Rythmosin 150 mg (Tablet)

Unit Price: ৳ 15.00 (3 x 10: ৳ 450.00)
Strip Price: ৳ 150.00

Medicine Details

Indications

  • Treatment of paroxysmal atrial fibrillation/flutter (PAF)
  • Treatment of paroxysmal supraventricular tachycardia (PSVT)
  • Treatment of ventricular arrhythmias

Pharmacology

  • Slows influx of sodium ions into cardiac muscle cells
  • Decreases excitability of cells
  • Selective for cells with a high rate
  • Blocks normal cells more than class Ia or Ib
  • Additional activity as a beta-adrenergic blocker

Dosage & Administration

  • Individually titrated dose
  • Initiate therapy with 150 mg every eight hours
  • Dosage increase at minimum of 3 to 4 day intervals
  • Maximum recommended dosage of 900 mg per day

Interaction

  • Metabolized by CYP2D6, CYP1A2, and CYP3A4
  • Inhibited by drugs such as desipramine, paroxetine, ritonavir
  • Inhibits CYP2D6
  • Potential drug interactions with desipramine, imipramine, haloperidol, venlafaxine

Contraindications

  • Uncontrolled congestive heart failure
  • Cardiogenic shock
  • Sinoatrial, atrioventricular and intraventricular disorders of impulse generation and/or conduction
  • Bradycardia
  • Marked hypotension
  • Bronchospastic disorders
  • Electrolyte imbalance
  • Known hypersensitivity to the drug

Side Effects

  • Gastrointestinal adverse reactions
  • Cardiovascular adverse reactions
  • Central nervous system adverse reactions
  • Change in taste
  • Constipation
  • Diarrhea
  • Dizziness
  • Drowsiness
  • Dry mouth
  • Nausea
  • Tiredness
  • Severe allergic reactions

Pregnancy & Lactation

  • Pregnancy category C
  • Limited data on use during pregnancy
  • Potential excretion in human milk
  • Potential for serious adverse reactions in nursing infants

Precautions & Warnings

  • Caution in hepatic dysfunction
  • Dose adjustment for impaired hepatic function
  • Caution in renal dysfunction
  • Exacerbation of myasthenia gravis reported
  • Cautious use in pediatric patients
  • Caution in geriatric patients

Use in Special Populations

  • Safety and effectiveness in pediatric patients not established
  • Cautious dose selection for elderly patients

Therapeutic Class

  • Membrane stabilizing agent (Sodium channel blockers)

Storage Conditions

  • Store at 25°C
  • Store in a cool and dry place
  • Protect from light
  • Keep out of children’s reach

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