BEERS REMS
Absorption: 6067% absorbed after oral administration (↓ in acute HF and in renal failure); also absorbed from IM sites; IV administration results in complete availability; 99.6% absorbed after SUBQ administration.
Distribution: Crosses placenta, enters breast milk.
Protein Binding: 9199%.
Half-Life: 30120 min (↑ in renal impairment).
(diuretic effect)
ROUTE | ONSET | PEAK | DURATION |
---|---|---|---|
PO | 3060 min | 12 hr | 68 hr |
IM | 1030 min | unknown | 48 hr |
IV | 5 min | 30 min | 2 hr |
Subcut | unknown | unknown | 8 hr |
Contraindicated in:
Use Cautiously in:
CV: hypotension
Derm: ERYTHEMA MULTIFORME, photosensitivity, pruritus, rash, STEVENS-JOHNSON SYNDROME, TOXIC EPIDERMAL NECROLYSIS, urticaria
EENT: hearing loss, tinnitus
Endo: hypercholesterolemia, hyperglycemia, hypertriglyceridemia, hyperuricemia
F and E: dehydration, hypocalcemia, hypochloremia, hypokalemia, hypomagnesemia, hyponatremia, hypovolemia, metabolic alkalosis
GI: ↑liver enzymes, anorexia, constipation, diarrhea, dry mouth, dyspepsia, nausea, pancreatitis, vomiting
GU: ↑BUN, excessive urination, nephrocalcinosis
Hemat: AGRANULOCYTOSIS, APLASTIC ANEMIA, hemolytic anemia, leukopenia, thrombocytopenia
MS: muscle cramps
Neuro: blurred vision, dizziness, headache, paresthesia, vertigo
Misc: fever
Drug-drug:
Edema
Hypertension
Lab Test Considerations:
IV Administration:
NDC Code