Dormicum - hypnotic.
Dormicum has a strong sedative effect, soothing, eliminates anxiety, relieves skeletal muscle tone, suppresses epileptic seizures, and prevents them from re-manifestation.
During the introduction dormicum intramuscular or intravenous patient develops amnesia man does not remember the events that occurred at the time of the most active influence of the drug.
Active substance means - midazolam.
Release tablets and solution dormicum.
Dormicum prescribed for administration to humans in general anesthesia and its ongoing maintenance, for a total induction of anesthesia and pediatrics (in conjunction with ketamine) for sedation before diagnostic procedures or operations for continuous sedation (a procedure aimed at the patient to calm down and relax ) during intensive care.
Good reviews of dormicum used for short treatment of insomnia.
Instructions dormicum: how to use
To perform conscious sedation drug dormicum slowly injected, dose picked individually. For adults it is 2, 5 mg, which is administered for 5-10min. prior to diagnostic or therapeutic procedure. The average allowable dosage ranges 3, 5-7, 5mg.
Patients over 60L and those weakened by chronic illness or serious and prolonged treatment is administered for the first 1mg 5-10min. prior to the procedure, and added gradually as needed to 0, 5-1mg. In most cases, judging by the reviews of dormicum enough total dose of 3, 5 mg.
Babies for sedation drug is administered intramuscularly - 0, 1-0, 15 mg / kg for 5-10min before the procedure. If there is a marked stimulation administered 0, 5 mg / kg body weight of the child. Usually 10mg dormicum enough.
Children can enter the drug intravenously and required dosage gradually pick up, the first two doses are administered every 2-3 minutes. Please note that children under 5 liters and babies may need a higher dose dormicum than older children.
Dormicum starting dose for children from six months to 5 l is 0, 05-0, 1 mg / kg, total - 0, 6 mg / kg, but not more than 6 mg.
The starting dose for children 6-12l is 0, 025-0, 05mg / kg, total - no more than 0, 4 mg / kg or 10 mg.
For sedation of children 12-16l require the same dosage as for adults.
To carry out the instructions for premedication dormicum injected into the muscle for 20-60min before the induction of anesthesia.
Adults with the need to remove the memory on the events preceding the operation and preparation of sedation is administered intramuscularly 0, 07-0, 1 mg / kg body weight (approximately 5 mg).
60l patients after suffering from chronic illnesses or weakened patients prescribed the drug in a dosage of 0, 025-0, 05mg / kg or 2-3mg. This dosage is used when the patient is not taking narcotic drugs.
Babies 1-15l dormicum for sedation administered in a dosage 0, 08-0, 2 mg / kg. Judging by the reviews of dormicum, this is the most effective dosage.
For the induction of anesthesia administered to the patient before 60l 0, 15-0, 2 mg / kg intravenously over 2 minutes 20-30sek and evaluate the effect. For debilitated patients used lower doses.
For the induction of anesthesia for patients to 60l, did not receive premedication, administered the drug in higher doses - 0, 3-0, 35mg / kg body weight. Enter dormicum intravenously 20-30sek then wait 2 minutes, evaluating the results. If necessary, repeated administration quarter initial dose is administered.
The patients did not undergo premedication, and that more than 60l administered smaller doses of the drug. The starting dose - 0, 3 mg / kg, if there is severe comorbidities or the patient is weakened, administered 0, 2-0, 25 mg / kg, in rare cases - 0, 15 mg / kg.
In pediatric practice is not to use dormicum for induction of anesthesia.
To conduct supporting anesthetic drug is administered in divided doses - 0, 03-0, 1 mg / kg, or spend infusion - administered 0, 03-0, 1 mg / kg per hour, adding analgesics.
Patients after 60L and those weakened or suffer from chronic diseases, introduce a smaller dose.
Children who are introduced as an anesthetic Ketamine, dormicum administered intramuscularly at 0, 15-0, 20 mg / kg. There are reviews of dormicum confirming that deep sleep occurs within 2-3 minutes.
For sedation of adult intensive care dormicum as a loading dose administered slowly, fractionally, iv: 1-2, 5 mg of the drug is administered during 20-30sek, every 2 minutes. The total dosage is 15mg.
Patients with hypothermia, vasoconstriction, hypovolemia dormicum for instructions or did not enter at all, or reduce the dosage.
Babies for such sedation is administered intravenously dormicum: 0, 05-0, 2 mg / kg for 2-3 minutes. and then transferred to the infusion of intravenous 0, 06-0, 12 mg / kg.
Newborn children under the age of 32 weeks dormicum administered by intravenous continuous infusion - 0, 03mg / kg / h. Children who are more than 32 weeks, administered 0, 06mg / kg / h.
Dormicum instructions for diluted sodium chloride 0, 9% and 10 dextrose, 5%, 5% fructose, Hartmann solution, Ringer's solution.
Precipitation solution possible for its removal should be shaken vial.
Side effects dormicum
Dormicum may cause confusion, hallucinations, headache, drowsiness, weakness, dizziness, ataxia, euphoria, dry mouth, hiccups, nausea, constipation, vomiting, cardiac and respiratory depression, decrease in pressure, tachycardia, dyspnea, thrombosis, thrombophlebitis, pain and erythema at the injection site.
There are reviews of dormicum that caused such unusual reactions such as motor activity, agitation, aggression, hostility.
In newborns and premature children may start cramping due dormicum.
It is noticed that dormicum can cause physical dependence and its abolition after prolonged intravenous use, in some cases causing seizures.
Dormicum of instructions are not prescribed for psychosis, severe depression, sleep disorders, muscular dystrophy, hypersensitivity, acute pulmonary insufficiency during pregnancy (1 st three months), during labor and delivery, lactation.
Be wary appoint dormicum children with acute alcohol poisoning, obesity, chronic kidney or heart failure, liver failure, sleep apnea, patients in a state of shock in a coma, with organic brain damage.
Breeding dormicum Makrodeksa solution, mixed with glucose, or alkaline solutions is not recommended.
Dormicum not intended for primary treatment of insomnia in patients with psychosis or severe depression. During use of the drug should be excluded use of ethanol, especially in the first 6h. dormicum after administration.
Patients should be warned that the active substance dormicum affect psychomotor reaction concentration.
In appointing dormicum consider that it enhances the action of antidepressants, antipsychotics, hypnotics, narcotic analgesics, sedatives, antihistamines, anti-epileptic drugs, anesthetics.
Slows down the drug amiodarone, erythromycin, cimetidine, neuroleptics.