Intravenous paracetamol

RE: Intravenous paracetamol

Rob Loxley — Fri, 20 Jan 2017 22:43:24 GMT

[quote user="emerald"]

We can't get Perfalgan anymore from Henry Schein?

[/quote]

Munro Vet Supplies have available

Perfalgan (Paracetamol) 10mg/ml Vial 100ml	Perf14	12 x 100ml	£26.50

Perfalgan (Paracetamol) 10mg/ml Vial 100ml

Perf14

12 x 100ml

£26.50

RE: Intravenous paracetamol

emerald — Fri, 20 Jan 2017 21:43:04 GMT

We can't get Perfalgan anymore from Henry Schein?

RE: Intravenous paracetamol

janine redman — Wed, 28 Dec 2016 21:48:59 GMT

thanks, have a severe pancreatitis dog in which is keto acidotic and painful. Will add it o our drugs list

RE: Intravenous paracetamol

Beats — Wed, 28 Dec 2016 19:29:54 GMT

Jury's out for me on whether is an effective adjunctive analgesic in dogs, but if it is, then i think this is the sort of case that can benefit (not an excuse for giving inadequate opioids though IMO).

I am convinced that can be an effective antipyretic in dogs, so a pyrexic pancreatitis would get it from me.

I think ours is Actavis branded - cost to you should be about £1-£3 for a 100ml bottle (probably coming in boxes of 15 or something) as a rough ballpark for you. I would use an open bottle for same length of time you use open bottle of vetofol.

Some SPCs:

https://www.medicines.org.uk/emc/medicine/27419

https://www.medicines.org.uk/emc/medicine/14288

Can give slow intravenous (is quite a large volume of 1ml/kg with product we use I think) or have used SC as well without known problems and apparent efficacy (a previous BSAVA formulary had SC listed i think, but no longer does?)

There are oral suspensions available as well - not to be confused! But obviously can use these to dose patients via mouth/feeding-tube.

I suggest you put a large marker pen note on each bottle saying *KILLS CATS* if is new to your clinic to avoid mistake in pyrexic cat.

RE: Intravenous paracetamol

Charlie G — Wed, 28 Dec 2016 16:15:49 GMT

Hello,

We get IV paracetamol from Centaur, it's either generic paracetamol or Perfalgan. We use a dose of 10mg/kg and its 10mg/ml so bit time consuming drawing up for a massive dog! Very good as an adjunct/in cases where you want to avoid NSAIDs.

Charlie

RE: Intravenous paracetamol

chris Jones — Wed, 28 Dec 2016 15:43:27 GMT

we use iv paracetamol 10mg/ml in 100ml glass bottles and we source them from veenak. not sure if they are available from the normal wholesalers but worth a look. they come in boxes of I think 10 bottles. pretty cheap to use and I find it works well as an added pain relief or sole pain relief if as in this case you cant use much else.

I haven't had any problems with it so far. I use it as an added pain relief in eg ortho ops and sole pain relief for gi surgery.

the glass bottles are a bit of a pain as they are clear and are supposed to be protected from light which is a bit odd. also it is a pain to draw a volume from the bottle and the best way is to put a second needle into the bung to relieve the vacuum otherwise it takes an age to get any out!

we keep it in stock as a routine now

regards

chris