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Octreotide Acetate Injection 100mcg/1ml
Composition:
Each 1ml ampoule contains:
- Octreotide Acetate 100mcg
Description:
Octreotide is a synthetic octapeptide analogue of somatostatin, which inhibits the secretion of various hormones, including growth hormone, insulin, glucagon, and vasoactive intestinal peptide (VIP). It has a prolonged duration of action compared to natural somatostatin.
Indications:
Octreotide Acetate Injection is indicated for:
- Acromegaly in patients who are not candidates for surgery or radiation
- Carcinoid tumors (to control symptoms of diarrhea and flushing)
- VIPomas (vasoactive intestinal peptide-secreting tumors)
- Gastrointestinal bleeding from esophageal varices (as an adjunct to endoscopic therapy)
- Postoperative pancreatic fistulas to reduce secretions
Dosage & Administration:
Acromegaly:
- Initial dose: 50-100mcg every 8-12 hours subcutaneously (SC)
- Maintenance dose: Adjust to 300-1500mcg per day, divided into 2-3 doses
Carcinoid Tumors & VIPomas:
- Initial dose: 100-600mcg/day SC, divided into 2-4 doses
- Maintenance dose: Up to 1500mcg/day if needed
Esophageal Variceal Bleeding:
- IV Infusion: 25-50mcg/hour for 5 days
- Bolus dose: 50mcg IV initially, followed by continuous infusion
Postoperative Pancreatic Fistulas:
- 100-200mcg SC every 8-12 hours until fistula output decreases
Renal & Hepatic Impairment:
- Renal impairment: No dose adjustment required
- Hepatic impairment: Use with caution in cirrhosis patients-monitor drug accumulation
Administration:
- SC injection: Preferred route, inject in the upper arm, thigh, or abdomen
- IV infusion: Dilute with saline or dextrose before administration
- Rotate injection sites to prevent irritation
Contraindications:
- Hypersensitivity to Octreotide or its excipients
- Pregnancy & breastfeeding (use only if essential)
- Uncontrolled gallbladder disease
Precautions:
- Monitor blood sugar levels, as Octreotide may cause hypo- or hyperglycemia
- May cause gallstones with long-term use-routine ultrasound monitoring recommended
- Use with caution in cardiovascular disease (may cause bradycardia, arrhythmia)
- Thyroid function changes possible with prolonged treatment-monitor TSH levels
Adverse Reactions:
- Common: Injection site pain, nausea, diarrhea, bloating
- Metabolic: Hypoglycemia, hyperglycemia, gallstone formation
- Cardiovascular: Bradycardia, QT prolongation (rare)
- Serious (rare): Pancreatitis, liver enzyme elevation
Drug Interactions:
- Insulin & Oral Hypoglycemics: May alter glucose metabolism
- Calcium Channel Blockers: May cause bradycardia
- Ciclosporin: Reduced absorption-monitor levels closely
- Bromocriptine: Increased bioavailability-dose adjustment may be required
Storage Conditions:
- Store at 2-8°C (refrigerated).
- Protect from light.
- Once opened, use within 14 days if stored at room temperature.
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