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Avil injection (pheniramine maleate) is an antihistamine preparation used to manage allergic reactions. It works by blocking histamine effects in the body, helping reduce itching, swelling, rash, hives, and other allergic symptoms. The 2 ml ampoule delivers 25 mg dosage. It is used in hospital or clinical settings under physician supervision.
Active ingredient: Pheniramine maleate (25 mg per 2 ml)
Excipients / Inactive ingredients: (as per manufacturer — e.g., water for injection, stabilizers)
Antihistamine (first-generation) / H1 receptor antagonist
Sterile injection solution (ampoule) — 2 ml per ampoule, each containing 25 mg pheniramine maleate.
Avil injection may be used in the following situations:
Treatment of moderate to severe allergic reactions (urticaria, angioedema)
Drug-induced hypersensitivity reactions
Allergic conjunctivitis, allergic rhinitis
Insect bite / sting reactions
To manage pruritus (severe itching) in certain dermatological conditions
As adjunct therapy in anaphylactic reactions (under supervision)
Adults / Adolescents (≥ 12 years): Typically 1–2 ml (i.e. 12.5–25 mg) intramuscularly (IM) or slowly intravenous (IV) (not faster than ~1 ml per minute) depending on severity.
Children: Dose must be adjusted based on age / weight; use under medical supervision. Some sources mention e.g. 0.5–0.7 ml for children 2 years old, etc.
The dose may be repeated every 12 hours or as directed by a physician if needed.
⚠️ Always follow physician’s orders and refer to the specific product insert for dosing.
Symptoms: excessive sedation, respiratory depression, convulsions, hypotension, tachycardia, anticholinergic effects (dry mouth, urinary retention)
If overdose is suspected: seek medical attention immediately
Provide supportive measures, gastric lavage if recent ingestion, activated charcoal, monitoring of vital signs
Typically, for injections given in clinical settings, missed doses are handled by the treating medical professional.
Do not self-administer extra dose to compensate.
Use intramuscular (IM) or slow intravenous (IV) route.
IV should be slow (approximately 1 ml per minute) to reduce risk of adverse effects.
Ensure aseptic technique and correct dilution (if required by manufacturer).
Monitor patient during and after administration.
Known hypersensitivity / allergy to pheniramine or similar antihistamines
Acute asthma (unless under strict supervision)
Narrow-angle glaucoma
Prostatic hypertrophy with urinary retention
Severe cardiovascular disease
During pregnancy or lactation, only if benefit justifies risk (use caution)
In children under certain ages unless prescribed
Common:
Drowsiness, sedation
Dizziness
Dry mouth
Blurred vision
Nausea
Urinary retention
Less common / Serious:
Confusion, hallucinations
Tachycardia or palpitations
Hypotension
Allergic reactions (rash, swelling)
CNS depression, respiratory depression
Use with caution in patients with cardiovascular disease, hypertension, liver or kidney impairment
Avoid use with other CNS depressants, alcohol
May impair ability to drive or operate machinery
In elderly patients, increased sensitivity to sedative effects
Monitor for anticholinergic effects (dryness, urinary retention)
If asthma or respiratory issues, use carefully
Sedatives, hypnotics, alcohol — additive CNS depression
Tricyclic antidepressants, MAO inhibitors — potential for additive anticholinergic effects
Other antihistamines or anticholinergic drugs — increased side effects
Drugs that prolong QT interval — caution
Store at room temperature, protected from light
Do not freeze
Use before expiry date
Dispose of unused or expired ampoules safely (follow biomedical waste rules)
Not typically a narcotic or controlled substance, but prescription and medical oversight required
Always confirm the correct dose and dilution before administration
Administer IV injections slowly to avoid adverse reactions
Monitor patients after injection for sedation or respiratory depression
Avoid combining with alcohol or other sedatives
Keep ready emergency support if allergic reaction worsens
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