Diamorphine (HCl)

Diamorphine (HCl) is a narcotic analgesic (reliefes the pian with unconsciousness). It relieves moderate to severe pain. It produces feeling of well being.


Brands
Adult Dose
Dose: 0.071 to 0.143 mg/kg
Single Dose: 0.11 (0.107)
Frequency: 4 hourly
Route: IM
Instructions: -
Neonatal
Dose: 0.05 to 0.1 mg/kg
Single Dose: 0.075 (0.075)
Frequency: 4 hourly
Route: Intra Muscular
Instructions: -
Paedriatic
Dose: 0.05 to 0.1 mg/kg
Single Dose: 0.075 (0.075)
Frequency: 4 hourly
Route: Intra Muscular
Instructions: -
Characteristics
Diamorphine (HCl) also known as Diacetylmorphine HCl. . It is of Semi Synthetic origin and belongs to Opioid. It belongs to OPIATE agonist pharmacological group on the basis of mechanism of action and also classified in Analgesics and Anti-inflammatory Agents and Analgesic-Narcotic pharmacological group.The Molecular Weight of Diamorphine (HCl) is 423.90. Its pKa is 7.6.
Contraindications
Diamorphine (HCl) is contraindicated in conditions like Respiratory disease,Biliary colic,Raised intracranial pressure,Head injury.
Effects
The severe or irreversible adverse effects of Diamorphine (HCl), which give rise to further complications include Nephrotic syndrome, Pulmonary edema, Thrombocytopenic purpura, Renal amyloidosis, Rhabdomyolysis, Reduced GFR (glomerular filtration rate), Decrease in sexual desire.The signs and symptoms that are produced after the acute overdosage of Diamorphine (HCl) include Nausea, Vomiting, Pulmonary edema, ECG alterations, Confusion, Respiratory depression, Hypothermia, Miosis, Dysphoria, Sedation, Respiratory failure, Sinus tachycardia, Rhabdomyolysis.The symptomatic adverse reactions produced by Diamorphine (HCl) are more or less tolerable and if they become severe, they can be treated symptomatically, these include Nausea, Vomiting, Constipation, Dry mouth, Pruritus, Sedation, SweatingX, Miosis, Respiratory depression, Euphoria, Mental clouding, Calmness, Hypothermia, Spasm of the sphinctor of oddi, Hypertension, Dependence, Dry mouth.
Indications
Diamorphine (HCl) is primarily indicated in conditions like Chronic pain, Cough, Opioid agonist dependence, Severe acute pain.
Interactions
No data regarding the interactions of Diamorphine (HCl) was found.
Interfrence
Interfere with the quantification of morphine by radioimmunoassay.
Risks
Drug should not be given to Pregnant Mothers, patients suffering from Kidney dysfunction, patients suffering from Liver Malfunction, Geriatrics, and Neonates.If prescribing authority justifies the benefits of the drug against the possible damages he/she should reevaluate them and consult the reference material and previous studies.
Storage
Inj Store Below 30°C. Protect from Sunlight.
Warnings
The long term administration of diamorphine will result in physical dependence and therefore an obstinence syndrome will occur if diamorphine therapy is abruptly discontinued. Therefore gradually reduces the dosage regimen to prevent the obstinence syndrome. The dose and dosing interval of diamorphine must be titrated against the individual patient reports of their pain.
Back to List

Any information that appears on this website page is provided for the purpose of general information. This website has been compiled in good faith by HMIS.Online. However, no guarantee is made as to the completeness, validity or accuracy of the information it contains.