دواعي استعمال رينوستريت بودرة 500 جم

Calcium polystyrene sulphonate cation-exchange resin powder for oral or rectal use, 500 g, used to treat hyperkalaemia.

• Treatment of hyperkalaemia associated with anuria or severe oliguria, and hyperkalaemia in patients requiring dialysis or on regular haemodialysis or prolonged peritoneal dialysis.الفئة: Adults and childrenelectronic medicines compendium (emc)

• Hypokalaemia, hypercalcaemia, hypomagnesaemia; gastric irritation, anorexia, nausea, vomiting, constipation, occasionally diarrhoea, faecal impaction, bezoars, GI obstruction, ischaemia, ulceration or necrosis; bronchitis/bronchopneumonia from inhaled particles.نشرة دولية لتركيبة مكافئة · electronic medicines compendium (emc)

• Plasma potassium below 5 mmol/L; conditions with hypercalcaemia (e.g. hyperparathyroidism, multiple myeloma, sarcoidosis, metastatic carcinoma); hypersensitivity to polystyrene sulfonate resins; obstructive bowel disease; oral use in neonates and use in neonates with reduced gut motility.نشرة دولية لتركيبة مكافئة · electronic medicines compendium (emc)

• Gastrointestinal stenosis, ischaemia, necrosis and perforation (sometimes fatal) have been reported; concomitant sorbitol is not recommended; seek prompt advice for severe abdominal pain, distension or rectal bleeding.نشرة دولية لتركيبة مكافئة · electronic medicines compendium (emc)
• Monitor for hypokalaemia (stop when serum potassium falls to 5 mmol/L, care with digitalis), hypomagnesaemia and hypercalcaemia; check serum calcium weekly.نشرة دولية لتركيبة مكافئة · electronic medicines compendium (emc)
• Stop if clinically significant constipation occurs; avoid magnesium-containing laxatives; position patient to avoid aspiration.نشرة دولية لتركيبة مكافئة · electronic medicines compendium (emc)

• SorbitolNot recommended: intestinal necrosis and other serious GI reactions.electronic medicines compendium (emc)
• Other oral medicines (e.g. lithium, levothyroxine)Resin may bind them and reduce absorption; separate by at least 3 hours.electronic medicines compendium (emc)
• Digitalis glycosidesToxicity may be exaggerated if hypokalaemia or hypercalcaemia develops.electronic medicines compendium (emc)
• Non-absorbable cation-donating antacids/laxatives (magnesium hydroxide, aluminium carbonate, aluminium hydroxide)Risk of systemic alkalosis; aluminium hydroxide concretions may cause intestinal obstruction.electronic medicines compendium (emc)

• No data in pregnancy; use only if the physician judges benefits outweigh risks.نشرة دولية لتركيبة مكافئة · electronic medicines compendium (emc)
• No data in lactation; not advised unless benefits outweigh risks.نشرة دولية لتركيبة مكافئة · electronic medicines compendium (emc)

• Regular serum electrolyte determinations (potassium, calcium, magnesium) to guide dosing.نشرة دولية لتركيبة مكافئة · electronic medicines compendium (emc)

• Non-absorbed resin that exchanges calcium for potassium in the gut, increasing faecal potassium loss.