Ethanolamine

Ethanolamine Brand Name– Ethamolin

What is Ethanolamine

Ethanolamine oleate is an intravenous sclerosing agent. It is indicated to prevent rebleeding in varices that have bled.

Ethanolamine has not been shown to be effective for prophylaxis. Ethanolamine causes irritation of the intimal endothelium of the vein and produces an inflammatory response.

This drug was approved by the FDA in 1988.

Indications

  • esophageal varices

For the treatment of patients with esophageal varices that have recently bled, to prevent rebleeding

NOTE: Ethanolamine is not indicated for the treatment of esophageal varices that have not bled, as supportive data that ethanolamine will decrease the likelihood of bleeding in this population are lacking. Sclerotherapy with ethanolamine has no effect on portal hypertension, the cause of esophageal varices. Recanalization and collateralization may occur, requiring further treatment.

Side Effects

  1. anaphylactic shock
  2. anaphylactoid reactions
  3. disseminated intravascular coagulation (DIC)
  4. esophageal stricture
  5. esophageal ulceration
  6. esophagitis
  7. fever
  8. infection
  9. pleural effusion
  10. pneumonitis
  11. pulmonary edema
  12. renal failure (unspecified)
  13. tissue necrosis

Monitoring Parameters

  • LFTs

Contraindications

  • breast-feeding
  • cardiac disease
  • children
  • geriatric
  • hepatic disease
  • infants
  • neonates
  • pregnancy
  • requires an experienced clinician
  • respiratory insufficiency

Interactions

There are no drug interactions associated with Ethanolamine products.

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