Mydipin 5 mg (Tablet)

Unit Price: ৳ 7.00 (3 x 14: ৳ 294.00)
Strip Price: ৳ 98.00

Medicine Details

Category Details
Generic Cilnidipine
Company Drug international ltd
Also available as

Indications

  • Indicated for the management of hypertension for end-organ protection
  • Useful in elderly patients and those with diabetes and albuminuria
  • Increasingly used in patients with chronic kidney disease

Pharmacology

  • Dihydropyridine calcium-channel blocker
  • Binds to the dihydropyridine binding sites of the L-type voltage dependent calcium channel
  • Inhibits Ca2+ influx across the cell membranes of vascular smooth muscle cells
  • Inhibits Ca2+ influx via N-type voltage dependent calcium channels in sympathetic nerve cell membrane
  • Causes vasodilation
  • Considered to suppress the reflex increase in heart rate after blood pressure reduction

Dosage & Administration

  • Adults: 5-10 mg once daily after breakfast
  • Maximum dose: 20 mg once daily
  • Pediatric use: Safety not established
  • Elderly use: Initiated with the lowest possible dose (5 mg)

Interaction

  • Interacts with other anti-hypertensive medications
  • Interacts with antipsychotics that cause hypotension
  • Interacts with quinidine, carbamazepine, phenytoin, rifampicin, cimetidine, erythromycin

Contraindications

  • Contraindicated in patients with known sensitivity to Cilnidipine or any of the excipients
  • Contraindicated in patients with cardiogenic shock, recent MI, acute unstable angina, and severe aortic stenosis

Side Effects

  • Dizziness
  • Flushing
  • Headache
  • Hypotension
  • Peripheral edema
  • Palpitations
  • GI disturbances
  • Increased micturition frequency
  • Lethargy
  • Eye pain
  • Depression

Pregnancy & Lactation

  • Not to be administered in pregnant or potentially pregnant women
  • To be avoided in nursing mothers
  • If indispensable, patient should be instructed to discontinue lactation

Precautions & Warnings

  • Administered with care in patients with serious hepatic dysfunction
  • Administered with care in patients with a history of serious adverse reactions to calcium antagonists
  • Dosage should be gradually decreased during discontinuation under close observation

Therapeutic Class

  • Calcium-channel blockers

Storage Conditions

  • Store below 30°C
  • Protected from light and moisture
  • Keep away from children's reach

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