Cardex 3.125 mg (Tablet)

Unit Price: ৳ 1.52 (8 x 14: ৳ 170.24)
Strip Price: ৳ 21.28

Medicine Details

Indications

  • Treatment of mild, moderate or severe heart failure
  • Reduction of cardiovascular death
  • Reduction of cardiovascular hospitalization
  • Adjunct therapy with digitalis, diuretics, and ACE inhibitor

Pharmacology

  • Non-selective antagonism of adrenergic receptors
  • Alpha-adrenergic antagonistic activity
  • Antiproliferative properties
  • Scavenger of reactive free oxidant radicals

Dosage & Administration

  • Initial dose of 12.5 mg once daily for hypertension
  • Initial dose of 12.5 mg twice daily for angina pectoris
  • Initial dose of 3.125 mg twice daily for heart failure
  • Maximum dosage of 50 mg daily for hypertension
  • Maximum dosage of 50 mg daily for angina pectoris
  • Maximum dosage of 25 mg twice daily for heart failure

Interaction

  • Increased levels of digoxin when taken together
  • Decrease in Cmax and AUC with rifampin
  • No alteration in plasma protein binding of warfarin
  • Potential potentiation of pressor reaction with clonidine withdrawal

Contraindications

  • Decompensated heart failure requiring intravenous inotropic therapy
  • Bronchial asthma or related bronchospastic conditions
  • Second or third-degree AV block
  • Sick sinus syndrome without a permanent pacemaker
  • Cardiogenic shock
  • Severe bradycardia

Side Effects

  • Postural hypotension
  • Dizziness
  • Headache
  • Fatigue
  • Gastrointestinal disturbances
  • Bradycardia
  • Peripheral oedema
  • Dry mouth
  • Impotence
  • Disturbed vision
  • Allergic skin reactions
  • Exacerbation of psoriasis
  • Wheezing
  • Paresthesia
  • Changes in liver enzymes
  • Thrombocytopenia
  • Leukopenia

Pregnancy & Lactation

  • Not recommended during breastfeeding
  • Not recommended during pregnancy
  • Possible excretion in breast milk
  • Possible crossing of placental barrier

Precautions & Warnings

  • Caution in hepatic impairment
  • Monitoring of clinical status after initiation and dose increase
  • Monitoring of renal function and heart failure status

Therapeutic Class

  • Alpha adrenoceptor blocking drugs
  • Beta-adrenoceptor blocking drugs - Beta-blockers

Storage Conditions

  • Keep below 30°C temperature
  • Keep away from light and moisture
  • Keep out of the reach of children

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