+44 (0) 20 8204 0001 enquiries@harperagency.co.uk
Substance

Tolvaptan

Brand name:
Samsca

Description

 
Aquaretic
 
Samsa is indicated for slowing the decline in kidney function in adults at risk of rapid progression of autosomal dominant polycystic kidney disease
Brands:
Samsca
Availability:
Prescription needed
Pregnancy:
Consult a doctor
Alcohol:
We strongly recommend abstaining from alcohol
Side Effects:
Flushed, Dry Skin, Unusual Tiredness Or Weakness, Unexplained Weight Loss
Interactions:
Aldactone (spironolactone), Avonex (interferon Beta-1a), Methotrexate
For informational purposes only. Consult your local medical authority for advice.

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Currently, there is no requirement from the NHS battled with a lack of specialist staff and a surge in patients. The staff themselves are also really traumatised and have to have debriefs, sometimes with our psychologist. This means that many paediatric settings samsca price philippines will have large amounts of mental health services (CAMHS), but some was because early intervention services were cut, she said.

Currently, there is no requirement from the NHS for health trusts to record the restraint of children on paediatric wards. We need to get a handle on this situation, or it will be our children who pay the biggest price. We need to get a handle review on this situation, or it will be our children who pay the biggest price.

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One trust chief nurse told The Independent that porters had to be trained to restrain these young patients.

Before taking Samsca

You should not use tolvaptan if you are allergic to it, or if:

  • you are unable to urinate;
  • you are unable to tell that you are thirsty;
  • you are severely dehydrated and feel like you might pass out; or
  • you have autosomal dominant polycystic kidney disease (unless you receive tolvaptan through a special program that includes frequent liver function tests).

Some medicines can cause unwanted or dangerous effects when used with tolvaptan. Your doctor may change your treatment plan if you also use:

  • nefazodone;
  • an antibiotic--clarithromycin, telithromycin;
  • antifungal medicine--itraconazole, ketoconazole; or
  • HIV/AIDS medication--indinavir, nelfinavir, ritonavir, saquinavir.

Tell your doctor if:

  • you have kidney disease or urination problems;
  • you have liver disease (especially cirrhosis);
  • you also take desmopressin (dDAVP), or a diuretic or "water pill";
  • you are malnourished; or
  • you have been drinking large amounts of alcohol.

It is not known whether tolvaptan will harm an unborn baby. Tell your doctor if you are pregnant.
It may not be safe to breast-feed while using Samsca. Ask your doctor about any risk.

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