Doxiva 100 mg/5 ml (Syrup)

100 ml bottle: ৳ 110.00

Medicine Details

Indications

  • Bronchial asthma
  • Bronchospasm
  • Chronic obstructive pulmonary disease (COPD)
  • Pulmonary disease with spastic bronchial component

Pharmacology

  • Novel bronchodilator
  • Selective inhibition of phosphodiesterase 4
  • Relaxation of bronchial smooth muscle
  • Decreased affinities toward adenosine A1 and A2 receptors
  • Inhibition of platelet activating factor (PAF)
  • Inhibition of leukotriene production

Dosage & Administration

  • 200 mg tablet for elderly
  • 400 mg tablet for adults
  • 10 ml syrup for children over 12 years
  • 6-9 mg/kg body weight for children 6-12 years
  • Doxophylline SR tablet for 400 mg daily dose

Interaction

  • Avoidance with other xanthine preparations
  • Limitation of caffeine-containing beverages and food
  • Caution with ephedrine or other sympathomimetic drugs
  • Concurrent administration with erythromycin, TAO, lincomycin, clindamycin, allopurinol, cimetidine, influenza vaccine, propanolol
  • Increased clearance with phenytoin, other anticonvulsants, cigarette smoking

Contraindications

  • Hypersensitivity to the drug or other xanthine derivatives
  • Acute myocardial infarction
  • Hypotension
  • Lactation

Side Effects

  • Nausea
  • Vomiting
  • Epigastric pain
  • Headache
  • Irritability
  • Insomnia
  • Tachycardia
  • Extrasystoles
  • Tachypnea
  • Hyperglycemia
  • Albuminuria
  • Severe cardiac arrhythmias
  • Tonic-clonic seizure

Pregnancy & Lactation

  • Animal test safety
  • Evaluation of use during pregnancy based on risk-benefit ratio
  • Contraindication during lactation
  • No effect on ability to drive and use machines

Precautions & Warnings

  • Reduced hepatic clearance with increased plasma levels
  • Factors including age, congestive cardiac decompensation, chronic obstructive pulmonary disease, severe liver disease, concomitant infections impacting clearance
  • Caution in patients with cardiac disease, hypertension, hypoxemia, hyperthyroidism, chronic corpulmonale, congestive heart failure, liver disease, peptic ulcer, renal impairment
  • Slower clearance in congestive heart failure patients
  • No risk of addiction or dependence

Overdose Effects

  • Severe cardiac arrhythmias
  • Tonic-clonic seizure
  • Discontinuation and potential resumption at lower doses

Therapeutic Class

  • Bronchodilator
  • Methyl xanthine derivatives

Storage Conditions

  • Dry place away from light and heat
  • Keep out of the reach of children
  • Use only on prescription of specialist physician

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