DRUGS & SUPPLEMENTS

Ethamolin

Name: Ethamolin drug & pharmaceuticals. Available Forms, Doses, Prices
Creator: sdrugs.com
Published: 2021-11-11T10:10:10+00:00

How old is patient?

Ethamolin uses

Description
Clinical pharmacology
Indications and usage
Contraindications
Warnings
Precautions
Adverse reactions
Drug abuse and dependence
Overdosage
Dosage and administration
How supplied
Carton
Ethamolin reviews

DESCRIPTION

Ethamolin^® (Ethanolamine Oleate) Injection is a mild sclerosing agent. Chemically it is C₁₇H₃₃COOH-NH₂CH₂CH₂OH. It has the following structure:

The empirical formula is C₂₀H₄₁NO₃, representing a molecular weight of 343.55.

Ethamolin Injection consists of ethanolamine, a basic substance, which when combined with oleic acid, forms a clear pale-yellow to straw-colored, deliquescent oleate. The pH ranges from 8.0 to 9.0.

Ethamolin Injection is a sterile, apyrogenic, aqueous solution containing in each mL approximately 50 mg of Ethamolin with benzyl alcohol 2% by volume as preservative.

Ethamolin Structure

CLINICAL PHARMACOLOGY

When injected intravenously, Ethamolin Injection acts primarily by irritation of the intimal endothelium of the vein and produces a sterile dose-related inflammatory response. This results in fibrosis and possible occlusion of the vein. Ethamolin Injection also rapidly diffuses through the venous wall and produces a dose-related extravascular inflammatory reaction.

The oleic acid component of Ethamolin Injection is responsible for the inflammatory response, and may also activate coagulation in vivo by release of tissue factor and activation of Hageman factor. The ethanolamine component, however, may inhibit fibrin clot formation by chelating calcium, so that a procoagulant action of Ethamolin has not been demonstrated.

After injection, Ethamolin disappears from the injection site within five minutes via the portal vein. When volumes larger than 20 mL are injected, some Ethamolin also flows into the azygos vein through the periesophageal vein. In human autopsy studies it was found that within four days after injection there is neutrophil infiltration of the esophageal wall and hemorrhage within six days. Granulation tissue is first seen at ten days, red thrombi obliterating the varices by twenty days, and sclerosis of the varices by two and a half months. The time course of these findings suggests that sclerosis of esophageal varices will be a delayed rather than an immediate effect of the drug.

The minimum lethal dose of Ethamolin Injection administered intravenously to rabbits is 130 mg/kg.

In dogs, Ethamolin injected into the right atrium at a dose of 1 mL/kg over one minute has been shown to increase extravascular lung water. The maximum recommended human dose is 20 mL, or 0.4 mL/kg for a 50-kg person. The concentration of Ethamolin reaching the lung in human treatment will be less than in the dog studies, but pleural effusions, pulmonary edema, pulmonary infiltration and pneumonitis have been reported in clinical trials, and minimizing the total per-session dose, especially in patients with concomitant cardiopulmonary disease, is recommended.

INDICATIONS AND USAGE

Ethamolin Injection is indicated for the treatment of patients with esophageal varices that have recently bled, to prevent rebleeding.

Ethamolin is not indicated for the treatment of patients with esophageal varices that have not bled. There is no evidence that treatment of this population decreases the likelihood of bleeding.

Sclerotherapy with Ethamolin has no beneficial effect upon portal hypertension, the cause of esophageal varices, so that recanalization and collateralization may occur, necessitating reinjection.

CONTRAINDICATIONS

Ethamolin Injection should not be administered to subjects with a known hypersensitivity to ethanolamine, oleic acid, or Ethamolin.

WARNINGS

ETHAMOLlN Injection should be used in pregnant women only when clearly needed.

The practice of injecting varicosities of the leg with ETHAMOLlN Injection is not supported by adequately-controlled clinical trials. Therefore, such use is not recommended.

PRECAUTIONS

Fatal anaphylactic shock was reported following injection of a larger than normal volume of ETHAMOLlN Injection into a male who had a known allergic disposition. Although there are only three known reports of anaphylaxis, the possibility of an anaphylactic reaction should be kept in mind, and the physician should be prepared to treat it appropriately. In extreme emergencies, 0.25 mL of a 1:1,000 intravenous solution of epinephrine should be used, and allergic reactions should be controlled with antihistamines.

Acute renal failure with spontaneous recovery followed injection of 15 to 20 mL of Ethamolin Injection into two women.

The physician should bear in mind that severe injection necrosis may result from direct injection of sclerosing agents, especially if excessive volumes are used. At least one fatal case of extensive esophageal necrosis and death has been reported. The drug should be administered by physicians who are familiar with an acceptable injection technique.

Patients in Child Class C are more likely to develop esophageal ulceration than those in Classes Aand B. Complications of ulceration, necrosis, and delayed esophageal perforation appear to occur more frequently when Ethamolin Injection is injected submucosally. This route is not recommended.

In patients with concomitant cardiorespiratory disease, careful monitoring and minimization of the total dose per session is recommended.

Fatal aspiration pneumonia has occurred in elderly patients undergoing esophageal variceal sclerotherapy with Ethamolin Injection. This adverse event appears to be procedure-related, rather than drug-related; but, as aspiration of blood and/or stomach contents is not uncommon in patients with bleeding esophageal varices, special precautions should be taken to prevent its occurrence, especially in elderly and critically-ill subjects.

Pregnancy: (Teratogenic Effects: Pregnancy Category C)

Animal reproduction studies have not been conducted with ETHAMOLlN Injection. It is also not known whether Ethamolin Injection can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. Ethamolin Injection should be given to a pregnant woman only if clearly needed.

Nursing Mothers

It is not known whether this drug is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when ETHAMOLlN Injection is administered to a nursing woman.

Pediatric Use

Safety and effectiveness in pediatric patients have not been established

ADVERSE REACTIONS

The reported frequency of complications/adverse events per injection session was 13%. The most common complications were pleural effusion/infiltration (2.1%), esophageal ulcer (2.1 %), pyrexia (1.8%), retrosterual pain (1.6%), esophageal stricture.(1.3%), and pneumonia (1.2%).

Other adverse local esophageal reactions have also been reported at rates of 0.1 to 0.4%, including esophagitis, tearing of the esophagus, sloughing of the mucosa overlying the injected varix, ulceration, stricture, necrosis, periesophageal abscess and perforation. These complications appear to be dependent upon the dose and the patient's clinical state.

Bacteremia has been observed in patients following injection of esophageal varices with ETHAMOLlN. Pyrexia and retrosternal pain are not infrequently observed during the post-injection period. Fatal aspiration pneumonia has occurred in patients with esophageal varices who underwent Ethamolin Injection Sclerotherapy. Anaphylactic shock and acute renal failure with spontaneous recovery have occurred. A case of disseminated intravascular coagulation has been reported.

Spinal cord paralysis due to occlusion of the anterior spinal artery has been reported in one child eight hours after Ethamolin sclerotherapy.

DRUG ABUSE AND DEPENDENCE

There is no potential for drug abuse or drug dependence.

OVERDOSAGE

Overdosage of Ethamolin Injection can result in severe intramural necrosis of the esophagus. Complications resulting from such overdosage have resulted in death.

DOSAGE AND ADMINISTRATION

Local Ethamolin Injection sclerotherapy of esophageal varices should be performed by physicians who are famillar with an acceptable technique. The usual intravenous dose is 1.5 to 5.0 mL per varix. The maximum dose per treatment session should not exceed 20 mL. Patients with significant liver dysfunction (Child Class C) or concomitant cardiopulmonary disease should usually receive less than the recommended maximum dose. Submucosal injections are not recommended, as they reportedly are more likely to result in ulceration at the site of injection.

To obliterate the varix, injections may be made at the time of theacute bleeding episode and then after oIie week, six weeks, three months, and six months, as indicated.

Note: Parenteral drug products should be inspected visually for particulate matter and discoloration before administration whenever solution and container permit.

HOW SUPPLIED

NDC	SIZE
67871-4790-6	2 mL ampule

ETHAMOLIN® Injection, 5% is available in 2 mL, sterile, single-use glass ampules supplied as boxes of 10 ampules.

Storage

Store at controlled room temperature, 15°- 30°C (59°- 86°F). Protect from light.

Distributed by:

QOL Medical, LLC

Vero Beach, FL 32963

www.ethamolin.net

phone 1-866-528-4750

fax 1-866-528-4749

213250 / Rev. 08/12

Carton

carton

Ethamolin pharmaceutical active ingredients containing related brand and generic drugs:

Ethanolamine Oleate

Ethamolin available forms, composition, doses:

Injectable; Injection; Ethanolamine Oleate 50 mg / ml

Ethamolin destination | category:

Human:
Sclerosing agents

Ethamolin Anatomical Therapeutic Chemical codes:

C05BB01 - Monoethanolamine Oleate

Ethamolin pharmaceutical companies:

References

Dailymed."ETHAMOLIN (ETHANOLAMINE OLEATE) INJECTION, SOLUTION [QOL MEDICAL, LLC.]". https://dailymed.nlm.nih.gov/dailym... (accessed August 28, 2018).
"Ethanolamine". https://pubchem.ncbi.nlm.nih.gov/co... (accessed August 28, 2018).
"Ethanolamine". http://www.drugbank.ca/drugs/DB0399... (accessed August 28, 2018).

Frequently asked Questions

Can i drive or operate heavy machine after consuming Ethamolin?

Depending on the reaction of the Ethamolin after taken, if you are feeling dizziness, drowsiness or any weakness as a reaction on your body, Then consider Ethamolin 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 Ethamolin 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 Ethamolin, 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 Ethamolin 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.