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

2 ml ampoule: ৳ 6.04 (2 x 5: ৳ 60.40)

Medicine Details

Category Details
Generic Ranitidine hydrochloride
Company Orion pharma ltd
Also available as

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 or 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
  • 300 mg at bed time for up to 8 weeks for reflux oesophagitis
  • 150 mg 3 times daily for Zollinger Ellison syndrome
  • 150 mg twice daily for episodic dyspepsia
  • 300 mg at bed time for up to 6 weeks for episodic dyspepsia
  • 150 mg at night for maintenance
  • 2-4 mg/kg twice daily for children with peptic ulcer
  • Ranitidine injection may be given intravenously or intramuscularly

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
  • 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 fetus
  • Caution when administered to a nursing mother

Precautions & Warnings

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

Use in Special Populations

  • Use in elderly patients is similar to younger patients in clinical trials

Overdose Effects

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

Therapeutic Class

  • H2 receptor antagonist

Reconstitution

  • Multiple reconstitution instructions for IV administration

Storage Conditions

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

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