23 träffar

DrugHigh-potency glucocorticoid with long duration
Betamethasone

…tablet allows a child with croup or a patient with an allergic reaction to receive a full steroid dose without an injection, and the long…

DrugConcentrated carbohydrate solution for acute hypoglycaemia
Glucose (concentrated, IV)

…line treatment for severe hypoglycaemia in a patient who cannot swallow and in whom intravenous access is available. The effect arrives within a minute but…

DrugAminobisphosphonate
Alendronate

…osteoporosis and the best-documented fracture-preventing treatment in primary care. Efficacy for vertebral and hip fractures is well established, but depends on the patient…

DrugCardiac glycoside
Digoxin

…and vagal AV-node slowing. Rate control fails under adrenergic stress — making it a poor choice for the active patient and a reasonable one for…

DrugNon-dihydropyridine calcium channel blocker (benzothiazepine)
Diltiazem

…registered — so oral and intravenous diltiazem require a named-patient licence. Verapamil or a beta-blocker is therefore the practical first choice for rate control…

DrugSynthetic catecholamine, β₁-agonist (inotropy)
Dobutamine

Dobutamin Hameln Synthetic catecholamine, β₁-agonist (inotropy) Pure inotropy when the problem is the pump and not vascular tone. Strong β₁ effect with marked β₂…

DrugPancreatic hormone, glycogenolytic agent and inotrope
Glucagon

…1 mg intramuscularly is the treatment that a family member can give when the patient cannot swallow and intravenous access is unavailable — the effect arrives…

DrugNMDA-receptor antagonist, dissociative anaesthetic
Ketamine

…and stabilises the circulation — the indirect sympathetic stimulation makes ketamine the first choice for induction in the bleeding, septic, or otherwise preload-dependent patient, and…

DrugSyntetiskt tyroideahormon (T4)
🇸🇪 Levothyroxine

…att patienten tar tabletten rätt. Ung och hjärtfrisk patient kan starta på full substitutionsdos omkring 1,6 μg/kg, medan äldre och patienter med…

DrugKarbapenem
🇸🇪 Meropenem

…Pseudomonas och anaerober, och penetrerar CNS tillräckligt för meningitbehandling. Just därför ett reservpreparat — varje dygn av meropenem driver karbapenemresistens som Sverige i dag i huvudsak…

DrugIntravenöst anestetikum, GABA-A-potentierare
🇸🇪 Propofol

…Propolipid Propofol-Lipuro Profast Intravenöst anestetikum, GABA-A-potentierare Standardpreparatet för anestesiinduktion och för sedering av respiratorpatienter — snabbt anslag, snabb uppvaknande även efter dygn av…

DrugFyrfaktorkoncentrat med faktor II, VII, IX och X
🇸🇪 Prothrombin complex concentrate

…och förstahandsval när warfarineffekt måste hävas omedelbart. Full effekt inom tio minuter och i en volym som en blödande patient tål, till skillnad från plasma…

DrugSynthetic vasopressin analogue (V2 agonist)
Desmopressin

…used for four entirely different indications with doses differing up to a hundredfold — antidiuretic substitution in central diabetes insipidus, symptom relief in nocturia and nocturnal…

DrugIndirect thrombin and factor Xa inhibitor via antithrombin
Heparin (unfractionated)

…choice in severe renal failure, in the bleeding-prone patient, and when surgery or thrombolysis may become necessary at short notice. The disadvantages are continuous…

DrugSelective If-channel inhibitor in the sinus node
Ivabradine

…rate control sits in the AV node and ivabradine is ineffective. Its place in treatment is the symptomatic patient with HFrEF who remains above 70…

DrugKompetitiv opioidreceptorantagonist
🇸🇪 Naloxone

…naloxon klingar av långt före metadon, depotoxikodon och de flesta fentanylanaloger, och en patient som vaknat till kan sjunka tillbaka i apné en halvtimme senare.

DrugIcke-selektiv COX-hämmare, propionsyraderivat med lång halveringstid
🇸🇪 Naproxen

…10–17 timmar, vilket gör att dosering morgon och kväll räcker för att hålla jämn effekt genom dygnet. Det passar tillstånd med kontinuerlig inflammatorisk smärta…

DrugDirect thrombin inhibitor (factor IIa)
Dabigatran

…eliminated renally, so renal function governs treatment entirely. Dyspepsia affects one in ten patients and is the most common reason for discontinuation in clinical practice.

DrugBroad-spectrum tetracycline
Doxycycline

…oral absorption and a long half-life make once-daily dosing possible. It is the standard choice in pneumonia in penicillin-allergic patients and in…

DrugSelective serotonin reuptake inhibitor (SSRI)
Escitalopram

…a dose-dependent QT prolongation was identified, and the maximum dose has since been capped at 20 mg for adults and 10 mg for patients…

DrugUltra-short-acting β₁-selective blocker
Esmolol

…With a half-life of 9 minutes and the effect gone 20–30 minutes after the infusion ends, it is useful in patients where beta…

DrugHigh-potency first-generation antipsychotic (butyrophenone)
Haloperidol

…psychotic agitation in younger patients, and tenths of a milligram in delirium in the elderly, where the lowest effective dose for the shortest possible time…

DrugSecond-generation H₁-antihistamine
Cetirizine

…poorly, but it is not entirely free of sedation: a distinct minority of patients become drowsy, and this should be asked about in professional drivers…