Generic Name
Pralidoxime
Brand Name
2-Pam, Protopam,Duodote
Drug Class
Antidote
Mechanism of Action
Reactivates cholinesterase and blocks runaway stimulation of parasympathetic nervous system
Indications
Organophosphate poisoning and nerve agent poisoning
Contraindications
Impaired renal function, mysthenia gravis, inorganic phosphate poisoning
Adverse Effects
Dizziness, drowsiness, H/A, muscle rigidity, neuromuscular blockade, laryngospasm
Precautions
Do not use with other resp. depressants, succinylcholine, or theophylline
Dose and Administration
600mg IM auto-injector q 15 minutes (max 3)
IV infusion 1-2g over 30-60minutes