Prostam 0.4 mg (Capsule (Modified Release))

Unit Price: ৳ 10.05 (3 x 10: ৳ 301.50)
Strip Price: ৳ 100.50

Medicine Details

Therapeutic Class

  • BPH/ Urinary retention/ Urinary incontinence

Indications

  • Treatment of functional symptoms of Benign Prostatic Hyperplasia (BPH)

Pharmacology

  • Selective alpha1 adrenoceptor blocking agent
  • Relaxes smooth muscle in the bladder neck and prostate
  • Improves urine flow rate
  • Reduces symptoms of BPH
  • Complete absorption (90%) following oral administration under fasting conditions
  • Time to maximum concentration (Tmax) reached by four to five hours under fasting conditions
  • Extensively metabolized by cytochrome P 450 enzymes in the liver
  • Elimination half-life of Tamsulosin hydrochloride ranges from five to seven hours
  • Apparent half-life of Tamsulosin hydrochloride is approximately 9 to 15 hours

Dosage & Administration

  • Tamsulosin Hydrochloride 0.4mg (one capsule) daily
  • May be increased to Tamsulosin Hydrochloride 0.8mg (two capsules) once daily if necessary
  • To be taken after meal at night
  • Capsule should be swallowed whole with a glass of water (about 150ml) in standing or sitting position

Interaction

  • Concurrent administration of other alfa1-adrenoceptor antagonists could lead to hypotensive effects
  • No interactions seen with atenolol, enalapril, or nifedipine
  • Cimetidine may increase plasma levels
  • Frusemide may decrease plasma levels
  • No interactions at the level of hepatic metabolism during in vitro studies with certain drugs
  • Diclofenac and warfarin may increase the elimination rate

Contraindications

  • Hypersensitivity to Tamsulosin hydrochloride
  • History of orthostatic hypotension
  • Severe hepatic insufficiency
  • Potential reduction in blood pressure and risk of syncope
  • Sit or lie down at first signs of orthostatic hypotension
  • Examination to exclude other conditions before therapy initiation
  • Regular examinations including digital rectal examination and Prostate Specific Antigen (PSA) determination

Side Effects

  • Dizziness
  • Abnormal ejaculation
  • Less frequently: headache, asthenia, postural hypotension, palpitations

Pregnancy & Lactation

  • Not recommended

Precautions & Warnings

  • Transient postural symptoms rarely occurred during orthostatic provocation testing after the first dose
  • Use not advised in patients with micturition syncope
  • Effect on ability to drive and use machines is not fully known

Overdose Effects

  • Acute hypotension likely to occur after overdosage
  • Cardiovascular support should be given
  • Volume expanders and vasopressors could be employed if necessary
  • Renal function should be monitored
  • General supportive measures should be applied
  • Measures to impede absorption and gastric lavage can be considered
  • Activated charcoal and osmotic laxative can be administered

Storage Conditions

  • Store below 30°C, protected from light

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