Dilarof 500 mcg (Tablet)

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

Medicine Details

Indications

  • Maintenance treatment of severe chronic obstructive pulmonary disease (COPD)
  • Associated with chronic bronchitis
  • Adult patients with a history of frequent exacerbations
  • Add on to bronchodilator treatment

Pharmacology

  • Phosphodiesterase-4 (PDE-4) inhibitor
  • Potential anti-inflammatory effects in the pulmonary system
  • Increased levels of intracellular cyclic AMP
  • Therapeutic actions due to increased levels of cyclic AMP

Dosage & Administration

  • Recommended dose of 500 micrograms Roflumilast once daily
  • May need to be taken for several weeks to achieve its effect
  • Studied in clinical trials for up to one year
  • Swallowed with water and taken at the same time every day
  • Can be taken with or without food

Interaction

  • No proven cases of hazardous interactions reported
  • Case report of interaction with ethanol and a compound containing pyrimethamine with dapsone
  • Potentiation of betahistine with salbutamol reported

Contraindications

  • Hypersensitivity to Roflumilast or its excipients
  • Moderate or severe hepatic impairment

Side Effects

  • Commonly reported adverse reactions include diarrhoea, weight decreased, nausea, abdominal pain, and headache
  • Majority of adverse reactions were mild or moderate
  • Occur within the first weeks of therapy and mostly resolve on continued treatment
  • Adverse reactions ranked under the MedDRA frequency classification

Pregnancy & Lactation

  • Limited data in pregnant women, with reproductive toxicity shown in animal studies
  • Not recommended during pregnancy and in women of childbearing potential not using contraception
  • Excretion of Roflumilast or its metabolites in milk shown in animal studies
  • Roflumilast should not be used during breastfeeding

Precautions & Warnings

  • Patients should be informed about the risks and precautions for safe use
  • Not indicated as rescue medicinal product for the relief of acute bronchospasms
  • Weight decrease may occur and should be monitored
  • Not recommended in patients with certain severe diseases or using specific immunosuppressive medicinal products

Overdose Effects

  • Observation of symptoms at increased rate after single oral doses of 2,500 micrograms and 5,000 micrograms
  • Appropriate supportive medical care recommended in case of overdose

Therapeutic Class

  • Antihistamines anti-allergies & hypo-sensitisation

Storage Conditions

  • Store below 30°C
  • Keep away from light and moisture
  • Keep out of the reach of children

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