Normacid 50 mg/2 ml (IM/IV Injection)

2 ml ampoule: ৳ 6.02 (10's pack: ৳ 60.20)

Medicine Details

Indications

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

Pharmacology

  • Competitively blocks histamine at H2-receptors of the gastric parietal cells
  • Inhibits gastric acid secretion
  • Does not affect pepsin secretion
  • Pentagastrin-stimulated intrinsic factor secretion
  • Serum gastrin

Dosage & Administration

  • Usual dosage of 150 mg twice daily for 4 to 8 weeks
  • Usual dosage of 300 mg as a single daily dose at night for 4 to 8 weeks
  • Dosage for reflux oesophagitis
  • Dosage for Zollinger Ellison syndrome
  • Dosage for episodic dyspepsia
  • Maintenance dosage
  • Dosage for children with peptic ulcer
  • Ranitidine injection dosage

Interaction

  • Delayed absorption and increased peak serum concentration with propantheline bromide
  • Minimally inhibits hepatic metabolism of certain drugs
  • May alter absorption of pH-dependent drugs
  • May reduce bioavailability with antacids

Contraindications

  • Patients hypersensitive 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
  • Excreted in human breast milk
  • Caution should be exercised when administered to a nursing mother

Precautions & Warnings

  • Should be given in reduced dosage to patients with impaired renal and hepatic function

Use in Special Populations

  • Use in elderly patients

Overdose Effects

  • No particular problems expected following overdosage
  • Symptomatic and supportive therapy should be given
  • Drug may be removed from the plasma by hemodialysis

Therapeutic Class

  • H2 receptor antagonist

Reconstitution

  • Instructions for slow IV injection
  • Intermittent slow IV infusion
  • Continuous IV infusion
  • Dilution for patients with hypersecretory conditions

Storage Conditions

  • Cool and dry place
  • Protection from light

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