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Vasopressin variceal hemorrhage

Vasopressin, alone or in combination with nitroglycerin, can no longer be recommended as first-line therapy for the management of variceal hemorrhage. Vasopressin causes nonselective vasoconstriction and can result in hypertension, severe headaches, coronary ischemia, myocardial infarction, and arrhythmias. [Pg.258]

Trade names Glypressin (IS Pharma) Haemopressin Lucassin Terlipressin (Ferring) (Bissendorf Peptide) Variquel Indications Esophageal variceal hemorrhage Category Vasopressin agonist Half-life 50-70 minutes... [Pg.560]

Imperiale TF, Teran JC, McCullough AJ. A meta-analysis of somatostatin vs vasopressin in the treatment of acute esophageal variceal hemorrhage. Gastroenterology 1995 109 1289-1294. [Pg.710]

I. V. Infusion The intravenous infusion of vasopressin (Pitressin), the preferred treatment for bleeding from esophageal varices, is at times effective in the management of diffuse gastrointestinal hemorrhage as seen in patients with leukemia and lymphoma. Vasopressin causes vasoconstriction and contraction of the bowel wall smooth muscle. It also has a weak antidiuretic effect. Once the site of bleeding has been identified, an infusion of vasopressin is started at a rate of 0.2 units/min which can be increased in 0.1 unit increments up to 0.6 units/min which is seldom used. This dose can result in intestinal myocardial and/or peripheral vascular ischemic complications. [Pg.200]


See other pages where Vasopressin variceal hemorrhage is mentioned: [Pg.1331]    [Pg.1508]    [Pg.245]    [Pg.700]    [Pg.701]    [Pg.701]    [Pg.508]   
See also in sourсe #XX -- [ Pg.116 ]




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