Negara: Inggris
Bahasa: Inggris
Sumber: MHRA (Medicines & Healthcare Products Regulatory Agency)
Midodrine hydrochloride
Tillomed Laboratories Ltd
C01CA17
Midodrine hydrochloride
5mg
Oral tablet
Oral
No Controlled Drug Status
Valid as a prescribable product
BNF: 02070200; GTIN: 5024655006038
The maximum daily dosage is 30 mg and this limit should be exceeded only in exceptional cases. TIMING OF THE EVENING DOSE Please take Midodrine with a glass of water. Midodrine can be taken with meals. You should take your last dose of Midodrine at least four hours before bedtime. This is because Midodrine can cause high blood pressure if you are lying down for any period of time (for example, sleeping or sunbathing). USE IN CHILDREN AND ADOLESCENTS Do not give this medicine to children and adolescents under the age of 18 because the safety and efficacy of midodrine hydrochloride tablets in patients aged below 18 years has not been established. USE IN ELDERLY PATIENTS The initial dosage is small and the increase in dose is dependent on the patient's clinical condition and should be done with caution. PATIENTS WITH RENAL FUNCTION DISORDERS Due to lack of data, information regarding dosage adjustment cannot be provided for patients with renal function disorders. In general, Midodrine should not be administered in patients with acute renal disorders and severe renal function disorders (see section 2). PATIENTS WITH HEPATIC IMPAIRMENT No specific studies have been performed in this patient population for dosage adjustment. Therefore, information regarding dosage adjustment is not available for this group. DURATION OF USE The duration is based on the progression of the disease. Please talk to your doctor if you have the feeling that the effect of Midodrine is strong or weak. IF YOU TAKE MORE MIDODRINE THAN YOU SHOULD If you take more Midodrine, contact your doctor immediately or go to your nearest hospital accident and emergency department. Take this package leaflet to your doctor. Overdose may result in very high blood pressure, feeling of cold, urination difficulties as well as prolongation of pulse and “goose bumps”, especially in the neck and scalp area. Depending on the severity of overdose, the doctor may initiate measures such as induced vomiting and administration of an antidote (alpha receptor blocker suc Baca dokumen lengkapnya
SUMMARY OF PRODUCT CHARACTERISTICS 1 NAME OF THE MEDICINAL PRODUCT Midodrine 5mg Tablets 2 QUALITATIVE AND QUANTITATIVE COMPOSITION Each tablet contains 5 mg midodrine hydrochloride. Excipients with known effect: Each tablet contains 0.1 mg Sunset Yellow FCF aluminium lake (E110). For the full list of excipients, see section 6.1 3 PHARMACEUTICAL FORM Light orange coloured, round, scored tablets debossed with 'H' above the score and 'P' below the score on one side and '505' on the other side. The diameter of the tablet is 7.10 mm ±0.2 mm. The tablet can be divided into equal doses. 4 CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS For use in the treatment of severe orthostatic hypotension due to dysfunction of the autonomic nervous system when corrective factors have been ruled out. 4.2 POSOLOGY AND METHOD OF ADMINISTRATION Posology: The usual initial dosage is 2.5 mg of midodrine hydrochloride 2-3 times daily. The dose should be increased at weekly intervals in small increments until an optimal response is obtained. The maintenance dosage should be determined individually for each patient to achieve optimal therapeutic effect while reducing the impact of adverse reactions. The maximum daily dosage is 30 mg midodrine hydrochloride, divided into 3 single doses and this limit can be exceeded only in exceptional cases. Midodrine 5 mg tablets should be taken during daytime when the patient performs his daily activities in upright position. A dosing schedule of 3-4 hour intervals is suggested. The last dose should be taken at least four hours before bedtime to reduce the risk of supine hypertension. Blood pressure in supine and sitting position should be regularly monitored at the beginning of the treatment (at least twice a week). Treatment with Midodrine 2.5 mg tablets should be stopped if supine hypertension is significantly excessive. Midodrine 5 mg tablets should be taken with sufficient amount of fluid. They can be taken during meal time. The duration of treatment is based on the progression of the disease. Spe Baca dokumen lengkapnya