Hipre 10 mg (Tablet)

Unit Price: ৳ 7.00 (3 x 10: ৳ 210.00)
Strip Price: ৳ 70.00

Medicine Details

Category Details
Generic Amlodipine besilate
Company Pacific pharmaceuticals ltd
Also available as

Therapeutic Class

  • Calcium-channel blockers

Indications

  • Essential hypertension
  • Angina pectoris
  • Vasospastic angina

Pharmacology

  • Amlodipine is a dihydropyridine calcium-channel blocker
  • Long duration of action
  • Influences myocardial cells
  • Influences vascular smooth muscle

Dosage & Administration

  • 5 mg once daily for hypertension
  • 10 mg once daily maximum dose for hypertension
  • 5 to 10 mg for angina
  • Lower dose for elderly and hepatic insufficiency
  • May be taken without regard to meals

Interaction

  • Potentially hazardous interactions with p-blockers
  • No interaction with Digoxin
  • No interaction with Cimetidine
  • No significant alteration with Warfarin
  • Food does not alter the rate or extent of absorption

Contraindications

  • Hypersensitivity to dihydropyridine derivatives
  • Pregnant woman

Side Effects

  • Dizziness
  • Flushing
  • Headache
  • Hypotension
  • Peripheral edema
  • Gastrointestinal disturbances
  • Increased micturition frequency
  • Lethargy
  • Eye pain
  • Mental depression
  • Paradoxical increase in ischaemic chest pain
  • Excessive fall in blood pressure may lead to cerebral or myocardial ischaemia or transient blindness
  • Rashes
  • Fever
  • Abnormalities in liver function due to hypersensitivity reaction

Pregnancy & Lactation

  • Pregnancy Category C
  • Adequate and well-controlled studies not available
  • Use during pregnancy if potential benefit justifies the potential risk

Precautions & Warnings

  • Precaution in patients with hepatic impairment
  • Precaution during pregnancy and breast feeding

Use in Special Populations

  • Usable in children with hypertension from 6 years to 17 years of age
  • Elderly patients
  • Renal impairment
  • Hepatic impairment

Overdose Effects

  • Excessive peripheral vasodilatation
  • Reflex tachycardia
  • Marked and prolonged systemic hypotension
  • Shock with fatal outcome reported
  • Management includes active cardiovascular support
  • Monitoring of cardiac and respiratory function
  • Elevation of extremities
  • Attention to circulating fluid volume and urine output
  • Possible use of vasoconstrictor
  • Intravenous calcium gluconate may be beneficial
  • Gastric lavage may be worthwhile

Storage Conditions

  • Keep all medicines out of reach of children
  • Store in a cool & dry place
  • Protected from light

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