Extranil 5 mg (Tablet)

Unit Price: ৳ 0.98 (10 x 10: ৳ 98.00)
Strip Price: ৳ 9.80

Medicine Details

Indications

  • Adjunctive treatment of all forms of parkinsonian syndrome
  • Symptomatic treatment of idiopathic (paralysis agitants), postencephalitic and arteriosclerotic parkinsonian
  • Control of troublesome extrapyramidal symptoms including pseudoparkinsonian, acute dystonic reactions and akathisia induced by neuroleptic drugs

Pharmacology

  • Antimuscarinic antiparkinsonian agent
  • Corrects relative cholinergic excess in parkinsonian due to dopamine deficiency
  • Rapidly absorbed from G.I. tract
  • Intravenous administration onset of action within 5 to 20 minutes with effect lasting up to 4 hours

Dosage & Administration

  • Oral administration
  • Tablet form
  • Normal dosage for Parkinsonism: 2.5 mg 3 times a day, then 5 mg 3 times a day and occasionally 5 mg at bedtime, Drug induced extrapyramidal symptom: Initially 2.5 mg 3 times a day, IM or IV injection: 5-10 mg, repeated if necessary after 20 minutes; maximum 20 mg daily can be given

Interaction

  • Increased anticholinergic activity with certain agents
  • Reduced absorption of ketoconazole with concomitant administration

Contraindications

  • Caution in children, geriatric patients, patients with diarrhoea, cardiovascular disease, glaucoma, urinary retention, hepatic or renal impairment
  • Not established for use during pregnancy or lactation

Side Effects

  • Dryness of the mouth
  • Mydriasis
  • Blurred vision
  • G.I. effects (nausea, vomiting, constipation)
  • Allergic reaction (e.g. rash)
  • Muscular weakness
  • Vertigo
  • Confusion and hallucination at high doses

Pregnancy & Lactation

  • Use during pregnancy, lactation or in women of childbearing age must weigh potential benefits against possible hazards to the mother and child

Precautions & Warnings

  • Take precautions in case of hepatic and renal impairment, children, elderly, pregnancy, and lactation
  • Avoid abrupt withdrawal to prevent rebound Parkinsonism symptoms

Use in Special Populations

  • Not established for safety and efficacy in the pediatric age group
  • Use in children requires weighing potential benefits against possible hazards

Therapeutic Class

  • Antiparkinson drugs

Storage Conditions

  • Protect from light and moisture
  • Store below 25°C
  • Keep out of the reach of children

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