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Last updated:
06 Nov 2020 | 05:29 PM (IST)
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Elpam Injection

Prescription Required
Store at room temperature (10-30°C)


Elpam Injection is a prescription medicine used in the treatment of poisoning caused by pesticides and chemicals that contain organophosphates. It is used in the cases where respiratory depression occurs as a result of muscle weakness due to poisoning.

Elpam Injection is administered in a medical emergency situation thus aim should be to seek treatment of poisoning without waiting for the results of laboratory tests. This injection is given under the supervision of a healthcare professional. Moreover, it is important to consult your doctor if you have abnormal heartbeat, difficulty or trouble with breathing, increased muscle weakness, or severe tiredness after receiving this medicine.

There can be some side effects like nausea, muscle weakness, headache, double vision, and blurred vision. It may also cause dizziness and sleepiness, so do not drive or do anything that requires mental focus until you will better. This medicine may also increase your blood pressure, so it is better to consult your doctor if it bothers you.

Uses of Elpam Injection

  • Organophosphate poisoning

Benefits of Elpam Injection

In Organophosphate poisoning

Organophosphates are used as insecticides or medications. Symptoms of organophosphate poisoning include increased saliva and tear production, diarrhea, vomiting, small pupils, sweating, muscle tremors, and confusion. Elpam Injection helps to undo the effects of organophosphate poisoning and to restore normal life functions. It is given as an injection by a doctor or nurse.

Side effects of Elpam Injection

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Elpam

  • Accomodation disorder
  • Dizziness
  • Double vision
  • Drowsiness
  • Headache
  • High blood pressure
  • Increased heart rate
  • Muscle weakness
  • Nausea

How to use Elpam Injection

Your doctor or nurse will give you this medicine. Kindly do not self administer.

How Elpam Injection works

Elpam Injection reactivates the enzymes blocked by many pesticides (organophosphates). It is an antidote used in the poisoning of these pesticides.

Safety Advice

It is not known whether it is safe to consume alcohol with Elpam Injection. Please consult your doctor.
Elpam Injection may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor.
Elpam Injection should be used with caution during breastfeeding. Breastfeeding should be held until the treatment of the mother is completed and the drug is eliminated from her body.
It is not known whether Elpam Injection alters the ability to drive. Do not drive if you experience any symptoms that affect your ability to concentrate and react.
Elpam Injection should be used with caution in patients with kidney disease. Dose adjustment of Elpam Injection may be needed. Please consult your doctor.
There is limited information available on the use of Elpam Injection in patients with liver disease. Please consult your doctor.

What if you forget to take Elpam Injection?

If you miss a dose of Elpam Injection, please consult your doctor.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
Elpam Injection
₹9.35/ml of Injection
Neopam 500mg Injection
Troikaa Pharmaceuticals Ltd
₹3.26/ml of Injection
save 65%
Aldopam 500mg Injection
Samarth Life Sciences Pvt Ltd
₹4.09/ml of Injection
save 56%
Pam 500mg Injection
Acme Pharmaceutical
₹8.33/ml of Injection
save 11%
Toxipam 500mg Injection
Bharat Serums & Vaccines Ltd
₹9.5/ml of Injection
2% costlier
Cbc Pam 500mg Injection
Chandra Bhagat Pharma Pvt Ltd
₹9.75/ml of Injection
4% costlier

Quick Tips

  • Elpam Injection is given as an injection into veins, muscles or under the skin by a doctor only.
  • Your doctor will monitor you closely for a period of 72 hours after giving the medicine.
  • Your doctor will closely monitor your heart rate, blood pressure, breathing rate and oxygen level during the treatment.
  • It may cause temporary blurring of your vision. Do not drive or do anything that requires concentration until you know how it affects you.

Fact Box

Chemical Class
N-Methylpyridinium Compounds
Habit Forming
Therapeutic Class

Patient Concerns

Food poisoning related problem
Shikha Mishra
Consult doctor for this
Stomach pain due to food poisoning.
Dr. Sunil Sekhri
Tab Drotin 1 SOS, Tab O2 H 1 BD x 3 days
Do you have any questions related to Elpam Injection ?


Q. How does Elpam Injection work?

Elpam Injection works by reactivating the enzyme acetylcholinesterase, which has been inactivated by pesticides or certain drugs, and breaks down the excess acetylcholine resulting from poisoning. Thus, it helps in reversing muscle weakness or respiratory depression caused by poisoning or drug over dosing.

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1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover all possible side effects, drug interactions or warnings or alerts. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.


  1. Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 1139-40.
  2. Pralidoxime. Deerfield, IL: Baxter Healthcare Corporation; 2010. [Accessed 22 Mar. 2019] (online) Available from:External Link
  3. Pralidoxime. [Accessed 22 Mar. 2019] (online) Available from:External Link
  4. Central Drugs Standard Control Organisation (CDSCO). [Accessed 22 Mar. 2019] (online) Available from:External Link

Manufacturer/Marketer Address

201,Sahajanand Trade Center, Opp. Kothawala Flat, Paldi, Ahmedabad,Gujarat-380006
Country of Origin: India

Expires on or after: March, 2021

A licensed vendor partner from your nearest location will deliver Elpam Injection. Once the pharmacy accepts your order, the details of the pharmacy will be shared with you. Acceptance of your order is based on the validity of your doctor's ℞ and the availability of this medicine.
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