Pralidoxime

Class

Cholinesterase Reactivator , (2 PAM)

Pharmacology and Actions

Reactivates the cholinesterase inhibited by phosphate esters by displacing the enzyme from its receptor sites. This restores the normal functions of the neuromuscular transmission.

Indications

An antidote and treatment for organophosphate poisoning

Contraindications

Severe Cardiac DiseasePeptic UlcerAsthmaMIHypersensitivity to Procainamide / Procaine

Precautions and Side Effects

TachycardiaHypertensionDizziness

Dosage (Adult)

1-2 grams in 250-500ml of NS infused over 15-30 mins ; if no IV access is available 1-2 grams IM / SC