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

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