Wednesday, June 17, 2015

Fentanyl Citrate : Product Information

For the use of a Registered Medical Practitioner or a Hospital or Laboratory only.

Fentanyl is a synthetic phenethylpiperidine derivative drug is commercially available for parenteral use as the citrate salt.

Clinical Pharmacology:

Fendrop is a narcotic analgesic. It is short-acting after single doses, but has a relatively long elimination half-life because of rapid redistribution in the body. Fendrop is usually given intravenously and is used particularly in anaesthesia. A dose of 100 mcg (in 2 ml) is approximately equivaient in analgesic activity to 10 mg of morphine or 75 mg of meperidine. The principal actions of therapeutic value are analgesia and sedation. Large doses may produce apnea.

Tuesday, June 16, 2015

SingTel et al to Disconnect 2G by 2017: My Take

With the massive growth on 4G-LTE platform, operators across the globe are planning for a opt-out from old technology based services. As per GSA report, there are 635 million LTE subscription worldwide in the Q1 of 2015 - that is equivalent to an impressive 151.4% annual growth.

On 15th June, 2015 Singtel, M1 and StarHub - the three mobile carriers of Singapore jointly announced that they will stop offering 2G services w.e.f April 1, 2017. Presently only 2.5 mobile users in Singapore use 2G services. The carriers told that 2G spectrum will be refarmed for more data friendly 3G & 4G services. They will offer smooth transition for 2G to 3G/4G.

Singapore can do that as there 4G coverage is near to 100%, thanks to the compact geographical area of the country. Not only that operators need more 1800MHz for robust LTE coverage.

Friday, June 12, 2015

Hospice in End Stage Diseases (+ Kosish Cocktail)

Few days back I saw a ovarian Ca (with hepatitis B - HbsAg positive) patient in a private hospital, where I am attached as medical officer. The malignancy is end stage, and associated with metastasis and pain. She is a regular admission in that set up, mostly when pain is increased or she is having shortness of breath due to huge ascitis & pleural effusion. We drain her ascitic & pleural fluid and send her home back, just to wait she would return to the nursing home. 

In any of her admission, her daughter & son-in-law asked the consultant that they are arranging a doctor outside to see her. On this doctor's visiting day, I was not present as that was my off day.