This information from Lexicomp® explains what you need to know about this medication, including what it’s used for, how to take it, its side effects, and when to call your healthcare provider.
DDAVP; DDAVP Rhinal Tube; Nocdurna; Noctiva; Stimate
DDAVP; DDAVP Melt; DDAVP Rhinyle; DDAVP Spray; Nocdurna; Octostim
- This drug can cause low sodium levels. Very low sodium levels can be life-threatening, leading to seizures, passing out, trouble breathing, or death. Talk with the doctor.
- Have blood work checked as you have been told by the doctor. Talk with the doctor.
- Talk with the doctor if your child has an infection, a fever, diarrhea, or is throwing up. Talk with the doctor if your child will be out in very hot weather, will be active, or will be changing how much water he/she drinks for any reason.
- Talk with your child’s doctor if your child is taking any drugs that can raise the chance of low sodium levels. There are many drugs that can do this. Ask your child’s doctor or pharmacist if you are not sure.
- It is used to help prevent bedwetting.
- It is used to treat diabetes insipidus.
- It is used to treat hemophilia.
- It is used to treat von Willebrand disease.
- It may be given to your child for other reasons. Talk with the doctor.
Noctiva and under the tongue (sublingual) tablet:
- This drug is not approved for use in children. However, the doctor may decide the benefits of taking this drug outweigh the risks. If your child has been given this drug, ask the doctor for information about the benefits and risks. Talk with the doctor if you have questions about giving this drug to your child.
- If your child has an allergy to this drug or any part of this drug.
- If your child is allergic to any drugs like this one or any other drugs, foods, or other substances. Tell the doctor about the allergy and what signs your child had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
- If your child has kidney disease or your child has ever had low sodium levels.
- If your child has any of these health problems: Heart failure (weak heart), high blood pressure, or a health problem called syndrome of inappropriate antidiuretic hormone (SIADH) secretion.
- If your child has type IIB von Willebrand disease.
- If your child has a health problem that leads to sodium loss like adrenal gland problems, diarrhea, eating disorders like anorexia or bulimia, nausea, or vomiting that will not stop.
- If your child is drinking more water than normal.
- If your child is pregnant or may be pregnant.
All nose products:
- If your child has a stuffy nose, scarring on the inside of the nose, trouble breathing through the nose, or other nose problems.
- If your child has had any recent nose surgery, injury, ulcers, or sores, talk with the doctor.
- If your child is using another drug in the nose.
This is not a list of all drugs or health problems that interact with this drug.
Tell the doctor and pharmacist about all of your child’s drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for your child to take this drug with all of his/her drugs and health problems. Do not start, stop, or change the dose of any drug your child takes without checking with the doctor.
- Tell all of your child’s health care providers that your child is taking this drug. This includes your child’s doctors, nurses, pharmacists, and dentists.
- Very bad allergic reactions have rarely happened. Sometimes, allergic reactions have been deadly with the shot form of this drug. Talk with the doctor.
- Use with care in children. Talk with the doctor.
If your child is breast-feeding a baby:
- Tell the doctor if your child is breast-feeding a baby. You will need to talk about any risks to the baby.
WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your child’s doctor or get medical help right away if your child has any of the following signs or symptoms that may be related to a very bad side effect:
- Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
- Signs of low sodium levels like headache, trouble focusing, memory problems, feeling confused, weakness, seizures, or change in balance.
- Signs of high blood pressure like very bad headache or dizziness, passing out, or change in eyesight.
- Upset stomach or throwing up.
- Muscle weakness.
- Muscle spasm.
- Feeling tired or weak.
- Hallucinations (seeing or hearing things that are not there).
- Not hungry.
- Shortness of breath, a big weight gain, or swelling in the arms or legs.
- Swelling, warmth, numbness, change of color, or pain in a leg or arm.
- Chest pain or pressure or a fast heartbeat.
- Coughing up blood.
- Weakness on 1 side of the body, trouble speaking or thinking, change in balance, drooping on one side of the face, or blurred eyesight.
- A heartbeat that does not feel normal.
- Irritation or swelling where the shot was given.
- Pain where the shot was given.
All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your child’s doctor or get medical help if any of these side effects or any other side effects bother your child or do not go away:
All nose products:
- Runny nose.
- Stuffy nose.
- Stomach cramps.
- Sore throat.
- Signs of a common cold.
These are not all of the side effects that may occur. If you have questions about side effects, call your child’s doctor. Call your child’s doctor for medical advice about side effects.
You may report side effects to your national health agency.
Give this drug as ordered by your child’s doctor. Read all information given to you. Follow all instructions closely.
- You may need to watch how much fluid your child drinks while taking this drug. Follow what your child’s doctor has told you about how much fluid your child can drink and how much physical activity your child can have. If you have questions, talk with your child’s doctor.
- If your child is using this drug for bedwetting, have your child empty his/her bladder right before bedtime. Do not let your child drink caffeine before bedtime. Follow what your child’s doctor has told you to do about your child drinking fluids close to bedtime.
- Give at bedtime for bedwetting.
All nose products:
- Follow how to give this drug as you have been told by your child’s doctor or read the package insert.
- Do not give this drug by mouth. Use in your child’s nose only. Keep out of your child’s mouth and eyes (may burn).
- Have your child blow nose before use.
- Some products may have different ways to prime the pump. Some pumps may also need to be primed if not used for different periods of time. Follow how and when to prime as you have been told.
- It is given as a shot into a vein or into the fatty part of the skin.
- Call your child’s doctor to find out what to do.
All other products:
- Give a missed dose as soon as you think about it.
- If it is close to the time for your child’s next dose, skip the missed dose and go back to your child’s normal time.
- Do not give 2 doses at the same time or extra doses.
- Store at room temperature.
- Protect from heat and light.
- Store in a dry place. Do not store in a bathroom.
- Store upright at room temperature. Do not freeze.
- After opening, throw away any part not used after 6 months.
Nose products (diabetes insipidus):
- Some brands of this drug need to be stored in a refrigerator. Some brands of this drug need to be stored at room temperature. If you have questions about how to store this drug, talk with your pharmacist.
- Be sure you know how long you can store this drug before you need to throw it away.
- Store upright with the cap on.
- If you need to store this drug at home, talk with your child’s doctor, nurse, or pharmacist about how to store it.
- Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
- Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.
- If your child’s symptoms or health problems do not get better or if they become worse, call your child’s doctor.
- Do not share your child’s drug with others and do not give anyone else’s drug to your child.
- Keep a list of all your child’s drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child’s doctor.
- Talk with your child’s doctor before giving your child any new drug, including prescription or OTC, natural products, or vitamins.
- Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your child’s doctor, nurse, pharmacist, or other health care provider.
- If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
This information should not be used to decide whether or not to take this medicine or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using this medicine.
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