:
-
Bradycardia,
bradydysrhythmia, anticholinesterase insecticide poisoning
-
Blockade
of cardiac vagal refleses, antisialagogue, rigidity/tremor of
parkinsonism
-
Antispasmotic
with GU and biliary surgery, bronchodilator
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Mydriasis/cycloplegia
for iritis, cycloplegic refraction
Contraindications:
-
Hypersensitivity
to belladonna alkaloids, angle-closure glaucoma, GI obstruction
-
Myasthenia
gravis, ulcerative colitis, prostatic hypertrophy, tachydysrhythmias,
asthma, acute hemorrhage, myocardial ischemia
Precautions:
-
Pregnancy
category C
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Renal
disease, lactation, CHF, hyperthyroidism, COPD, hepatic disease, child
<6 years
-
Hypertension,
elderly, intraabdominal infections, Down syndrome, spastic paralysis
-
Gastric
ulcer
Adverse
Reactions (Side Effects):
-
CNS:
anxiety, coma, confusion, dizziness, flushing, headache, involuntary
movement, psychosis, weakness
-
CV:
angina, ectopic ventricular beats, hypertension, hypotension, PVC’s,
paradoxical bradycardia, tachycardia
-
EENT:
blurred vision, eye pain, glaucoma, nasal congestion, photophobia,
pupil dilation
-
GI:
abdominal distension, abdominal pain, altered taste, anorexia,
constipation, dry mouth, nausea, paralytic ileus, vomiting
-
GU:
dysuria, hesitancy, impotence, retention
-
SKIN:
contact dermatitis, dry skin, flushing, rash, urticaria
-
MISC:
decreased sweating, suppression of lactation
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Dosage:
Administered
topically, intramuscularly, intravenously, subcutaneously
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Source: Operational Medicine 2001, Health
Care in Military Settings, NAVMED P-5139, May 1, 2001, Bureau
of Medicine and Surgery, Department of the Navy, 2300 E Street NW, Washington,
D.C., 20372-5300
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necessarily represent the opinions of the Brookside Associates or the Department
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