Skelofen 10 mg (Tablet)
Unit Price: ৳ 9.00 (3 x 10: ৳ 270.00)
Strip Price: ৳ 90.00
Medicine Details
Category | Details |
---|---|
Generic | Baclofen |
Company | Acme laboratories ltd |
Also available as |
Indications
- spasticity resulting from multiple sclerosis
- flexor spasms and concomitant pain, clonus and muscular rigidity
- skeletal muscle spasm resulting from rheumatic disorders
- spinal cord injuries and other spinal cord diseases
- cerebrovascular accidents or neoplastic or degenerative brain disease
Pharmacology
- inhibits monosynaptic and polysynaptic reflexes at the spinal level
- stimulates the GABA<B> receptors
- inhibits the release of glutamate and aspartate
- exerts an antinociceptive effect
Dosage & Administration
- Adult & children over 10 years: 5 mg 3 times daily
- preferably with or after food
- gradually increased; max. 100 mg daily
- Children <10 years: Treatment is usually started with 2.5 mg given 4 times daily then raised according to requirement
- Daily maintenance dose—12 month-2 years: 10-20 mg
- 2 years-6 years: 20-30 mg
- 6 years-10 years: 30-60 mg
Interaction
- Increased sedation may occur if taken with agents acting on the central nervous system
- Combined treatment with antihypertensives is likely to increase the fall in blood pressure
- The concomitant administration of and tricyclic antidepressants may potentiate the pharmacological effects
- In patients with Parkinsons disease receiving treatment with and levodopa and carbidopa, there have been several reports of mental confusion, hallucinations, headaches, nausea and agitation
- The concurrent use of MAO inhibitors and may result in increased CNS depressant effects
- Caution should be exercised when administering and magnesium sulphate or other neuromuscular blocking agents since a synergistic effect may theoretically occur
Contraindications
- contraindicated in patients with hypersensitivity to any component of this product
Side Effects
- transient drowsiness
- daytime sedation
- dizziness
- weakness
- fatigue
- Central Nervous System: Headache, insomnia, euphoria, excitement, depression, confusion, hallucinations, paraesthesia, nightmares, muscle pain, tinnitus, slurred speech, co-ordination disorder, tremor, rigidity, dystonia, ataxia, blurred vision, nystagmus, strabismus, miosis, mydriasis, diplopia, dysarthria, epileptic seizures, respiratory depression
- Cardiovascular: Hypotension, dyspnoea, palpitation, chest pain, syncope
- Gastrointestinal: Nausea, constipation, dry mouth, anorexia, taste disorder, abdominal pain, vomiting, diarrhoea, positive test for occult blood in stool
- Genitourinary: Urinary frequency, enuresis, urinary retention, dysuria, impotence, inability to ejaculate, nocturia, haematuria
- Other: Rash, pruritus, ankle oedema, excessive perspiration, weight gain, nasal congestion, visual disturbances, hepatic function disorders, paradoxical increase in spasticity
Pregnancy & Lactation
- Pregnancy category B3
- Safe use during pregnancy has not been established
- Baclofen crosses the placental barrier
- Baclofen is excreted in breast milk however evidence to date suggests that the quantities are so small that no undesirable effects on the infant would be expected
Precautions & Warnings
- Lower doses should be used for patients with impaired renal function or those undergoing chronic haemodialysis
- Patients with psychotic disorders, schizophrenia, depressive or manic disorders or confusional states should be treated cautiously and closely monitored
- In patients with epilepsy and muscle spasticity, may be used under appropriate supervision and provided that adequate anticonvulsive therapy is continued
- Skelofen should be used with caution in patients with or with a history of peptic ulcers, cerebrovascular diseases, or hepatic, renal or respiratory failure
- Careful monitoring of respiratory and cardiovascular function is essential especially in patients with cardiopulmonary disease and respiratory muscle weakness
- During treatment with Skelofen, neurogenic disturbances affecting emptying of the bladder may improve
- Skelofen has not significantly benefited patients with stroke
- Appropriate laboratory tests should be performed periodically in patients with hepatic diseases or diabetes mellitus
Overdose Effects
- Gastric lavage is important in case of severe overdose
Therapeutic Class
- Centrally acting Skeletal Muscle Relaxants
Storage Conditions
- Keep below 30'C temperature
- away from light & moisture
- Keep out of the reach of children