Glycerine + Vitamin C Pharmacology
Glycerine + Vitamin C
Glycerine
Metabolism: Metabolized in the liver, kidney, and other tissues.
Excretion: Excreted through urine.
1.Nausea
2.Vomiting
3.Headache
4.Confusion
5.Disorientation
6.Dehydration
7.Amnesia in elderly people
Rectal administration :
1. Griping
2. Diarrhea
3. Nausea
4. Vomiting
5. Perianal irritation
6. Abdominal cramps
7. Weakness
8. Dizziness
9. Syncope
Ophthalmic administration :
1. Irritation
2. Pain
1. Hypersensitivity to Glycerine
2. Severe dehydration
3. Anuria
4. Congestive heart failure
5. Pulmonary edema
6. Hypervolemia
Rectal administration is contraindicated in:-
1. Signs of appendicitis
2. Acute surgical abdomen
3. Fecal impaction
4. Intestinal obstruction
5. Undiagnosed abdominal pain
2. Diabetes
3. Cardiac disease
4. Renal impairment
5. Hepatic impairment
6. Hemolytic anemia
7. While using oral glycerol drink plenty of fluid concomitantly
2. As osmotic diuretic
3. As Emollient
4. Constipation
4. To reduce intraocular or intracranial tension
5. Glaucoma
As osmotic diuretic: 1.5g/kg as oral solution.
Topical:
Emollient: Apply a 50% solution over dry and chapped skin
Orally or per Rectum:
For evacuation: 50 to 75% Glycerine per rectum or orally.
Adults and children > 6 years: Insert 1 suppository; high in the rectum and retain for 15 minutes. Alternatively, 5-15 ml can be used as an enema.
Children < 6 years: Insert 1 infant suppository 1-2 times daily as needed. Alternatively, 2-5 ml as an enema may be used.
Neonates: 0.5 ml/kg/dose as an enema.
I.V.:
To reduce intraocular or intracranial tension: 10% Glycerine intravenously.
Oral: 1 to 1.8g/kg orally. Additional doses may be administered at 5 hour intervals. If used prior to ocular surgery, dosing should begin 1-1.5 hours before the procedure
For use during ophthalmic examination:
Adults: Instill 1 or 2 drops of Ophthalmic dosage prior to examination of edematous cornea.
Vitamin C
Distribution: Widely distributed both extracellularly and intracellularly, It crosses the placenta and also distributed in to the breast milk.
Metabolism: Metabolized in the liver; partly oxidized in to active dehydroascorbic acid and inactive metabolites.
Excretion: Inactive metabolites and extra drug is excreted through urine.
2. Acid urine
3. Renal calculi
4. Oxaluria
2. Ingestion of large doses during pregnancy has resulted in scurvy in neonates
2. Prophylaxis and treatment of vitamin C deficiency
3. As an antioxidant to maintain natural colour and flavour of food items
4. For acidification of urine
5. Capillary fragility
6. Dental caries
Warfarin: The anticoagulant effects of warfarin is reduced.
Lab Tests: Large doses (>500 mg) of vitamin C may cause false negative urine glucose determinations. May result in false negative amine dependent stool occult blood tests.
Adults: 50 to 1000mg/day depending up on the requirement.
Pregnancy and lactation: 100 to 150mg/day
Children: 30 to 100mg/day.
Scurvy:
Oral:
Adults: 1000mg twice daily to thrice daily.
Children: 300mg to 1000mg daily.
Sub clinical scurvy:
Oral, S.C., I.M., or I.V.: 100 to 250mg once daily or twice daily depending up on the severity of the condition. Then give a maintenance dosage of 50mg/day.
Children: 100 to 300mg depending up on the severity. Then give a maintenance dose of 35mg/day.
C (Parenteral)
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