Larb 25 mg (Tablet)

Unit Price: ৳ 4.51 (3 x 14: ৳ 189.42)
Strip Price: ৳ 63.14

Medicine Details

Indications

  • Treatment of hypertension
  • Renal protection in type-2 diabetic patients with proteinuria

Pharmacology

  • First non-peptide orally active angiotensin II receptor blocker
  • Acts on AT1 receptor in various tissues
  • Reduces vasoconstriction and aldosterone release

Dosage & Administration

  • Usual starting and maintenance dose of 50 mg once daily
  • Can be used alone or in combination with other antihypertensive agents
  • Total daily dose ranges from 25 mg to 100 mg

Interaction

  • Reduced active metabolite levels with rifampicin and fluconazole
  • Potentiation of antihypertensive effects with hydrochlorothiazide
  • Risk of increased serum potassium with potassium-sparing diuretics or supplements

Contraindications

  • Contraindicated in pregnant women
  • Hypersensitivity to any component of the product
  • Should not be administered with Aliskiren in patients with diabetes

Side Effects

  • Mild and transient side effects
  • Common side effects include dizziness, diarrhea, nasal congestion, cough, and upper respiratory infection

Pregnancy & Lactation

  • Pregnancy Category D
  • Risk increases if administered during second or third trimester
  • Unknown excretion in human milk

Precautions & Warnings

  • Reduces fetal renal function and increases fetal and neonatal morbidity and death when used in second and third trimesters of pregnancy
  • Symptomatic hypotension may occur in intravascularly volume-depleted patients
  • Significantly increased plasma concentration in cirrhotic patients

Use in Special Populations

  • No initial dosage adjustment for patients with mild renal impairment
  • Lower starting dose recommended for moderate to severe renal impairment or patients on dialysis
  • Lower dose recommended for patients with history of hepatic impairment

Therapeutic Class

  • Angiotensin-II receptor blocker

Storage Conditions

  • Keep in a dry place away from light and heat
  • Keep out of the reach of children

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