Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
INDAPAMIDE
PHARMAFORTE (MALAYSIA) SDN. BHD.
INDAPAMIDE
30 Tablets
APOTEX INC
APO-INDAPAMIDE TABLETS INDAPAMIDE USP 2.5MG DIURETIC / ANTIHYPERTENSIVE PHARMACOLOGY: Indapamide is a diuretic antihypertensive agent. The mechanism whereby indapamide exerts its action in the control of hypertension is not completely elucidated: both renal and extra renal actions may be involved. The renal site of action is the proximal part of the distal tubule and the ascending part of Henle's loop. Sodium and chloride ions are excreted in approximately equivalent amounts. The increased delivery of sodium to the distal tubular exchange site results in increased potassium excretion and hypokalemia. Indapamide is rapidly and completely absorbed after oral administration. Peak blood levels are obtained after 1 to 2 hours. Indapamide is concentrated in the erythrocytes and is 79% bound to plasma proteins and to erythrocytes. It is taken up by the vascular wall in smooth vascular muscle according to its high lipid solubility. Seventy per cent of a single oral dose is eliminated by the kidneys and 23 per cent by the gastrointestinal tract. Indapamide is metabolized to a marked degree, the unchanged product representing approximately 5 per cent of the total dose found in the urine during the 48 hours following administration. Elimination of indapamide from the plasma is biphasic with half-lives of 14 and 25 hours respectively. INDICATIONS: APO-INDAPAMIDE (indapamide) is indicated in the management of essential hypertension. It may be tried as a sole therapeutic agent in the treatment of mild to moderate hypertension. Normally APO-INDAPAMIDE, as other diuretics, is used as the initial agent in multiple drug regimens. CONTRAINDICATIONS: Anuria, progressive and severe oliguria, hepatic coma, hepatic impairment and cerebrovascular complications. Known hypersensitivity to indapamide or to other sulphonamide derivatives. PRECAUTIONS AND WARNINGS: Electrolyte changes observed with indapamide become severe at doses above 2.5mg per day. Therefore the maximum daily dose should not exceed this dose. Patients with renal insuffic Baca dokumen lengkap