Amdocal 10 mg (Tablet)

Unit Price: ৳ 8.00 (4 x 15: ৳ 480.00)
Strip Price: ৳ 120.00

Medicine Details

Indications

  • Essential hypertension
  • Angina pectoris
  • Vasospastic angina

Pharmacology

  • Dihydropyridine calcium-channel blocker
  • Long duration of action
  • Influences myocardial cells
  • Vascular smooth muscle vasodilation
  • Increased coronary blood flow
  • Reflex increase in coronary heart rate

Dosage & Administration

  • Usual dose of 5 mg once daily
  • Maximum dose of 10 mg once daily
  • Lower dose for elderly patients
  • May be taken without regard to meals

Interaction

  • Potentially hazardous interactions with p-blockers
  • No interaction with Digoxin
  • No interaction with Cimetidine
  • No significant alteration of effect of Warfarin on prothrombin time
  • Food does not alter the rate or extent of absorption

Contraindications

  • Hypersensitivity to dihydropyridine derivatives
  • Pregnant woman

Side Effects

  • Dizziness
  • Flushing
  • Headache
  • Hypotension
  • Peripheral edema
  • Gastrointestinal disturbances
  • Increased micturition frequency
  • Lethargy
  • Eye pain
  • Mental depression
  • Increased ischaemic chest pain
  • Excessive fall in blood pressure
  • Rashes
  • Fever
  • Abnormalities in liver function

Pregnancy & Lactation

  • Pregnancy Category C
  • No adequate and well-controlled studies in pregnant women
  • Recommendation to discontinue nursing while administered

Precautions & Warnings

  • Precaution in patients with hepatic impairment
  • Precaution during pregnancy and breastfeeding

Use in Special Populations

  • Dosage recommendations for children with hypertension
  • Effect on blood pressure in patients under 6 years is not known
  • Normal dosage regimens recommended for elderly
  • Normal dosage recommended for renal impairment
  • Dosage recommendations not established for mild to moderate hepatic impairment
  • Lowest initial dose for severe hepatic impairment

Overdose Effects

  • Symptoms of excessive peripheral vasodilatation
  • Reflex tachycardia
  • Marked and prolonged systemic hypotension
  • Active cardiovascular support required
  • Elevation of extremities
  • Attention to circulating fluid volume and urine output
  • Vasoconstrictor and calcium gluconate may be beneficial
  • Gastric lavage may be worthwhile
  • Charcoal use can reduce absorption rate
  • Dialysis not likely to be of benefit

Therapeutic Class

  • Calcium-channel blockers

Storage Conditions

  • Keep out of reach of children
  • Store in cool & dry place
  • Protected from light

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