DDAVP nasal drops are administered into the eye or into the nose. Adverse reactions are listed according to the following categories: Very rare: emotional disturbance in case of nocturnal enuresis Very rare: allergic and hypersensitivity reactions (e.g. In case of weight increase or plasma sodium level <130mmol/L or plasma osmolality < 270mOsm/kg: the fluid intake should be limited as much as possible and the administration of desmopressin should be discontinued.Following diagnostic testing for diabetes insipidus or renal concentration capacity, care should be taken to prevent fluid overload. The terminal half-life was 2.8 hours in subjects with normal renal function, 4.0 hours in mild renal impairment, 6.6 hours in moderate renal impairment and 8.7 hours in severe renal impairment. At 8 hours after dose intake, the levels in the milk ranged between 4.16 and 101 pg/ml, and the plasma levels ranged between 40 and 242 pg/ml. One actuation of 0.1 ml delivers 10 micrograms of desmopressin acetate trihydrate. due to lithiumThe desmopressin test is carried out preferably in the morning. Desmopressin is poorly transferred into human breastmilk at negligible amounts A trial was conducted in six healthy lactating women, at greater than 4 months postpartum, to evaluate intranasal administration of 300 mcg single dose of another desmopressin product (7.5 times the recommended adult dose of desmopressin acetate nasal solution (nasal spray)). Desmopressin should be used with caution in pregnant women. When a higher dose is needed, spray alternately into each nostril.After use, replace the protective cap and store the bottle upright.- Hypersensitivity to desmopressin or any of the excipients listed in section 6.1.- Primary polydipsia and polydipsia due to alcohol abuse.- Hyponatraemia or risk of developing hyponatraemia.- Cardiac insufficiency and other conditions requiring treatment with diuretic agents.- Syndrome of inappropriate secretion of antidiuretic hormone, because this syndrome is associated with dilutional hyponatraemia.- Polyuria without objective diagnostic of central diabetes insipidus Desmopressin should be used with caution in patients with coronary heart disease, hypertension and severe hypertension or fluid and electrolyte imbalance (such as patients with renal impairment or cystic fibrosis patients). Desmopressin acetate nasal solution (nasal spray) is not indicated for:Must prime the spray pump prior to the first use. It contains a clear, colourless solution of desmopressin acetate 0.1mg/ml. In the distal renal tubules and collecting ducts of the kidneys, desmopressin increases the permeability for water and thus water reabsorption from the primary urine. The antidiuretic effects of desmopressin are mediated by stimulation of vasopressin 2 (V2) receptors, thereby increasing water re-absorption in the kidney, and hence reducing urine production. It has been shown that desmopressin does not pass the blood-brain-barrier.Non-clinical data reveal no special hazard for humans based on conventional studies of safety pharmacology, genotoxicity and toxicity to reproduction.Impairment of renal function, with a rise in serum creatinine as well as hyaline degeneration of tubule epithelia, has been demonstrated in rats at a daily dose of 47.4 micrograms /kg body weight, i.e. The latter approach can be difficult in some pets. For Aspire livery stock (Desmopressin 0.1 mg/ml Nasal Spray, PL 03194/0090), please contact customerservices@aspirepharma.co.uk 01730 231148 All cases of suspected cerebral oedema require immediate admission for intensive care measures. Initially 50 micrograms 2–3 times a day, adjusted according to response; usual dose 100–800 micrograms daily. In patients with coronary heart disease angina pectoris may occur. A significant decrease in urine osmolality along with a significant decrease in urine volume is indicative of central insipidus. Colourless solution of desmopressin treatment bioavailability of desmopressin in patients with renal impairments may theoretically increase the of... Following undesirable effects of desmopressin in patients with renal impairments may theoretically increase the risk of hyperhydration retrieve! In patients with renal impairments may theoretically increase the risk of water electrolyte! 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