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APO-DESMOPRESSIN

Posted Thursday 07 August 2008 - 08:19 AM by David Chan ( HIGH significance )

ATC Code

H01BA02

Warning

Association of increased risk of hyponatremia/water intoxication with all intra-nasal spray formulations of the antidiuretic drug desmopressin (including Apo-Desmopressin Spray).

Apotex Inc., in collaboration with Health Canada, wishes to advise you that all intranasal formulations of the antidiuretic drug desmopressin, including Apo-Desmopressin Spray, are now contraindicated for the treatment of Primary Nocturnal Enuresis, as international post-market data has indicated intranasal formulations of desmopressin are associated with greater risk of hyponatremia than oral formulations. Hyponatremia is a serious, potentially fatal, adverse reaction caused by water retention resulting from the potent antidiuretic effect of desmopressin. If unrecognized, hyponatremia can lead to seizures and death.

Evidence

Good

Reference

http://www.hc-sc.gc.ca/dhp-mps/medeff/advisorie...

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