True, they did it for me in a solution of water or an isotonic solution - I don’t remember now, but without lidocaine (and this is essential), etc. Another unpleasant feature is that the “injection” dissolves rather slowly. “Bumps” are formed regardless of whether they accidentally entered the vessel or not. So ceftriaxone is “accepted” by the body itself, and of course, the volume of the solution should also be taken into account. For faster resorption, it is recommended to apply a warm heating pad (not hot!). Compared to the pain of many other drugs, for example, the same vitamins, ATP. magnesia; ceftriaxone is “confidently in the lead” (however, all the previous ones can even be “ignored”). The advantages are that the drug is good (like a number of cephalosporin antibiotics in general, in comparison with the same penicillin or tetracycline) and that its injections are often prescribed only once a day.
According to my personal feelings, “Ceftriaxone” manifests itself after it enters the body, but not during the injection itself. Maybe I was lucky with the nurse, maybe with my butt, but at first I felt a slight pain at the end of the injection, and then I stopped feeling it altogether. Much also depends on muscle tension. If you relax and focus on the view outside the window, you may not even remember about the injection. It becomes painful later - after about an hour or two. Basically, it hurts to walk. It feels like something hurts inside the muscles, but deep. Sometimes it hurts to sit. For some reason, lying down always hurts. I have never had any bumps from this drug. Bruises - yes, they happened, but they are on the surface of the skin and, in principle, are characteristic of me. However, I really struggle with the bumps. I know how to prevent them from appearing. Pain is more difficult. It is difficult to avoid it with Ceftriaxone. Apparently, when it dissolves inside, it still activates something in the direction of pain, no matter how much “Lidokion” they pour into you with it.
Yes, unpleasant. Well, what could be pleasant about intramuscular injections?) Therefore, to avoid pain, use Lidocaine, it will reduce the pain when the antibiotic is administered and will effectively dissolve it. I can say from myself that I have used both Novocaine and water for injection, Lidocaine is a much better pain reliever compared to them. It is of amide origin, and Novocaine is of etheric origin, that is, Lidocaine is metabolized in the body much more efficiently and does not cause allergies, and the drug is simply newer, and therefore safer. This is all relevant if you inject ceftriaxone into an adult. Consult your doctor before use. Do not be ill!
Sick, don't say anything. And with each injection more and more. Therefore, it is often done with the addition of lidocaine. According to my experience, feelings, and interviews with other patients, antibiotics are generally one of the most painful drugs.
Since intramuscular injections cause discomfort at the injection site and unpleasant pain, the optimal choice for dissolving cephalosporin antibiotics is Lidocaine in a 1% concentration of 3.5 ml. This concentration ensures effective dissolution of the antibiotic and a powerful analgesic effect when administered intramuscularly. For comparison, Novocaine has a less pronounced analgesic effect (4 times weaker than Lidocaine), and the frequency of adverse allergic reactions with its use occurs 3 times more often. Lidocaine belongs to the second generation of drugs, so it is more effective and well tolerated. Consult your healthcare practitioner before use. Good health to you!
Really painful. His wife simply hates him) But if the doctor said “it’s necessary,” then it’s necessary. Preventive measures just need to be carried out in advance, dissolving it in lidocaine, 1% concentration is enough. Yes, and according to the instructions you need to dissolve it in lidocaine, the factory has already thought about its painfulness and a set of measures to counteract this) Diluting it with Novocaine is no use, it will be as painful as with water for injection. And the instructions don’t say anything about novocaine, so it’s better to play it safe once again and use lidocaine according to the instructions. Do not be ill!
In my opinion, Ceftriaxone is the most painful intramuscular injection that ever happens. Even if you inject it with lidocaine, it still hurts. And doctors even have a joke, a wish for a bad person: “Ceftriaxone for you on saline solution.” But the antibiotic is really effective and sometimes you just have to be patient.
Yes, this is one of the most painful injections I have ever had. It hurts both during the injection itself, when the drug is administered, and at the injection site after it is completed. Therefore, you should not inject a person with Ceftriaxone diluted in water if we are talking about intramuscular injections. It is better to dilute it with a 1% lidocaine solution.
Ceftriaxone is a very good and strong antibiotic, but very painful. Ceftriaxone is diluted with iceocaine, novocaine or saline solution. With novocaine, the injection is very painful, I cried after each injection, and then my leg is completely paralyzed, with ice-caine it’s a little easier, but with saline solution they actually climb up the wall.
Actually it hurts a lot.
Such injections are considered one of the most painful, I especially felt sorry for my child when he was injected with this antibiotic, he screamed and cried so much in pain.
Although they say that if you use lidocaine it will not hurt so much, it is still painful.
There is no match for the taste and color, and everyone’s pain sensitivity is different. For me it is normal, it can be done with novocaine or lidocaine, if there is no allergy. It can also be given intravenously in a drip of 2 grams once a day, with saline solution according to 100ml.
I gave the cat 0.5 ml, intramuscularly, diluted with novocaine beforehand. Of course, it still hurts, she hissed at me, and then meowed and meowed.
Hurt. Dissolve the drug with water and lidocaine 1:1, it will be easier.
Does it hurt to inject Ceftriaxone?
Ceftriaxone, like other third-generation antibiotics, is particularly effective. But before starting treatment with the drug, many patients ask the doctor whether the Ceftriaxone injection is painful.
As it turns out, this question is quite appropriate, since the injection of an incorrectly prepared medication solution can be very painful.
Composition and indications for use of Ceftriaxone
The drug Ceftriaxone is a cephalosporin antibiotic, the main active ingredient of which is ceftriaxone sodium salt. The range of action of the drug is huge - from infections of the ENT organs, gastrointestinal tract and genitourinary tract to bacterial lesions of the joints, typhoid fever and venereal lesions.
Indications for the use of Ceftriaxone cover most infectious diseases caused by gram-negative and gram-positive microorganisms.
Moreover, Ceftriaxone is used not only to treat adults, but also for infectious diseases of children, starting from birth. If the baby is premature, the dosage is adjusted according to his weight.
Ceftriaxone is available in powder form, from which a solution for parenteral administration is prepared. Patients' opinions about whether Ceftriaxone is painful or not are ambiguous, which is understandable - in order to give a painless injection, you need to know how to properly dilute the medicine.
However, the use of the medicine is possible only with the special recommendation of a doctor. If the patient decides to prescribe medication for himself, he should be prepared for a deterioration in health and the possible development of side effects.
Features of treatment with Ceftriaxone
The attitude towards Ceftriaxone in patients who were treated with it is not always positive. Some of them associate this drug with an extremely painful injection. Whereas for the other group it brings back good memories.
This is due to the fact that with a properly prepared injection solution, the injection is not painful and perfectly helps the body cope with an infectious lesion.
As a rule, it is painful to inject Ceftriaxone with intramuscular injection of a saline-based agent. To neutralize the painful effects of the injection, the antibacterial powder is diluted with drugs that have analgesic properties.
Experienced doctors prefer to use Lidocaine - this drug combines well with Ceftriaxone and relieves sick prick syndrome.
In some cases, an alternative solution may be the use of Novocaine. However, when choosing this drug, one should take into account not only the possibility of allergies in the patient, but also a decrease in the effectiveness of the drug.
Thus, it is better to neutralize a sick injection of Ceftriaxone with the help of Lidocaine, but only if administered intramuscularly. Administering lidocaine intravenously is strictly prohibited.
Preparation of the solution
To reduce the pain from a Ceftriaxone injection, the powder is diluted with 1% or 2% lidocaine solution. To prepare a 1% solution, take one ampoule of the product per 500 mg of powder.
Whereas to prepare a 2% solution, one gram of Ceftriaxone, one ampoule of water and one ampoule of 2% Lidocaine are used. Adding sterile water can reduce the concentration of anesthetic.
The resulting product is injected into the upper outer quadrant of the gluteal muscle slowly but deeply.
Unused injection solutions are stored in the refrigerator.
Patients who are afraid of painful injections should not concentrate their attention on the sensations at the time of injection. The main guideline should be the understanding that Ceftriaxone is one of the best third-generation antibacterial agents.
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IMPORTANT. The information on the site is provided for informational purposes only. Do not self-medicate. At the first sign of disease, consult a doctor.
General information about the drug Ceftriaxone tablets: analogues and release form
Antibiotics are drugs used to treat various diseases. Many of them are widely used to treat ailments at home, but there are also those that are used only under the supervision of an experienced specialist and only in a hospital.
One of these drugs is Ceftriaxone, which is so far used only parenterally to combat infections of the kidneys and genitourinary system, respiratory tract, etc.
However, this form does not suit many people, so the developers of this drug are making every effort to produce this antibiotic in tablet form. But these are still dreams, but one should not despair.
Doctors, if necessary, can replace these therapeutic injections with similar antimicrobial agents in the form of tablets and capsules.
Basic information about the drug
Ceftriaxone is a new generation semi-synthetic cephalosporin antibiotic used in the treatment of various infectious and inflammatory processes that develop under the influence of pathogenic microorganisms.
Thanks to the active substance (sodium salt of cefriaxone), the antibiotic is able to exhibit the following properties:
- Pharmacological - the medicine is characterized by high efficiency in the fight against various pathogens that can develop both in an oxygen-rich and anaerobic environment. Due to its antimicrobial properties, the drug is able to inhibit the synthesis of cell membranes of staphylococci, Escherichia coli and Pseudomonas aeruginosa, Proteus, Klebsiella, Macrosella, bacteroides, clostridia, clostridia, etc. Inert to the effects of viruses, protozoa and fungi.
- Pharmacokinetic - a distinctive feature of the drug is its high penetrating ability, which causes the complete accumulation of Ceftriaxone in the blood plasma in just 1.5 hours after administration. It is also characterized by long-term persistence in the body (for a day or more). The antibiotic is mainly concentrated in organs such as the lungs, heart, liver, gall bladder, in addition to bone tissue and organic fluids (peritoneal, pleural, synovial and spinal cord). Easily penetrates the placenta and accumulates in breast milk. Most of the drug (up to 65%) is excreted in unchanged form together with urine, the rest is excreted through bile and bowel movements.
Indications for use
This antibiotic is used to treat ailments such as:
- pyelo- and glomerulonephritis;
- cystitis;
- urethritis;
- gonorrhea, syphilis;
- rhinitis, pharyngitis, bronchitis, pneumonia;
- meningitis, etc.
Before starting use, testing for sensitivity to Ceftriaxone is required.
Release form
Ceftriaxone is a white powder used for injection. It is sold in cardboard packs with bottles of 5, 10, 50 pcs. To avoid loss of its healing properties, the drug must be stored in a dark, dry place with a temperature of ‹ 20 C. Shelf life - 2 years.
Due to the fact that injections with this antibiotic are quite painful, many are looking for its tablet form, but our pharmacies do not yet have it.
Ceftriaxone analogues and their comparative characteristics
Ceftriaxone, like any medical drug, has a number of analogues that differ in composition, but exhibit similar properties. Examples are tablets such as:
Let us present a brief description and comparative characteristics of these analogue drugs in the form of a table.
½ tab. twice a day; senior
older ½-1 tab. three times a day
In addition, there are many more medications similar to Ceftriaxone, produced in the form of powders for injection (Cefaxone, Cefogram, Cefson, Triaxone) and suspensions (Ixim Lupin, Pancef, Suprax, Cedex).
In summing up, I would like to note that along with all the beneficial properties, Ceftriaxone is also characterized by its low cost.
We should also not forget that therapy with this antibiotic must be carried out only under the supervision of a doctor, because the main thing in treating a disease is to get rid of it without harming the body.
reference book on urology
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The drug "Ceftriaxone": patient reviews
The drug "Ceftriaxone" is a third generation antibiotic, which is part of the cephalosporin group. It is administered only parenterally, which is the main feature of the medication. The effect of the antibiotic extends to many bacteria that develop in an oxygen environment, and it also affects gram-negative and gram-positive microorganisms. This product is produced in the form of a powder for injection. The medicine is sold in bottles that contain 1 g of antibiotic.
In this article we will look at the instructions for use and reviews for the drug “Ceftriaxone”.
New generation antibiotic
It is noteworthy that human life expectancy increased significantly after the discovery of antibiotics. Most of the various diseases have become curable only thanks to this group of medicines.
True, pathogenic microorganisms are also constantly evolving and never stop adapting to newly invented drugs. For this reason, scientists are constantly improving their developments, which are designed to completely destroy microbes. One of the most effective groups of antibiotics is the category of cephalosporins. Ceftriaxone itself belongs to the third generation, and at the moment there are 4 in total.
From this we can conclude that it is a fairly new drug, due to which most microbes have not yet had time to adapt to it. This remedy can influence the cell walls of pathogenic microorganisms. "Ceftriaxone" acts on transpeptidases, which are bound through membranes, and breaks peptidoglycan connections, which are essential for the normal state of body cells. Destroys staphylococci, streptococci, E. coli and salmonella. Before starting treatment, a sensitivity test must be performed by a doctor, otherwise its use may be unjustified.
Indications for use
Ceftriaxone is an effective treatment for various bacterial infections, for example:
- Diseases of the throat, nose and ears.
- Infections that cause pathology of the bronchi and trachea, which can lead to inflammation of the lungs, the appearance of abscesses and empyemas.
- Infectious diseases of the dermis and muscles.
- Bacterial infections of the bladder and kidneys along with inflammation of the prostate and epididymitis.
- Various diseases of the female genital organs that arise as a result of infections.
- Diseases of the digestive system and peritonitis.
- Infection of the circulatory system.
- Diseases of the musculoskeletal system.
- The development of meningitis, syphilis, spirochetosis, typhoid and salmonellosis. All these indications are described in detail in the instructions for Ceftriaxone. There are a lot of reviews about this.
In addition to all of the above, such a drug is used to prevent the occurrence of infections after surgical interventions.
Contraindications
"Ceftriaxone" is strictly prohibited for use in the treatment of patients with individual intolerance to this drug or antibiotics from the category of cephalosporins and penicillins. In addition, it is not recommended to use the medicine for pregnant women in the first trimester, as well as for women who are breastfeeding. It is also contraindicated for patients with kidney and liver dysfunction. This is confirmed by doctors’ reviews of Ceftriaxone.
Pharmacokinetics
The highest content of the active substance in the blood will be observed 1 or 2 hours after the injection.
Against this background, over 30 minutes the amount of Ceftriaxone, as a rule, reaches 150 mcg per 1 ml. The drug has great penetrating ability. If the medication is used intramuscularly, its entire amount is fully absorbed by the human body.
For this reason, it becomes possible to cure a significant number of diseases. Such information was obtained as part of studies conducted in hospital settings. The substance acts in such a way that the drug penetrates into the tissues of the liver, heart, respiratory organs, and also into the tissues of the gallbladder and musculoskeletal system. In the human body, it interacts with a blood protein called albumin. The concentration of the antibiotic in plasma is insignificant. This indicates instructions for use for Ceftriaxone injections. We'll look at the reviews below.
The drug is able to penetrate the brain of babies. Therefore, it is effective in treating newly born children. Its highest concentration in the spinal cord is usually observed 4 hours after intravenous injection. In adult patients, the amount of the drug in the body increases 2 hours after the procedure and lasts throughout the day.
How to breed
The powder is diluted with a 1% lidocaine solution, but special water for injection can also be used. It is better not to resort to the help of novocaine, since it does not exclude anaphylactic shock or the occurrence of side effects in the patient.
The finished product is good for 6 hours. It can be stored in the refrigerator. In this case, a day is given for use, but before that it is warmed at room temperature. The drug is administered intravenously and intramuscularly. How often to administer the drug can only be determined by a highly qualified doctor. Therefore, injections are often prescribed to people undergoing hospital treatment.
Side effects from the antibiotic
According to reviews, Ceftriaxone injections generally cause a small number of unwanted effects. But if they occur, you should not interrupt the course of treatment. Less than 2% of patients may, for example, notice a rash on the skin or swelling of any parts of the body along with dermatitis. 6% of patients may experience eosinophilia.
During the use of Ceftriaxone, 1% of cases of increased body temperature and the occurrence of febrile conditions were recorded. It is extremely rare that more serious manifestations, such as Steven-Johnson syndrome, may occur. In addition, adverse reactions can manifest themselves in the form of toxic epidermal necrolysis, exudative erythema multiforme or Lyell's syndrome. But, despite this, almost all reviews about Ceftriaxone are positive.
It is possible that pain and swelling may occur at the site where the injection was made. There is a possibility of phlebitis, which will be associated with intravenous administration of the substance. For intramuscular injection, it is advisable to use an anesthetic drug. Each package contains instructions for Ceftriaxone injections. Reviews are presented below.
Migraine-like pain or dizziness may also occur. It is possible to increase the amount of nitrogen in patients' blood tests. Creatinine will most likely appear in the urine. In very rare cases, children who have been treated with significant amounts of the drug may develop kidney stones.
As a rule, such results are caused by a combination of the use of Ceftriaxone (noted in reviews) and prolonged stay in a supine position. Such phenomena generally do not cause any inconvenience, but have a bad effect on the functioning of the kidneys. Upon completion of treatment, all of these problems go away on their own.
Drug interactions
Ceftriaxone suppresses intestinal flora. As a result, vitamin K synthesis is reduced. Therefore, simultaneous use with drugs that reduce platelet aggregation is undesirable, as there is a risk of bleeding. Use with anticoagulants enhances their effect.
It is also not recommended to use an antibiotic with loop diuretics, as the risk of developing a nephrotoxic effect increases.
Patient reviews
In modern medicine, the trend is that doctors are increasingly prescribing Ceftriaxone injections. Reviews from patients indicate a high degree of effectiveness of this medicine, and they also praise the rapid relief of the general condition with the use of the drug already on the first day after the start of therapy. The drug is usually well tolerated. If there are any side effects, they are limited to diarrhea. But when taken simultaneously with probiotics, this can be avoided.
Disadvantages of the product
The main disadvantage noted in reviews of Ceftriaxone is the severe pain of the injections. In addition, pain persists after some time. Against the background of such procedures, people also write about the long-term progression of some pathologies associated with the condition of the veins.
Patients say in their comments that the antibiotic Ceftriaxone is often prescribed to them for sore throats or prolonged acute respiratory viral infections. They consider it an inexpensive and very effective remedy that can put you on your feet in just a couple of days, and in addition, it is quite easily tolerated by the body.
True, people note that this is only possible with appropriate support, within which patients simultaneously take drugs such as Hilak-Forte or Bifidumbacterin. This perfectly helps to avoid such troubles as the appearance of thrush along with intestinal dysbiosis.
In addition, some patients are advised to stop eating sweets while undergoing treatment with Ceftriaxone. Also, patients are not recommended to use this antibiotic for self-medication, since it has many side effects, and therefore consultation with the attending physician is required.
In general, most reviews about the antibiotic Ceftriaxone are positive, and people praise this antibiotic, calling it an excellent remedy that can cope well with pathogens.
As already mentioned, many patients are very upset by the fact that the injections are extremely painful. So much so that the area where the vaccine is administered is literally torn apart during the procedure. In order to reduce pain, experienced patients recommend diluting the antibiotic with Lidocaine. People report that with the use of the second remedy, an unbearably painful injection turns into an ordinary, not very pleasant, but quite tolerable procedure.
To avoid the persistence of subsequent sensations after the injection, experts advise after the injection to knead the painful area as much as possible for 5-10 minutes. This method will help the medicine to distribute throughout the tissues much faster. In this case, the patient will be able to reduce discomfort, thereby saving himself from the possible appearance of bruises.
Regarding the pain of Ceftriaxone, reviews from adult patients also say that after receiving such injections, their legs almost became paralyzed. People write that they experienced such severe pain that their entire lower body cramped. Therefore, before agreeing to such treatment, you should take this unpleasant consequence into account.
Does not cause allergies
Parents in their comments call it a broad-spectrum antibiotic and praise it for the fact that there are practically no allergic reactions when Ceftriaxone is prescribed to children. There are also reviews on this matter.
People note the relative availability of the drug in comparison with other similar drugs that have the same effect on the body, but are more expensive. Thus, during periods of prolonged viral diseases, with high fever and sore throat, when it is not possible to do without antibiotics, experts admit that they opt for this particular medication. People experienced in the treatment of various infections, who have tried many different drugs with a similar spectrum of action, recommend choosing Ceftriaxone injections. According to reviews, they are ideal for children.
Dysbacteriosis
Patients who have undergone treatment for pneumonia with the drug write that the therapy was completed successfully and the disease was eliminated. However, they warn others that, for all its effectiveness, this antibiotic most often causes dysbiosis along with candidiasis. Like most similar drugs, this drug requires an allergy test, as well as a sensitivity test.
Adverse reactions in pregnant women
During pregnancy, some women sometimes experience water breaking earlier than expected, and contractions may not even begin yet. In such situations, doctors prescribe Ceftriaxone to women in labor in order to prevent the development of severe infectious complications in mother and child. As a rule, if appropriately prescribed, an antibiotic is injected into the expectant mother strictly every 12 hours until birth.
The interval between the premature breaking of water and the actual onset of labor can be up to 10 days. As patients who went through this test write, the antibiotic helped them and their babies, who were born healthy. Women write that they did not experience any infections or fever during the neonatal period while taking the medicine. True, there were side effects in babies in the form of disturbances in the intestinal microflora, as a result of which small patients suffered from severe colic for some time from the very first weeks after their birth.
Conclusion
It is obvious that, according to reviews, Ceftriaxone is an effective drug in the fight against all kinds of bacterial infections. But it is important to note that we must not forget that antibiotics are serious medications that are prohibited from being used independently without undergoing a preliminary examination and consulting a doctor.
Against the background of uncontrolled use, more and more resistant strains of certain microorganisms are formed, which are difficult to eliminate in the future. Due to the willful use of antibiotics, patients can develop all sorts of negative consequences, which can have a very negative impact on their health. We reviewed reviews of treatment with Ceftriaxone.
How to use Ceftriaxone correctly?
Skin rashes such as urticaria are somewhat more common. Other allergic reactions are rare. Violation of the body's microflora can lead to the development of thrush or vaginitis. Sometimes there is also redness of the facial skin and increased activity of the sweat glands.
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Reviews
I came home, lost my appetite, 3 minutes later I was lying on the sofa with hysterics and terrible pain in my legs! It was as if a thousand shrapnel had pierced my wife’s leg! Nightmare! So I lay there all day in hysterics, not knowing what to do. And then I remembered that I might be allergic to everything, I took “suprastin” and it seemed to make me feel better, the next day, in hysterics, I proved to the doctors that I was allergic to it and wouldn’t do it again. But it didn't end there. This fall I have bronchitis again and again Ceftrixo. The doctor is different, but she insisted and said that the reaction was normal. History repeated itself, hysteria for 7 days, couldn’t stand it anymore. However, she recovered quickly. On Monday I fell ill again and was diagnosed with bronchitis. And guess what they prescribed? It is this injection. We only did it 2 times, and already I’m all on my nerves, the pain is terrible, it’s impossible to sleep at night. Today I went to see a doctor, they reduced it to 8 injections, and prescribed 10. Still, the injection was very painful.
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Is ceftriaxone injection painful?
In my opinion, it is impossible to change to penicillin, because if they prescribed another, it means that it did not help. Those of my friends who were injected with ceftriaxone said that it was VERY painful.
Ceftriaxone was prescribed to us because of its convenience - our daily dose was given in one injection, i.e. There were only 3 injections in the treatment regimen, not 5 or 10.
Regarding the replacement of AB, I agree with Pokklya - I think it’s not worth replacing.
Damn it, in the hospital they inject him for no reason. They stubbornly refuse to numb him.
Doctors are well aware of the pain of ceftriaxone, and if it was prescribed, there were reasons for this. Its spectrum of action is much wider than that of penicillin; it generally belongs to a different group, and in general this is a separate topic.
My mother told me it didn't really matter.
And antibiotics prescribed intramuscularly affect the intestinal flora many times less than those prescribed orally.
I agree with my mother. This crap kills everything, no matter how it gets there (but sometimes you can’t do without them). It’s pointless to drink any preparations for flora, you should only do it after a course of antibiotics. During this time you need to drink jelly, sour milk, live yogurt (if there are no contraindications) .
He is really very sick, I sympathize. You are getting better.
When I had a sore throat, I injected myself and diluted it only with Lidocaine, without water. It didn’t hurt much, but the injection was unsuccessful once - my leg went slightly numb for half an hour.
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Does ceftriaxone hurt? Help, anyone who has had the CEFTRIAXONE injection, it hurts. I'm really afraid of injections and they prescribed it?
- Usually cephalosporins are diluted with 0.5% novocaine, so that the injection is tolerable
Ceftriaxone - effective injections against prostatitis
Ceftriaxone is a potent antibiotic. In medical practice, it has become no less popular than penicillin. The drug affects most known harmful bacteria, and has helped many infectiously infected patients. In many cases, the use of the drug Ceftriaxone is justified.
Injections of the drug cause pain and sometimes allergic reactions. But attempts to replace ceftriaxone with analogues lead to an increase in the cost of treatment. Then what can replace Ceftriaxone in injections? How effective is it in the fight against syphilis and prostatitis? Let's compare its properties with Penicillin, Rocephin and Azaran?
An antibacterial cephalosporin agent that has a powerful inhibitory effect on the bacterial membrane is called ceftriaxone. Injections (intravenous and intramuscular) are the main route of administration of the drug into the body. Oral administration is not provided, only injections.
Ceftriaxone: what does this drug help with?
Ceftriaxone has found successful use in combating infectious and inflammatory diseases:
- Respiratory organs (meningitis, pneumonia, pleurisy, bronchitis, epiglottitis, sinusitis, lung abscess);
- Urogenital infections (urethritis, pyelonephritis, cystitis, epidermitis, pyelitis);
- Prostate gland (prostatitis);
- Sexually transmitted diseases (syphilis, gonorrhea, chancroid);
- Furunculosis;
- Abdominal cavity (angiocholitis, peritonitis);
- Skin (streptoderma);
- For otitis;
- Typhoid fever;
- Bacterial septicemia;
- Associated with bone tissue, skin and joints;
- Tick-borne borreliosis (Lyme disease).
To stabilize health after various types of operations (removal of appendicitis, gallbladder, postpartum), ceftriaxone injections are also prescribed.
Ceftriaxone dosage is an important component of prevention and treatment
For children over 12 years old (weighing 50 kg) and adults, the daily dosage is 1-2 g. This volume can be divided into two administrations (every 12 hours). When treating severe infections, the dosage is increased to 4 grams. No more than 2 g is administered at a time.
The use of cephalosporins is not recommended for children under 12 years of age; they are prescribed in extreme cases in the following proportions:
- For children up to 2 weeks of age - up to 50 mg per kg/day;
- For children under 12 years of age (weighing up to 50 kg), the maximum dosage is up to 80 mg per kg/day.
Ceftriaxone can be administered as a drip over 30 minutes.
Course duration is at least 5 days. Can reach 2–3 weeks. It is selected so that eradication of the infection ends two days before the end of therapy.
Preparation of Ceftriaxone before injection
Ceftriaxone is diluted with injection liquid, anesthetic (Lidocaine, Novocaine). All antibiotic injections are painful.
Procedure for preparing Ceftriaxone solution:
- The ampoule with the solvent is opened;
- The aluminum cap on the bottle with Ceftriaxone is bent (the rim of the cap cannot be removed);
- 4 ml of Lidocaine or Novocaine is drawn into the syringe;
- 4 ml of anesthetic is injected into a container with Ceftriaxone powder and stirred.
Ceftriaxone injections: side effects
The central nervous system may show symptoms of resistance to the composition of the drug through migraines. Side effects of Ceftriaxone include allergies, itching, and rarely anaphylactic shock (Quincke's edema).
Swelling may occur at the injection sites. Temporary hypoprothrombinemia or phlebitis may occur.
When using Ceftriaxone, there are risks of angioedema.% of such cases are fatal, which shows the importance of planning treatment measures, prescribing dosage and constant monitoring of the patient’s condition and tests.
During hemodialysis, measurements of the patient's plasma and blood are taken continuously to detect elevated drug concentrations. Prolonged treatment impairs the functioning of the liver and kidneys. Vitamin K is often prescribed to patients (especially older people).
The interaction of Ceftriaxone with ethyl alcohol causes disulfiram-like effects.
Use with other β-lactam antibiotics is also not permissible, as it causes:
What can ceftriaxone be diluted with? Instructions for use: injections with lidocaine.
Ceftriaxone powder is recommended to be diluted with a 10% lidocaine solution or sterile liquid for injections. Ceftriaxone in liquid form must be administered no later than 6 hours after preparation. Using a refrigerator increases the shelf life of the drug to 24 hours.
Ceftriaxone is used in the treatment of syphilis
The use of penicillin to treat syphilis (Treponema pallidum) is the mainstay of therapy. Ceftriaxone is prescribed in case of allergy to penicillin.
The essential properties of Ceftriaxone are:
- The ability to suppress bacterial cellular formations;
- Rapid and complete penetration into body cells; syphilis is the only infection that has a detrimental effect on the cerebrospinal fluid (cerebrospinal fluid in which the entire central nervous system is immersed) and forms a disease such as neurosyphilis.
Ceftriaxone is the most active 3rd generation cephalosporin against the following organisms:
- N.gonorrhoeae (gonococcus);
- N.meningitidis (meningococcus);
- H. influenzae (Pfeiffer's bacillus).
The pharmacokinetics of the drug in terms of absorption is not inferior to analogues, distribution and absorption into organs is high, and excretion is about 8 hours.
3rd generation cephalosporins are actively used in the chemotherapy of infectious diseases due to their high activity against gram-negative microorganisms.
Until the 80s Penicillin remained the main drug for the treatment of syphilis, even with high percentages of allergic reactions in patients. Other well-known drugs (tetracyclines, macrolides) had lower activity against this disease and were considered less effective.
Ceftriaxone is able to inhibit and even completely suppress the vital activity of infectious gram-positive (staphylococci, streptococci, gas gangrene, tetanus, anthrax) and gram-negative (moraxella catharalis, legionella, klebsiella, meningococci, pneumococci, salmonella, Helicobacter pylori, Escherichia coli) bacteria.
The key point in the harmful effects of harmful bacteria on the body is their ability to penetrate through tissues into the cerebrospinal fluid. The drug Ceftriaxone has the same property. Practical experience with the use of Ceftriaxone against syphilis continues to be studied, and the drug began as an alternative treatment for penicillin intolerance.
Today, Ceftriaxone is used on a par with Penicillin and, in a number of ways, is more applicable to infectious prevention. Included in international practice for the treatment of syphilis, neurosyphilis, and HIV-infected people.
Ceftriaxone for prostatitis
Prostatitis, due to its ability to progress quickly, requires prompt treatment. Otherwise, it will bring complications after the chronic form becomes established. Treatment includes antibacterial therapy with broad-spectrum antibiotics.
The most used for the treatment of prostatitis:
- Amoxiclav has an antibacterial effect due to amoxicillin and clavulanic acid present in the drug. Effective. General improvement is observed after 2-3 days of use. Not expensive. Form - suspension, tablets, injections. The latter are prescribed in cases of chronic prostatitis. Cannot be prescribed if the patient has hepatitis.
- Ofloxacin is used for chronic prostatitis, cystititis, pyelonephritis by tablets or injections. Has anti-adaptive properties. Affects the DNA of the infection. Ofloxanine is prohibited for use by patients who have suffered a stroke, TBI, or when diagnosing any cerebral circulatory disorders. Combine with other medications.
- Ciprofloxacin is also used to treat chronic prostatitis. Release form: tablets to be taken with water. The advantage of the drug is its ability to destroy not only active infections, but also incubating bacteria. Not used for diseases of the rectum. Positive changes are observed 2 days after the start of use.
- Ceftriaxone is the most effective cephalosporin to combat acute, chronic and purulent prostatitis. Begins action immediately after injection. Makes urination easier after 12 hours. Not recommended for use in diseases of the liver and kidneys.
Ceftriaxone: analogues in injections
You can replace ceftriaxone with more expensive analogues - Swiss Rocephin or Serbian Azaran. Their use is similar to the antibiotic in question and has similar contraindications. Reach maximum concentration after 3-5 hours of absorption.
The injection solution is prepared in the same way: the powder is diluted with liquid or lidocaine. The color of Azaran powder is pale yellow, Rocephin is pale. Ceftriaxone has a pale or yellowish color. The price of injections with Ceftriaxone is about 30 rubles per ampoule, Azaran - about 1520 rubles per ampoule, Rocephin - about 520 rubles.
The drugs considered are completely absorbed into the bloodstream. Easily absorbed into body tissues (bones, joints, spinal cord, respiratory tract, ureter, skin, abdominal cavity).
There are other analogues:
Features of taking the drug for pregnant and lactating women
The drug is contraindicated in pregnant women (its use in the first trimester is critical). The use of cephalosporins during lactation is not recommended, and if prescribed, breastfeeding is discontinued.
Ceftriaxone - can I take it instead of an injection?
Ceftriaxone in undiluted form is a powder; it cannot be used orally: it will not have the desired effect, but side effects may increase.
Ceftriaxone injections: reviews
Ceftriaxone has established itself as an effective antibiotic that acts against most known bacteria. It helps in the treatment of many infectious diseases of the abdominal cavity, pneumonia and respiratory diseases, as well as in the fight against venereal diseases.
Patients complain of discomfort (pain) after Ceftriaxone - the injection site hurts. Lidocaine partially solves the problem. The instructions do not recommend use for people sensitive to penicillin.
conclusions
Clinical practice today is unthinkable without Ceftriaxone, which appeared in the Swiss pharmaceutical company Hoffman La Roche in 1978. It was the first synthetic 3rd generation cephalosporin, and two years later the drug received the trade name Rocephin. Its capabilities are still being explored. In 1987, Rocephin became the best-selling drug produced by Hoffman La Roche.
Ceftriaxone is included in the WHO list, which means the undeniable importance of the drug for humanity.
A trip to the dentist for treatment or removal of teeth often causes the patient to fear painful sensations, even with the sound of a working drill. In this case, it is recommended to give an anesthetic injection into the gum, which has a local effect, literally freezing a certain part of the jaw. Thanks to this, the patient does not feel pain during manipulations in the oral cavity and tolerates treatment more easily. Injection in the gum
What is anesthesia in the gums?
Local anesthesia in the gum area is an injection using a syringe with a thin needle. A certain anesthetic drug, for example Lidocaine, is injected with a syringe, which ensures deep penetration and long-lasting action. After the injection, the patient feels absolute loss of sensation in a certain area of the oral cavity, and the pain signal to the brain is completely blocked.
This makes it possible to painlessly carry out all necessary procedures for the treatment or removal of teeth, as well as eliminate complications and undesirable consequences after manipulation.
How to prepare for anesthesia, contraindications
Previously, before administering anesthesia, the dentist needs to assess the patient’s condition, conduct an examination and diagnosis in the oral cavity, and assess readiness for the injection. It is important to tell your specialist if you are taking any additional medications or have concomitant diseases in order to exclude possible complications.
Before going to the dentist's office don't drink alcohol, because it can reduce the effect of the administered drug. If the patient is worried about anxiety before treatment, then before going to bed you can drink a herbal-based sedative, for example, valerian or motherwort.
Sedative medications An injection into the gum has the following contraindications when this method should be abandoned:
- In the early stages of pregnancy, especially in the 1st trimester, any medications or excessive anxiety are prohibited.
- If the patient is susceptible to severe allergies. In this case, the effect of the injection may be unpredictable.
- In case of individual intolerance to painkillers.
- If there are problems with the respiratory system, bronchi and lungs, as the likelihood of suffocation increases.
- For diabetes, cardiovascular diseases and hormonal imbalances.
- Childhood, especially in the first years of life.
In all of the above cases, the administration of an anesthetic can be dangerous and lead to complications, so the dentist should carefully consider each patient and find an individual approach.
In what cases is anesthesia (an injection into the gum) necessary for dental treatment?
Anesthesia before treatment of diseased teeth is carried out in order to relieve pain during dental surgery. Subsequent numbness of the jaw dulls the pain and allows you not to feel discomfort from various procedures.
The injection is prescribed by a dentist, but not in all cases. Anesthesia is performed at the patient’s personal request, when he experiences fear of pain during dental treatment, as well as in the following specific cases:
- Before the complete removal of one or more teeth at the same time.
- To remove purulent accumulations inside the gums, before opening it directly.
- When treating advanced and medium stages of caries, especially if it has penetrated deeply and covered a large area of the tooth.
- Before surgery.
- For different types of orthodontic therapy.
- Before dental prosthetics.
- When cleaning canals with living nerves.
- For periodontal disease or inflammatory processes in the gums, gingivitis, periodontitis.
- When removing pulp, cysts, extirpation.
- For increased sensitivity of enamel and gums.
If the hole in the tooth is small, and the patient has a panic fear of the needle and the injection itself, anesthesia may not be performed.
Does it hurt to give an injection in the gum?
At the sight of an injection that needs to be placed in soft gum tissue, many experience fear and panic. But is it that painful? Here everything depends on the individual location of the nerve endings in the gums, as well as on the psycho-emotional mood of the patient.
The decisive role in pain is played by the size of the inserted needle and the place where the injection is made. If anesthesia is performed by an experienced specialist, then in most cases you may not feel it at all. no discomfort When an injection is performed, many painkillers are also administered without pain.
You must use all your willpower to overcome panic. The psychological aspect is also taken into account. If the patient experiences an overwhelming fear of an injection in the oral cavity, then no amount of reasoning that it is safe and does not hurt may not work. In this case, you need to use all your willpower to overcome panic, or use a special gel before the injection, applied to the injection site for the purpose of preliminary pain relief.
How to get rid of pain after anesthesia
The appearance of burning and pain at the injection site after dental treatment is a normal reaction of the body, as the tissues have been damaged. Even severe pain after manipulation is not a reason to return to the clinic, because it should pass soon. This condition can last from 15 minutes to 15 hours, depending on how deep the anesthesia was administered and whether the nerve endings were affected.
If the pain increases and does not subside after a long time, it is best to consult a dentist.
Complications can also arise if the dosage of the drug is incorrectly selected, in which case a toxic reaction occurs. Pain after treatment may occur due to accidental biting of the cheeks, tongue or lips, resulting in loss of sensation. If blood vessels are damaged, swelling, bruising, and swelling may appear, causing pain.
You can get rid of gum pain in the following ways:
- If after an injection of anesthesia the pain in this area does not go away, you can use the painkiller Lidocaine or another popular drug. You don’t have to specify it again, but spray it over the painful surface.
- Take painkillers orally as recommended by your doctor.
- Folk remedies that can be used at home help well after anesthesia. You can apply valerian leaves to the sore spot until the pain subsides. Another way is compresses with clove essential oil. You need to apply the product onto a cotton swab, apply it to the gum, and hold for 15-20 minutes.
Precautions after anesthesia
After introducing an anesthetic into the gums, the development of possible complications should be excluded. Danger may arise if pathogenic bacteria enter the wound and cause purulent inflammation. To prevent this from happening, follow the following recommendations from experts:
- You should avoid eating spicy and salty foods.
- If the pain is severe, you can take painkillers, but you should not get carried away with them.
- There is no need to eat solid food for some time.
- Avoid hot drinks and hot food.
- You need to stop drinking alcohol and soda.
- You need to stop smoking cigarettes for some time, as the nicotine they contain can trigger the development of inflammatory processes.
- It is necessary to control your body temperature, and if it rises, take antipyretics.
- It is advisable to rinse your mouth with plant-based products with an antiseptic effect after each meal.
- Do not use a hard toothbrush; at first it is better to simply wipe your teeth and gums with a soft cotton swab.
After treatment, it is recommended to use a soft toothbrush Conclusion
Various dental procedures were previously performed without the use of anesthesia. That is why many patients were afraid of going to the doctor and postponed treatment for a long time, which led to the deterioration of their dental conditions. Today in dentistry, an injection into the gum is successfully used, which allows you to painlessly endure procedures using a drill or tooth extraction.
The main thing is that such anesthesia is performed by a professional, taking into account contraindications and other precautions. Local anesthesia is indispensable where dental operations involve pain, and allows the dentist to calmly perform all the necessary work.
The popularly known concept of “magnesia” is an injection of magnesium sulfate, which can be injected intramuscularly or intravenously to reduce blood pressure.
This is a diuretic, sedative, dilates blood vessels and anticonvulsant medicine, quickly eliminating spasms and reducing pain.
It is considered an excellent antiarrhythmic drug for hypertensive crisis, so the drug has numerous positive reviews.
Instructions for use of the medicine
In general, magnesium injections for high blood pressure or hypertensive crisis have a beneficial effect on the body. The use of the drug intravenously or intramuscularly promotes:
- Relieving spasms of smooth muscles;
- Removal of urine and feces;
- Dilatation of blood vessels;
- Relieving nervous tension;
- Normalization of heart function;
- Removing harmful substances from the body in the form of toxins or poisons;
- Stimulates bile production.
A magnesium injection can be administered if there is a lack of magnesium in the body, as well as if there is:
- Cerebral edema;
- Epilepsy;
- Arrhythmias;
- Tachycardia;
- Nervous excitement;
- Convulsions;
- Delayed urine output;
- During a hypertensive crisis.
It is important to understand that magnesium in large doses contributes to depression, weakness and drowsiness, and suppression of respiratory functions.
The price of magnesium in ampoules is 20-70 rubles, in powder for preparing a suspension - 2-25 rubles, in addition, in pharmacies you can purchase the drug in balls and briquettes.
In modern times, the use of magnesium intramuscularly is practically not practiced, since medicine considers this method outdated and having side effects. However, if necessary, injections can be given in this way. Magnesia is often administered intravenously using a dropper.
If it is decided to administer the drug intramuscularly, magnesia is mixed with Lidocaine and Novocaine to reduce pain. Indications for use of the drug are similar to intravenous administration. Also, some doctors administer medications sequentially - first, an anesthetic injection is given, after which the syringe is replaced with magnesium.
The medicine should be injected intramuscularly gradually, with the needle located deep in the muscle. Magnesia injections for high blood pressure can be given as follows:
- The patient is in a supine position, the muscles are relaxed.
- The injection surface is treated with an alcohol solution. Only disposable sterile syringes and needles are allowed.
- Visually, the buttock is divided into four parts and the injection is made in the uppermost part. The needle is inserted exactly at a right angle until it stops.
- Before administering magnesia, the medicine must be warmed in your hand to body temperature. The drug is administered slowly over two minutes.
Most often, injections are given intramuscularly during a hypertensive crisis by emergency doctors when it is necessary to urgently lower blood pressure.
Magnesia begins its action an hour after administration, the therapeutic effect lasts for four hours.
However, it is not recommended to use the medicine intramuscularly at home, as this can lead to negative consequences.
Since the drug can cause vomiting, disruption of the functioning of the cardiovascular system, headache, increased urination, diarrhea, it can be used intravenously only if prescribed by a doctor.
The injection is given intravenously no more than twice a day, the daily dosage is a maximum of 150 ml. No more than 40 ml of medication is administered at a time, otherwise an overdose will affect the functioning of the heart.
Compared to the intramuscular method, an intravenous injection has a faster effect on the body, and after 30 minutes the patient begins to feel better.
In case of high blood pressure or hypertensive crisis, intravenous administration is important to consider some rules:
- For administration, only a 25% magnesium solution can be used.
- The drug cannot be used in its pure form; it is diluted with Novocaine or 5% Glucose solution.
- To ensure that the medicine is delivered gradually, a dropper is used.
- During the administration of the medicine, the patient should monitor his condition and immediately inform the doctor of any changes in the form of nausea, dizziness and other symptoms.
It must be taken into account that magnesia has certain contraindications; it cannot be used if the patient has:
- Hypertension;
- Dehydration;
- Bradycardia;
- Kidney failure;
- Intestinal obstruction;
- Appendicitis;
- Rectal bleeding;
- Respiratory dysfunction.
Effects of magnesium on the body
With a lack of magnesium in the body, hypertension develops. Medicines containing this substance improve the patient’s general condition, relieve symptoms of the disease and lower blood pressure. Magnesium also effectively stops the hypertensive crisis.
In case of illness, magnesium relieves vascular spasms, relaxes muscles, calms the nervous system, lowers blood pressure, and normalizes the frequency and strength of heart contractions. Magnesium preparations do not allow the development of atherosclerosis, the formation of blood clots and cholesterol plaques in blood vessels, thereby preventing heart attack and stroke.
If the disease increases blood pressure, you need to take care not only of taking medications, but also of proper nutrition. It is necessary to regularly eat foods rich in magnesium and potassium.
In the diet for arterial hypertension, it is necessary to include foods rich in magnesium, such as:
- Legumes;
- Nuts;
- Rye bread;
- Beetroot;
- Buckwheat, wheat groats and bran;
- Milk and cottage cheese;
- Chocolate and cocoa;
- Greenery.
Medicines that have positive reviews include drugs such as Magnerot, Magnesium B6, Magvit.
Use of magnesia for hypertension
If muscle relaxants in the form of Tizanidine or Baclofen are used simultaneously with the medicine, this increases the effect of the drug. With the additional use of tetracycline antibiotics, magnesium reduces their absorption from the gastrointestinal tract, so the drugs lose their effectiveness.
You should not take Magnesium Sulfate and Gentamicin at the same time, as this may cause respiratory arrest. Antihypertensive drugs with magnesium often cause muscle weakness. Also, the magnesium drug blocks the effects on the body of anticoagulant drugs, Tobramycin, cardiac glycosides, Ciprofloxacin, Streptomycin, Phenothiazines. In case of overdose of magnesia, potassium preparation is used as an antidote.
It is prohibited to use magnesium in combination with:
- Derivatives of alkali metals;
- Calcium;
- Tartrates;
- Arsenic acid salt;
- Barium;
- Hydrocortisone;
- Strontium;
- Salicylates;
- Ethanol and any alcoholic beverages.
Unfortunately, many patients mistakenly believe that magnesia is a universal way to get rid of high blood pressure. Meanwhile, the disease should be treated comprehensively, only in this case the effect will be observed. A specialist will tell you how magnesium tablets work in the video in this article.
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Initiation of warfarin should be carried out under close monitoring of the INR and strict supervision of a physician, who may adjust the dose of the drug. It usually takes 10-14 days to stabilize the INR and select the required dose of warfarin. After this, the patient needs to donate blood again every 2-4 weeks and adjust the dose either independently or constantly consult with a doctor.
Of course, it is better to consult a doctor, but it is not always convenient and, unfortunately, in the regions there is not always a specialist who can advise you. Therefore, it is better to learn how to dose the drug yourself, especially since many patients will have to take warfarin for the rest of their lives. But your attending physician and this table should help you with this.
Instructions for selecting the dose of warfarin in
depending on the INR indicator
Always take warfarin at the same time, always get your INR tested at the same time. For example: if you started taking warfarin at 18:00, then continue to take it at this time; If you donated blood for INR at 9:00, then continue to donate it at 9:00. It is advisable to always use the same laboratory. If you accidentally missed taking the drug, just take the next dose on time, but there should be no omissions - sometimes your life depends on it.
If the INR is below 2.0, then the blood is “thick” and there is no benefit from the drug, you need to increase the dose of warfarin.
If the INR is more than 3.0, then the blood is “liquid”, the risk of bleeding increases and the dose of the drug must be reduced.
Half measures are not allowed, even if you drink warfarin every day, but the INR is below 2.0, then it’s the same as not drinking anything!
You should write down your warfarin dose 1-2 weeks in advance, since its dosage can change for various reasons and it is difficult to keep track of it without writing it down. To do this, it is convenient to use the following table. In the first column of the table you note the INR value obtained after the test, and in the rest you write down how many tablets to take on which day, because it is not at all necessary that you will be able to choose the same dose for every day, for example:
Let's move on to the next more complex table - dosing of warfarin depending on the INR.
Let's master the table.
The first column is the INR indicator, the second tells what to do with the dosage at this INR, the third tells when to do the next analysis. It is from this table that you will determine the dose of Warfarin in the period until the next analysis.
| Dosing of warfarin depending on the INR | ||
| ……LOTS…… | What to do | Next INR test |
| < 1.50 | 2 days a week increase the dose by 1 tablet. (the remaining days take the same dose) | A week later |
| 1.50-1.99 | Increase the dose by 1 tablet once a week | A week later |
| 2.00-3.00 | Dose unchanged | After 2 weeks, then once every 1-2 months |
| 3.01-3.50 | Reduce the dose by 1 tablet once a week | A week later |
| 3.51-4.50 | Reduce dose by 1 tablet | In 3 days |
| 4.51-6.00 | Reduce dose by 1 tablet | The next day |
| > 6.0 | Stop taking warfarin and contact your doctor | . |
Now let's try to simulate several situations to make it more clear.
Let's take an example when a patient takes warfarin according to the regimen below for a week, on Monday he donated blood for an INR and received a value of 1.9 (target values 2.0-3.0). How to schedule the dose?
We look at the warfarin dosage table depending on the INR and see that we need to increase the warfarin dose by 1 tablet once a week! and repeat the analysis a week later.
The patient should schedule his dose for the next week as follows:
Compared to the previous schedule, warfarin intake on Wednesday increased by 1 tablet (on Wednesday). You can increase the dose any day, but try to keep the distribution even.
Now a week later the patient donated blood INR = 2.5, look at the table, everything is fine, nothing needs to be changed. The last successful scheme remains, the next control is in 2 weeks.
Now let’s assume that our patient, who selected the dose and took everything as expected for 2 weeks, did a blood test and received an INR of 3.6.
We look at the table: you need to reduce the dose by 1 tablet and repeat the analysis after three days. It turns out like this:
On Thursday morning the patient donated blood and after lunch received the result INR = 2.4 (target value), which means that this regimen was suitable and then the dose for the next two weeks should be scheduled as follows:
It turns out that the patient should not take warfarin three times a week, but taking so many omissions per week is not good, you need to distribute the dose of the drug evenly across the days of the week, something like this:
It turned out that the total dose of 4 tablets per week was simply more evenly distributed over the days.
Pay special attention to moments when the INR is more than 4.5 - this is a threatening situation and requires a responsible attitude.
There may be many different options, but as you gain experience, solving new problems becomes easier and does not pose significant problems.
I advise you to print out this diagram and start mastering it with your doctor, be extremely careful “reduce the dose by one tablet once a week (weekly)” and “reduce the dose by 1 tablet (daily)” - different things.
At first everything seems complicated, but if you figure it out, there’s nothing to worry about.
I wish you good luck, and please do not use this article as a guide to self-medication, but only in consultation with your doctor.
Please note that INR levels can vary significantly due to excess intake of certain foods containing vitamin K; a complete table of vitamin K content in foods is provided in the following article.
Home » Treatment » Medication » Is Magnesia intramuscularly effective for pressure: dosage and nuances of injection
Magnesia for unstable blood pressure is considered an excellent remedy that helps provide a lasting vasodilator effect.
Since this phenomenon is observed in frequent stressful situations, depression, nervous strain, negative emotions, during pregnancy and menopause, you must always be prepared for a change in the state of the body.
Hypertension is characterized by unpleasant symptoms such as dizziness, tinnitus, rapid heartbeat, nausea and, in rare cases, vomiting. So is it allowed to administer a drug like Magnesia? Why is it prescribed intramuscularly and how to inject Magnesium sulfate intramuscularly?
The drug can be used either orally or administered by injection. Experts recommend doing this intravenously and intramuscularly.
Magnesium sulfate in ampoules
The product is available in the form of a regular injection solution and in the form of a fine powder from which a suspension is prepared. The latter can be bought in packaging. Its weight varies: 10 g, 20 g, 25 g and 50 g. But ampoules with the solution are produced in the following volumes: 5 ml, 10 ml, 20 ml and 30 ml.
The medicine also has another name - Magnesium sulfate. The concentration of the active substance can be 20% or 25%. As for the question of whether Magnesium sulfate can be administered intramuscularly, the answer is positive.
However, we must not forget that injections of this substance are quite painful, so some experts prefer to use intravenous administration. To significantly reduce pain, you need to mix the drug with Novocaine. The doctor selects the dose individually, depending on the indications.
Magnesia is used for high blood pressure intramuscularly, as well as for epileptic seizures, poisoning with heavy metal salts, and urine retention.
The injection of Magnesia intramuscularly is given quite deeply, it is for this reason that the syringe needle must be long. The introduction should be carried out very slowly.
If Novocaine is used for maximum pain relief, then it is combined with the drug in one container and the resulting solution is drawn into a syringe. For one ampoule with a concentration of the active substance of 25%, you need to take approximately one part of Novocaine 2%. It is not recommended to practice self-administration of the medicine, as this can lead to serious consequences.
To ensure that Magnesia injections intramuscularly are safe, you should trust a professional.
Indications for use
The drug is used for many pathologies because it has a large number of positive properties:
- helps eliminate neuroses, excitement, irritability, aggressiveness and anxiety. It has a powerful sedative effect. With a slight increase in the indicated dosage, the effect of the drug is similar to that of sleeping pills;
- helps remove unnecessary fluid accumulated in the body. Thanks to this, you can get rid of swelling of the face and body;
- lowers blood pressure;
- relaxes the muscle tissue of the artery walls. This is what helps the vessels expand so that blood can circulate freely in them;
- eliminates convulsive phenomena in the upper and lower extremities;
- reduces pain caused by muscle spasms;
- minimizes the excitability of myocytes, and also returns ionic balance to normal levels.
- prevents the formation of blood clots in the arteries and protects the cardiovascular system from various damages;
- improves blood supply to the vessels of the uterus due to their expansion. In addition, the contraction of her muscles is inhibited;
- helps eliminate signs of poisoning of the body when metal salts enter it.
Intramuscular magnesium has the following indications for use:
- hypertensive crisis with visible symptoms of cerebral edema;
- convulsions in eclampsia, as well as in severe preeclampsia;
- strong contractions of the uterine muscles;
- polymorphic ventricular tachycardia;
- magnesium deficiency;
- acute hypomagnesemia;
- heavy metal poisoning.
If we consider the oral use of this drug, we will be able to achieve a strong laxative effect, since with this type of use it is not absorbed into the systemic bloodstream.
- problems with stool;
- cholecystitis and cholangitis;
- duodenal intubation;
- dyskinesia of the gallbladder during tubing;
- cleansing the intestines to diagnose its condition.
An overdose can provoke apathy, impaired respiratory function, and drowsiness. Some who have tried the Magnesia injection call it “hot”, since the patient at this moment feels the gradual spreading of the substance throughout the body. There is warmth, sometimes a strong burning sensation.
How to properly inject Magnesia intramuscularly?
Magnesia is used for pressure intramuscularly at a dosage of 25% solution of the drug, which is available in ampoules.
Before injecting Magnesia intramuscularly under pressure, the solution does not need to be further diluted.
As a rule, such an injection is quite difficult to tolerate, since it is accompanied by severe, unbearable pain. Immediate administration of the medicine may cause seizures.
If you do this inside the muscles, the product begins to have its effect within 30 minutes. The positive effect can last for several hours.
To carry out the procedure, you need to acquire a long and thin needle. The ampoule must first be warmed up a little and the injection site treated with a special disinfectant solution.
With a quick movement of the hand, the needle is inserted into a certain place until it stops, and only after that the medicinal composition is gradually and smoothly released from the syringe. It is not recommended to allow the product to stagnate in the muscles.
The injection must be carried out by a medical professional, since this way you can avoid the solution getting into small blood vessels, which is extremely undesirable.
Dosage
Magnesia is used intramuscularly at pressure with a dosage of 25% ampoule solution.
It is important to remember that the largest single dose of Magnesia at intramuscular pressure is 200 ml of a 20% solution.
As for the use of medicine for children, with the method under consideration it is prescribed for the immediate relief of emergency conditions, such as: severe asphyxia, high blood pressure inside the skull. In case of such dangerous phenomena, the drug can be prescribed even to infants.
It is also used to treat ailments in pregnant women. As a rule, the most common indication for use is uterine hypertonicity. To eliminate this pathological condition, an appropriate dosage of Magnesia is required, which is prescribed by the attending physician. This measure is urgent in conditions such as the threat of miscarriage or the risk of premature birth.
It is advisable to carry out an intramuscular injection in a hospital setting under the supervision of a personal specialist. This is due to the fact that the drug can cause respiratory depression and an unexpected drop in blood pressure in the baby.
Due to possible complications, the drug solution should be stopped approximately several hours before possible delivery.
Due to its strong diuretic effect, Magnesia can be used during pregnancy to reduce swelling (for example, with preeclampsia and eclampsia). In this case, the solution itself can be administered through a dropper.
The duration of its use is absolutely individual. In some cases, it is prescribed once to improve the condition of the expectant mother. However, only the attending physician can determine the duration of therapy.
Before administering Magnesia intramuscularly, you must ensure that there are no following contraindications:
- bradycardia;
- visual impairment;
- instant rush of blood to the face;
- Strong headache;
- slurred speech;
- urge to vomit;
- weakness and drowsiness.
Contraindications for the use of Magnesium sulfate include:
- stones in the bile ducts;
- presence of intestinal obstruction;
- tendency to a sharp drop in blood pressure;
- high concentration of magnesium in the blood;
- exacerbation of certain chronic diseases;
- attack of appendicitis;
- first trimester of pregnancy;
- lactation.
The indication for use of the drug during an increase in blood pressure is a hypertensive crisis. Therefore, in this condition, only doctors can inject this drug.
However, many modern specialists completely refuse to use Magnesia for hypertension. They explain this by the fact that the drug has the ability to significantly lower blood pressure, and not bring it back to normal.
It should be noted that after intramuscular administration of the drug, infiltrates can form, which disappear quickly with timely treatment and do not cause any complications.
Video on the topic
Is Magnesia effective for high blood pressure intramuscularly and how to give the injection correctly? Answers in the video:
From all the information presented in this article, we can conclude that a drug called Magnesia is highly effective in treating such a dangerous condition as hypertensive crisis. Only the attending physician can administer treatment through intramuscular injections.
If you have high blood pressure, use extreme caution as the medicine can significantly lower your blood pressure levels. In some cases, even to a critical point. There is no need to self-medicate and inject medication into muscle tissue.
Magnesium sulfate, known to everyone as Magnesia, is most often prescribed for high blood pressure, especially in the case of a hypertensive crisis.
This drug has a very wide spectrum of action, the solution is usually administered intravenously, occasionally intramuscularly, and is sometimes used topically in the treatment of wounds and for electrophoresis.
If you or your relatives have repeatedly encountered such a common disease as hypertension, it is better to find out in a timely manner how to inject Magnesia with high blood pressure; perhaps this knowledge will be useful in practice. In this article we will describe in detail the features of using the drug.
Description of the drug
Magnesia has a hypotensive, vasodilator, pronounced antispasmodic, anticonvulsant, antiarrhythmic, laxative and sedative effect, in addition, its intake has a weak diuretic effect and stimulates the production of bile.
If you use magnesia in doses exceeding those recommended in the instructions, then the hypnotic and narcotic effect is pronounced, and the activity of the nervous system is noticeably inhibited.
Magnesium sulfate solution
The drug is most often administered intravenously using a drip; this method is usually used by emergency medical technicians who arrive on call. Intramuscular administration of Magnesia is also allowed, but experts do not recommend such use, since in this case side effects are more likely to occur.
In addition, the injections are very painful. To relieve pain, Magnesia with Novocaine is used. However, intramuscular injections are usually used at home. The course of treatment is a maximum of 2-3 weeks. Despite its very broad spectrum of action, Magnesia is most often used to normalize high blood pressure.
Intramuscular injections may be prescribed for the following health problems:
- gestosis accompanied by convulsions;
- epilepsy attacks;
- hypomagnesemia;
- urinary retention.
The instructions for use accompanying the drug Magnesia sulfate note the effectiveness of injections in the treatment of poisoning with salts of various heavy metals: barium, lead, arsenic or mercury.
There is a fairly large list of contraindications:
- acute appendicitis;
- rectal bleeding;
- acute renal failure;
- intestinal obstruction;
- bradycardia;
- breathing problems;
- severe dehydration;
- hypotension;
- disruption of the process of conducting impulses from the atria to the ventricles;
- the first trimester of pregnancy, as well as less than two hours before birth.
Since Magnesia has quite serious side effects, injections can only be given as prescribed by a doctor, strictly observing the dosage.
Magnesium sulfate: how to administer intramuscularly
It is best to have the injections administered by trained medical personnel, but it is often not possible to call a nurse to your home.
Therefore, you need to know how and where to inject Magnesia correctly, if the doctor recommended it to combat hypertension.
To carry out the injection, you will need a syringe with a length of at least 4 cm, since the drug must be injected deep into the muscle. Remove the ampoule with a 25% solution from the box and heat it to body temperature, holding it in a clenched fist for some time; no need to dilute it.
Lay the patient down, prepare the buttock, mentally divide it into 4 squares, the injection should be given in the upper quarter, distant from the axis of the body, in this case it will be the least painful and will not cause an inflammatory process. In this case, the risk of getting into adipose tissue is minimal.
Wipe the selected area with a good disinfectant, alcohol is most often used, but Chlorhexidine will also work.
Immediately after this, sharply insert the needle all the way, strictly at an angle of 90 degrees, and begin to very slowly press the syringe plunger, trying to ensure that the medication administration time is at least 2 minutes. Then remove the needle and wipe the injection site again with a disinfectant, leaving the cotton wool.
As already mentioned, Magnesia injections are very painful, so it is better to administer the drug together with Novocaine or Lidocaine if you are not allergic to them. If you do not have reliable information about the presence of allergic reactions, it is better to have the injection done in the hospital for the first time, having carried out a test first.
To do this, the nurse makes a small scratch on the skin and applies a few drops of lidocaine to it, then observes the reaction. If the area does not turn red, you can inject the drug intramuscularly. You can inject Novocaine before Magnesia, and in order not to pierce the skin twice, the syringe is disconnected and the needle is left in the body, then magnesium sulfate is injected through it.
It’s even more convenient to mix Magnesia with Novocaine in a syringe (one ampoule at a time) and give one injection.
No more than 150 ml of a 25% solution can be administered per day, a maximum of 40 ml at a time, the exact dosage is determined by the doctor, who also indicates how often Magnesia can be injected. The maximum effect is observed within about an hour.
When administering Magnesia, the patient may experience the following symptoms: weakness, dizziness, burning in the buttock, a sharp rush of blood to the skin of the face, a feeling of intense heat throughout the body, especially in the chest and face.
After the injection, you may experience confused, incoherent speech, poor concentration, severe drowsiness, shortness of breath, frequent shallow breathing, thirst, nausea, less commonly vomiting, loose stools and increased gas formation in the intestines. Sometimes, instead of a sedative effect, increased agitation is observed, and the patient’s condition may even worsen.
Magnesia can hardly be classified as a harmless drug, so it should be administered only when absolutely necessary, especially for people suffering from heart disease.
Intravenous administration
With intravenous injections of the drug, an immediate effect is observed; in addition, this method is much less painful and less likely to lead to any side effects.
Intravenous administration is carried out through a dropper, so it can only be done in a hospital setting.
Magnesia is diluted with a 5% solution of glucose and sodium chloride. The drug is administered slowly, otherwise severe respiratory depression may occur. If such a situation occurs, the medical staff immediately administers 10% calcium chloride intravenously in an amount of 5-10 ml, and artificial respiration may be necessary.
Before injecting magnesium sulfate, be sure to tell your doctor if you are taking any other medications; Magnesia may even react with some vitamin and mineral complexes or regular calcium gluconate.
Features of application
First of all, the patient must remember that Magnesia does not fight the main cause of the disease, but only helps alleviate the condition, relieves symptoms, and for a period of no more than 4 hours.
Long-term systematic treatment, changes in diet and regimen are required, only in this case can the disease be overcome. This is exactly what older people usually do abroad, so they are less likely to experience hypertensive crises and subsequent deaths due to a heart attack.
Of course, the injection helps to quickly normalize the condition, but this is only a temporary measure, and, moreover, it is not the most harmless. If you take an injection before going to bed, there is a high probability of exacerbation of hypertension after waking up, in addition, various side effects may occur.
Ambulance paramedics use Magnesia precisely because it is the only way to promptly and quickly help a person who categorically refuses hospitalization and adequate treatment.
Do not count on a life-saving injection from pressure, but reconsider your diet, exclude fatty foods, various pickles, smoked foods, marinades, sweets from your daily diet, switch to berries, fruits and vegetables in large quantities.
This is the only way to improve your well-being in the long term.
Contact a cardiologist, especially if you experience significant increases in blood pressure more than twice a year. He will prescribe long-term oral medications to normalize blood pressure and not be afraid of another hypertensive crisis. If you follow all the recommendations, you can feel great without having to figure out how to inject magnesium sulfate, because you simply won’t need it.
Video on the topic
You can learn how to inject Magnesia correctly from the video:
Do not use Magnesia to treat hypertension on your own, without a doctor's prescription. Remember that the medicine is a symptomatic remedy and only relieves the condition for a short time, without in any way affecting the causes of the disease.
Magnesia is available in the form of a solution for injection and in the form of a powder for the preparation of a suspension. The powder can be purchased in packages of 10 g, 20 g, 25 g and 50 g. Ampoules with solution are available in volumes of 5 ml, 10 ml, 20 ml and 30 ml. The concentration of Magnesium sulfate in ampoules can be 20% and 25%.
Magnesia is used for a wide variety of pathological conditions, as it has the following properties:
Due to such an extensive list of therapeutic effects, magnesia is prescribed for the following conditions:
Polymorphic ventricular tachycardia;
Therefore, the indications for oral use of magnesium are:
Acute constipation;
Cholecystitis and cholangitis;
Duodenal sounding;
Dyskinesia of the gallbladder during tubing;
What can and cannot be done with magnesium?
- Is it possible to inject magnesium during pregnancy?
| Is it possible to inject magnesium intramuscularly? |
| Is it possible to inject magnesium during pregnancy? So, during pregnancy the drug is prescribed for the following conditions: |
| Is it possible to drink magnesium in ampoules orally? |
| Is it possible to inject magnesium every day? |
| Is it possible to inject magnesium during menstruation? |
| Is it possible to inject magnesium at high blood pressure? Many doctors refuse to use magnesia for high blood pressure, since it sharply lowers it, but does not bring it back to normal, which is very important. A sharp decrease in pressure is dangerous, especially if the dosage of the main active ingredient is incorrectly calculated. The decrease in pressure should be smooth. Therefore, only a doctor can inject magnesium at high blood pressure and only in critical conditions of the patient. |
| Is it possible to inject magnesium at a fever? |
Found an error in the text? Select it and a few more words, press Ctrl + Enter
How much and what is done with magnesium?
- How much does magnesium cost?
- How many times a day can you inject magnesium?
| How much does magnesia cost? 25 g of powder – 15-18 rubles. 20 g of powder – 4-9 rubles. 10 g of powder – 3-8 rubles. |
| How many days do you take magnesium drops during pregnancy? |
| How long does a magnesium injection last? |
| How many times can you do magnesia? |
| How many times a day can you inject magnesium? Magnesia injections are given no more than 1-2 times a day. |
Home » Terms » What and how much you can and cannot do with magnesium
Magnesia or Magnesium sulfate is a drug that is a vasodilator and has a wide range of therapeutic effects. The drug can be used orally, or can be administered by injection (intravenously and intramuscularly).
Magnesia is available in the form of a solution for injection and in the form of a powder for the preparation of a suspension. The powder can be purchased in packages of 10 g, 20 g, 25 g and 50 g. Ampoules with solution are available in volumes of 5 ml, 10 ml, 20 ml and 30 ml. The concentration of Magnesium sulfate in ampoules can be 20% and 25%.
Magnesia is used for a wide variety of pathological conditions, as it has the following properties:
Helps reduce agitation, irritability and anxiety (sedative effect). As the dose increases, the drug's hypnotic effect develops.
Promotes the removal of fluid from the body due to its diuretic effect (diuretic effect).
Promotes relaxation of the muscle layer of arterial walls, thereby expanding their lumen (arteriodilatating effect).
Helps eliminate seizures (anticonvulsant effect).
Helps lower blood pressure (hypotensive effect).
Helps eliminate pain caused by muscle spasms (antispasmodic effect).
Helps reduce the excitability of myocytes, normalizes ionic balance (antiarrhythmic effect).
Helps prevent the formation of blood clots, protects the cardiovascular system from damage (cardioprotective effect).
Promotes increased blood flow in the uterus due to the expansion of its vessels, inhibits the contractility of the uterine muscles (tocolytic effect).
Helps eliminate intoxication of the body in case of poisoning with salts of heavy metals, acting as an antidote.
Due to such an extensive list of therapeutic effects, magnesia is prescribed for the following conditions:
Hypertensive crisis with signs of cerebral edema;
Convulsions in eclampsia, severe preeclampsia;
Relieving strong contractions of the uterine muscles;
Increased need for magnesium, acute hypomagnesemia;
Intoxication of the body with heavy metals, including mercury, arsenic, tetraethyl lead.
If we consider the oral use of magnesia, it is possible to achieve a laxative and choleretic effect, since the drug with this method of administration is not absorbed into the systemic bloodstream.
Therefore, the indications for oral use of magnesium are:
Cleansing the intestines to diagnose its condition.
Due to the fact that magnesia is widely used in medical practice, patients should know when this drug can and cannot be prescribed:
Is it possible to inject magnesium intramuscularly?
Magnesia can be injected intramuscularly. However, injections of the drug are quite painful, so doctors prefer to use the drug for intravenous administration. To reduce pain during intramuscular injections, it is recommended to mix magnesia with Novocaine. The dosage is selected individually, depending on the indications.
Indications for intramuscular administration include: high blood pressure and hypertensive crisis, gestosis, tetany, epileptic seizures, poisoning with heavy metal salts, urinary retention.
The drug is injected deep into the muscle, so the syringe needle should not be less than 4 cm. The drug should be injected slowly. If Novocaine is used for pain relief, it is mixed in one syringe. For one ampoule of magnesia (20-25%), take one ampoule of Novocain (1-2%). You should not practice self-administration of the drug, as this risks the development of serious side effects.
Is it possible to inject magnesium during pregnancy?
You can inject magnesium during pregnancy. However, the drug is used only if the possible benefits of its use outweigh the possible risks to the health of the woman and child.
Moreover, during pregnancy, magnesium is used only by injection. The amount and concentration of the drug depends on the severity of the patient’s condition. Most often, a single dose is 20 ml, at a 25% concentration of magnesium solution.
So, during pregnancy the drug is prescribed for the following conditions:
There is a threat of premature birth, which is caused by increased muscle tone of the uterus.
Hypomagnesemia in a pregnant woman.
Complications of gestosis or high risks of their occurrence (convulsions and nephropathy).
In recent years, doctors have given preference to intravenous administration of magnesium to pregnant women, since intramuscular injections are very painful and during their administration it is necessary to use additional painkillers.
Is it possible to drink magnesium in ampoules orally?
Magnesia in ampoules is intended for intramuscular and intravenous administration. Therefore, the drug should not be taken orally. For this purpose, it is necessary to use magnesium powder.
Is it possible to inject magnesium every day?
You can inject magnesium every day only if this recommendation is a medical prescription. The drug is used to relieve unwanted symptoms, so its administration is stopped after they can be stopped and the patient’s condition returns to normal.
Most often, pregnant women with a threat of miscarriage are prescribed a course of magnesium injections, which lasts from a week or more. In each case, the doctor determines the duration of treatment individually. Independent use of the drug is unacceptable.
Is it possible to inject magnesium during menstruation?
Magnesia can be injected during menstruation if the injections are prescribed by a doctor. Menstruation is not a contraindication for the administration of this drug.
Is it possible to inject magnesium at high blood pressure?
The indication for magnesium injection at high blood pressure is only a hypertensive crisis accompanied by signs of cerebral edema. Therefore, in case of high blood pressure, magnesium injections, as a rule, are given only by emergency doctors. It should be remembered that magnesium is not used to treat arterial hypertension. The drug is a symptomatic remedy that, when administered intravenously, very quickly reduces blood pressure. A hypertensive crisis is an emergency condition that is accompanied by a sharp jump in systolic and diastolic pressure and develops on average in 1% of patients with hypertension.
Many doctors are reluctant to use magnesia for high blood pressure, since it sharply lowers it, but does not bring it back to normal, which is very important. A sharp decrease in pressure is dangerous, especially if the dosage of the main active ingredient is incorrectly calculated. The decrease in pressure should be smooth. Therefore, only a doctor can inject magnesium at high blood pressure and only in critical conditions of the patient.
Is it possible to inject magnesium at a fever?
Injections of magnesium at elevated body temperatures can only be done in a hospital setting. If a person has a fever, this most often indicates some kind of disease. In this case, it is necessary to find out what exactly caused this reaction of the body, and then decide on the possibility of using magnesia. In addition, the drug is most often used for serious pathological conditions, so only a doctor can decide on the possibility of administering magnesium injections at elevated body temperatures.
Magnesia is used to relieve many pathological conditions, but this drug, if administered incorrectly or if the dosage is not observed, can be harmful to health:
How much does magnesium cost?
The price of magnesia is low, the drug is available to almost every person. The cost depends on the dosage of the drug, the form of its release and the concentration of the solution. It is possible that prices at different sales points will differ slightly, however, the average price for magnesia is as follows:
25 g of powder – 15-18 rubles.
20 g of powder – 4-9 rubles.
10 g of powder – 3-8 rubles.
10 ampoules of 25% solution, 5 ml each – 18-22 rubles.
10 ampoules of 25% solution, 10 ml each – 27-45 rubles.
How many days do you take magnesium drops during pregnancy?
The duration of use of magnesia during pregnancy is absolutely individual. Sometimes the drug is prescribed once to stabilize a woman’s condition. In some cases, especially with severe gestosis, a course of drips is prescribed, which most often consists of 10 days. In any case, the duration of treatment will be determined by the doctor, focusing on the patient’s well-being.
How long does a magnesium injection last?
The duration of action of a magnesium injection depends on how the drug was administered. When administered intravenously, the effect lasts for 30 minutes, and when administered intramuscularly, it lasts for a period of 3 to 4 hours.
If magnesia was administered intravenously, the effect occurs almost instantly, and if intramuscularly, then after an hour.
How many times can you do magnesia?
If the patient has no contraindications to the administration of magnesia, then it can be done as many times as the patient’s condition requires.
Update: October 2018
Before you give an intramuscular injection into the buttock yourself, make sure that it is impossible to call a nurse from the clinic or a medical worker living nearby. In case of urgent need, it is possible to give an injection yourself, but subject to certain rules.
Preparatory stage
Before the first injection, you should purchase all the necessary attributes:
- syringes - specially designed for intramuscular injection, with a long needle and a volume of 2 to 5 cubes (cm3);
- medicine prescribed by the doctor– in solution or powder (requiring additional dilution);
- cotton pads, balls or sterile medical cotton wool;
- antiseptic solution- “Miramistin”, “Chlorhexidine”, special wipes or solutions for injections, in the worst case - vodka, alcohol cologne will do.
Rubbing alcohol is more difficult to obtain - it is sold in small bottles and requires a doctor's prescription.
Training stage
Any children's soft toy is suitable as a training object. The main thing is that she has a clearly defined cherished area - the gluteal region. With her face down, mentally divide one of the buttocks into four parts - quadrants. The center of the upper right (on the right buttock) or upper left (on the left) will be the area into which the needle must be inserted.
You should take the syringe with the needle in your right hand and try to insert the needle with one light push (pop). The syringe is in a vertical position above the buttock. The problem is precisely the moment of puncture - then the needle enters unhindered.
Exactly the same sensation occurs when injections are made into a person’s muscles – an obstacle in the form of skin and easier passage of muscle tissue.
Introduction rules
Choosing an injection site within the outer upper quadrant of the buttock implies:
- avoiding repeated injections into areas that have already been compacted and previously stabbed,
- in moles, hemangiomas,
- clearly translucent capillaries.
In order to correctly give an intramuscular injection into the buttock, you need:
- Wash your hands thoroughly with soap. If your nails are manicured (long, with gel overlays), then the area under them should be washed with a special brush. The space under the nails is a place of massive accumulation of all pathogenic bacteria.
- Take three balls (cotton pads).
- Soak the first ball in an antiseptic solution and thoroughly wipe your hands (not forgetting your nails).
- Open the package with the syringe. Without touching the needle cannula, carefully assemble it. Place on the table (in the package).
- If the drug is contained in an ampoule, then take a second ball and moisten it with an antiseptic. Carefully apply it to the top of the ampoule (provided there is a factory cut, indicated by a dot), and break it. If necessary, you can file the head of the ampoule with a special file (comes with the medication).
- The syringe is removed and the cap is removed. The needle is inserted into the ampoule (without touching its walls and bottom), and the medicine is drawn out. They get rid of excess air by gently squeezing it out using a piston.
- The third ball is used to wipe the area of the future injection. The hand is pulled back a little - three to five centimeters and the injection is given with a slight clap. The injection site is chosen in advance - you can draw a dot on it with iodine to make the task easier.
- After administering the medicine, press the area where the needle entered with a cotton ball, then remove it. Keep the cotton pad for about another minute.
- The injection site must be constantly changed to prevent the formation of hard areas. Doctors recommend drawing an iodine grid on the skin from the first injection - as a warming up and additional disinfection.
- If the drug is in powder form, the procedure is increased by one step. The ampoule with the solution is opened in the same order, the protective foil is removed from the bottle cap, and the rubberized cap is disinfected with an antiseptic. The liquid collected in the ampoule is introduced into the bottle, the contents are thoroughly mixed (separating the syringe from the needle at this moment is strictly prohibited). After obtaining a homogeneous liquid, the contents of the bottle are drawn into a syringe, and further administration proceeds according to the usual pattern.
After the injection, all used pellets and syringes must be disposed of.
Basic mistakes
- Incorrect insertion angle– intramuscular injections are always carried out at an angle of 90 degrees. If the parameters change, the medicine will enter the subcutaneous fat and will not have the necessary effect.
- Slow, deliberate insertion of the needle– causes excruciating pain and subsequent hysterical fear of injections.
- Pulling the needle out at a different angle– a change in direction risks a broken needle tip and a subsequent visit to the trauma center to remove it.
- Violation of the rules of asepsis and antisepsis. Poorly washed hands and insufficiently cleaned injection site will cause a local inflammatory reaction with the formation of pus, necrosis and the need for long-term treatment with antibiotics (also in the form of injections). The worst option is surgical excision of dead tissue of the buttocks, scars and scars in their place (see).
- Incorrect procedure– a “successful” hit to the sciatic nerve will tell the victim how wheelchair users feel. The sensitivity of the affected limb can be restored from 4 to 48 hours. All this time the leg will not obey - it is impossible to stand on it, bend it.
- Permanent injections at one point– will cause spontaneous scarring, which will require long-term physiotherapeutic procedures for recovery. The worst outcome is surgical removal of the problem area.
The above mistakes are among the most common; in fact, the list is endless. Anyone who has given an intramuscular injection incorrectly quickly realizes that the injection instructions were not written by chance.
Where can the injection be given besides the buttock?
In medical practice, it is possible to carry out manipulations in the area of the thigh and arm. In both cases, a large fold is created with your free hand, into which the injection is made.
In reality, this type of intramuscular procedure is more painful and requires increased caution - if the technique is incorrect, blood vessels and nerve endings can be damaged. Before using these options, you need to learn the basic method.
How to do it without hurting
People's main fear of injections is due to pain or anticipation of it.
- To reduce it, the patient should be advised to relax the gluteal muscles as much as possible (therefore, it is advisable to administer intramuscular solutions to a person lying on his stomach on a flat surface).
- Drugs that cause pain when injected (for example, vitamin B12) should be administered slowly.
- Some of the dry substances (for example, the antibiotic Ceftriaxone) are diluted with local anesthetics (Novocaine, Lidocaine) to reduce pain.
- Before use, oil solutions (Progesterone, Testosterone) should be heated to 30-40 degrees Celsius using a water bath or an apparatus for heating solutions.
If a lump forms at the injection site or it is desirable for the bruise resulting from damage to the capillary to resolve faster, then:
- use iodine mesh,
- heparin or troxevasin ointment (the latter are applied to the area in a thin layer twice a day for no longer than a week),
- Alcohol compresses resolve infiltrates and hematomas quite well.
Errors and subtleties of injections
- If not all the air was removed from the syringe in preparation for the manipulation, then its entry into the muscle usually does not end in anything interesting. Risks of air embolism exist only for intravenous and intra-arterial procedures.
- In the case where the vessels are too close to the surface of the buttock or the needle has entered the capillary, droplets of blood can be seen after it is removed. This is more of an unfortunate misunderstanding than an injection error. Before removing the needle, you should hold the antiseptic napkin at the injection site with your finger a little longer: with a normal coagulation system, such bleeding stops in a couple of minutes.
- If the buttock is too strong, and the needle suddenly somehow miraculously bent during insertion, there is no need to re-prick. Upon completion of the injection, the slightly crooked needle is removed in the standard manner.
- If the needle was successfully injected, but the syringe came off it, this also does not threaten the person being injected. Some nurses, out of professional bravado, inject themselves first with only a needle, then attach a syringe with a solution to it.
- It is not recommended to give injections into the thigh and shoulder at home, in patients with diabetes mellitus, in malnourished patients and in patients with bedsores on the buttocks.
- The height of virtuosity is to give intramuscular injections to yourself. There are clear advantages here for people with good physical fitness and a thin waist. They can easily twist their upper body so as to prick themselves in the upper-outer part of the buttock. You can use a large mirror for the same purpose, using the reflection in which it is convenient to mark the injection site. But for people with substantial dimensions, injections into the anterior thigh are less safe.
The video perfectly demonstrates the technique of giving an injection in the buttock.