Jennifer Cameron FRCNA FACM
ProMid
Professional Midwifery Education Service
0419 528 717
----- Original Message ----- From: "B & G" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Sunday, November 21, 2004 7:46 PM
Subject: RE: [ozmidwifery] niphedipine
There are two forms of nifedipine - one sub-lingual and the other 20mg for oral ingestion. We use the 20mg oral ingestion every 20 minutes by 5 doses only. but I do know some places use the S/l dose but only 10mg. One brand was the green gel capsule that one could aspirate the solution and pop under the tongue - I haven't seen that for some time. If using please warn the women the side effects which can be very uncomfortable - flushing, heat, headache and sweats are the ones that first come to mind. A very potent vasodilating agent that lowers end diastolic pressures quickly.
-----Original Message----- From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On Behalf Of ID & AC Quanchi Sent: Sunday, 21 November 2004 4:32 PM To: [EMAIL PROTECTED] Subject: [ozmidwifery] niphedipine
we often have cause to use niphedipine for prem labour while awaiting transfer to a tertiary centre and usually do so under advice from the obstetric people at the receiving hospital which will be either RWH, Monash or Mercy ( in Victoria). They usually ask that the women chew the first dose to break open the enteric cover on the medication and allow it to be absorbed quicker. (Because of the enteric coating even putting it under the tongue is low if you dont crush it first) A second dose can be swallowed at the same time which will be absorbed more slowly as the coating disolves in the GI tract. The subsequent doses are then swallowed. If time is not important then swallowing all doses will be OK but I figure that when a woman is suspected to be contracting then the aim is to stop it asap and
time from ingestion to absorption needs to be hastened for the first dose.
Hope this helps but pharmacy at the big centres is always ready to help if you want to call them
Andrea Quanchi -- This mailing list is sponsored by ACE Graphics. Visit <http://www.acegraphics.com.au> to subscribe or unsubscribe.
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