Kdrin 10 mg/2 ml (IM/IV Injection)

2 ml ampoule: ৳ 30.11 (1 x 5: ৳ 150.55)

Medicine Details

Category Details
Generic Procyclidine hydrochloride
Company Opsonin pharma ltd
Also available as

Indications

  • Adjunctive treatment of parkinsonian syndrome
  • Symptomatic treatment of idiopathic parkinsonian
  • Symptomatic treatment of postencephalitic parkinsonian
  • Symptomatic treatment of arteriosclerotic parkinsonian
  • Control of extrapyramidal symptoms
  • Treatment of pseudoparkinsonian symptoms
  • Treatment of acute dystonic reactions
  • Treatment of akathisia induced by neuroleptic drugs

Pharmacology

  • Antimuscarinic antiparkinsonian agent
  • Low toxicity
  • Synthetic tertiary amine
  • Corrects relative cholinergic excess
  • Absorbed from G.I. tract
  • Rapid disappearance from tissues
  • Onset of action within 5-20 minutes
  • Duration of effect up to 4 hours

Dosage & Administration

  • Oral administration
  • Preferred administration after meals
  • Initial dose for parkinsonism: 2.5mg 3 times a day
  • Dose adjustment for parkinsonism: up to 30mg daily
  • Initial dose for drug induced extrapyramidal symptom: 2.5mg 3 times a day
  • Dose adjustment for extrapyramidal symptom: as needed and tolerated
  • IM or IV injection: 5-10mg, repeated if necessary; max 20mg daily

Interaction

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

Contraindications

  • Use with caution in children and geriatric patients
  • Caution in patients with diarrhea
  • Caution in patients with cardiovascular disease
  • Caution in patients with glaucoma
  • Caution in patients with urinary retention
  • Caution in patients with hepatic impairment
  • Caution in patients with renal impairment
  • Safety during pregnancy not established
  • Safety during lactation not established
  • No data on excretion in breast milk

Side Effects

  • Dryness of the mouth
  • Mydriasis
  • Blurred vision
  • G.I. effects (nausea, vomiting, constipation)
  • Allergic reactions (e.g. rash)
  • Muscular weakness
  • Vertigo
  • Confusion
  • Hallucination
  • Adverse effects minimized by dosage adjustment

Pregnancy & Lactation

  • Benefit-risk assessment required for use during pregnancy
  • Benefit-risk assessment required for use during lactation

Precautions & Warnings

  • Precaution in hepatic impairment
  • Precaution in renal impairment
  • Precaution in children
  • Precaution in elderly
  • Precaution in pregnancy
  • Precaution in lactation
  • Potential precipitation of a psychotic episode in patients with mental disorders
  • Avoid abrupt withdrawal to prevent rebound Parkinsonism symptoms

Use in Special Populations

  • Safety and efficacy not established in pediatric age group
  • Benefit-risk assessment required for use in children

Therapeutic Class

  • Antiparkinson drugs

Storage Conditions

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

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