DRUGS & SUPPLEMENTS

Active ingredient: Selenium (Selenium Dioxide)

Name: Selenium (Selenium Dioxide) drugs and health products
Creator: sdrugs.com
Published: 2021-11-11T10:10:10+00:00

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Selenium (Selenium Dioxide) uses

Description
Clinical pharmacology
Indications and usage
Contraindications
Warnings
Precautions
Adverse reactions
Overdosage
Dosage and administration
How supplied
Selenium (Selenium Dioxide) reviews

Rx Only

TRACE ELEMENT ADDITIVE FOR IV USE AFTER DILUTION

DESCRIPTION

Selenium (Selenium Dioxide) Injection is a sterile, nonpyrogenic solution for use as an additive to solutions for Total Parenteral Nutrition (TPN).

Each mL contains Selenious Acid 65.4 mcg (equivalent to elemental Selenium (Selenium Dioxide) 40 mcg/mL) and Water for Injection q.s. pH may be adjusted with nitric acid to 1.8 to 2.4.

CLINICAL PHARMACOLOGY

Selenium (Selenium Dioxide) is part of glutathione peroxidase which protects cell components from oxidative damage due to peroxides produced in cellular metabolism.

Prolonged TPN support in humans has resulted in Selenium (Selenium Dioxide) deficiency symptoms which include muscle pain and tenderness. The symptoms have been reported to respond to supplementation of TPN solutions with Selenium (Selenium Dioxide).

Pediatric conditions, Keshan disease, and Kwashiorkor, have been associated with low dietary intake of Selenium (Selenium Dioxide). The conditions are endemic to geographical areas with low Selenium (Selenium Dioxide) soil content. Dietary supplementation with Selenium (Selenium Dioxide) salts has been reported to reduce the incidence of the conditions among affected children.

Normal blood levels of Selenium (Selenium Dioxide) in different human populations have been found to vary and depend on the Selenium (Selenium Dioxide) content of the food consumed. Results of surveys carried out in some countries are tabulated below:

COUNTRY	Number of Samples	Selenium (Selenium Dioxide) (mcg/100 mL) (a)
COUNTRY	Number of Samples	Whole Blood	Blood Cells	Plasma/ Serum
(a) Mean values with or without standard deviation in parentheses, all other ranges.
(b) Age group unknown.
(c) Three children recovered from Kwashiorkor and the other six under treatment for other diseases.
(d) Low selenium-content soil area.
(e) Well nourished children, three recovered from Kwashiorkor and the other six under treatment for other diseases.
(f) Mean values from seven subjects.
Canada	254 Adults	(37.9 ± 7.8)	(23.6 ± 6.0)	(14.4 ± 2.9)
England	8 (b)	26-37 (32)	--	--
Guatemala & Southern USA	10 Adults 9 Children (c)	19-28 (22) (23 ± 5)	-- (36 ± 12)	-- (15 ± 5)
New Zealand (d)	113 Adults	(5.4 ± 0.1)	(6.6 ± 0.3)	(4.3 ± 0.1)
Thailand	3 Adults 9 Children (e)	14.4-20.2 (12.0 ± 3.6) (f)	17.8-35.8 (19.5 ± 8.2)	8.1-12.5 (8.3 ± 2.2)
USA	210 Adults	15.7-25.6 (20.6)	--	--

Plasma Selenium (Selenium Dioxide) levels of 0.3 and 0.9 mcg/100 mL have been reported to produce deficiency symptoms in humans.

Selenium (Selenium Dioxide) is eliminated primarily in urine. However, significant endogenous losses through feces also occur. The rate of excretion and the relative importance of two routes varies with the chemical form of Selenium (Selenium Dioxide) used in supplementation. Ancillary routes of elimination are lungs and skin.

INDICATIONS AND USAGE

Selenium (Selenium Dioxide) Injection is indicated for use as a supplement to intravenous solutions given for total parenteral nutrition (TPN). Administration of Selenium (Selenium Dioxide) in TPN solutions helps to maintain plasma Selenium (Selenium Dioxide) levels and to prevent depletion of endogenous stores and subsequent deficiency symptoms.

CONTRAINDICATIONS

Selenium (Selenium Dioxide) Injection should not be given undiluted by direct injection into a peripheral vein because of the potential for infusion phlebitis.

WARNINGS

Selenium (Selenium Dioxide) Injection can be toxic if given in excessive amounts. Supplementation of TPN solution with Selenium (Selenium Dioxide) should be immediately discontinued if toxicity symptoms are observed. Frequent determination of plasma Selenium (Selenium Dioxide) levels during TPN support and close medical supervision is recommended.

Selenium (Selenium Dioxide) Injection is a hypotonic solution and should be administered in admixtures only.

This product contains aluminum that may be toxic. Aluminum may reach toxic levels with prolonged parenteral administration if kidney function is impaired. Premature neonates are particularly at risk because their kidneys are immature, and they require large amounts of calcium and phosphate solutions, which contain aluminum.

Research indicates that patients with impaired kidney function, including premature neonates, who receive parenteral levels of aluminum at greater than 4 to 5 mcg/kg/day accumulate aluminum at levels associated with central nervous system and bone toxicity. Tissue loading may occur at even lower rates of administration.

PRECAUTIONS

As Selenium is eliminated in urine and feces, Selenium (Selenium Dioxide) supplements may be adjusted, reduced or omitted in renal dysfunction and/or gastrointestinal malfunction. In patients receiving blood transfusions, contribution from such transfusions should also be considered. Frequent Selenium (Selenium Dioxide) plasma level determinations are suggested as a guideline.

In animals, Selenium (Selenium Dioxide) has been reported to enhance the action of Vitamin E and decrease the toxicity of mercury, cadmium and arsenic.

Pregnancy

Teratogenic Effects

Pregnancy Category C: Selenium (Selenium Dioxide) at high dose levels (15-30 mcg/egg) has been reported to have adverse embryological effects among chickens. There are however, no adequate and wellcontrolled studies in pregnant women. Selenium (Selenium Dioxide) Injection should be used during pregnancy only if potential benefit justifies the potential risk to the fetus.

Presence of Selenium (Selenium Dioxide) in placenta and umbilical cord blood has been reported in humans.

ADVERSE REACTIONS

The amount of Selenium (Selenium Dioxide) present in Selenium (Selenium Dioxide) Injection is small. Symptoms of toxicity from Selenium (Selenium Dioxide) are unlikely to occur at the recommended dosage level.

OVERDOSAGE

Chronic toxicity in humans resulting from exposure to Selenium (Selenium Dioxide) in industrial environments, intake of foods grown in seleniferous soils, use of selenium-contaminated water, and application of cosmetics containing Selenium (Selenium Dioxide) has been reported in literature. Toxicity symptoms include hair loss, weakened nails, dermatitis, dental defects, gastrointestinal disorders, nervousness, mental depression, metallic taste, vomiting, and garlic odor of breath and sweat. Acute poisoning due to ingestion of large amounts of Selenium (Selenium Dioxide) compounds has resulted in death with histopathological changes including fulminating peripheral vascular collapse, internal vascular congestion, diffusely hemorrhagic, congested and edematus lungs, brick-red color gastric mucosa. The death was preceded by coma.

No effective antidote to Selenium (Selenium Dioxide) poisoning in humans is known. Animal studies have shown casein and linseed oil in feeds, reduced glutathione, arsenic, magnesium sulfate, and bromobenzene to afford limited protection.

DOSAGE AND ADMINISTRATION

Selenium (Selenium Dioxide) Injection provides 40 mcg selenium/mL. For metabolically stable adults receiving TPN, the suggested additive dosage level is 20 to 40 mcg selenium/day. For pediatric patients, the suggested additive dosage level is 3 mcg/kg/day.

In adults, Selenium (Selenium Dioxide) deficiency states resulting from long-term TPN support, Selenium (Selenium Dioxide) as selenomethionine or selenious acid, administered intravenously at 100 mcg/day for a period of 24 and 31 days, respectively, has been reported to reverse deficiency symptoms without toxicity.

Aseptic addition of Selenium (Selenium Dioxide) Injection to the TPN solution under laminar flow hood is recommended. Selenium (Selenium Dioxide) is physically compatible with the electrolytes and other trace elements usually present in amino-acid/dextrose solution used for TPN. Frequent monitoring of plasma Selenium (Selenium Dioxide) levels is suggested as a guideline for subsequent administration. The normal whole blood range for Selenium (Selenium Dioxide) is approximately 10 to 37 mcg/100 mL.

Parenteral drug products should be inspected visually for particulate matter and discoloration, whenever solution and container permit.

HOW SUPPLIED

Selenium (Selenium Dioxide) Injection containing selenious acid 65.4 mcg/mL (equivalent to elemental Selenium (Selenium Dioxide) 40 mcg/mL).

NDC 0517-6510-25 10 mL Single Dose Vial Packaged in boxes of 25

Store at 20° to 25°C (68° to 77°F); excursions permitted to 15° to 30°C (59° to 86°F).

AMERICAN

REGENT, INC.

SHIRLEY, NY 11967

IN6510

Rev. 11/15

PRINCIPAL DISPLAY PANEL - Container

NDC 0517-6510-25

Selenium (Selenium Dioxide) INJECTION

Selenium (Selenium Dioxide) 400 mcg/10 mL

(40 mcg/mL)

10 mL

SINGLE DOSE VIAL

Trace Element Additive

FOR IV USE AFTER DILUTION

PRESERVATIVE FREE

Rx Only

AMERICAN REGENT, INC.

SHIRLEY, NY 11967

PRINCIPAL DISPLAY PANEL - Carton

Selenium (Selenium Dioxide) INJECTION

Selenium (Selenium Dioxide) 400 mcg/10 mL

(40 mcg/mL)

Trace Element Additive

NDC 0517-6510-25

25 x 10 mL

SINGLE DOSE VIALS

FOR INTRAVENOUS USE AFTER DILUTION PRESERVATIVE FREE Rx Only

Each mL contains: Selenious Acid 65.4 mcg, Water for Injection q.s.

pH adjusted with Nitric Acid. Sterile, nonpyrogenic.

WARNING: DISCARD UNUSED PORTION. Store at 20°-25°C (68°-77°F); excursions

permitted to 15°-30°C (59°-86°F).

Directions for Use: See Package Insert.

AMERICAN REGENT, INC.

SHIRLEY, NY 11967

Rev. 11/05

Container Carton

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References

"Selenium". https://pubchem.ncbi.nlm.nih.gov/co... (accessed August 28, 2018).
"Selenium". http://www.drugbank.ca/drugs/DB1113... (accessed August 28, 2018).
"V91P54KPAM: The UNique Ingredient Identifier (UNII) is an alphanumeric substance identifier from the joint FDA/USP Substance Registration System (SRS).". https://www.fda.gov/ForIndustry/Dat... (accessed August 28, 2018).

Frequently asked Questions

Can i drive or operate heavy machine after consuming Selenium (Selenium Dioxide)?

Depending on the reaction of the Selenium (Selenium Dioxide) after taken, if you are feeling dizziness, drowsiness or any weakness as a reaction on your body, Then consider Selenium (Selenium Dioxide) not safe to drive or operate heavy machine after consumption. Meaning that, do not drive or operate heavy duty machines after taking the capsule if the capsule has a strange reaction on your body like dizziness, drowsiness. As prescribed by a pharmacist, it is dangerous to take alcohol while taking medicines as it exposed patients to drowsiness and health risk. Please take note of such effect most especially when taking Primosa capsule. It's advisable to consult your doctor on time for a proper recommendation and medical consultations.

Is Selenium (Selenium Dioxide) addictive or habit forming?

Medicines are not designed with the mind of creating an addiction or abuse on the health of the users. Addictive Medicine is categorically called Controlled substances by the government. For instance, Schedule H or X in India and schedule II-V in the US are controlled substances.

Please consult the medicine instruction manual on how to use and ensure it is not a controlled substance.In conclusion, self medication is a killer to your health. Consult your doctor for a proper prescription, recommendation, and guidiance.

Review

sdrugs.com conducted a study on Selenium (Selenium Dioxide), and the result of the survey is set out below. It is noteworthy that the product of the survey is based on the perception and impressions of the visitors of the website as well as the views of Selenium (Selenium Dioxide) consumers. We, as a result of this, advice that you do not base your therapeutic or medical decisions on this result, but rather consult your certified medical experts for their recommendations.