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Thiamine
thiamine
| Question | Answer |
|---|---|
| GENERIC NAME | None |
| BRAND NAME | Thiamine |
| CLASS | Vitamin B1 |
| MECHANISM OF ACTION | Combines with ATP to form thiamine pyrophosphate coenzyme, a necessary component for carbohydrate metabolism. The brain is extremely sensitive to thiamine deficiency. |
| INDICATIONS | Coma of unknown origin, delirium tremens, beriberi, Wernicke’s encephalopathy. |
| CONTRAINDICATIONS | None |
| ADVERSE REACTIONS | Hypotension from to rapid of an injection or to high of a dose, anxiety, diaphoresis, N/V or hypersensitivity. |
| NOTES ON ADMINISTRATION | Pregnancy category A. Large IV doses may cause respiratory difficulties. Anaphylaxis reactions reported. |
| INCOMPATABILITIES/DRUG INTERACTIONS | Give thiamine before glucose under all circumstances. |
| DOSE/ROUTE | Adult |
| Pediatric | 10-25mg slow IV, or IM |
| ONSET OF ACTION | Rapid |
| PEAK EFFECTS | Variable |
| DURATION OF ACTION | Dependent upon degree of deficiency |
| AZ DRUG BOX SUPPLY RANGE | 100mg |