Larb 50 mg (Tablet)

Unit Price: ৳ 10.00 (3 x 14: ৳ 420.00)
Strip Price: ৳ 140.00

Medicine Details

Indications

  • Hypertension
  • Renal Protection in Type-2 Diabetic Patients with Proteinuria

Pharmacology

  • Non-peptide orally active angiotensin II receptor blocker

Dosage & Administration

  • Usual starting and maintenance dose of 50 mg once daily
  • 25 mg twice daily if 50 mg once daily is inadequate
  • Total daily dose ranges from 25 mg to 100 mg
  • Different dosage for patients upto 75 years and over 75 years

Interaction

  • Rifampicin and fluconazole reduce levels of active metabolite
  • Concomitant use of Larb and hydrochlorothiazide may lead to potentiation of the antihypertensive effects
  • Concomitant use of potassium-sparing diuretics, potassium supplements or salt substitutes containing potassium may lead to increases in serum potassium

Contraindications

  • Contraindicated in pregnant women
  • Contraindicated in patients hypersensitive to any component
  • 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, upper respiratory infection

Pregnancy & Lactation

  • Pregnancy Category D
  • Risk to the fetus increases if administered during the second or third trimesters of pregnancy

Precautions & Warnings

  • Use reduces fetal renal function and increases fetal and neonatal morbidity and death during the second and third trimesters of pregnancy
  • Symptomatic hypotension may occur in intravascularly volume-depleted patients
  • Plasma concentration significantly increased in cirrhotic patients
  • Changes in renal function, including renal failure, reported in renal impaired patient

Use in Special Populations

  • No initial dosage adjustment necessary in patients with mild renal impairment
  • Lower starting dose recommended for patients with moderate to severe renal impairment or patients on dialysis
  • Use with caution in hepatic impairment patients

Therapeutic Class

  • Angiotensin-ll 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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