Pristin 5 mg (Tablet)

Unit Price: ৳ 5.00 (30's pack: ৳ 150.00)

Medicine Details

Indications

  • Essential hypertension
  • Angina pectoris
  • Vasospastic angina

Pharmacology

  • Dihydropyridine calcium-channel blocker
  • Long duration of action
  • Vasodilation
  • Reduced peripheral resistance
  • 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 and patients with hepatic insufficiency
  • May be taken without regard to meals

Interaction

  • Potentially hazardous interactions with p-blockers in patients with markedly impaired cardiac left ventricular function
  • Absence of interaction between Pristin and Digoxin
  • No interaction between Pristin and Cimetidine
  • Pristin did not alter the effect of Warfarin on prothrombin time
  • Food does not alter the rate or extent of absorption of Pristin

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
  • Ischaemic chest pain
  • Excessive fall in blood pressure
  • Rashes
  • Fever
  • Abnormalities in liver function

Pregnancy & Lactation

  • Pregnancy Category C
  • Use during pregnancy if potential benefit justifies potential risk to the fetus
  • Discontinue nursing while Amlodipine is administered

Precautions & Warnings

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

Use in Special Populations

  • Dosage for children with hypertension from 6 to 17 years of age
  • Effect of amlodipine on blood pressure in patients under 6 years of age is not known
  • Elderly patients can use similar doses
  • Normal dosage recommended in renal impairment
  • Caution in dose selection for hepatic impairment
  • Initiate at lowest dose in severe hepatic impairment

Overdose Effects

  • Excessive peripheral vasodilatation
  • Reflex tachycardia
  • Marked and prolonged systemic hypotension
  • Clinically significant hypotension calls for active cardiovascular support
  • Intravenous calcium gluconate may be beneficial
  • Gastric lavage may be worthwhile
  • Charcoal may reduce absorption rate
  • Dialysis is 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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