Amuran 150 mg (Tablet)

Unit Price: ৳ 2.00 (100's pack: ৳ 200.00)

Medicine Details

Indications

  • Treatment of active duodenal ulcer
  • Benign gastric ulcer
  • Prevention of ulcer associated with non-steroidal anti-inflammatory agent
  • Post-operative stress ulcer
  • Zollinger-Ellison syndrome
  • Gastroesophageal reflux disease (GERD)
  • Treatment of gastrointestinal hemorrhage from stress ulcer in seriously ill patients
  • Recurrent hemorrhage in patients with bleeding peptic ulcer
  • Prevention of acid aspiration before general anesthesia, particularly in obstetric patients

Pharmacology

  • Competitively blocks histamine at H2-receptors of gastric parietal cells
  • Inhibits gastric acid secretion
  • Does not affect pepsin secretion
  • Does not affect pentagastrin-stimulated intrinsic factor secretion or serum gastrin

Dosage administration

  • Usual dosage of 150 mg twice daily for 4 to 8 weeks for duodenal and gastric ulcers
  • Dosage of 150 mg twice daily for reflux esophagitis
  • Increased dosage for Zollinger-Ellison syndrome
  • Dosage of 150 mg twice daily for episodic dyspepsia
  • Maintenance dosage of 150 mg at night for preventing recurrences
  • Recommended dosage for peptic ulcer in children: 2-4 mg/kg twice daily, maximum 300 mg daily

Interaction

  • Delayed absorption and increased peak serum concentration with propantheline bromide
  • Minimal inhibition of hepatic metabolism of coumarin anticoagulants, theophylline, diazepam, and propranolol
  • May alter absorption of pH-dependent drugs
  • May reduce bioavailability with antacids

Contraindications

  • Hypersensitivity to ranitidine

Side effects

  • Altered bowel habit
  • Dizziness
  • Rash
  • Tiredness
  • Reversible confusional states
  • Headache
  • Decreased blood counts
  • Muscle or joint pain

Pregnancy lactation

  • Crosses the placenta
  • Caution during lactation

Precautions warnings

  • Reduced dosage for patients with impaired renal and hepatic function

Use special populations

  • Similar ulcer healing rates in elderly patients as in younger patients
  • No difference in the incidence of adverse effects in elderly patients

Overdose effects

  • Specific in action with no particular problems expected following overdosage
  • Symptomatic and supportive therapy recommended
  • Potential removal from plasma by hemodialysis if required

Therapeutic class

  • H2 receptor antagonist

Reconstitution

  • Dilution for slow IV injection
  • Dilution for intermittent slow IV infusion
  • Dilution for continuous IV infusion
  • Special dilution for patients with hypersecretory conditions

Storage conditions

  • Store in a cool and dry place
  • Protect from light

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