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Buy Ketanest Injection online without prescription it’s an anesthetic used in diagnostic and surgical procedures
Ketanest Package leaflet: Information for users
Ketanest ® S 25 mg/ml Solution for injection, injection bottles Esketaminhydrochlorid Read all of this leaflet carefully before you start using this medicine because it contains important information for you. Ketamine is the generic name for the drug Ketalar, a medication primarily used for anesthesia. It can also act as a pain reliever. Ketamine is sold under other brand names, such as Ketanest, Ketaset, Tekam, among others. People who use ketamine experience a trance-like state, along with sedation. Buy Ketanest Injection online without prescription it’s an anesthetic used in diagnostic and surgical procedures, with us you can it eminently.
Keep the leaflet. You might want to read it again. If you have any further questions, ask your doctor or pharmacist.
This medicine has been prescribed for you personally. Do not pass it on to others. It can hurt other people, even if they have the same symptoms as you.
If you notice any side effects, consult your doctor, pharmacist or nurse. This also applies to side effects not listed in this leaflet. See section 4. Buy Ketanest Injection online without prescription. Ketanest Injection
What is in this leaflet of Ketanest
What is Ketanest S 25 mg/ml, solution for injection and what is it used for?
What do you need to know before you use Ketanest S 25 mg/ml, solution for injection?
How to use Ketanest S 25 mg/ml, solution for injection?
What side effects are possible?
How to store Ketanest S 25 mg/ml, solution for injection?
Contents of the pack and further information
Have the section read aloud
1. What is Ketanest S 25 mg/ml, solution for injection, and what is it used for?
Means for anesthesia delivery
Anesthetic with analgesic (pain-killing) effect
Ketanest S 25 mg / ml is used:
for initiation and performance of general anesthesia (general anesthesia), if necessary in combination with sleeping pills (hypnotics)
as a supplement to regional anesthetics (local anesthesia)
for anesthesia and pain relief (analgesia) in emergency medicine. Ketanest Injection
for intubation in the status asthmaticus in combination with a muscle relaxant, if other specific measures were unsuccessful
for pain relief in artificial respiration (intubation)
Note
In pediatric surgery and in emergency medicine, Ketanest S 25 mg / ml is mostly used alone; for the other indications, combination with sleeping pills is recommended.
Have the section read aloud
2. What you need to know before you use Ketanest S 25 mg / ml , solution for injection?
Ketanest S 25 mg / ml , solution for injection should not be used:
if you are allergic to ketamine hydrochloride or any of the other ingredients of this medicine (listed in section 6)
in patients for whom increased blood pressure or increased intracranial pressure poses a serious risk
in poorly adjusted or untreated high blood pressure (arterial hypertension: systolic / diastolic blood pressure above 180/100 mmHg at rest). Ketanest Injection
High blood pressure caused by pregnancy with protein excretion via the urine (preeclampsia) and convulsions (eclampsia)
in case of insufficient or insufficiently treated hyperthyroidism (hyperthyroidism)
in situations requiring a muscle-relaxed uterus (uterus), e.g. B. threatening uterine rupture (uterine rupture), umbilical cord prolapse
if you have an existing cardiovascular disease with reduced blood flow and receive Ketanest S as the only means of anesthesia.
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Warnings and cautions of Ketanest
Escetamine should be used with caution in the following situations:
- decompensated heart failure and untreated hypertension
- unstable angina pectoris
- elevated intracranial pressure and injury or disease of the central nervous system, as an increase in cerebrospinal pressure, has been described in association with ketamine as an anesthetic
- in connection with eye examination or eye surgery as the intraocular pressure should not be increased
- patients with chronic or acute alcoholism
- patients who have or have had severe mental disorders
- insufficiently treated hyperthyroidism
- situations that require a relaxed uterine muscle (eg in the event of imminent uterine rupture or umbilical cord prolapse)
Escetamine is metabolized in the liver and liver clearance is required for the clinical effects to subside. Deviating liver function values associated with the use of escetamine have been reported, particularly with prolonged use (> 3 days) or abuse. Prolonged duration of action may occur in patients with cirrhosis or other types of hepatic impairment. Dose reduction should be considered in these patients. Ketanest Injection
Ketanest Side effects are possible?
Like all medicines, this medicine can have side effects, although not everybody gets them.
The side effects usually depend on the dose and the speed of the injection and are spontaneously reversible.
Psychiatric and nervous system side effects are more common when Ketanest S is given as the sole anesthetic agent.
Due to its central sympathomimetic effects, Ketanest S 25 mg / ml leads in most cases to an increase in blood pressure and heart rate.
The frequency of side effects is based on the following categories:
Very common: may affect more than 1 in 10 people
Common: may affect up to 1 in 10 people
Uncommon: may affect up to 1 in 100 people
Rare: may affect up to 1 in 1,000 people
Very rare: may affect up to 1 in 10,000 people
Not known: frequency cannot be estimated from the available data. Ketanest Injection
| Immune system disorders | |
| Rare | hypersensitivity reactions caused by the immune system (anaphylactic reactions) |
| Very rare | Hypersensitivity reactions (anaphylactoid reactions). A further decrease in blood pressure may also occur in patients in shock. |
| Psychiatric illness | |
| Very often | Awakening reactions 1 , e.g. B. Vivid dreams, including nightmares, dizziness, and motor restlessness² |
| Not known | Hallucinations, dysphoria, anxiety, disorientation |
| Nervous system disorders | |
| Occasionally | tonic-clonic contractions that can resemble convulsions (due to increased muscle tone), eye tremors (nystagmus) |
| Eye diseases | |
| Often | blurred vision |
| Occasionally | Double vision, increase in pressure in the eye (intraocular pressure) |
| Injury, poisoning, and procedural complications | |
| Often | During diagnostic and therapeutic interventions in the area of the upper respiratory tract, an increase in reflexes (hyperreflexia) and glottic cramps (laryngospasm) can be expected, especially in children. During surgery on the throat, larynx and bronchial tree, muscle relaxation with appropriate ventilation may be necessary.
Inadequate ventilation often leads to an increase in intracranial pressure and an increase in intraocular pressure (intraocular pressure) and increased muscle tone. Ketanest Injection |
| Heart disease | |
| Very often | Increases in blood pressure and heart rate (an increase of 20 % from baseline is common) |
| Often | temporarily strongly accelerated heartbeat (temporary tachycardia) |
| Rare | Abnormal heart rhythm (arrhythmia), slow heartbeat (bradycardia) |
| Vascular disease | |
| Rare | low blood pressure (hypotension, especially in connection with circulatory shock) |
| Respiratory, thoracic and mediastinal disorders | |
| Often | Especially in patients with a limited coronary reserve, there is an increase in the vascular resistance in the pulmonary circulation and an increased secretion of mucus (mucus secretion); increased oxygen consumption, glottis (laryngospasm) and temporary respiratory depression (the risk of respiratory depression usually depends on the dose and the speed of the injection). |
| Gastrointestinal disorders | |
| Often | Nausea and vomiting, increased salivation |
| Liver and gallbladder diseases | |
| Not known | abnormal liver function test, drug-related liver damage * |
| Skin and subcutaneous tissue disorders | |
| Occasionally | measles-like (morbilliform) reddening of the skin, rash (exanthema) |
| General disorders and administration site conditions | |
| Occasionally | Pain and inflammation of the skin (erythema) at the injection site |
1 When Ketanest S is given as the sole anesthetic, up to 30 % of patients may experience dose-dependent reactions during awakening.
2 The incidence of these events can be greatly reduced by administration of a benzodiazepine.
* For longer periods of use ( > 3 days) or drug abuse. Ketanest Injection
Countermeasures for side effects of Ketanest
Faster at high doses and iv -Injection is expected to respiratory arrest, which must be bridged by assisted ventilation to reinserting sufficient spontaneous respiration.
The administration of hypnotics, especially benzodiazepines or neuroleptics, reduces the side effects of Ketanest S 25 mg/ml.
Reporting of side effects of Ketanest
If you get any side effects, talk to your doctor or pharmacist. This also applies to side effects not listed in this leaflet. You can also report side effects directly to the Federal Institute for Drugs and Medical Devices, Dept. Pharmacovigilance, Kurt-Georg-Kiesinger-Allee 3, D-53175 Bonn, website: www.bfarm.de. By reporting side effects you can help provide more information on the safety of this medicine. Ketanest Injection
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