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CARDIOVASCULAR SYSTEM › VASOPROTECTIVES › ANTIVARICOSE THERAPY › Sclerosing agents for local injection
sodium tetradecyl sulfate
C05BB04
Forms & Strengths
- Injectable solution 1%
- Injectable solution 3%
Adult Dosing
- Sclerotherapy of small uncomplicated varicose veins of the lower extremity: 0.5 mL to 2 mL per injection site
- Maximum total volume per session should not exceed 10 mL
Pediatric Dosing
- Safety and effectiveness in pediatric patients have not been established
Indications
- Treatment of small uncomplicated varicose veins of the lower extremity that are visible and require obliteration
Mechanism of Action
- Acts as a sclerosing agent that irritates the intima of the vein
- Causes localized endothelial damage leading to thrombus formation and eventual fibrosis of the vein
Contraindications
- Known hypersensitivity to sodium tetradecyl sulfate or any component of the formulation
- Acute superficial thrombophlebitis
- Valvular incompetence
- Known severe arterial disease
- Patients with marked debility or bedridden status
- Conditions predisposing to venous thrombosis (e.g., hypercoagulable states)
- Pregnancy
Adverse Reactions
- Injection site necrosis
- Pain at the injection site
- Urticaria
- Pruritus
- Skin pigmentation (hyperpigmentation at the site)
- Telangiectatic matting
- Deep vein thrombosis
- Pulmonary embolism
- Anaphylaxis
Drug Interactions
- Concurrent use with oral contraceptives may increase the risk of thromboembolism
- Other sclerosing agents or vasoconstrictors may increase the risk of local tissue necrosis if used concurrently
Curated Content: Needs Vetting Before Put to Clinical Use