くすりのしおり

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Revised: 7/2011

The information on this sheet is based on approvals granted by the Japanese regulatory authority. Approval details may vary by country. Medicines have adverse reactions (risks) as well as efficacies (benefits). It is important to minimize adverse reactions and maximize efficacy. To obtain a better therapeutic response, patients should understand their medication and cooperate with the treatment.
Brand name :
DESMOPRESSIN・Spray 10 Kyowa
 Active ingredient:
Desmopressin acetate hydrate
 Dosage form:
nasal spray
 Print on wrapping:
(labeling) KH408 デスモプレシン・スプレー10協和

Effects of this medicine

This medicine has the same action as "vasopressin", an antidiuretic hormone to control urine volume, secreted from pituitary gland in the brain. It is a nasal spray which promotes reabsorption of water in renal tubule of the kidney to concentrate urine and consequently prevents nocturnal enuresis (bed-wetting) associated with secretion defect of vasopressin during the night.
It is usually used in the treatment of nocturnal enuresis caused by decreased urine osmolarity or decreased specific gravity of urine.

Before using this medicine, be sure to tell your doctor and pharmacist

  • If you have previously experienced any allergic reactions (itch, rash, etc.) to any medicines.
    If you have: hypertension, coronary artery thrombosis, angina pectoris, anterior pituitary dysfunction or nasal disease (including its history).
  • If you are pregnant or breastfeeding.
  • If you are taking any other medicinal products. (Some medicines may interact to enhance or diminish medicinal effects. Beware of over-the-counter medicines and dietary supplements as well as other prescription medicines.)

Dosing schedule (How to take this medicine)

  • Your dosing schedule prescribed by your doctor is ((        to be written by a healthcare professional))
  • In general, for adults, use 1 spray (10mcg of the active ingredient) into nostril at a time, once daily, before going to bed. If the effect is insufficient, the dosage will be increased to use 2 sprays (20mcg), once daily, however, the maximum daily dose is limited to 2 sprays. Strictly follow the instructions.
  • When the bottle of the medicine is used for the first time or it has not been used for more than a week, press the pump several times (approx. 4 times) and make sure that the medicine is sprayed in the form of a mist. Blow your nose before using to stabilize absorption of the medicine. In using, make sure that the end of the tube inside the bottle is placed in the liquid and spray at one push. According to the instruction in another sheet supplied with the medicine (the instruction is written only in Japanese), try to use the medicine faster and more accurately.
  • Use the medicine after urination and before going to bed.
  • If you missed a dose, skip the missed dose and use a dose on the next night before going to bed. You should never use two doses at one time.
  • If you accidentally used more than your prescribed dose, consult with your doctor or pharmacist.
  • Do not stop using this medicine unless your doctor instructs you to do so.

Precautions while taking this medicine

  • Follow the instruction of your doctor about your daily life.
  • Follow the instruction of your doctor about the amount of water ingestion after supper to next morning, and avoid drinking water. When you drank water more than instructed, do not use the medicine.
  • If you have a nasal disease such as rhinitis and it is difficult to use the medicine, consult with your doctor or pharmacist.

Possible adverse reactions to this medicine

The most commonly reported adverse reactions include headache, loss of appetite, nausea, vomiting, facial edema, abdominal pain, nasal bleeding, fever, insomnia, somnolence and nasal discomfort. If any of these symptoms occur, consult with your doctor or pharmacist.
The symptoms described below are rarely seen as initial symptoms of the adverse reactions indicated in brackets. If any of these symptoms occur, stop taking this medicine and see your doctor immediately.
  • malaise, headache, nausea [water intoxication]
The above symptoms do not describe all the adverse reactions to this medicine. Consult with your doctor or pharmacist if you notice any symptoms of concern other than those listed above.

Storage conditions and other information

  • Keep out of the reach of children. Store away from heat and keep the bottle at a standing position.
  • When you carry the medicine with you, put the bottle in a package and keep the bottle at a standing position in a bag (if you put it in your pocket, the medicine may leak out due to warming by your body temperature).
  • When you go on a tour and carry the medicine with you, avoid keeping it at a high temperature and keep it at a stable temperature.
  • Discard the remainder. Do not store them.Ask the pharmacist how to discard them.

For healthcare professional use only : Day Month Year

For further information, talk to your doctor or pharmacist.

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