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Rx Item-Esmolol 100Mg 10Ml Vial 10X10Ml By Mylan Institutional

NDC 67457-0182-10 UPC/GTIN No.3-67457-18210-2 Mfg.Part No.18210BRAND: ESMOLOL NDC: 67457-0182-10,67457018210 UPC: 3-67457-18210-2,367457182102 Mylan Institutional/PgnOnly Lic.-Physician,Pharmacy,Dentist,Drug Mfg,Dist.,Gov,Hospital,Lic.Lab,Naturalist,Naturopath,NP,Optometrist,Pharmacist,PA,Physical Therapist,Podiatrist,Research Co.,Uni.,VA,Vet & Wholesalers in scopWant to do Research on this Med or need a large quantity? Email Details with quantity required to:sales@AmericanPharmaWholesale.comVisit AmericanPharmaWholesale.com for over 100,000 items of Health & Beauty at Retail@Wholesale prices.

Rx Item-Esmolol 100Mg 10Ml Vial 10X10Ml By Mylan Institutional

$117.60$84.00

Item No.:RX596092 NDC No.67457018210 UPC No.:367457182102 NDC No. 67457-0182-10 UPC/GTIN No. 3-67457-18210-2 MPN 18210 Only Lic.-Physician,Pharmacy,Dentist,Drug Mfg,Dist.,Gov,Hospital,Lic.Lab,Naturalist,Naturopath,NP,Optometrist,Pharmacist,PA,Physical Therapist,Podiatrist,ResearchCo.,Uni.,VA,Vet & Wholesalers in scope of practice can order this RX Item. Rx Item No. Rx596092 Esmolol 100mg/10ml Vial 10X10ml by Mylan Institutional/ Item No. 3596092 NDC No. 67457018210 UPC No. 367457182102 Other Nam

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ESMOLOL HYDROCHLORIDE � esmolol hydrochloride injection, solution
Fresenius Kabi USA, LLC

1 INDICATIONS AND USAGE

1.1 Supraventricular Tachycardia or Noncompensatory Sinus Tachycardia
Esmolol hydrochloride injection is indicated for the rapid control of ventricular rate in patients with atrial fibrillation or atrial flutter in perioperative, postoperative, or other emergent circumstances where short-term control of ventricular rate with a short-acting agent is desirable. Esmolol hydrochloride injection is also indicated in noncompensatory sinus tachycardia where, in the physician�s judgment, the rapid heart rate requires specific intervention. Esmolol hydrochloride is intended for short-term use.

1.2 Intraoperative and Postoperative Tachycardia and Hypertension


Esmolol hydrochloride injection is indicated for the short-term treatment of tachycardia and hypertension that occur during induction and tracheal intubation, during surgery, on emergence from anesthesia and in the postoperative period, when in the physician�s judgment such specific intervention is considered indicated.

Use of esmolol hydrochloride to prevent such events is not recommended.

2 DOSAGE AND ADMINISTRATION

2.1 Dosing for the Treatment of Supraventricular Tachycardia or Noncompensatory Sinus Tachycardia
Esmolol hydrochloride is administered by continuous intravenous infusion with or without a loading dose. Additional loading doses and/or titration of the maintenance infusion (step-wise dosing) may be necessary based on desired ventricular response.

Table 1: Step-Wise Dosing

Step Action
1 Optional loading dose (500 mcg per kg over 1 minute), then 50 mcg per kg per min for 4 min
2 Optional loading dose if necessary, then 100 mcg per kg per min for 4 min
3 Optional loading dose if necessary, then 150 mcg per kg per min for 4 min
4 If necessary increase dose to 200 mcg per kg per min
In the absence of loading doses, continuous infusion of a single concentration of esmolol reaches pharmacokinetic and pharmacodynamic steady-state in about 30 minutes.

The effective maintenance dose for continuous and step-wise dosing is 50 to 200 mcg per kg per minute, although doses as low as 25 mcg per kg per minute have been adequate. Dosages greater than 200 mcg per kg per minute provide little added heart-rate lowering effect, and the rate of adverse reactions increases.

Maintenance infusions may be continued for up to 48 hours.

2.2 Intraoperative and Postoperative Tachycardia and Hypertension
In this setting it is not always advisable to slowly titrate to a therapeutic effect. Therefore two dosing options are presented: immediate control and gradual control.

Immediate Control

Administer 1 mg per kg as a bolus dose over 30 seconds followed by an infusion of 150 mcg per kg per min if necessary.
Adjust the infusion rate as required to maintain desired heart rate and blood pressure. Refer to Maximum Recommended Doses below.
Gradual Control

Administer 500 mcg per kg as a bolus dose over 1 minute followed by a maintenance infusion of 50 mcg per kg per min for 4 minutes.
Depending on the response obtained, continue dosing as outlined for supraventricular tachycardia. Refer to Maximum Recommended Doses below.
Maximum Recommended Doses

For the treatment of tachycardia, maintenance infusion dosages greater than 200 mcg per kg per min are not recommended; dosages greater than 200 mcg per kg per min provide little additional heart rate-lowering effect, and the rate of adverse reactions increases.
For the treatment of hypertension, higher maintenance infusion dosages (250 to 300 mcg per kg per min) may be required. The safety of doses above 300 mcg per kg per minute has not been studied.
2.3 Transition from Esmolol Hydrochloride Injection Therapy to Alternative Drugs
After patients achieve adequate control of the heart rate and a stable clinical status, transition to alternative antiarrhythmic drugs may be accomplished.

When transitioning from esmolol hydrochloride injection to alternative drugs, the physician should carefully consider the labeling instructions of the alternative drug selected and reduce the dosage of esmolol hydrochloride injection as follows:

Thirty minutes following the first dose of the alternative drug, reduce the esmolol hydrochloride infusion rate by one-half (50%).
After administration of the second dose of the alternative agent, monitor the patient�s response and if satisfactory control is maintained for the first hour, discontinue the esmolol hydrochloride infusion.

NDC 67457-0182-10 UPC/GTIN No.3-67457-18210-2 Mfg.Part No.18210
RX ITEM-Esmolol 100Mg 10Ml Vial 10X10Ml
NDC 67457-0182-10 UPC/GTIN No.3-67457-18210-2 Mfg.Part No.18210

BRAND: ESMOLOL NDC: 67457-0182-10,67457018210 UPC: 3-67457-18210-2,367457182102 Mylan Institutional/Pgn
Esmolol 100Mg 10Ml Vial 10X10Ml By Mylan
BRAND: ESMOLOL NDC: 67457-0182-10,67457018210 UPC: 3-67457-18210-2,367457182102 Mylan Institutional/Pgn

Only Lic.-Physician,Pharmacy,Dentist,Drug Mfg,Dist.,Gov,Hospital,Lic.Lab,Naturalist,Naturopath,NP,Optometrist,Pharmacist,PA,Physical Therapist,Podiatrist,Research Co.,Uni.,VA,Vet & Wholesalers in scop
ESMOLOL HCL INTRAVEN VIAL
Only Lic.-Physician,Pharmacy,Dentist,Drug Mfg,Dist.,Gov,Hospital,Lic.Lab,Naturalist,Naturopath,NP,Optometrist,Pharmacist,PA,Physical Therapist,Podiatrist,Research Co.,Uni.,VA,Vet & Wholesalers in scop

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Visit AmericanPharmaWholesale.com for over 100,000 items of Health & Beauty at Retail@Wholesale prices.