Carvista 25 mg (Tablet)

Unit Price: ৳ 8.00 (3 x 10: ৳ 240.00)
Strip Price: ৳ 80.00

Medicine Details

Categories

  • Cardiovascular Medicine
  • Heart Failure Medication
  • Hypertension Treatment
  • Angina Pectoris Treatment
  • Contraindicated in Asthma Patients
  • Beta-adrenoceptor Blocking Drug
  • Alpha Adrenoceptor Blocking Drug
  • Antihypertensive Medication
  • Drug for Congestive Heart Failure

Dosage and Administration

  • Initial Dose: 12.5 mg once daily for hypertension
  • Increased to 25 mg once daily for hypertension
  • Maximum Dose: 50 mg daily for hypertension
  • Initial Dose: 12.5 mg twice daily for angina pectoris
  • Increased to 25 mg twice daily for angina pectoris
  • Maximum Dose: 50 mg daily for angina pectoris
  • Initial Dose: 3.125 mg twice daily for heart failure
  • Dose increases at intervals of at least 2 weeks
  • Maximum Dose: 25 mg twice daily for patients less than 85 kg body-weight
  • Maximum Dose: 50 mg twice daily for patients over 85 kg

Indications

  • Treatment for mild, moderate, or severe heart failure
  • Treatment for ischemic or cardiomyopathic origin heart failure
  • Reduction of disease progression
  • Reduction of cardiovascular death
  • Reduction of cardiovascular hospitalization

Pharmacology

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

Interactions

  • Increased levels of digoxin when taken together
  • Decreased Cmax and AUC when pretreated with rifampin
  • No alteration of plasma protein binding of warfarin
  • Potentiation of pressor reaction 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
  • Dry eyes
  • Eye irritation
  • Disturbed vision
  • Impotence
  • Disturbances of micturition
  • Influenza-like symptoms
  • Angina
  • AV block
  • Exacerbation of intermittent claudication
  • Exacerbation of Raynaud's phenomenon
  • Allergic skin reactions
  • Exacerbation of psoriasis
  • Nasal stuffiness
  • Wheezing
  • Depressed mood
  • Sleep disturbances
  • Paresthesia
  • Heart failure
  • 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
  • Clinical status monitoring after initiation and dose increase
  • Renal function monitoring
  • Heart failure monitoring

Storage Conditions

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

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