Vedilol 25 mg (Tablet)

Unit Price: ৳ 8.00 (2 x 10: ৳ 160.00)
Strip Price: ৳ 80.00

Medicine Details

Indications

  • Treatment of mild, moderate, or severe heart failure
  • Reduction of disease progression
  • Use with digitalis, diuretics, and ACE inhibitor
  • Use in patients unable to tolerate an ACE inhibitor
  • Use in patients not receiving digitalis, hydralazine, or nitrate therapy

Pharmacology

  • Non-selective antagonism of β-adrenergic receptors
  • α-adrenergic antagonistic activity
  • Antiproliferative properties
  • Scavenger of reactive free oxidant radicals
  • Used in hypertension, angina pectoris, and congestive heart failure

Dosage & Administration

  • Initial dose of 12.5 mg once daily for hypertension
  • Initial dose of 12.5 mg twice daily for angina pectoris
  • Initial dose of 3.125 mg twice daily for heart failure
  • Maximum daily dose of 50 mg for elderly patients

Interaction

  • Increased levels of digoxin with concomitant use of Vedilol
  • 60% decrease in Cmax and AUC with rifampin pretreatment
  • No alteration of in vitro plasma protein binding of warfarin with Vedilol
  • Potentiation of the pressor reaction with clonidine

Contraindications

  • Decompensated heart failure requiring intravenous inotropic therapy
  • Bronchial asthma or related bronchospastic conditions
  • Second or third-degree AV block
  • Sick sinus syndrome without a permanent pacemaker
  • Cardiogenic shock or severe bradycardia

Side Effects

  • Postural hypotension
  • Dizziness
  • Headache
  • Fatigue
  • Gastro-intestinal disturbances
  • Bradycardia
  • Peripheral oedema and painful extremities
  • Dry mouth and eyes
  • Impotence
  • Disturbances of micturition
  • Influenza-like symptoms
  • Angina
  • Allergic skin reactions
  • Nasal stuffiness
  • Depressed mood

Pregnancy & Lactation

  • Not recommended during breast-feeding
  • Not recommended during pregnancy
  • Carvedilol crosses the placental barrier

Precautions & Warnings

  • Caution in hepatic impairment
  • Monitor clinical status for 2-3 hours after initiation and dose increases

Therapeutic Class

  • Alpha adrenoceptor blocking drugs
  • Beta-adrenoceptor blocking drugs
  • Beta-blockers

Storage Conditions

  • Keep below 30°C temperature
  • Away from light & moisture
  • Keep out of the reach of children

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