product

Marketing authorisation No. LS-000634

Composition:

Dextran 40000 100.0 g,

Sodium chloride 75.0 g,

Water for injections up to 1.0 L.

Theoretical osmolarity 2567 mOsmoI/L.

Pharmacological class: Plasma volume expander.



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Pharmacological action: Hemostabil is a complex preparation in the form of hypertonic solution. Under hypertonic component (sodium chloride high concentration, osmolarity 2,567 mOsmol/L) water, mainly from extra cellular fluid compartment rapidly moves to the bloodstream, increasing the intravascular volume. Hypertonic saline solution has short-term effect due to elimination of sodium and chlorine ions from the vessels. Dextran 40000 retains fluid in the bloodstream for 3-4 hours, maintains circulating blood volume, producing a hemodynamic effect. The maximum effect on the circulating blood volume is the overall effect of hypertonic solution and dextran 40. The drug has a volemic effect in the range of 150-200% of the injected volume, that persists for 30-60 minutes. Infusion of 250 mL of Hemostabil allows for increase in intravascular volume up to 1000 mL within 5 minutes.

Pharmacokinetics. The combination of sodium chloride and dextran 40 does not change the pharmacokinetic properties of each component. Sodium content in blood plasma after Hemostabil injection increases up to 9-12 mmol/L, reaching the normal ranges in less than 4 hours. Dextran 40000 elimination half-life is 3-4 hours; it is excreted unchanged via urine.

Indications: intended for early repletion of circulating blood volume depletion for prevention and treatment of hypovolemia and hypotension and shock in acute blood loss, injuries, wounds, surgical interventions, burns, infectious diseases.

Shelf life: 2 years.