A1,
A2,
B,
C1,
C2,
D,
E,
F,
G-H,
I-K,
L,
M,
N,
O,
P1,
P2,
Q-R,
S,
T,
U-V,
W-Z
Actidose Aqua Warnings, Precautions, Pregnancy, Nursing, Abuse - Actidose
Actidose Aqua Warnings, Precautions, Pregnancy, Nursing, Abuse - Actidose
WARNINGS
If patient has been given ipecac syrup, DO NOT give ACTIDOSE WITH SORBITOL
or ACTIDOSE-AQUA until after last vomiting episode. Do not use in persons
who are not fully conscious. Do not use this product unless directed by
a health professional, if turpentine, corrosives, such as alkalies (lye)
and strong acids, or petroleum distillates, such as kerosene, gasoline,
paint thinner, cleaning fluid or furniture polish, have been ingested.
This product is not recommended for use in children weighing less than
32 kg, or during multiple dose activated charcoal therapy since excessive
catharsis and significant fluid and electrolyte abnormalities may occur.
Keep this and all drugs out of the reach of children.
Do not use Actidose with Sorbitol or Actidose-Aqua in any person known
to have a rare autosomal recessive genetic intolerance to fructose. Do
not use Actidose with Sorbitol in patients who are dehydrated. Actidose
with Sorbitol may cause excessive diarrhea.
PRECAUTIONS
Actidose with Sorbitol and Actidose-Aqua should be used in a supervised
medical facility or under the direction of a physician or poison control
center.
Actidose with Sorbitol and Actidose-Aqua are adjuncts in the management
of poisoning emergencies. Prior to the use of activated charcoal, proper
basic life support measures must be implemented as well as the appropriate
gastric emptying technique if indicated.
When Actidose with Sorbitol or Actidose-Aqua are used to treat a poisoning
emergency, the patient and healthcare providers should be aware that activated
charcoal will produce black stools. These stools may be diarrhetic and
may persist for several hours.
Actidose with Sorbitol may produce a profound cathartic effect and proper
attention should be given to the patient’s fluid and electrolyte needs.
Actidose with Sorbitol should be used cautiously in patients receiving
multiple dose activated charcoal. If Actidose with Sorbitol is used at
each dosage interval, profound catharsis may develop which could result
in dehydration, hypotension and significant electrolyte and fluid abnormalities.
A study conducted in healthy adult human volunteers who ingested therapeutic
amounts of activated charcoal and sorbitol resulted in severe prolonged
diarrhea, but no significant changes were noted in serum electrolytes
or osmolality, BUN, or the metabolic profile as compared to the control.8
Gastrointestinal obstruction from activated charcoal may occur as a consequence
of toxin-induced antiperistaltic effects. Actidose with Sorbitol and Actidose-Aqua
should be used cautiously in patients who have been exposed to toxins
which interfere with gastrointestinal tract peristalsis (i.e., anticholinergics,
opioids, etc.). Bowel sounds should be frequently monitored to assess
peristaltic action, especially in patients under going multiple dose activated
charcoal therapy.
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