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AMPRES 20 mg/ml INJECTABLE SOLUTION

Ask a doctor about a prescription for AMPRES 20 mg/ml INJECTABLE SOLUTION

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Doctor

Svetlana Kolomeeva

Cardiology18 years of experience

Dr. Svetlana Kolomeeva is a general practitioner and internal medicine doctor providing online consultations for adults. She helps patients manage acute symptoms, chronic conditions, and preventive care. Her clinical focus includes cardiovascular health, hypertension control, and managing symptoms like fatigue, weakness, sleep issues, and overall low energy.

Patients commonly seek her help for:

  • High blood pressure, headaches, dizziness, swelling, palpitations.
  • Diagnosis and management of hypertension, arrhythmias, and tachycardia.
  • Metabolic syndrome, excess weight, high cholesterol.
  • Chronic fatigue, insomnia, poor concentration, anxiety.
  • Respiratory symptoms: colds, flu, sore throat, cough, fever.
  • Digestive issues: heartburn, bloating, constipation, IBS symptoms.
  • Chronic conditions: diabetes, thyroid disorders.
  • Interpretation of lab tests and medical reports, therapy adjustment.
  • Second opinion and decision-making support.
  • Cardiovascular disease prevention and metabolic risk reduction.
  • Long-term follow-up and dynamic health monitoring.

Dr Kolomeeva combines clinical expertise with personalised care. She clearly explains diagnoses, guides patients through symptoms and treatment options, and provides actionable plans. Her consultations are designed not only to address current complaints but also to stabilise chronic conditions and prevent future complications. She supports patients through every stage of care – from first symptoms to ongoing health management.

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This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use AMPRES 20 mg/ml INJECTABLE SOLUTION

Introduction

Package Leaflet: Information for the User

Ampres 20mg/ml injectable solution

chloroprocaine hydrochloride

Read all of this leaflet carefully before this medicine is administered to you because it contains important information for you.

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor, pharmacist, or nurse.
  • This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours.
  • If you experience any side effects, talk to your doctor, pharmacist, or nurse. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the pack

  1. What is Ampres and what is it used for
  2. What you need to know before you are given Ampres
  3. How to use Ampres
  4. Possible side effects
  5. Storage of Ampres
  6. Contents of the pack and other information

1. What is Ampres and what is it used for

Ampres contains the active substance chloroprocaine hydrochloride. It is a type of medicine called a local anesthetic belonging to the category of aminobenzoic acid esters.

Ampres is used to anesthetize (numb) specific parts of the body and prevent pain during surgical procedures by injecting the solution near the selected nerves.

Ampres is indicated only in adults.

2. What you need to know before you are given Ampres

Do not use Ampres:

  • if you are allergic to chloroprocaine hydrochloride, to PABA (para-aminobenzoic acid) ester-type medicines, to other local anesthetics of the ester type, or to any of the other ingredients of this medicine (listed in section 6),
  • if there are general and specific contraindications for regional anesthesia, regardless of the local anesthetic used,
  • if you have been told you have a reduced blood volume (hypovolemia),
  • if you have severe cardiac conduction problems.

Warnings and precautions

If you have any of the following, you should discuss it with your doctor beforeyou are given this medicine.

  • if you have ever had a bad reaction to an anesthetic in the past.
  • if you have signs of skin infection or inflammation at the proposed injection site or nearby.
  • if you suffer from any of the following:
  • liver disease or kidney problems.
  • very low blood pressure.
  • blood clotting problems.
  • fluid in the lungs.
  • septicemia (blood poisoning).
  • if you have a heart condition (e.g., complete or partial heart block, heart failure, or arrhythmia).
  • if your general health is poor.

Other medicines and Ampres

Tell your doctor, pharmacist, or nurse if you are taking, have recently taken, or might take any other medicines. In particular, if you are taking any medicine for an irregular heartbeat (class III antiarrhythmics), for the treatment of low blood pressure (vasopressors), and for pain relief.

Tell your doctor if you are taking any of the following medicines:

  • cholinesterase inhibitors (such as anticholinesterases or cyclophosphamide)

This is because your body takes longer to eliminate Ampres if you are taking these medicines.

Pregnancy, breastfeeding, and fertility

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor for advice before you are given this medicine. Ampres is not recommended for local or regional anesthesia during pregnancy and should only be administered during pregnancy if absolutely necessary.

It is not known whether chloroprocaine is excreted in breast milk. If you are breastfeeding, you should inform your doctor, who will decide whether or not to administer Ampres.

Driving and using machines

The influence of Ampres on the ability to drive and use machines is important.

Your doctor is responsible for deciding in each individual case whether you can drive or use machines.

Ampres contains sodium

This medicine contains 37 mg of sodium (a major component of cooking/table salt) in each 20 ml vial. This is equivalent to 1.85% of the maximum recommended daily intake of sodium for an adult.

3. How to use Ampres

This medicine will be administered to you by your doctor.

Regional anesthesia should only be administered by a doctor with the necessary knowledge and experience. The doctor in charge is responsible for taking the necessary measures to avoid injection into a blood vessel and for recognizing and treating undesirable effects.

The equipment, medicines, and personnel capable of dealing with a medical emergency should be available immediately.

Your doctor will decide what dose is suitable for you. The dose will depend on your state of health, the part of the body where the medicine is injected, and what the medicine is used for.

The maximum dose for healthy adults should not exceed 800 mg.

In patients with impaired general condition and in patients with confirmed concomitant disorders (e.g., vascular occlusion, arteriosclerosis, diabetic polyneuropathy), a reduced dose is indicated.

Use in children and adolescents

The safety and efficacy of Ampres in children have not been established. No data are available.

Ampres may be used to achieve local anesthesia by injecting the solution around a peripheral nerve or a network of nerves (perineural use), and the planned surgical procedure should not exceed 60 minutes.

If you have any further questions on the use of this medicine, ask your doctor, pharmacist, or nurse.

4. Possible side effects

Like all medicines, Ampres can cause side effects, although not everybody gets them.

Important side effects to look out for:

Sudden, potentially life-threatening allergic reactions (such as anaphylaxis) are rare and affect up to 1 in 1,000 users.

Possible symptoms include sudden onset of itching, erythema (redness of the skin), edema (swelling), sneezing, vomiting, dizziness, excessive sweating, high temperature; and shortness of breath, wheezing, or difficulty breathing. If you think Ampres is causing an allergic reaction, tell your doctor immediately.

Other possible side effects:

Very common: may affect more than 1 in 10 people

Decrease in blood pressure, nausea

Common: may affect up to 1 in 10 people

Anxiety, restlessness, paresthesia, feeling of dizziness, vomiting, block failure, difficulty urinating.

Uncommon: may affect up to 1 in 100 people

Decrease in blood pressure (with high doses), high blood pressure (hypertension), slow heart rate, tremors, convulsions, numbness of the tongue, hearing problems, vision problems, speech problems, loss of consciousness.

Rare: may affect up to 1 in 1,000 people

Neuropathy, somnolence, leading to loss of consciousness and respiratory arrest, loss of bladder and bowel control, loss of perineal sensation and sexual function, and permanent neurological damage.

Double vision, irregular heartbeats (arrhythmias).

Myocardial depression, cardiac arrest (the risk increases with high doses or accidental intravascular injection).

Shortness of breath, wheezing, and difficulty breathing.

Reporting of side effects

If you experience any side effects, talk to your doctor or nurse, even if they are not listed in this leaflet. You can also report side effects directly via the Spanish Medicines and Healthcare Products Agency's website: www.notificaRAM.es.

By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storage of Ampres

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date which is stated on the vials and on the outer packaging, after EXP. The expiry date is the last day of the month shown.

Do not store above 25°C. Do not refrigerate or freeze. Keep the vial in the outer packaging to protect it from light.

Use immediately after first opening. For single use only.

Ampres should not be administered if the solution is not clear and free of particles.

Since this medicinal product is limited to hospital use, disposal is carried out directly by the hospital. Medicines should not be disposed of via wastewater or household waste. These measures will help protect the environment.

6. Contents of the pack and other information

Composition of Ampres

The active substance is chloroprocaine hydrochloride.

1 ml of the injectable solution contains 20 mg of chloroprocaine hydrochloride.

1 vial with 20 ml of solution contains 400 mg of chloroprocaine hydrochloride.

The other ingredients are hydrochloric acid 3.7% (for pH adjustment), sodium chloride, and water for injectable preparations.

Appearance and packaging

This medicine is presented as an injectable solution. The injectable solution is a clear, colorless solution.

It is presented in a 20 ml glass vial of type I.

The vial closures are bromobutyl rubber stoppers and the closures used are aluminum flip-off caps.

Box with 1 vial containing 20 ml of injectable solution.

Marketing authorization holder and manufacturer

Marketing authorization holder:

B.Braun Medical, S.A.

Ctra. de Terrassa, 121

08191 (Rubí) Barcelona

Spain

Manufacturer:

Sirton Pharmaceuticals S.p.A.

Piazza XX Settembre, 2

22079 Villa Guardia - Como

Italy

Sintetica GmbH

Albersloher Weg 11

48155 Münster

Germany

This medicine is authorized in the Member States of the European Economic Area and in the United Kingdom (Northern Ireland) under the following names:

Member State

Medicine name

Austria

Ampres 20 mg/ml Injektionslosung

Belgium

Ampres 20 mg/ml Solution for injection - Oplossing voor injectie - Solution injectable - Injektionslösung

France

Clorotekal 20 mg/ml solution pour injection

Germany

Ampres 20 mg/ml Injektionslosung

Ireland

Ampres 20 mg/ml solution for injection

Italy

Decelex

Poland

Decelex

Spain

Ampres 20 mg/ml solución inyectable

United Kingdom

(Northern Ireland)

Ampres 20 mg/ml solution for injection

Date of last revision of this leaflet:January 2022

Detailed information on this medicine is available on the website of the Spanish Agency for Medicines and Healthcare Products (AEMPS) (http://www.aemps.gob.es/)

------------------------------------------------------------------------------------------------------------

This information is intended only for healthcare professionals:

The Summary of Product Characteristics of the medicine is attached to the end of the printed leaflet as a separate section.

Alternatives to AMPRES 20 mg/ml INJECTABLE SOLUTION in other countries

The best alternatives with the same active ingredient and therapeutic effect.

Alternative to AMPRES 20 mg/ml INJECTABLE SOLUTION in Polonia

Dosage form: Solución, 10 mg/ml
Active substance: chloroprocaine
Importer: Sintetica GmbH Sirton Pharmaceuticals SpA.
Prescription required

Online doctors for AMPRES 20 mg/ml INJECTABLE SOLUTION

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for AMPRES 20 mg/ml INJECTABLE SOLUTION – subject to medical assessment and local rules.

5.0(22)
Doctor

Ekaterina Agapova

Neurology9 years of experience

Dr. Ekaterina Agapova is a neurologist specialising in the diagnosis and treatment of neurological conditions and chronic pain. She provides online consultations for adults, combining evidence-based medicine with a personalised approach.

She offers expert care for:

  • Headaches and migraines, including tension-type and cluster headaches.
  • Neck and back pain, both acute and chronic.
  • Chronic pain syndromes – fibromyalgia, neuropathic pain, post-traumatic pain.
  • Mononeuropathies – carpal tunnel syndrome, trigeminal neuralgia, facial nerve palsy.
  • Polyneuropathies – diabetic, toxic, and other types.
  • Multiple sclerosis – diagnosis, monitoring, long-term support.
  • Dizziness and coordination disorders.
  • Sleep disturbances – insomnia, daytime sleepiness, fragmented sleep.
  • Anxiety, depression, and stress-related conditions.

Dr. Agapova helps patients manage complex neurological symptoms like pain, numbness, weakness, poor sleep, and emotional distress. Her consultations focus on accurate diagnosis, clear explanation of findings, and tailored treatment plans.

If you’re struggling with chronic pain, migraines, nerve disorders, or sleep problems, Dr. Agapova offers professional guidance to restore your well-being.

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5.0(2)
Doctor

Svetlana Kolomeeva

Cardiology18 years of experience

Dr. Svetlana Kolomeeva is a general practitioner and internal medicine doctor providing online consultations for adults. She helps patients manage acute symptoms, chronic conditions, and preventive care. Her clinical focus includes cardiovascular health, hypertension control, and managing symptoms like fatigue, weakness, sleep issues, and overall low energy.

Patients commonly seek her help for:

  • High blood pressure, headaches, dizziness, swelling, palpitations.
  • Diagnosis and management of hypertension, arrhythmias, and tachycardia.
  • Metabolic syndrome, excess weight, high cholesterol.
  • Chronic fatigue, insomnia, poor concentration, anxiety.
  • Respiratory symptoms: colds, flu, sore throat, cough, fever.
  • Digestive issues: heartburn, bloating, constipation, IBS symptoms.
  • Chronic conditions: diabetes, thyroid disorders.
  • Interpretation of lab tests and medical reports, therapy adjustment.
  • Second opinion and decision-making support.
  • Cardiovascular disease prevention and metabolic risk reduction.
  • Long-term follow-up and dynamic health monitoring.

Dr Kolomeeva combines clinical expertise with personalised care. She clearly explains diagnoses, guides patients through symptoms and treatment options, and provides actionable plans. Her consultations are designed not only to address current complaints but also to stabilise chronic conditions and prevent future complications. She supports patients through every stage of care – from first symptoms to ongoing health management.

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Mar Tabeshadze

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  • Diagnostic consultations for suspected endocrine disorders
  • Management of thyroid conditions, including in pregnant women
  • Early detection and treatment of type 1 and type 2 diabetes, with personalised therapy plans
  • Obesity treatment: identifying underlying causes of weight gain, combining medication and non-pharmacological strategies, and long-term support
  • Diagnosis and treatment of endocrine-related skin, hair, and nail issues
  • Ongoing care for patients with osteoporosis, pituitary, and adrenal gland disorders
Dr. Tabeshadze takes a patient-centred approach based on evidence-based medicine. Her goal is to help patients achieve hormonal balance, manage chronic conditions effectively, and improve overall well-being through targeted, personalised care.
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Anna Biriukova

General medicine6 years of experience

Dr Anna Biriukova is an internal medicine doctor with clinical experience in cardiology, endocrinology, and gastroenterology. She provides online consultations for adults, offering expert medical support for heart health, hormonal balance, digestive issues, and general internal medicine.

Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
  • Leg swelling, chronic fatigue, reduced exercise tolerance.
  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
  • Individual treatment plans including oral medications and insulin therapy.
  • GLP-1 therapy– modern pharmacological treatment for weight management and diabetes control, including drug selection, monitoring, and safety follow-up.
  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
Gastroenterology – Digestive health:
  • Abdominal pain, nausea, heartburn, gastroesophageal reflux (GERD).
  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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Taisiya Minorskaya

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She helps with:

  • Viral infections and cold symptoms (flu, sore throat, cough, runny nose)
  • Review and adjustment of antibiotics
  • Skin rashes and allergic reactions
  • Chronic condition flare-ups, high blood pressure, headaches, fatigue
  • Lab and test interpretation
  • Medication review and adaptation to European standards
  • Patient navigation: what tests are needed, which specialists to see, when an in-person visit is required
Dr Minorskaya also specialises in the diagnosis and management of gastrointestinal conditions, including bloating, abdominal pain, chronic nausea, IBS, and SIBO. She supports patients with unexplained physical symptoms that may be linked to somatisation or stress, helping them find relief and improve quality of life.

She offers care for people undergoing GLP-1 therapy (Ozempic, Mounjaro, and others) for weight management. Her support follows Spanish clinical guidelines, from treatment planning and side effect counselling to regular follow-ups and coordination with private or public healthcare providers.

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Antonio Cayatte

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Dr Antonio Cayatte is a physician in General and Acute Medicine with over 30 years of experience across clinical care, medical research, and education. He offers online consultations for adults with a wide range of symptoms, both acute and chronic.

His clinical background includes:

  • assessment of sudden or unclear symptoms
  • ongoing care for chronic conditions
  • follow-up after hospital discharge
  • interpretation of test results
  • medical support while abroad
Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association.

Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

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Daria Portnova

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Dr Daria Portnova is a psychiatrist and psychotherapist with over 30 years of clinical experience. She works with adults and adolescents aged 14 and over, providing online psychiatric and psychotherapeutic consultations.

In her practice, Dr Portnova supports patients facing the onset of mental health conditions, chronic psychiatric disorders, psychotic symptoms, trauma-related states, and complex emotional crises. Her work is structured and safety-focused, with an emphasis on stabilisation, accurate diagnosis, and long-term improvement in quality of life.

Patients consult Dr Daria Portnova for the following concerns:

  • existential crises and complex life situations;
  • loss, grief, and emotional exhaustion;
  • relationship difficulties, separation, and divorce;
  • psychological and psychiatric trauma, including complex PTSD (cPTSD);
  • anxiety disorders: generalised anxiety disorder and panic disorder;
  • social anxiety and social phobia;
  • obsessive-compulsive disorder (OCD);
  • sleep disorders;
  • depressive disorders;
  • bipolar affective disorder;
  • schizoaffective disorder;
  • schizophrenia;
  • personality disorders.
Dr Portnova combines psychiatric assessment with a psychotherapeutic approach. She works with evidence-based methods, including cognitive behavioural therapy (CBT) and third-wave approaches such as ACT, FACT, and CFT. Consultations are focused on clear clinical understanding, practical recommendations, and ongoing support over time.
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Main areas of support:

  • Depression and burnout
  • Anxiety, panic attacks, phobias
  • Post-traumatic stress disorder (PTSD)
  • Psychosomatic symptoms and sleep disturbances
  • Health anxiety (hypochondria)
  • Mental health support in chronic physical illness
  • Adjustment disorders and low self-esteem
Dr Kondratiuk focuses on creating a safe and respectful therapeutic environment where patients feel heard and supported. Her goal is to help each person achieve lasting improvements in their mental well-being.
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Alexander Nazarchuk

Allergology7 years of experience

Dr. Alexander Nazarchuk is a physician specialising in allergology and internal medicine. He provides online consultations for adults, following the principles of evidence-based medicine — no outdated treatments or unnecessary tests, with clear explanations and a personalised approach. He helps patients with a wide range of allergic and therapeutic conditions, from common day-to-day complaints to complex cases involving allergies, gastrointestinal issues, cardiovascular concerns, respiratory symptoms, and more.

You can consult Dr. Nazarchuk for:

  • Test interpretation and guidance on diagnostic plans.
  • Allergic rhinitis, hay fever, bronchial asthma (including severe cases).
  • Food and drug allergies, skin rashes, angioedema.
  • Atopic dermatitis, urticaria, contact allergies.
  • Allergen-specific immunotherapy (AIT) – initiation and ongoing management.
  • Abdominal pain, bloating, changes in bowel habits, nausea, heartburn.
  • High blood pressure and adjustment of baseline antihypertensive therapy.
  • Hyperlipidaemia and elevated cholesterol.
  • Cough, nasal congestion, fever, sore throat.
  • Anaemia, including iron deficiency and related conditions.
  • Other issues related to allergology and internal medicine.

During consultations, Dr. Nazarchuk takes a thorough, structured approach — analysing symptoms, identifying potential causes, and helping patients make informed decisions. Whether treatment, further investigation, or monitoring is needed, he explains each step clearly so you understand your health and how best to manage it.

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Sergey Ilyasov

Psychiatry7 years of experience

Dr Sergey Ilyasov is an experienced neurologist and qualified psychiatrist who provides online consultations for adults and adolescents. Combining deep neurological expertise with a modern psychiatric approach, he ensures comprehensive diagnostics and effective treatment for a wide range of conditions affecting both physical and mental health.

Dr. Ilyasov helps patients in the following cases:

  • Chronic headaches (migraine, tension-type headache), back pain, neuropathic pain, dizziness, numbness in limbs, coordination disorders.
  • Anxiety disorders (panic attacks, generalized anxiety disorder), depression (including atypical and treatment-resistant forms), sleep disturbances (insomnia, hypersomnia, nightmares), stress, burnout.
  • Chronic pain syndromes and psychosomatic symptoms (e.g., irritable bowel syndrome related to stress, vegetative-vascular dystonia).
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  • Memory impairments, phobias, obsessive-compulsive disorder (OCD), emotional swings, and support for post-traumatic stress disorder (PTSD).

Thanks to his dual specialization in neurology and psychiatry, Dr Sergey Ilyasov offers integrated and evidence-based care for complex conditions requiring a multidisciplinary approach. His consultations focus on accurate diagnosis, development of an individualized treatment plan (including pharmacotherapy and psychotherapeutic methods), and long-term support adapted to each patient's unique needs.

Book an online consultation with Dr. Sergey Ilyasov to receive qualified assistance and improve your well-being today.

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