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Kapanol
: Morphine Sulphate( Sustained release)
: Narcotic Analgesic
: 20 mg.
Sustained release polymer Coated Pellet 20 mg. gelatin capsule
(moderate to severe chronic pain) Acute Myocardial infarction ,
Surgery,Cancer
*Hypersensitivity to morphine
*Respiratory depression or acute or severe bronchial asthma
*Presence of Infection at the injection microinfusion site
*Concomitant anticoagulant therapy
*Uncontrolled bleeding diathesis
*Paralytics ileus
Improper or errorneous substitution High potency morphine for regular strength morphine
overdose respiratory depression
Head injury ,at the intracranial lesions or increase in intracranial pressure
acute asthma attack
Pregnancy
Seizure disorder

Hypotension , respiratory depression , hypoxia , bradycardia ,Drowsiness , nausea/vomiting , constipation ,dry


mouth , sedation ,itch skin

1. morphine oral form Kapanol


mg. morphine
Parenteral form mg. 3 dose
2. opioid analgesic mg. opioid analgesic conversion
factor to oral morphine mg. Kapanol
3. opioid analgesic dose Kapanol immediate release
morphine dose morphine Kapanol mg.

Kapanol capsule pellet food stuffs ( jam , yoghurt , apple sauce , ice
cream) orange juice , milk pellets feed gastrostomy tube
nasogastric tube

1. Kapanol 2
2.
3. Kapanol mg. morphine (immediated release) mg.
Kapanol Kapanol
/conversion/tmp/scratch/372975203.doc






1.1 (Chloramphenicol)



(Gray syndrome)


1.2 (Tetracyclines)

3


""
1. (New born) 4 8
2. (Infant) 1 1.3 (Sulfa)
3. 1 6 (Sulfa diazine)
4. 6 12 (Cotrimoxazole) 2
12 (Bilirubin)


Kernicterus
1. 2.
2.1 (Baby Aspirin)
-*-

, , (
)
2
-*-
"Reye's
6 syndrome"
-*- 2
2.2 (Paracetamol)
-*-

2. 10
2.3 (Dipyrone)
(Chloramphenicol) (Sulpyrine) (Metamizol)
Gray Syndrome
6 1


3. 4- 6
4 - 6 2


3. (Mebendazole)
2

4. 6
1.
-
(Dextromethorphan) 2
(Erythromycin) 5.


/conversion/tmp/scratch/372975203.doc

5.1 (Brompheniramine) 3.
5.2 (Chlorpheniramine) 4.

*. 5.
*.
*. 6.
*.

*. 1
7.
6.

1 5
1 15 3
(
2 1 )
1 8. 3
9.
10. 12

1.
2. "... "
/conversion/tmp/scratch/372975203.doc

Q : Metronidazole (Flagyl) Inj. 500 mg vial


A : 24
1. Micromedex 2001
Q: 0.3 M Sodium Citrate 30 ml
A: Alkalinizing agent
1-2 (single dose )
1.www.nlm.nih.gov/medlineplus/druginfo/citratesystemic202144.html
2. Micromedex 2001
Q: Tetanus Toxoid vial 5 ml Lidocaine HCl 1 % inj.
A: 24
2544
Q: Ciprofloxacin (Ciprobay) 1 2
A: IV infusion large vein 60 Quinolone
Concentrate Dependent
1. Handbook on Injectable drugs 10 Ed. 1998.
th

See you next issue .

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