Ranifast 150 mg (Tablet)

Unit Price: ৳ 2.00 (100's pack: ৳ 200.00)

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 particulary 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 active duodenal ulcer
  • Usual dosage of 150 mg twice daily for benign gastric ulcer
  • Usual dosage of 150 mg 3 times daily for Zollinger Ellison syndrome
  • Usual dosage of 150 mg twice daily for episodic dyspepsia
  • Maintenance dosage of 150 mg at night for preventing recurrences
  • Oral dose for children (peptic ulcer) is 2-4 mg/kg twice daily, maximum 300 mg daily
  • Intravenous injection given over a period of at least two minutes
  • Intermittent intravenous infusion at a rate of 25 mg per hour for two hours
  • Intramuscular injection of 50 mg every six to eight hours
  • Oral dose for the treatment of peptic ulcer in children is 2 mg/kg to 4 mg/kg twice daily to a maximum of 300 mg ranitidine per day

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 (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 foetus due to Ranitidine
  • Ranitidine excreted in human breast milk
  • Caution should be exercised when the drug is administered to a nursing mother

Precautions & Warnings

  • Reduced dosage to patients with impaired renal and hepatic function

Use in Special Populations

  • Ulcer healing rates similar in elderly patients

Overdose Effects

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

Therapeutic Class

  • H2 receptor antagonist

Reconstitution

  • Ranitidine 50 mg should be diluted to specific concentrations for slow IV inj, intermittent slow IV infusion, continuous IV infusion
  • Specific dilution instructions for patients with Zollinger-Ellison syndrome or other hypersecretory conditions

Storage Conditions

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

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