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Yes, and The prices you will pay with our coupons may be lower than your health insurance co-pay. Our coupons cannot be used to lower your co-pay, however. Ask your pharmacist to help you find the best possible price. The factor VIII related antigen and ristocetin cofactor activity were also increased to a smaller degree, but still are dose-dependent.
Terminal half-life significantly increased from 3 hours in normal healthy patients to 9 hours in patients with severe renal impairment. Other patients may respond in a variable fashion depending on the type of molecular defect they have. However, this means of delivery can be compromised by a variety of factors that can make nasal insufflation ineffective or inappropriate. These include poor intranasal absorption, nasal congestion and blockage, nasal discharge, atrophy of nasal mucosa, and severe atrophic rhinitis.
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Intranasal delivery may be inappropriate where there is an impaired level of consciousness. In addition, cranial surgical procedures, such as transsphenoidal hypophysectomy, create situations where an alternative route of administration is needed as in cases of nasal packing or recovery from surgery.
Unless properly diagnosed and treated hyponatremia can be fatal. Careful medical supervision is required.
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Particular attention should be paid to the possibility of the rare occurrence of an extreme decrease in plasma osmolality that may result in seizures which could lead to coma. No causality has been determined, however, the drug should be used with caution in these patients.
Severe allergic reactions have been reported rarely. The skin bleeding time may be helpful in following these patients. In some cases, plasma osmolality may be required.
The concomitant administration of drugs that may increase the risk of water intoxication with hyponatremia, e. Teratology studies in rats and rabbits at doses from 0. There are, however, no adequate and well controlled studies in pregnant women.
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Because animal reproduction studies are not always predictive of human response, this drug should be used during pregnancy only if clearly needed. Several publications of desmopressin acetate's use in the management of diabetes insipidus during pregnancy are available; these include a few anecdotal reports of congenital anomalies and low birth weight babies. However, no causal connection between these events and desmopressin acetate has been established.
A fifteen year, Swedish epidemiologic study of the use of desmopressin acetate in pregnant women with diabetes insipidus found the rate of birth defects to be no greater than that in the general population; however, the statistical power of this study is low. As opposed to preparations containing natural hormones, desmopressin acetate in antidiuretic doses has no uterotonic action and the physician will have to weigh the therapeutic advantages against the possible risks in each case. It is not known whether this drug is excreted in human milk.
Other reported clinical experience has not identified differences in responses between the elderly and younger patients.
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In general, dose selection should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy. This drug is known to be substantially excreted by the kidney, and the risk of toxic reactions to this drug may be greater in patients with impaired renal function. Because elderly patients are more likely to have decreased renal function, care should be taken in dose selection, and it may be useful to monitor renal function.
Fluid restriction should be discussed with the patient. These symptoms disappeared with reduction in dosage. Signs of overdose may include confusion, drowsiness, continuing headache, problems with passing urine and rapid weight gain due to fluid retention.