Labegest 200 mg (Tablet)

Unit Price: ৳ 10.00 (3 x 10: ৳ 300.00)
Strip Price: ৳ 100.00

Medicine Details

Indications

  • Hypertension
  • Hypertension in pregnancy
  • Hypertension after stroke
  • Hypertension with angina
  • Hypertension following acute myocardial infarction
  • Hypertensive crisis
  • Anaesthesia for hypotensive technique

Pharmacology

  • Adrenergic receptor-blocking agent
  • Selective alpha 1-adrenergic blocking action
  • Nonselective beta-adrenergic blocking action
  • Decrease in blood pressure
  • Peak plasma levels after 1 to 2 hours of oral administration
  • Plasma half-life of about 6 to 8 hours
  • Approximately 55% to 60% excreted in urine within 24 hours

Dosage & Administration

  • Initial dosage of 100 mg twice daily for adults
  • Maintenance dosage between 200 and 400 mg twice daily
  • Severe hypertension may require 1,200 to 2,400 mg per day
  • Intravenous injection for rapidly reducing blood pressure
  • Intravenous infusion for hypertension in pregnancy, following acute myocardial infarction, after stroke, and hypotensive anaesthesia

Interaction

  • Enhanced hypotensive effects with halothane
  • Potential interaction with Class I antiarrhythmic agents
  • Possible interaction with calcium antagonists of the verapamil type
  • Reduction of hypotensive effect when used with prostaglandin synthetase inhibitors
  • Increased incidence of tremor with tricyclic antidepressants
  • Potential increase in bioavailability with cimetidine

Contraindications

  • Hypersensitivity to the medicine
  • Second or third degree heart block
  • Infranodal A-V block
  • Uncontrolled heart failure
  • Sick-sinus syndrome
  • Cardiogenic shock
  • Severe and prolonged hypotension or severe bradycardia
  • Bronchial asthma or other obstructive lung disorders

Side Effects

  • Postural hypotension
  • Tiredness
  • Weakness
  • Headache
  • Rashes
  • Scalp tingling
  • Difficulty in micturition
  • Epigastric pain
  • Nausea
  • Vomiting
  • Liver damage

Pregnancy & Lactation

  • Teratogenic studies in rats and rabbits
  • No reproducible evidence of fetal malformations
  • Small amounts excreted in human milk
  • Caution during nursing

Precautions & Warnings

  • Rare reports of severe hepatocellular injury
  • Reversible hepatic injury
  • Caution in patients with hepatic impairment
  • Caution in patients with peripheral vascular disease

Overdose Effects

  • Excessive hypotension
  • Excessive bradycardia
  • Gastric lavage for removal of the drug
  • Atropine for excessive bradycardia
  • Digitalis glycoside and diuretic for cardiac failure
  • Vasopressors for hypotension
  • Epinephrine for bronchospasm

Therapeutic Class

  • Alpha adrenoceptor blocking drugs
  • Beta-adrenoceptor blocking drugs

Storage Conditions

  • Store in a cool & dry place
  • Protected from light
  • Keep out of reach of children

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