INTRODUCTION ABOUT ATROMED INJECTION

ATROMED INJECTION contains Atropine which belongs to the group of medicines called Anti-cholinergic drugs. It is used to restore normal heartbeat during an event of cardiac arrest (heart stops working suddenly). It is often used as a preanesthetic medication to manage the risk of sudden decrease in heartbeat and to reduce saliva secretions during surgical procedures. It can also be used in the poisoning caused due to certain substances like insecticides or mushrooms. It is used in combination with other medicines to reverse the effects of certain muscle relaxants (like vecuronium, rocuronium) given during surgery. It can also reduce the overactivity of certain medicines (muscle relaxants) used in the management of severe muscle disorders like myasthenia gravis.

Atropine is an antimuscarinic agent. It works by blocking the effects of a neurotransmitter called acetylcholine, which is responsible for causing contraction of muscles, increase in body secretions, and decrease in heart rate. As a result, it leads to stimulation of muscles, increase in heart rate, and decrease in body secretions.

ATROMED INJECTION is not recommended for use in patients suffering from closed-angle glaucoma (increased eye pressure), an enlarged prostate, myasthenia gravis, or any obstruction of gut. If you are pregnant or breastfeeding, consult your doctor for advice before receiving ATROMED INJECTION. The most common side effects of ATROMED INJECTION are dry mouth, reduced sweating, blurred vision, constipation, increased heart rate and confusion. Consult your doctor if any of the symptom worsens.

USES OF ATROMED INJECTION

It is used:

To restore normal heartbeat during emergency conditions like cardiac arrest
As a preanesthetic medication to reduce salivary secretions
To reverse the effect of muscle relaxants given during surgery
To reduce the overactivity of certain medicines used to manage severe muscle disorders like myasthenia gravis
As an antidote for insecticides and mushroom poisoning

HOW ATROMED INJECTION WORKS

ATROMED INJECTION is an antimuscarinic agent. It effectively restores cardiac activity and body function by blocking the effects of a neurotransmitter called acetylcholine in the body which is responsible for various physiological functions (such as contraction of skeletal or smooth muscles, increase in body secretions or bowel movements, and decrease in heart rate). As a result, ATROMED INJECTION stimulates skeletal muscles, increases heart rate and reduces body secretions (such saliva, sweat, bronchial and intestinal secretion) and bowel movements. This helps in restoring cardiac activity during fatal conditions like cardiac arrest or poisoning, reduces salivary secretion during surgical procedures and stimulates muscle movements by counteracting the effects of muscle relaxants.

DIRECTIONS FOR USE

ATROMED INJECTION will be given to you only by a doctor or a nurse either into the vein (intravenously), muscle (intramuscularly), under the skin (subcutaneously) or into the trachea (via endotracheal tube). Your doctor will decide the correct dose and duration for you depending upon your age, body weight, and disease condition.

SIDE EFFECTS OF ATROMED INJECTION

COMMON

Dryness of mouth
Blurred vision
Inability to tolerate light (photophobia)
Rapid heartbeat
Flushing
Constipation
Difficulty with urination
Decreased sweating

RARE

Delirium (confused thinking and reduced awareness of surroundings)

Consult your doctor if you experience any of the following side effects:

Signs of allergic reaction (such as skin rash, itching, blistering, and peeling of skin, swelling of the eyelids, face or lips, sudden wheeziness, or difficulty in breathing)

HOW TO MANAGE SIDE EFFECTS

Constipation

Eat plenty of fiber rich foods such as fresh fruits, vegetables, and cereals and drink plenty of water. Try to exercise more regularly. If you still feel constipated, consult your doctor for advice.

Dry Mouth

Drink plenty of water and fruit juices. Consume soft foods with higher water and fiber content. Artificial saliva can also be used in case of extreme dryness of mouth. Consult your doctor if you experience dryness of mouth for prolonged period.

WARNING & PRECAUTIONS

PREGNANCY

Monitoring required

ATROMED INJECTION should not be used in pregnant women only if it is clearly necessary by your doctor. Your doctor will prescribe ATROMED INJECTION only if the benefits are greater than any possible risk to the unborn baby. Therefore, consult your doctor before receiving.

BREASTFEEDING

Monitoring required

ATROMED INJECTION should be used in breastfeeding mothers only if it is clearly necessary by your doctor. Your doctor will prescribe ATROMED INJECTION only if the benefits are greater than any possible risk to the breastfeeding infant. Therefore, consult your doctor before receiving.

DRIVING AND USING MACHINES

Use with Caution

Do not drive or operate any machines if your ability is affected by ATROMED INJECTION.

ALCOHOL

Consult your doctor

Avoid consumption of alcohol while receiving ATROMED INJECTION because it might increase dizziness and drowsiness.

KIDNEY

Use with Caution

ATROMED INJECTION should be used with caution in patients with kidney diseases. Consult your doctor before receiving.

LIVER

Use with Caution

ATROMED INJECTION should be used with caution in patients with liver diseases. Consult your doctor before receiving.

ALLERGY

Contraindicated

Do not receive ATROMED INJECTION if you are allergic to Atropine.

LUNGS

Use with Caution

ATROMED INJECTION should be taken with caution in patients having chronic pulmonary disease (airflow to the lungs becomes restricted leading to cough and breathlessness). Therefore, consult your doctor before receiving it.

HEART DISEASE

Use with Caution

ATROMED INJECTION should be used with caution in patients with heart diseases (such as high blood pressure, fast or irregular heartbeat, angina, or heart failure) and in patients who had a heart transplantation. Consult your doctor before receiving.

USE IN PEDIATRICS

Use with Caution

ATROMED INJECTION should be used with caution in children and adolescent (below 18 years), especially if they suffer from fever or when surrounded by hot climate. Proper dose adjustments and careful monitoring are required in such patients, as high doses of ATROMED INJECTION can cause CNS side effects.

USE IN GERIATRICS

Use with Caution

ATROMED INJECTION should be used with caution in elderly patients (65 years and above). Consult your doctor before receiving.

OTHERS

ATROMED INJECTION is not recommended for use if you:

Have myasthenia gravis (severe muscle weakness)
Have toxic megacolon (swollen and inflamed colon causing stomach pain, bloating and fever)
Have reflux esophagitis (inflammation of food pipe due to reflux of stomach acid)
Have blockade or narrowing in the gut (ex. pyloric stenosis)
Have paralytic ileus (paralysis of intestines that causes severe constipation and bloating)
Have glaucoma (increased pressure in the eye)
Have enlargement of the prostate gland

Before receiving ATROMED INJECTION, inform your doctor if you:

Have problems in mental and physical growth (ex. down's syndrome)
Have an overactive thyroid gland
Have diarrhea, heart burn or indigestion
Have nerve damage
Have ulcers or infections in the stomach or intestines
Have hiatus hernia (protrusion of upper part of stomach into the chest)
Have fever

INTERACTIONS

A. Drug-Drug interactions:

Before receiving ATROMED INJECTION, inform your doctor if you are taking any of the following medicines such as:

Medicines used to manage abnormal heartbeat (ex. mexiletine, digoxin, disopyramide)
Antihistamines (used to reduce allergic reactions) ex. diphenhydramine, chlorpheniramine
Medicines used to manage depression such as tricyclic antidepressants (ex. amitriptyline, nortriptyline, doxepin)
Anticholinesterase (used to reduce the activity of acetylcholine) ex. neostigmine or pyridostigmine)
Medicines used to manage mental illness (ex. chlorpromazine, promethazine, haloperidol and droperidol)
Amantadine (used to manage parkinsonism or viral infections)
General anesthetics (used to induce loss of consciousness or sensation before surgery) ex. propofol
Medicines used to manage nausea and vomiting (ex. domperidone)
Ketoconazole (used to manage fungal infections)
Medicines that dissolve slowly in your mouth (ex. sublingual tablets, chewable tablets or throat lozenges)

Overdosage:

ATROMED INJECTION will be administered to you only by a doctor or a nurse in a hospital, and so it is unlikely to receive an overdose. However, consult your doctor or nurse if you experience any unpleasant symptoms such as dry mouth or burning sensation in mouth, difficulty in swallowing, nausea, vomiting, skin rash, dry or red skin, feeling sleepy, intolerance of light, high body temperature, high blood pressure, irregular heart rate, breathing difficulties, restlessness, hallucinations, severe confusion, excitement (delirium), or convulsions.

SYNOPSIS

Drug	:	Atropine
Pharmacological Category	:	Muscarinic Receptor Antagonists
Therapeutic Indication	:	Restores heartbeat, reduces body secretions Manages Bradycardia, Stimulates muscle function Used in poisoning conditions
Dosage Forms	:	Eye Drops, Eye Ointment, Injection

MORE INFORMATION

STORAGE

Keep ATROMED INJECTION out of the sight and reach of children
Store at room temperature

FAQs ABOUT ATROMED INJECTION

Q: Can ATROMED INJECTION be used for emergency conditions?

A: Yes. [GBNKEYWORD can be used during emergency conditions like cardiac arrest to restore normal heartbeat. It can also use to manage poisoning caused due to insecticides or mushrooms.

Q: What precautions do I need to follow while taking ATROMED INJECTION?

A: Patients receiving ATROMED INJECTION must inform their doctor about their pre-existing disease conditions such as high blood pressure, coronary artery disease, angina, chronic heart failure glaucoma, inflammation of the stomach and intestines or blockade in the gut. Drink plenty of water or fluid after receiving ATROMED INJECTION, as it may lead to increased dryness of mouth. Avoid concomitant use of other heart medicines with ATROMED INJECTION without consulting your as it may increase the risk of side effects.

Q: Can ATROMED INJECTION be given via tracheal route?

A: Yes. ATROMED INJECTION can be given into the trachea (via an endotracheal tube) if necessary. It must be administrated only the doctor or nurse and cannot be self-administered. Your doctor will decide the correct dose and suitable route of administration for you depending upon the severity of your condition.

Q: Can ATROMED INJECTION cause an increase in heart rate?

A: Yes. ATROMED INJECTION is known to increase heart rate and is used to restore your heart rate during emergency conditions like cardiac failure. ATROMED INJECTION should be used with caution in patients with high blood pressure, coronary artery disease, and angina. Consult your doctor before receiving.

Q: Can ATROMED INJECTION cause high blood pressure?

A: Yes. ATROMED INJECTION restores normal heartbeat by increasing the blood pressure and so, it must be used with caution among patients having heart diseases like high blood pressure, chest pain or heart attack. Consult your doctor before receiving.

Q: Can ATROMED INJECTION be used on infants?

A: ATROMED INJECTION is generally not recommended for use in very young children. Your doctor might suggest a low dose depending upon the child’s age and body weight. Therefore, consult your doctor for advice.

Q: Can ATROMED INJECTION cause dry skin?

A: Yes. ATROMED INJECTION can cause dry skin in some individuals. It is caused due to decreased secretion of sweat (anhidrosis). Patients who received ATROMED INJECTION are advised to keep their skin hydrated always. Apply moisturizer generously to affected dry areas of the skin. Drink plenty of water to keep yourself hydrated. Consult your doctor for advice if you experience excessive skin dryness.

Q: Does ATROMED INJECTION make your mouth dry?

A: Yes. ATROMED INJECTION can cause dry mouth in some individuals. Drink plenty of water and fruit juices. Consume soft foods with higher water and fiber content. Artificial saliva can also be used in case of extreme dryness of mouth. Consult your doctor if you experience dryness of mouth for prolonged period.

REFERENCES

1. KD. Tripathi. Anticholinergic Drugs and Drugs Acting on Autonomic Ganglia. Essentials of medical pharmacology. Seventh edition. 2013. Page – 113-121.

2. Mohammed Joynal Abedin, Abdullah Abu Sayeed, Ariful Basher, Richard J Maude, Gofranul Hoque and M. A. Faiz. Open-Label Randomized Clinical Trial of Atropine Bolus Injection Versus Incremental Boluses Plus Infusion for Organophosphate Poisoning in Bangladesh. SpringerLink. February 2012. [Accessed on 22nd April 2022] https://link.springer.com/article/10.1007/s13181-012-0214-6

3. Panagiotis V S Vasileiou, Evangelia Kouskouni and Theodoros Xanthos. Atropine in cardiac arrest. ResearchGate. October 2012. [Accessed on 22nd April 2022] https://www.researchgate.net/publication/281739601_Atropine_in_cardiac_arrest

4. Mercury Pharmaceuticals. Health Products Regulatory Authority. [Revised in March 2021] [Accessed on 22nd April 2022] https://www.hpra.ie/img/uploaded/swedocuments/ef800ad6-da9e-4437-93f0-8a80329b96a5.pdf

5. Macarthys Laboratories Ltd, T/A Martindale Pharma. Electronic Medicines Compendium (EMC). [Revised in September 2018] [Accessed on 22nd April 2022] https://www.medicines.org.uk/emc/files/pil.3587.pdf

6. Macarthys Laboratories Ltd, T/A Martindale Pharma. Electronic Medicines Compendium (EMC). [Revised in September 2018] [Accessed on 22nd April 2022] https://www.medicines.org.uk/emc/files/pil.3695.pdf

7. Hospira, Inc. U.S. Food & Drug Administration. [Revised in October 2015] Accessed on 22nd April 2022] https://www.accessdata.fda.gov/drugsatfda_docs/label/2015/021146s015lbl.pdf

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Written By Dr. Janet.C - Pharm.D

Last updated on 18 Jul 2024 | 05:11 PM(IST)

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