Hi-Flow D 0.4 mg+0.5 mg (Capsule)

Unit Price: ৳ 20.00 (2 x 10: ৳ 400.00)
Strip Price: ৳ 200.00

Medicine Details

Indications

  • Treatment of moderate to severe symptoms of benign prostatic hyperplasia (BPH)
  • Reduction in the risk of acute urinary retention and surgery in patients with moderate to severe symptoms of BPH

Pharmacology

  • Combination of Tamsulosin Hydrochloride and Dutasteride
  • Alpha1-adrenoreceptor blocking agent
  • 5 alpha reductase inhibitor (5ARI)
  • Improves urine flow rate and reduces BPH symptoms
  • Tamsulosin affects the dynamic component of BPH by inhibiting alpha1-adrenoreceptors
  • Dutasteride affects the static component of BPH by inhibiting the conversion of Testosterone to Dihydrotestosterone (DHT)

Dosage & Administration

  • Recommended dose: Tamsulosin Hydrochloride 0.4 mg & Dutasteride 0.5 mg daily after the same meal
  • Capsules should be swallowed whole
  • Renal impairment: No dosage adjustment anticipated
  • Hepatic impairment: Caution in patients with mild to moderate impairment, contraindicated in severe impairment

Interaction

  • No formal drug interaction studies for Dutasteride-Tamsulosin combination
  • Potential interactions with CYP3A4 and P-glycoprotein-inhibitors
  • Dutasteride has minimal effect on the pharmacokinetics of other drugs
  • Concomitant administration of Tamsulosin Hydrochloride with certain drugs could lead to enhanced hypotensive effects

Contraindications

  • Contra-indicated in women, children, and adolescents
  • Hypersensitivity to Dutasteride, Tamsulosin, soya, peanut, or any excipients
  • History of orthostatic hypotension, severe hepatic impairment

Side Effects

  • Common adverse reactions include impotence, decreased libido, breast disorders, ejaculation disorders, and dizziness

Pregnancy & Lactation

  • Contra-indicated for use by women
  • No studies conducted on the effect during pregnancy, lactation, and fertility
  • Dutasteride may affect semen characteristics in men
  • Tamsulosin Hydrochloride not evaluated for effects on sperm counts or function

Precautions & Warnings

  • Prescribe after careful benefit risk assessment
  • Increased risk of adverse events, including cardiac failure
  • Effects on prostate-specific antigen (PSA) and prostate cancer detection
  • Regular evaluation for prostate cancer risk including PSA testing
  • Caution in patients with renal impairment, hypotension, hepatic impairment, and breast neoplasia

Overdose Effects

  • No data available for Tamsulosin-Dutasteride combination overdose
  • Symptomatic and supportive treatment for suspected over dosage
  • No specific antidote for Dutasteride overdose
  • Acute hypotension observed with Tamsulosin overdose

Therapeutic Class

  • BPH/ Urinary retention/ Urinary incontinence

Storage Conditions

  • Store in a cool and dry place, protected from light

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