Monograph Details
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Urogenital System
> Overactive bladder/enuresis
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DDAVP NASAL SPRAY |
| Manufacturer |
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Sanofi Aventis |
| Legal Classification |
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Rx
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| Pharmacological Class |
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Vasopressin (synthetic). |
| Generic Name |
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Desmopressin acetate 10micrograms/spray; nasal spray. |
| Also |
• DDAVP
• DDAVP INJECTION
• DDAVP RHINAL TUBE
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| Indications |
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Primary nocturnal enuresis. |
| Children |
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<6yrs: not recommended. ≥6yrs: initially 20micrograms (2 sprays) or 0.2mL soln intranasally at bedtime. Usual range 10–40micrograms/day at bedtime. Give ½ total dose in each nostril. Use rhinal tube for doses <10micrograms. |
| Adults |
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10–40micrograms intranasally at bedtime. Use rhinal tube for doses <10micrograms. |
| Precautions |
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Monitor fluid intake, urine volume and osmolality. Fluid/electrolyte imbalance (eg, cystic fibrosis). Coronary artery insufficiency. Hypertension. Nasal mucosal changes may cause unreliable absorption; discontinue use until nasal problems resolve (nasal forms). Very young. Elderly. Pregnancy (Cat.B). Nursing mothers. |
| Interactions |
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Caution with other pressor agents. |
| Adverse Reactions |
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Headache, nausea, nasal congestion, rhinitis, flushing, abdominal cramps, water intoxication, hyponatremia, changes in blood pressure, epistaxis, sore throat, cough; seizures in children from plasma hypoosmolality (rare). |
| How Supplied |
Tabs—100
Nasal spray—5 mL (50 sprays)
Rhinal tube—2.5 mL (w. 2 rhinal tubes) |
| Additional Resources |
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• Related Prescribing Note |
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