Maxineb 2.5 mg (Tablet)
Unit Price: ৳ 7.00 (3 x 10: ৳ 210.00)
Strip Price: ৳ 70.00
Medicine Details
Category | Details |
---|---|
Generic | Nebivolol hydrochloride |
Company | Aristopharma ltd |
Also available as |
Title
- Maxineb
Categories
- Hypertension Medication
- Cardiovascular Medication
- Beta-blockers
Description
- Indicated in Hypertension
- Treatment of essential hypertension
- Treatment of chronic heart failure (CHF)
- Treatment of stable mild and moderate chronic heart failure
- Pharmacology involves inhibition of β adrenergic receptors
- Mode of Action includes decreased heart rate, myocardia contractility
- Decrease in sympathetic outflow to the periphery
- Suppression of renin activity
- Vasodilation and decreased peripheral vascular resistance
- Metabolized by glucuronidation and hydroxylation
- Effective half-life of about 12 hours
- Peak plasma concentrations occur approximately 1.5 to 4 hours post-dosing
- Absorption is similar to an oral solution
- Plasma protein binding is approximately 98%
- Primarily metabolized via direct glucuronidation
- 38% of the dose was recovered in urine and 44% in feces
- No significant changes in the pharmacokinetics when administered with digoxin
- No significant changes in the pharmacokinetics when administered with warfarin
- Starting dose should be reduced in patients with moderate hepatic impairment
- Contraindicated in patients with severe bradycardia
- Contraindicated in patients with heart block greater than first degree
- Contraindicated in patients with severe hepatic impairment
- Contraindicated in patients who are hypersensitive to any component of this product
- Common side effects include headache, nausea, bradycardia
- The recommended starting dose is 5 mg once daily
- Dose can be increased at 2-week intervals up to 40 mg
- Should be used with care when myocardial depressants or inhibitors of AV conduction are used concurrently
- Should not be combined with other β-blockers
- Use caution when co-administered with CYP2D6 inhibitors
- Patients with coronary artery disease should be advised against abrupt discontinuation of therapy
- Patients with congestive heart failure should be administered cautiously
- Should not be used in patients with bronchospastic diseases
- Patients should be closely monitored during anesthesia and major surgery
- β-blockers may mask some of the manifestations of hypoglycemia
- β-blockers may mask clinical signs of hyperthyroidism
- β-blockers can precipitate or aggravate symptoms of arterial insufficiency
- Caution should be used in patients concomitantly treated with calcium channel blockers
- Should be used with caution in patients with severe renal impairment
- Should be used with caution in patients with moderate hepatic impairment
- Keep below 30°C temperature, away from light & moisture
- Keep out of the reach of children