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Sodium nitrite and sodium thiosulfate Intravenous and Methemoglobinemia/hypotension

Result of checking the interaction of drug Sodium nitrite and sodium thiosulfate Intravenous and disease Methemoglobinemia/hypotension for safety when used together.

Check result:
Sodium nitrite and sodium thiosulfate Intravenous <> Methemoglobinemia/hypotension
Relevance: 23.07.2019 Reviewer: Shkutko P.M., M.D., in

When checking interaction based on authoritative sources Drugs.com, Rxlist.com, Webmd.com, Medscape.com there are contraindications or side effects that may cause harm or increase the negative effect from drug use in presence of concomitant diseases.

Consumer:

Sodium nitrite causes hypotension and methemoglobin formation, which diminishes oxygen carrying capacity. Hypotension and methemoglobin formation can occur concurrently or separately. Sodium nitrite should be used to treat acute life-threatening cyanide poisoning but be used with caution in patients where the diagnosis of cyanide poisoning is uncertain. Patients should be closely monitored to ensure adequate perfusion and oxygenation during treatment with sodium nitrite. Alternative therapeutic approaches should be considered in patients known to have diminished oxygen or cardiovascular reserve (e.g., smoke inhalation victims, preexisting anemia, cardiac or respiratory compromise), and those at higher risk of developing methemoglobinemia (e.g., congenital methemoglobin reductase deficiency) as they are at greater risk for potentially life-threatening adverse events related to the use of sodium nitrite.

References:
  • "Product Information. Cyanide Antidote Kit (sodium nitrite)." Lilly, Eli and Company, Indianapolis, IN.
Sodium nitrite and sodium thiosulfate Intravenous

Generic Name: sodium nitrite / sodium thiosulfate

Brand Name: Nithiodote

Synonyms: Sodium nitrite and sodium thiosulfate, Sodium Nitrite and Sodium Thiosulfate