Cardivas 12.5 mg (Tablet)

Unit Price: ৳ 6.56 (3 x 10: ৳ 196.80)
Strip Price: ৳ 65.60

Medicine Details

Category Details
Generic Carvedilol
Company Sun pharmaceutical bangladesh ltd
Also available as

Indications

  • Treatment of mild, moderate or severe heart failure
  • Treatment in conjunction with digitalis, diuretics and ACE inhibitor
  • Reduction of disease progression
  • Use in patients unable to tolerate an ACE inhibitor
  • Use in patients not receiving digitalis, hydralazine or nitrate therapy

Pharmacology

  • Non-selective antagonism of beta-adrenergic receptors
  • Alpha-adrenergic antagonistic activity
  • Antiproliferative properties
  • Scavenger of reactive free oxidant radicals
  • Used in the treatment of hypertension, angina pectoris, and congestive heart failure

Dosage & Administration

  • Initial dose in hypertension: 12.5 mg once daily
  • Increased dose in hypertension: up to 50 mg daily
  • Initial dose in angina pectoris: 12.5 mg twice daily
  • Recommended dose in angina pectoris: 25 mg twice daily
  • Initial dose in heart failure: 3.125 mg twice daily
  • Increased dose in heart failure: up to 25 mg twice daily for patients less than 85 kg body-weight and 50 mg twice daily for patients over 85 kg

Interaction

  • Interaction with digoxin
  • Interaction with rifampin
  • Interaction with warfarin
  • Interaction with clonidine

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
  • Gastro-intestinal disturbances
  • Bradycardia
  • Diminished peripheral circulation
  • Peripheral edema
  • Dry mouth
  • Impotence
  • Allergic skin reactions
  • Exacerbation of psoriasis
  • Nasal stuffiness
  • Wheezing
  • Depressed mood
  • Sleep disturbances
  • Paresthesia
  • Changes in liver enzymes
  • Thrombocytopenia
  • Leukopenia

Pregnancy & Lactation

  • Contraindicated during breast-feeding
  • Excreted in breast milk
  • Not established safety and efficacy in children
  • Crosses the placental barrier

Precautions & Warnings

  • Caution in hepatic impairment
  • Monitor clinical status in heart failure
  • Ensure renal function and heart failure are not deteriorating before increasing dose

Therapeutic Class

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

Storage Conditions

  • Keep below 30°C temperature
  • Away from light & moisture
  • Keep out of the reach of children

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