Rayzon 5ml. 40mg Powder and Solvent for Solution for Injection
Clinical Summary
Quick overview from the medicine insert
Indication
Short term management of post-operative pain.
Dosage (summary)
Initial 40 mg IV/IM, then 20-40 mg every 6-12 hours, max 80 mg/day.
Onset of Action / Duration
Onset: 7-14 mins, Duration: 7-24 hours.
Special Populations
- Elderly
- Renal impairment
- Hepatic impairment
Pregnancy & Breastfeeding
Safety not established in pregnancy and lactation.
Key Drug Interactions
- Aspirin
- ACE-inhibitors
- Ciclosporin or tacrolimus
- Diuretics
- Fluconazole
- Lithium
- Warfarin
Contraindications
- Hypersensitivity to active substance
- Severe hepatic impairment
- Severe renal impairment
- CABG surgery
- Pregnancy and lactation
- Children under 18
Common side effects
- Post-operative anaemia
- Hypokalaemia
- Dizziness
- Bradycardia
- Hypotension
- Pruritus
- Back pain
Counselling Points
- Transition to oral therapy as soon as possible.
- Monitor for signs of hypersensitivity.
- Use the lowest effective dose for the shortest duration.
- Caution in patients with cardiovascular risk factors.
Serious warnings
- Increased risk of cardiovascular events
- Gastrointestinal perforations
- Serious skin reactions
- Fluid retention and oedema
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