Hi Tac 150 mg (Tablet)

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

Medicine Details

Indications

  • Treatment of active duodenal ulcer
  • Benign gastric ulcer
  • Treatment & prevention of ulcer associated with non-steroidal anti-inflammatory agent
  • Post operative stress ulcer
  • Zollinger-Ellison Syndrome
  • Gastroesophageal reflux disease (GERD)
  • Gastro-intestinal haemorrhage from stress ulcer in seriously ill patient
  • Recurrent haemorrhage in patients with bleeding peptic ulcer
  • Before general anesthesia in patient considered to be at risk of acid aspiration particularly obstetric patients

Pharmacology

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

Dosage & Administration

  • Usual dosage of 150 mg twice daily for duodenal and gastric ulcer
  • 300 mg as a single daily dose at night for 4 to 8 weeks for duodenal and gastric ulcer
  • 150 mg twice daily for reflux oesophagitis
  • 150 mg at bed time for up to 8 weeks for reflux oesophagitis
  • 150 mg 3 times daily for Zollinger Ellison syndrome
  • Episodic dyspepsia dosage of 150 mg twice daily
  • 300 mg at bed time for up to 8 weeks for episodic dyspepsia
  • Maintenance dosage of 150 mg at night for preventing recurrences
  • 2-4 mg/kg twice daily for children with peptic ulcer
  • Maximum 300 mg daily for children with peptic ulcer
  • Slow (over a period of at least two minutes) intravenous injection of 50 mg
  • Intermittent intravenous infusion at a rate of 25 mg per hour for two hours
  • Intramuscular injection of 50 mg (2 ml) every six to eight hours
  • Continuous intravenous infusion of 0.125-0.250 mg/kg/hour for prophylaxis of upper gastrointestinal haemorrhage from stress ulceration
  • Intramuscular or slow intravenous injection of 50 mg 45 to 60 minutes before induction of general anaesthesia for patients at risk of developing aspiration syndrome
  • Oral dose for the treatment of peptic ulcer in children is 2 mg/kg to 4 mg/kg twice daily to a maximum of 300 mg ranitidine per day

Interaction

  • Delayed absorption and increased peak serum concentration with propantheline bromide
  • Minimally inhibits hepatic metabolism of coumarin anticoagulants, theophylline, diazepam, and propanolol
  • May alter absorption of pH-dependent drugs (e.g. ketoconazole, midazolam, glipizide)
  • 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

  • Ranitidine crosses the placenta
  • No evidence of impaired fertility or harm to the foetus due to Ranitidine
  • Caution should be exercised when administered to a nursing mother

Precautions & Warnings

  • Given in reduced dosage to patients with impaired renal and hepatic function

Use in Special Populations

  • Similar ulcer healing rates in patients age 65 and over as in younger patients
  • No difference in the incidence of adverse effects between elderly and younger patients

Overdose Effects

  • No particular problems expected following overdosage
  • Symptomatic and supportive therapy should be given as appropriate
  • Drug may be removed from the plasma by haemodiaiysis if required

Therapeutic Class

  • H2 receptor antagonist

Reconstitution

  • Slow IV inj of Hi Tac 50 mg diluted to a concentration ≤2.5 mg/mL with appropriate solution
  • Intermittent slow IV infusion of Hi Tac 50 mg diluted to a concentration ≤0.5 mg/mL with appropriate solution
  • Continuous IV infusion of Hi Tac 150 mg diluted in 250 mL of appropriate solution
  • Dilution to a concentration ≤2.5 mg/mL with appropriate solution for Zollinger-Ellison syndrome or other hypersecretory conditions

Storage Conditions

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

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