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Kerala State Drug Formulary.pdf

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<strong>Drug</strong>s used in diseases of kidney and urinary tract<br />

Potassium citrate<br />

I: Other uses-relief of discomfort in mild UTI,to prevent<br />

recurrence of urinary stones<br />

C/I: Metabolic or Respiratory Acidosis<br />

P/C: Potassium containing salts to be avoided in renal<br />

failure.<br />

A/E: Hyperkalemia on high dosage<br />

Dose: Adult oral 15 ml tds,Child oral 5 ml tds<br />

Sodium bicarbonate<br />

I: same as above drug<br />

P/C: Sodium containing drugs are to be used with caution<br />

in patients with oedema and CCF<br />

A/E: Hypokalemia and metabolic alkalosis in patients with<br />

renal impairment<br />

P/A: Tablet 300mg(1 mmol=84 mg)<br />

Dose: Oral 1-10 mmol/Kg/day in divided doses.<br />

ASCORBIC ACID<br />

I :<br />

278<br />

Dose:<br />

Alprostadil<br />

I :<br />

C/I :<br />

P/C :<br />

ACIDIFICATION OF URINE<br />

Infection by urease splitting organisms especially<br />

proteus, presence of stones, catheter induced mixed<br />

infections. <strong>Drug</strong> used include<br />

4 g daily in divided doses.<br />

DRUGS FOR IMPOTENCE<br />

Erectile dysfunction, neonatal congenital heart<br />

defects.<br />

Predisposition to prolonged erection; not for use with<br />

other agents for erectile dysfunction, in patients with<br />

penile implants or when sexual activity medically<br />

inadvisable; urethral application also contraindicated<br />

in urethral stricture, severe hypospadia, severe<br />

curvature, balanitis, urethritis.<br />

Priapism—patients should be instructed to report any<br />

erection lasting 4 hours or longer-anatomical<br />

deformations of penis—fol1ow up regularly to detect<br />

signs of penile fibrosis.

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