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Pralidoxime

Antidotes and other Substances used In Poisonings
Injection500 mg · 1 g19 brands · 14 makers
Pralidoxime is listed in Nepal's National List of Essential Medicines (NLEM, Sixth Revision 2021) under Antidotes and other Substances used In Poisonings. 19 brand names for this medicine are listed in the NepalDoc medicine catalog.
Generic namepralidoxime
Therapeutic classAntidotes and other Substances used In Poisonings > 4.2 Specific
Form & strength (NLEM)Injection: 500 mg , 1 g (mesilate, chloride or iodide) in ampoule
Source / स्रोतNational List of Essential Medicines Nepal (2021); NepalDoc medicine catalog

What it's for

PROTOPAM Chloride is indicated as an antidote: in the treatment of poisoning due to those pesticides and chemicals (e.g., nerve agents) of the organophosphate class which have anticholinesterase activity and in the control of overdosage by anticholinesterase drugs used in the treatment of myasthenia gravis. The principal indications for the use of PROTOPAM Chloride are muscle weakness and respiratory depression.

From the U.S. FDA-approved label for Pralidoxime. Full label: DailyMed.

PROTOPAM Chloride is indicated as an antidote: in the treatment of poisoning due to those pesticides and chemicals (e.g., nerve agents) of the organophosphate class which have anticholinesterase activity and in the control of overdosage by anticholinesterase drugs used in the treatment of myasthenia gravis. The principal indications for the use of PROTOPAM Chloride are muscle weakness and respiratory depression. In severe poisoning, respiratory depression may be due to muscle weakness.

From the U.S. FDA-approved label for Pralidoxime. Full label: DailyMed.

Organophosphate Poisoning Treatment should include general supportive care, atropinization, and decontamination, in addition to the use of PROTOPAM Chloride. Treatment is most effective if initiated immediately after poisoning. Administration of PROTOPAM Chloride should be carried out slowly and, preferably, by infusion.

Directions from the U.S. FDA-approved label — your doctor or pharmacist may advise differently.

There are no known absolute contraindications for the use of PROTOPAM Chloride (see PRECAUTIONS, Drug Interactions and DOSAGE AND ADMINISTRATION ). Relative contraindications include known hypersensitivity to the drug and other situations in which the risk of its use clearly outweighs possible benefit.

Excerpt from the U.S. FDA-approved label. Talk to a pharmacist or doctor before use.

PROTOPAM Chloride is not effective in the treatment of poisoning due to phosphorus, inorganic phosphates, or organophosphates not having anticholinesterase activity. PROTOPAM Chloride is not indicated as an antidote for intoxication by pesticides of the carbamate class since it may increase the toxicity of carbaryl.

Warnings and precautions excerpt from the U.S. FDA-approved label — not a complete list. Talk to a pharmacist or doctor before use.

Forty to 60 minutes after intramuscular injection, mild to moderate pain may be experienced at the site of injection. Pralidoxime chloride may cause blurred vision, diplopia and impaired accommodation, dizziness, headache, drowsiness, nausea, tachycardia, increased systolic and diastolic blood pressure, hyperventilation, and muscular weakness when given parenterally to normal volunteers who have not been exposed to…

Excerpt from the U.S. FDA-approved label — not a complete list. Talk to a pharmacist or doctor about side effects.

19 products from 14 makers in the NepalDoc medicine catalog use this generic:

BrandCompositionMakerPack
Adipam 25mg InjectionPralidoxime (25mg/ml)Adison Laboratoriesvial of 20 ml Injection
Aldopam 500mg InjectionPralidoxime (500mg)Samarth Life Sciences Pvt Ltdvial of 20 ml Injection
Aquapam InjectionPralidoxime (25mg/ml)Aqua Fina Injecta Pvt Ltdvial of 20 ml Injection
Biopam 500mg InjectionPralidoxime (500mg)Qantas Biopharma Private Limitedvial of 20 ml Injection
Cbc Pam 500mg InjectionPralidoxime (500mg)Chandra Bhagat Pharma Pvt Ltdvial of 20 ml Injection
Clopam 1gm InjectionPralidoxime (1gm)Chandra Bhagat Pharma Pvt Ltdvial of 20 ml Injection
Clopam 500mg InjectionPralidoxime (500mg)Chandra Bhagat Pharma Pvt Ltdvial of 1 Injection
Connectpam InjectionPralidoxime (500mg)Connect Life Pharma Pvt Ltdampoule of 20 ml Injection
Elpam InjectionPralidoxime (500mg)Lichem Pharmaceuticalsampoule of 20 ml Injection
Lyphe 1gm InjectionPralidoxime (1gm)Vhb Life Sciences Incvial of 1 Injection
Neopam 25mg InjectionPralidoxime (25mg)Troikaa Pharmaceuticals Ltdvial of 2 ml Injection
Neopam 500mg InjectionPralidoxime (500mg)Troikaa Pharmaceuticals Ltdvial of 20 ml Injection
Pam 500mg InjectionPralidoxime (500mg)Acme Pharmaceuticalvial of 20 ml Injection
Pam Up 500mg InjectionPralidoxime (500mg)Redson Laboratories Pvt Ltdvial of 20 ml Injection
Purepam InjectionPralidoxime (25mg/ml)Nucleus Incorporationvial of 20 ml Injection
Redpam 25mg InjectionPralidoxime (25mg)Redson Laboratories Pvt Ltdvial of 20 ml Injection
Unipam 1gm InjectionPralidoxime (1gm)Vhb Life Sciences Incvial of 1 Injection
V-Pam InjectionPralidoxime (500mg)Vulcan Laboratories Pvt Ltdampoule of 20 ml Injection
ZED-PAM 500mg InjectionPralidoxime (500mg)PCI Pharmaceuticalsampoule of 20 ml Injection

Brand list from the NepalDoc medicine catalog. Availability varies by pharmacy — call ahead to confirm stock.

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

Storage information from the U.S. FDA-approved label.

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+ Safety information

This page is information only and is not medical advice. Medicine details come from the sources listed above and may change — always confirm the medicine, strength and dose with a pharmacist or doctor before use. NLEM listing does not guarantee that a medicine is in stock at any pharmacy.

NepalDoc — Nepal's Healthcare Super-App (Beta) / नेपालको स्वास्थ्य सुपर-एप (बेटा).
Medicine information only — not medical advice. Confirm with a pharmacist or doctor.