pseudoephedrine hydrochloride
pseudoephedrine hydrochloride.JPG

CLINICAL USE

Nasal decongestant

DOSE IN NORMAL RENAL FUNCTION

60 mg 4 times a day

PHARMACOKINETICS

  • Molecular weight                           :201.7
  • %Protein binding                           :No data
  • %Excreted unchanged in urine     : 90–98
  • Volume of distribution (L/kg)       :2–3
  • half-life – normal/ESRD (hrs)      :5.5 (depends on pH of urine)

    DOSE IN RENAL IMPAIRMENT

    GFR (mL/MIN)

  • 20 to 50     : Dose as in normal renal function
  • 10 to 20     : Dose as in normal renal function. Use with caution
  • <10           : Dose as in normal renal function. Use with caution

    DOSE IN PATIENTS UNDERGOING RENAL REPLACEMENT THERAPIES

  • CAPD                :Unlikely dialysability. Dose as in normal renal function
  • HD                     :Not dialysed. Dose as in normal renal function
  • HDF/high flux   :Unknown dialysability. Dose as in normal renal function
  • CAV/VVHD      :Unknown dialysability. Dose as in normal renal function

    IMPORTANT DRUG INTERACTIONS

    Potentially hazardous interactions with other drugsAdrenergic neurone blockers: antagonise hypotensive effect of adrenergic neurone blockers
  • Antibacterials: risk of hypertensive crisis with linezolid
  • Antidepressants: risk of hypertensive crisis with MAOIs and moclobemide
  • Dopaminergics: avoid concomitant use with rasagiline

    ADMINISTRATION

    Reconstition

    Route

    Oral

    Rate of Administration

    Comments

    OTHER INFORMATION

    5–20% is removed by haemodialysis Increased risk of developing hypertension in patients with GFR<20 mL/min



    See how to identify renal failure stages according to GFR calculation

    See how to diagnose irreversible renal disease

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