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What are the main indications of Phentolamine Methanesulfonate?
Phentolamine methanesulfonate is a medicine commonly used by physicians, and its main treatment is quite extensive.
First, it is used for the diagnosis and treatment of pheochromocytoma. People with pheochromocytoma often secrete too much catecholamine, causing blood pressure to rise sharply. Phentolamine methanesulfonate can block alpha receptors, reduce blood pressure, relieve hypertensive crisis caused by excessive catecholamine, and help physicians diagnose this tumor.
Second, it is aimed at refractory congestive heart failure. Heart, such as a pump, when heart failure, pumping blood is weak. This drug can dilate blood vessels, reduce the load before and after the heart, increase cardiac output, improve cardiac function, and relieve asthma, edema and other diseases in patients.
Third, it is also useful in the field of anti-shock. During shock, the whole body has microcirculation disorder and blood vessels constrict. Phentolamine methanesulfonate can dilate blood vessels, improve microcirculation, increase tissue perfusion, provide nutrients and oxygen to the body, and help shock patients recover.
Fourth, it is also effective for male erectile dysfunction. It can relax the smooth muscle of the corpus cavernosum of the penis, increase blood flow to the corpus cavernosum, and make the penis erect, which is difficult for many patients to explain.
When using this medicine, doctors should carefully observe the patient's condition, weigh the pros and cons, and prevent adverse reactions to achieve the best curative effect.
What are the side effects of Phentolamine Methanesulfonate?
Phentolamine methanesulfonate is a medicine commonly used by physicians. Although it is effective in healing diseases, there are also various side effects.
One is related to the vascular system. After taking the drug, it is common to see blood vessels dilate, causing a sudden drop in blood pressure. This can cause dizziness, dizziness, and even fainting. If the patient is already weak, or has low blood pressure, the harm is even worse. The blood pressure drops suddenly, the blood supply to the brain is insufficient, and the spirit is disnourished, so he is dizzy and ready to serve.
Second, the heart is also tired by it. It can cause rapid heartbeat and palpitations. The heart is the official of the monarch, and the gods are absent. The heartbeat is abnormal, and people are panicked and can't sit still. This is because the drug affects the electrophysiological activity of the heart and causes heart rhythm disorder.
Third, it is related to the stomach. It is easy to cause nausea, vomiting, abdominal pain and other diseases. Those with the spleen and stomach are the officials of the warehouse, and the five flavors come out. Drug stimulation, the spleen and stomach are abnormal in transportation, the clear qi does not rise, and the turbid gas does not fall, so they vomit and suffer from abdominal pain.
Fourth, it also affects the nervous system. Or cause the patient to have headache and fatigue. The brain is the sea of marrow, the meeting of all yang. Drug disturbance, the brain is restless, and the yang qi is not vibrating, so the headache and fatigue are weak.
When a doctor uses this drug, when the patient's physical condition is carefully reviewed, the pros and cons are weighed, and the strategy is complete, and it must not be careless.
How to use Phentolamine Methanesulfonate
Phentolamine methanesulfonate is a medicine commonly used by physicians for the treatment of diseases. Its usage varies depending on the disease, and is described as follows:
If used for the diagnosis and treatment of pheochromocytoma, before surgery, it is advisable to do a diagnostic test with phentolamine methanesulfonate. Take 5 mg of this medicine, dilute it with an appropriate amount of water, and slowly inject it intravenously. After injection, closely observe the changes in blood pressure and other signs. In order to relieve the hypertensive crisis caused by pheochromocytoma, 5 mg can also be injected intravenously to quickly lower blood pressure and relieve the patient's urgency.
When used for anti-shock, it aims to improve microcirculation and improve tissue perfusion. Usually 10-20 mg of phentolamine methanesulfonate, added to 500 ml of 5% glucose injection, intravenous drip. During the drip process, close attention should be paid to the patient's blood pressure and heart rate, and the drip rate should be adjusted according to the condition.
In the treatment of heart failure, this drug can reduce the load on the heart before and after. Generally, 10-20 mg of phentolamine methanesulfonate, added to 250-500 ml of 5% glucose injection, is injected intravenously at an appropriate speed to help the heart restore its ability to pump blood.
When using this drug, the doctor must carefully observe the patient's condition and weigh the pros and cons. Because it may cause adverse reactions such as hypotension and tachycardia. When used properly, it can save the patient from the pain. If you are not careful, you may be afraid of other changes. Therefore, when using medication, you must be cautious and always pay attention to the patient's response in order to be safe.
What are the contraindications of Phentolamine Methanesulfonate?
Phentolamine methanesulfonate is contraindicated in the following categories.
Pregnant women should not use it. This drug is used during pregnancy, or there is a potential risk to the fetus. Due to the different physical conditions of pregnant women, fetal development depends on the stability of the mother's environment. After the drug is absorbed by the mother, or through the placental barrier, it affects the fetus, resulting in abnormal development. Therefore, pregnant women must avoid this drug to protect the health of the fetus.
It is also not suitable for breastfeeding women. Drugs are secreted through milk, and when the baby sucks breast milk, or ingests drug ingredients. Infant viscera is delicate, liver and kidney function is not complete, it is difficult to metabolize foreign drugs in time, easy to cause drug accumulation, cause adverse reactions, damage the baby's health, so breastfeeding women should be used with caution.
People with severe arteriosclerosis should not use this drug. Such patients have blood vessel wall elasticity, lumen stenosis, and phentolamine methanesulfonate may affect blood vessel tension, cause hemodynamic changes, or lead to serious complications, such as cerebrovascular accident, myocardial infarction, etc., life-threatening.
Those with a history of gastric ulcer should also be cautious. This drug may affect gastrointestinal peristalsis and gastric acid secretion, and has a stimulating effect on gastric mucosa. People with gastric ulcers, the gastric mucosa is already damaged, the use of this drug, or make the ulcer surface enlarged, aggravated, and even cause serious consequences such as gastric bleeding.
Patients with hypotension are also contraindicated. Phentolamine methanesulfonate has the effect of lowering blood pressure. If used in people with hypotension, the blood pressure may drop even lower, causing insufficient blood supply to the brain, heart, kidney and other important organs, causing dizziness, palpitations, oliguria and other symptoms, and in severe cases, shock.
Phentolamine Methanesulfonate Interacts with Other Drugs
Phentolamine Methanesulfonate is a commonly used drug and has many clinical applications. Its interaction with other drugs is crucial, which is related to the safety and efficacy of the drug.
In terms of its interaction with cardiovascular drugs, if it is used in combination with antihypertensive drugs, or the antihypertensive effect is enhanced, blood pressure will drop excessively, causing dizziness, fatigue, and even fainting and other hypotensive symptoms. Taking nifedipine as an example, when the two are used in combination, the effect of vasodilation is superimposed, and the risk of sudden drop in blood pressure is greatly increased. Therefore, when combined, blood pressure needs to be closely monitored and the dose adjusted in a timely manner.
When used in combination with sympathetic amine drugs such as epinephrine, phentolamine methanesulfonate can antagonize some of its effects. Adrenaline has the ability to raise blood pressure and excite the heart. However, phentolamine mesylate can block the vasoconstrictive effect of adrenaline, weaken the blood pressure-boosting effect, and the interaction between the two on the heart, or increase the probability of arrhythmia.
Furthermore, when combined with digitalis cardiotonic glycosides, phentolamine mesylate can enhance myocardial contractility, and digitalis also has a cardiotonic effect. When used in combination, myocardial contractility is excessively enhanced, cardiac self-discipline changes, and arrhythmia is easily induced. In clinical application, the cardiac condition of patients should be carefully evaluated and ECG monitoring should be strengthened.
In addition, when used with hypoglycemic drugs, phentolamine mesylate may affect blood sugar metabolism and interfere with the efficacy of hypoglycemic drugs. When diabetic patients use these two types of drugs, they need to closely monitor blood sugar levels and adjust the dose of hypoglycemic drugs in time to prevent blood sugar fluctuations.
In short, phentolamine mesylate interacts with many drugs. When using clinical drugs, doctors must carefully observe the patient's medication history, weigh the pros and cons, choose drugs reasonably, adjust the dose accurately, and closely monitor the patient's response to ensure the safety and effectiveness of the medication.