Angical 5 mg+50 mg (Tablet)

Unit Price: ৳ 7.00 (3 x 10: ৳ 210.00)
Strip Price: ৳ 70.00

Medicine Details

Indications

  • Essential hypertension
  • Angina pectoris
  • Post Ml patients
  • Refractory angina pectoris

Pharmacology

  • Fixed-dose combination of Amlodipine and Atenolol
  • Dihydropyridine calcium antagonist
  • Peripheral vasodilator
  • Beta-blocker
  • Reduces coronary vasoreactivity
  • Lowers cardiac demand
  • Reduction in blood pressure
  • Reduction in myocardial oxygen demand

Dosage & Administration

  • Recommended dosage of Amlodipine and Atenolol 5/25 mg tablet once daily
  • Dosage can be increased to 5/25 mg two tablets daily
  • Dosage should be individualized

Interaction

  • Disopyramide: reduces clearance and may produce negative inotropic effects
  • Ampicillin: may reduce Atenolol levels
  • Oral antidiabetics and insulin: may decrease tissue sensitivity to insulin and inhibit insulin secretion

Contraindications

  • Hypersensitivity to either component
  • Sinus bradycardia
  • Second and higher degrees of heart block
  • Cardiogenic shock
  • Hypotension
  • Congestive heart failure
  • Poor left ventricular function

Side Effects

  • Fatigue
  • Headache
  • Edema
  • Nausea
  • Drowsiness
  • Anxiety
  • Depression

Pregnancy & Lactation

  • Use during pregnancy only if benefit outweighs potential fetal risk
  • Not recommended for nursing mothers
  • Breast-feeding should be stopped if use is considered necessary

Precautions & Warnings

  • Use with caution in patients with airway obstruction
  • Caution in patients with renal impairment
  • Caution in patients with severe liver damage
  • Warn against sudden discontinuation
  • Discontinuation should be gradual and under observation

Overdose Effects

  • Hypotension
  • Congestive cardiac failure
  • Unabsorbed drugs can be removed by gastric lavage or activated charcoal
  • Symptomatic treatment suggested

Therapeutic Class

  • Combined antihypertensive preparations

Storage Conditions

  • Keep below 30°C temperature
  • Away from light & moisture
  • Keep out of the reach of children

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