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Dextrose 25% and sodium chloride 10% (sclerosing agent) (United States: Not available): Drug information

Dextrose 25% and sodium chloride 10% (sclerosing agent) (United States: Not available): Drug information
For abbreviations, symbols, and age group definitions used in Lexicomp (show table)
Brand Names: Canada
  • Sclerodex
Pharmacologic Category
  • Sclerosing Agent
Dosing: Adult
Sclerosing agent

Sclerosing agent:

Note: Recommended for use in small vessels (vessel diameter <1 mm) (Ref).

IV: 0.1 to 1 mL (depends on length and size of vein) per injection site; not to exceed a cumulative dose of 10 mL per visit.

Dosing: Kidney Impairment: Adult

There are no dosage adjustments provided in the manufacturer’s labeling.

Dosing: Hepatic Impairment: Adult

There are no dosage adjustments provided in the manufacturer’s labeling.

Dosing: Older Adult

Refer to adult dosing.

Adverse Reactions

There are no adverse reactions listed in the manufacturer's labeling.

Contraindications

Recent superficial or deep thrombophlebitis (6 months to 2 years); varicose veins caused by abdominal or pelvic tumors; potential underlying arterial disease; renal or cardiac insufficiencies accompanied by venous stasis or dilatation; angina pectoris; local or systemic infections; hyperthyroidism; uncontrolled diabetes mellitus

Warnings/Precautions

Concerns related to adverse effects:

• Hypersensitivity: Mild or severe allergic reactions may occur.

Disease-related concerns:

• Thromboembolism: Use with caution in patients with history of deep vein thrombosis or at increased risk for thromboembolism (eg, oral contraceptive use). Pulmonary embolism may occur if the thrombus enters the systemic circulation.

Other warnings/precautions:

• Appropriate use: Administration should be performed by health care provider trained in sclerosing technique. Avoid extravasation and arterial injection due to risk of ischemia and necrosis of surrounding tissues.

Product Availability

Not available in the US

Generic Equivalent Available: US

No

Dosage Forms: Canada

Excipient information presented when available (limited, particularly for generics); consult specific product labeling.

Solution, Injection:

Sclerodex: Dextrose 250 mg and sodium chloride 100 mg per mL (10 mL)

Administration: Adult

For IV administration only. Avoid extravasation and arterial injection due to risk of ischemia and necrosis of the surrounding tissues. Separate injection sites by ~2 inches (5 cm).

Use: Labeled Indications

Sclerosing agent: Local treatment of varicose veins, especially small vessels and communicating veins of the superficial venous system; as adjunct to the surgical treatment of varicose veins of the lower limbs

Metabolism/Transport Effects

None known.

Drug Interactions

There are no known significant interactions.

Monitoring Parameters

Hypersensitivity reactions; signs/symptoms of deep vein thrombosis/pulmonary embolism.

  1. Dietzek CL. Sclerotherapy: introduction to solutions and techniques. Perspect Vasc Surg Endovasc Ther. 2007;19(3):317-324. doi:10.1177/1531003507305884 [PubMed 17966153]
  2. Gloviczki P, Comerota AJ, Dalsing MC, et al; Society for Vascular Surgery; American Venous Forum. The care of patients with varicose veins and associated chronic venous diseases: clinical practice guidelines of the Society for Vascular Surgery and the American Venous Forum. J Vasc Surg. 2011;53(5)(suppl):S2-S48. doi:10.1016/j.jvs.2011.01.079 [PubMed 21536172]
  3. Sclerodex (dextrose and sodium chloride) [product monograph]. Montreal, Canada: Omega; July 2004.
Topic 120071 Version 13.0

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