Special care should be taken when using Vasomirin in patients at risk of intracranial hypertension; patients with a violation of water and / or electrolyte balance and patients with disorders in which the hyperhydration of the body can represent a danger, for example, a violation of kidney function, heart failure, cystic fibrosis or anesthesia.
Before the appointment of Vasomirin, the diagnosis of psychogenic polydipsia and alcoholism should be deleted.
The test for the concentration of kidneys in children under the age of 1 year should be performed only in a hospital.
To prevent fluid retention, care should be taken after conducting diagnostic tests to identify diabetes insipidus or to investigate the concentration ability of the kidneys. Do not force the injection of the fluid, either orally or parenterally, and patients should take as much fluid as they need to quench their thirst.
Do not use Vasomirin in case of mucosal changes such as scars, edema or other diseases, as this can lead to uneven and unreliable absorption of desmopressin.
In patients with nasal disorders, including catarrhal diseases, there is a risk of unstable and / or reduced efficacy of the drug. This can also be observed in patients engaged in this type of activity, in which the drug can be removed from the nasal cavity before it is sucked, for example, when swimming. The drug Vasomirin should not be administered to children who require doses less than 10 μg of desmopressin (in the form of hydrate acetate).
INFORMATION FOR PATIENT SPRAY VAZOMIRIN
Nasal solution Desmopressin acetate, 10 μg / dose.
Before using Vazomirin Spray, please read this insert carefully and follow these instructions.
1) Carefully blow your nose.
2) Remove the protective cap from the bottle.
3) When using the spray for the first time, fill the pump by pressing the index and middle fingers on the white ring while keeping the bottom of the bottle with your thumb (see Figure 1). Press 4 times in a row or until the spray starts to stand out evenly. Now the spray is ready for use.
4) Sitting or standing slightly move your head back and carefully enter the nasal applicator into one nostril (see Figure 2).
5) Regardless of the type of spray, press the index finger and middle finger on the white ring once, while keeping the bottom of the bottle with your thumb. When you enter the required dose, hold your breath.
6) If more than one dose is needed, repeat the 4th and 5th stages for the second nostril.
With an additional dose every time, change the nostril.
7) Attach the protective cap to the bottle.
8) Store at room temperature 15-30 ° C (59-86 ° F) in a dark place.
DO NOT KEEP THE SPRAY IN THE REFRIGERATOR.
IMPORTANT: Always keep and keep the bottle in an upright position.
If the spray has not been used within the last 7 days, it must be refilled. Before you enter the nasal applicator into the nostril, press several times on the white ring until the spray is evenly separated.
CAUTION: Headache, nausea and mild abdominal cramps are symptoms of an overdose. If necessary, consult your doctor to adjust the dose. Elderly patients and children under 12 years of age are recommended to limit fluid intake after dinner because of the increased risk of its delay in the body.
Spray Vasomirin is available in two forms: 2.5 ml (25 doses) and 5.0 ml (50 doses).