Cepastat

Analgetic sclerosing agent in the treatment of internal hemorrhoids

by submucosal injection

Adults and the elderly

2-3 ml injected at the base of the hemorrhoid. Several places can be injected, but the maximum total is 10 ml.

Children

the use of oily cepastate injection BP is contraindicated in children and newborns.

Oily cepastate injection, BP is contraindicated in patients who are hypersensitive to cepastate, nuts and especially almond oil or a component of the product. It should not be used over large areas because sufficient amounts can be absorbed to lead to toxic symptoms. In the case of the cepastat injection, BP is also contraindicated in newborns and children.

For submucosal injection only. Not for intrathecal use. Care should also be taken to avoid accidental intravenous injection. The injection can cause severe pain if it is too close to the anal rim. Therapy complications can be local ulceration and sterile abscess formation. These complications can be serious after a misinjection (e.g. prostate abscess). Care in choosing the right injection site is mandatory.

Not applicable

General disorders and conditions at the administration site :

Pyrexia

Pain

Complaints

Irritation

Ulcer

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Immune system disorders :

hypersensitivity

Nervous system disorders :

Dizziness

hepatobiliary disorders :

Hepatitis

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Infections and infestation :

Abscess

prostate abscess

necrotizing fasciitis

retroperitoneal sepsis

Kidney and urinary disorders :

Dysuria

Urinary incontinence

Reproductive system and breast disorders :

Impotence

Symptoms:

Symptoms of overdose after submucosal injection of oily cepastate are unknown, but are likely to be similar to the symptoms observed in other preparations after excessive exposure to cepastate. The absorption of cepastate after using dilute cepastate solutions on extensive wounds has abdominal pain, dizziness, methaemoglobinemia, hemoglobinurea, cyanosis, cardiac arrhythmias, ECG abnormalities and can lead to respiratory failure, circulatory failure, coma and death.

Treatment: there is no specific antidote for actute cepastate overdose. Treatment of an overdose is symptomatic and supportive. If the product has been swallowed, empty the stomach with aspiration and lavage, being careful to avoid perforation before doing the above procedure.

the injection produces submucosal fibrosis and fixes the mucous membrane to the underlying muscle.

Not applicable

Not applicable

Not specified

No