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Procyclidine Intravenous for Adults
Who can administer
May be administered by registered competent doctor or nurse/midwife
Important information
- Unlicensed preparation
Available preparations
Kemadrin 10mg per 2mL ampoule
Reconstitution
Already in solution
Draw up using a 5 micron filter needle
Infusion fluids
Not required - product ready for administration
Methods of intravenous administration
Slow intravenous injection
- Administer required dose over 3 to 5 minutes (ref 1)
Dose in adults
Acute dystonia
- A dose of 5 to 10mg is usually effective within five to ten minutes
- Occasionally, patients may need more than 10mg, and may require up to 30 minutes to obtain relief
- Advised daily maximum dose by intravenous injection = 20mg
- Elderly patients may require a reduction in dose
Other indications
- Similar doses are used intravenously as those given orally
- Usually given intravenously only when unable to take oral medications
- Elderly patients may require a reduction in dose
Storage
Store below 250C
References
SPC (UK) 16/05/2018
1: Medusa Injectable medicines Guide- downloaded 16/03/2022
2: BNF- accessed online via Medicines complete 20/10/21
Therapeutic classification
Anticholinergic