Lemodip 1.25 mg (Tablet)

Unit Price: ৳ 4.00 (3 x 10: ৳ 120.00)
Strip Price: ৳ 40.00

Medicine Details

Indications

  • Treats hypertension
  • Lowers blood pressure
  • Reduces risk of cardiovascular events
  • May be used alone or in combination with other antihypertensive agents

Pharmacology

  • Dihydropyridine calcium antagonist
  • Inhibits transmembrane influx of calcium ions into vascular smooth muscle and cardiac muscle
  • Selective effect on vascular smooth muscle cells
  • Greater effect on vascular smooth muscle cells than on cardiac muscle cells
  • 1:1 racemic mixture of levamlodipine and dextro amlodipine
  • Pharmacologically active isomer is levamlodipine
  • Oral administration
  • Takes 6-12 hours to reach peak concentration (Tmax)
  • Bioavailability of 64-90%
  • Volume of distribution similar to amlodipine (21 L/kg)
  • Metabolized to inactive metabolites
  • Metabolism primarily mediated by CYP3A4
  • 60% eliminated in urine
  • 10% eliminated as unmetabolized drug

Dosage & Administration

  • Oral route of administration
  • Usual initial dose is 2.5 mg once daily
  • Maximum dose is 5 mg once daily
  • Adult and elderly patients may start with 1.25 mg once daily
  • Dosage needs to be adjusted according to blood pressure goals
  • Pediatric patients ages 6-17 years may take 1.25 mg to 2.5 mg once daily
  • Titration needed with a waiting period between titration steps
  • Requires assessment and frequent monitoring

Interaction

  • CYP3A inhibitors increase systemic exposure to amlodipine
  • CYP3A inducers effects not quantitatively available
  • Co-administration with simvastatin increases the systemic exposure of simvastatin
  • May increase systemic exposure of cyclosporine or tacrolimus when co-administered
  • Can be taken with or without food
  • Avoid grapefruit products and natural licorice

Contraindications

  • Contraindicated in patients with known sensitivity to amlodipine

Side Effects

  • Common: Difficulty in breathing, Dizziness, Reflex Tachycardia, Hypotension, Abdominal Pain, Edema
  • Rare: Diarrhea, Back pain, Headache, Fatigue, Nausea

Pregnancy & Lactation

  • Limited data available for use in pregnant women
  • No adverse effects on the breastfed infant observed

Precautions & Warnings

  • Possible symptomatic hypotension
  • Risk of increased angina or myocardial infarction
  • Titrate slowly in patients with severe hepatic impairment

Overdose Effects

  • Excessive peripheral vasodilation
  • Marked hypotension
  • Possibly reflex tachycardia

Therapeutic Class

  • Calcium-channel blockers

Storage Conditions

  • Store in a cool and dry place
  • Protect from light and moisture
  • Keep out of reach of children

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