Ultradin 150 mg (Tablet)

Unit Price: ৳ 2.50 (10 x 10: ৳ 250.00)
Strip Price: ৳ 25.00

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 of the gastric parietal cells
  • Inhibits gastric acid secretion
  • Does not affect pepsin secretion, pentagastrin-stimulated intrinsic factor secretion or serum gastrin

Dosage & Administration

  • Duodenal and gastric ulcer: 150 mg twice daily taken in the morning and evening or 300 mg as a single daily dose
  • Reflux oesophagitis: 150 mg twice daily or 300 mg at bedtime for up to 8 weeks
  • Zollinger-Ellison syndrome: 150 mg 3 times daily
  • Episodic dyspepsia: 150 mg twice daily or 300 mg at bedtime for up to 6 weeks
  • Maintenance: 150 mg at night for preventing recurrences
  • Children (peptic ulcer): 2-4 mg/kg twice daily, maximum 300 mg daily
  • Ranitidine injection may be given intramuscularly or by slow intravenous injection before induction of general anesthesia

Interaction

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

  • Ranitidine crosses the placenta
  • No evidence of impaired fertility or harm to the fetus due to Ranitidine
  • Use during pregnancy only if considered essential
  • Ranitidine is excreted in human breast milk
  • 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

  • Ulcer healing rates found similar in elderly patients
  • No difference in the incidence of adverse effects in elderly patients

Overdose Effects

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

Therapeutic Class

  • H2 receptor antagonist

Reconstitution

  • Different concentrations for IV injection and infusion
  • Specific dilution instruction for patients with Zollinger-Ellison syndrome or other hypersecretory conditions

Storage Conditions

  • Cool and dry place
  • Protected from light

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