Trihexy 5 mg/5 ml (Syrup)

50 ml bottle: ৳ 126.00

Medicine Details

Indications

  • Adjunct treatment for parkinsonism
  • Control of extrapyramidal disorders

Description

  • Direct inhibitory effect on parasympathetic nervous system
  • Relaxing effect on smooth musculature

Pharmacology

  • Non-selective muscarinic acetylcholine receptor antagonist
  • Higher affinity for central muscarinic receptors in cerebral cortex
  • Lower affinity for peripherally located muscarinic receptors

Dosage & Administration

  • Individualized dosage
  • Low initial dose with gradual increase
  • Optimal daily total of 6 to 10 mg for idiopathic parkinsonism

Interaction

  • Additive effects with cannabinoids, barbiturates, opiates, and alcohol
  • Increased sedative effects with concurrent use of alcohol or CNS depressants

Contraindications

  • Hypersensitivity to Trihexyphenidyl
  • Narrow angle glaucoma

Side Effects

  • Dryness of mouth
  • Blurred vision
  • Dizziness
  • Nausea
  • Nervousness
  • Suppurative parotitis
  • Skin rashes
  • Delusions
  • Hallucinations
  • Paranoia

Pregnancy & Lactation

  • Use only when clearly needed and benefit outweighs risk
  • Caution in nursing women due to potential suppression of lactation

Precautions & Warnings

  • Gonioscope evaluation prior to initiation of therapy
  • Monitoring of intraocular pressures
  • Caution in hot weather and with atropine-like drugs
  • Possibility of hyperthermia with anhidrosis
  • Neuroleptic Malignant Syndrome (NMS) has been reported

Overdose Effects

  • Rare cases of death associated with overdose
  • Central symptoms of atropine intoxication
  • Neuropsychiatric signs such as delirium, seizures, and coma

Therapeutic Class

  • Antiparkinson drugs

Storage Conditions

  • Store at temperature not exceeding 30°C
  • Protect from light

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