Ipecac syrup OTC

Digoxin Immune Fab (Digibind, DigiFab) Ipecac Syrup (OTC)... 

In the U.S., syrup of ipecac has long been valued as an emetic OTC agent in the treatment of poisonings, and it has been the primary form of decontamination in pediatric cases, both at home and in health-care facilities (see Chapter 55). 

IPECAC The most common household emetic is syrup of ipecac (not ipecac fluid extract, which is 14 times more potent and may cause fatalities). Syrup of ipecac is available OTC in 15 and 30 mL containers. The drug can be given orally, but it takes 15-30 minutes to produce emesis (comparable to the time required for adequate gastric lavage). The oral dose is 15 mL in children from 6 months to 12 years of age and 30 mL in older children and adults. Because emesis may not occur when the stomach is empty, administration of ipecac should be followed by a drink of water. 

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