Cardifort 5 mg (Tablet)

Unit Price: ৳ 5.00 (3 x 10: ৳ 150.00)
Strip Price: ৳ 50.00

Medicine Details

Category Details
Generic Amlodipine besilate
Company Nuvista pharma ltd

Indications

  • Essential hypertension
  • Angina pectoris
  • Vasospastic angina

Pharmacology

Amlodipine is a dihydropyridine calcium-channel blocker, with a long duration of action, used for the treatment of hypertension and angina pectoris.

Dosage & Administration

  • Usual dose: 5 mg once daily for hypertension
  • Usual dose: 5-10 mg for angina
  • May be taken without regard to meals

Interaction

  • Potentially hazardous interactions: Avoid combination with P-blockers in patients with markedly impaired cardiac left ventricular function
  • Other Significant Interactions:
    • No interaction with Digoxin
    • No interaction with Cimetidine
    • No significant alteration with Warfarin on prothrombin time
    • Food does not alter absorption rate

Contraindications

  • Hypersensitivity to dihydropyridine derivatives
  • Pregnant women

Side Effects

  • Dizziness
  • Flushing
  • Headache
  • Hypotension
  • Peripheral edema
  • Gastrointestinal disturbances
  • Increased micturition frequency
  • Lethargy
  • Eye pain
  • Mental depression
  • Ischaemic chest pain
  • Excessive fall in blood pressure
  • Rashes
  • Fever
  • Abnormalities in liver function

Pregnancy & Lactation

  • Category C for pregnancy
  • Discontinue nursing while Amlodipine is administered

Precautions & Warnings

  • Take precaution in patients with hepatic impairment
  • Take precaution during pregnancy and breastfeeding

Use in Special Populations

  • Children with hypertension (6 to 17 years): Starting dose: 2.5 mg once daily, up-titrated to 5 mg once daily if needed
  • Children under 6 years old: Effect on blood pressure not known
  • Elderly: Equally well tolerated at similar doses as younger patients, normal dosage recommended
  • Renal impairment: Normal dosage recommended, not dialysable
  • Hepatic impairment:
    • Dosage recommendations not established for mild to moderate impairment
    • Initiate at lowest dose for severe impairment

Overdose Effects

  • Symptoms: Excessive peripheral vasodilatation, reflex tachycardia, marked systemic hypotension up to shock
  • Management:
    • Active cardiovascular support
    • Elevation of extremities
    • Attention to circulating fluid volume and urine output
    • Use of vasoconstrictor if no contraindication
    • Intravenous calcium gluconate may be beneficial
    • Gastric lavage may be worthwhile in some cases
    • Use of charcoal to reduce absorption rate

Therapeutic Class

Calcium-channel blockers

Storage Conditions

Keep in a cool & dry place, protected from light

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