医薬品リファレンス
Cocaine
Cocaine is a medicine in the class central nervous system. It is used for local anesthetic.
- 薬効分類: Central Nervous System
- 効能・効果: local anesthetic
最終更新日 出典: US FDA label
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要点
- 薬効分類
- Central Nervous System
- 一般的な剤形
- 溶液
- 一般的な規格
- 40 mg/ml
- 既知の相互作用
- 64 (併用禁忌: 3 · 重大: 19 · 中等度: 33 · 軽度: 9)
- 商品名
- 2
- 国・市場
- 1
何に使われるか
作用のしくみ
Ester-type local anesthetic that reversibly blocks sodium channels, preventing the transient rise in sodium conductance needed for an action potential, so nerve fibers cannot conduct.
成人の通常用量(添付文書の要約)
Local anesthesia of nasal mucous membranes for diagnostic procedures and surgery: two soaked pledgets (40 mg each) in each nasal cavity, intranasal, once; total 160 mg. Do not exceed 160 mg or 3 mg/kg per procedure.
妊娠と授乳
- 妊娠
- Unsafe May cause fetal harm. Animal studies showed malformations and increased pup mortality; no human data on intranasal use.
- 授乳
- Unsafe Cocaine is present in breast milk; no level of exposure is considered safe for a breastfed infant. Avoid breastfeeding for 48 hours after treatment.
報告されている副作用
- Headache
- Epistaxis
警告(枠囲み警告)
- CNS stimulants, including cocaine hydrochloride, have a high potential for abuse and dependence.
禁忌
- Known hypersensitivity to cocaine hydrochloride, other ester-based anesthetics, or any other component of the product.
注意が必要な方
- May lower the convulsive threshold; monitor for seizures.
- Increases blood pressure and heart rate; monitor vital signs, heart rate and rhythm. Avoid in recent or active uncontrolled hypertension, unstable angina, MI, coronary artery disease, or CHF.
- Cocaine may be detected in plasma for up to one week, and cocaine and its metabolites in urine for longer than one week, which may affect toxicology screening.
妊娠中または授乳中であること、腎臓や肝臓の病気、アレルギー、ほかに使用しているすべての薬やサプリメントについて、薬剤師または医師にお伝えください。
主な相互作用 (64)
- Cocaine + Isocarboxazid Contraindicated
- Cocaine + Phenelzine Contraindicated
- Cocaine + Procarbazine Contraindicated
- Amitriptyline + Cocaine Major
- Bisoprolol + Cocaine Major
- Citalopram + Cocaine Major
- Clomipramine + Cocaine Major
- Cocaine + Desipramine Major
- Cocaine + Dextroamphetamine Major
- Cocaine + Duloxetine Major
Pro+会員向け
ページ全体を見る
アカウントを作成してPro+トライアルを始めると、Cocaineの完全なモノグラフ(用量、妊娠・授乳、副作用、警告、すべての相互作用)を表示できます。
- Dosing by age, kidney and liver function, and further dose lines
- Renal and hepatic dose adjustments
- How to give it
- Pharmacokinetics
- Patient counselling points
- IV preparation and dilution
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同じ分類のほかの薬剤
よくある質問
What is Cocaine used for?
Cocaine is a medicine in the class central nervous system. It is used for Local anesthetic.
What side effects have been reported with Cocaine?
Headache, Epistaxis. Serious warning: CNS stimulants, including cocaine hydrochloride, have a high potential for abuse and dependence.
Can Cocaine be taken in pregnancy or while breastfeeding?
Pregnancy: Unsafe. May cause fetal harm. Animal studies showed malformations and increased pup mortality; no human data on intranasal use. Breastfeeding: Unsafe. Cocaine is present in breast milk; no level of exposure is considered safe for a breastfed infant. Avoid breastfeeding for 48 hours after treatment.
What does Cocaine interact with?
MediHelp lists 64 known interactions for Cocaine. Contraindicated: 3 · Major: 19 · Moderate: 33 · Minor: 9. The most serious include Isocarboxazid, Phenelzine, Procarbazine.
完全なモノグラフ、用量、相互作用チェッカーはMediHelpアプリで
MediHelpアプリで、完全なリファレンスを開き、複数薬剤の相互作用をチェックし、用量ツールを利用できます。