Topress 50 mg (Tablet)

Unit Price: ৳ 2.00 (10 x 10: ৳ 200.00)
Strip Price: ৳ 20.00

Medicine Details

Indications

  • Management of hypertension
  • Management of angina pectoris
  • Treatment of cardiac arrhythmias
  • Adjunct in the treatment of hyperthyroidism
  • Reduction of infarct size in acute myocardial infarction
  • Pain relief

Pharmacology

  • Selective beta1-blocker
  • Reduction of heart rate
  • Reduction of cardiac output
  • Reduction of cardiac contractility
  • Interference with insulin release
  • Interference with carbohydrate metabolism

Dosage & Administration

  • Total daily dosage range of 100-400 mg
  • Single or twice-daily dosing
  • Different dosages for hypertension, angina, arrhythmias, hyperthyroidism, and myocardial infarction
  • Extended-release tablet options
  • Dosage adjustments for heart failure
  • Intravenous injection dosages for arrhythmias and myocardial infarction

Interaction

  • Additive effect with catecholamine-depleting drugs
  • Potential increase in concentration with CYP2D6 inhibitors
  • Increase in risk when used with digitalis glycosides
  • Exacerbation of rebound hypertension with clonidine withdrawal

Contraindications

  • AV block
  • Uncontrolled heart failure
  • Severe bradycardia
  • Sick-sinus syndrome
  • Cardiogenic shock
  • Severe peripheral arterial disease

Side Effects

  • Tiredness
  • Dizziness
  • Depression
  • Diarrhea
  • Rash
  • Shortness of breath
  • Slow heart rate
  • Mental confusion
  • Headache
  • Insomnia
  • Nausea
  • Dry mouth
  • Blurred vision
  • Decreased libido

Pregnancy & Lactation

  • Pregnancy Category C
  • Excretion in breast milk
  • Caution during lactation

Precautions & Warnings

  • Caution in bronchospastic diseases
  • Considerations for major surgery
  • Impact on diabetes and hypoglycemia
  • Effects on peripheral vascular disease

Use in Special Populations

  • Caution in hepatic impaired patients
  • Safety and effectiveness in pediatric use
  • No notable differences in geriatric use

Overdose Effects

  • Severe hypotension
  • Sinus bradycardia
  • Atrioventricular block
  • Cardiac arrest
  • Bronchospasm
  • Impairment of consciousness
  • Nausea
  • Vomiting
  • Cyanosis

Storage Conditions

  • Cool and dry place
  • Protected from light

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