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

2 ml ampoule: ৳ 35.00

Medicine Details

Indications

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

Pharmacology

  • Antimuscarinic antiparkinsonian agent
  • Correction of cholinergic excess
  • Absorbed from gastrointestinal tract
  • Rapid disappearance from tissues
  • Rapid onset of action (5 to 20 minutes)
  • Duration of effect up to 4 hours

Dosage & Administration

  • Oral administration
  • Administered preferably after meals
  • Initial dosage for parkinsonism: 2.5 mg 3 times a day
  • Dosage adjustment until total daily dose reaches 20-30 mg
  • Initial dosage for drug-induced extrapyramidal symptom: 2.5 mg 3 times a day
  • Incremental dosage adjustment as needed and tolerated
  • IM or IV injection: 5-10 mg, repeatable up to 20 mg daily

Interaction

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

Contraindications

  • Caution in children and geriatric patients
  • Caution in patients with diarrhoea and cardiovascular disease
  • Caution in patients with glaucoma, urinary retention, hepatic or renal impairment
  • Use with caution during pregnancy and lactation
  • No established safety data for use during pregnancy and lactation

Side Effects

  • Dryness of the mouth
  • Mydriasis
  • Blurred vision
  • Gastrointestinal effects (nausea, vomiting, constipation)
  • Allergic reaction (e.g. rash)
  • Muscular weakness
  • Vertigo
  • Confusion
  • Hallucinations

Pregnancy & Lactation

  • Evaluation of benefits versus hazards required in pregnancy and lactation

Precautions & Warnings

  • Hepatic and renal impairment precautions
  • Caution in children and elderly
  • Caution in pregnancy and lactation
  • Potential for precipitation of psychotic episode in patients with mental disorders
  • Avoid abrupt withdrawal to prevent rebound symptoms
  • Use in pediatric age group requires evaluation of benefits versus hazards

Use in Special Populations

  • Safety and efficacy not established in pediatric age group
  • Evaluation of benefits versus hazards required in children

Therapeutic Class

  • Antiparkinson drugs

Storage Conditions

  • Protection from light and moisture
  • Storage below 25°C
  • Keep out of reach of children

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