Nalbun Injection 2ml

Uses of Nalbun Injection

Pain Relief

How does Nalbun Injection work?

Nalbun is an opioid analgesic that works by blocking the transmission of pain signals to the brain, thus lowering pain perception.

Side Effects of Nalbun Injection

• Sedation
• Sweating
• Nausea
• Vomiting
• Dizziness
• Vertigo
• Dry mouth
• Headache
• Respiratory depression
• Dyspnea
• Asthma

Quick Suggestions:

• Stay hydrated by drinking plenty of water.
• Invest in a balanced diet. Load up on lean meats, fruits, green leafy vegetables, nuts, oily fish, etc. Limit your intake of sweets and sugars as these can worsen inflammation.
• Cut back on alcohol as this can harm pain states as well as the quality of your sleep.
• Try meditation and deep breathing to reduce overall stress and pain.
• Stop smoking as smoking is known to worsen pain conditions.
• Engage in mild physical exercise daily and keep your body active.

Nalbun is indicated for:

• Relief of moderate to severe pain associated with myocardial infarction (MI)
• Supplementing balanced anesthesia
• Preoperative and postoperative analgesia
• Obstetrical analgesia during labor and delivery

Pharmacology

Nalbuphine Hydrochloride is a synthetic, potent analgesic with effects comparable to morphine. It functions primarily as a kappa agonist and partial mu antagonist. Key pharmacological properties include:

• Receptor Binding: Binds to mu, kappa, and delta receptors, but not sigma receptors.
• Onset of Action: 2 to 3 minutes after intravenous administration; less than 15 minutes after subcutaneous or intramuscular injection.
• Plasma Half-Life: Approximately 5 hours.
• Duration of Analgesic Activity: Ranges from 3 to 6 hours.

Dosage & Administration of Nalbun Injection

Moderate to Severe Pain:

• Adults: 10-20 mg by intravenous or intramuscular injection for a 70 kg patient, adjusted as required.
• Children: Up to 0.3 mg/kg, repeated once or twice as necessary.

Balanced Anesthesia:

• 0.1-0.2 mg/kg by intravenous or intramuscular injection.

Obstetrical Analgesia (Labor & Delivery):

• 0.3-1 mg/kg by intravenous injection over 10-15 minutes.
• Maintenance dose: 0.25-0.5 mg/kg as required.

Intraoperative Analgesia:

• 0.25-0.5 mg/kg by intravenous injection at 30-minute intervals.

Myocardial Infarction:

• 10-20 mg by slow intravenous injection, repeatable after 30 minutes if necessary.

Children (18 months to 15 years old):

• 0.2 mg/kg body weight, given preferably by intravenous or intramuscular injection.
• Maintenance doses every 4 to 6 hours, as determined by a physician.

Drug-Drug Interaction

Nalbuphine may interact with:

• Other opioid analgesics
• CNS depressants
• Benzodiazepines
• Muscle relaxants
• Diuretics
• Anticholinergic drugs
• Monoamine oxidase inhibitors (MAOIs)

Drug-Food Interactions:

No interactions were found.

Drug-Disease Interactions:

Inform your doctor if you have any of the following conditions:

• Asthma
• Paralytic ileus
• Respiratory depression
• Chronic obstructive pulmonary disease (COPD)
• Adrenal insufficiency
• Severe hypotension
• Increased intracranial pressure
• Brain problems
• Head injury
• Gastrointestinal problems
• Seizures
• Depression
• Kidney problems
• Liver problems

Drug Warnings for Nalbuphine

• Allergies: Do not take Nalbuphine if you are allergic to any of its contents.
• Severe Conditions: Avoid Nalbuphine if you have acute or severe asthma, respiratory depression, gastrointestinal obstruction, or paralytic ileus.
• Drug Interactions: Do not take Nalbuphine with other opioid analgesics, CNS depressant drugs, or benzodiazepines as it might lead to life-threatening respiratory depression.
• Pre-existing Conditions: Inform your doctor if you have:
  • Asthma
  • COPD
  • Adrenal insufficiency
  • Severe hypotension
  • Increased intracranial pressure
  • Brain problems
  • Head injury
  • Gastrointestinal problems
  • Seizures
  • Kidney or liver problems
• Mental and Physical Impairment: Avoid driving or operating machinery as Nalbuphine may impair your mental and physical abilities.
• Alcohol: Do not consume alcohol with Nalbuphine as it might cause increased sedation and respiratory depression.
• Substance Abuse: Keep your doctor informed if you or anyone in your family has a history of substance abuse as Nalbuphine may cause addiction, abuse, and misuse.

Contraindications

• Known hypersensitivity to Nalbuphine Hydrochloride.

Use in Pregnancy & Lactation

• Pregnancy Category B: High and rapid placental transfer. Use only if clearly needed.
• Lactation: Less than 1% of the administered dose is excreted in milk. Caution is advised when administered to nursing mothers.

Precautions

Exercise caution in patients with:

• Impaired respiration
• Impaired renal or hepatic function
• Biliary tract surgery
• Myocardial infarction
• Hypotension

Storage Conditions:

Store in a cool and dry place away from sunlight