BEERS REMS
Contraindicated in:
Current or a history of hyponatremia;
Excessive fluid intake, concurrent use of loop diuretics or systemic/inhaled glucocorticoids, or conditions that can lead to electrolyte or fluid imbalances (↑ risk of hyponatremia)
;Use Cautiously in:
Appears on Beers list. ↑ risk of hyponatremia in older adults. Avoid use for treatment of nocturia or nocturnal polyuria in older adults
.CV: edema, hypertension, hypotension, tachycardia (large IV doses only)
Derm: flushing
EENT: intranasalepistaxis, nasal congestion, nasal discomfort, rhinitis, sneezing
F and E: HYPONATREMIA
GI: dry mouth, mild abdominal cramps, nausea
GU: vulval pain
Local: phlebitis at IV site
MS: back pain
Neuro: dizziness, drowsiness, headache, listlessness, SEIZURES
Resp: dyspnea
Drug-drug:
Loop diuretics, systemic glucocorticoids, or inhaled glucocorticoids↑ risk of severe hyponatremia; concurrent use contraindicated.
Primary Nocturnal Enuresis
Diabetes Insipidus
Hemophilia A/von Willebrand Disease
Nocturia
Absorption: <1% absorbed following oral or SL administration; 34% absorbed following intranasal administration.
Distribution: Distribution not fully known.
Half-Life: PO: 1.52.5 hr; SL: 2.8 hr; IV: 75 min (↑ in renal impairment); Intranasal: 1.83.5 hr.
(PO, intranasal = antidiuretic effect; IV = effect on factor VIII activity)
ROUTE | ONSET | PEAK | DURATION |
---|---|---|---|
PO | 1 hr | 47 hr | unknown |
SL | unknown | unknown | unknown |
Intranasal | 1 hr | 15 hr | 820 hr |
IV | within min | 1530 min | 3 hr‡ |
‡424 hr in mild hemophilia A.
NDC Code