Land: Verenigde Staten
Taal: Engels
Bron: NLM (National Library of Medicine)
MINOXIDIL (UNII: 5965120SH1) (MINOXIDIL - UNII:5965120SH1)
State of Florida DOH Central Pharmacy
MINOXIDIL
MINOXIDIL 10 mg
ORAL
PRESCRIPTION DRUG
Because of the potential for serious adverse effects, minoxidil tablets are indicated only in the treatment of hypertension that is symptomatic or associated with target organ damage and is not manageable with maximum therapeutic doses of diuretic plus two other antihypertensive drugs. At the present time use in milder degrees of hypertension is not recommended because the benefit-risk relationship in such patients has not been defined. Minoxidil reduced supine diastolic blood pressure by 20 mmHg or to 90 mmHg or less in approximately 75% of patients, most of whom had hypertension that could not be controlled by other drugs. Minoxidil tablets are contraindicated in pheochromocytoma, because it may stimulate secretion of catecholamines from the tumor through its antihypertensive action. Minoxidil is contraindicated in those patients with a history of hypersensitivity to any of the components of the preparation.
2.5 mg: white, round, bisected tablets, debossed “par 256” on one side and “MINOXIDIL 2 1/2” on the other side. 10 mg: white, round, bisected tablets, debossed “par 257” on one side and “MINOXIDIL 10” on the other side. Store at controlled room temperature 20° to 25°C (68° to 77°F) [See USP]. They are supplied by State of Florida DOH Central Pharmacy as follows:
Abbreviated New Drug Application
MINOXIDIL - MINOXIDIL TABLET STATE OF FLORIDA DOH CENTRAL PHARMACY ---------- WARNINGS Minoxidil tablets contain the powerful antihypertensive agent, minoxidil, which may produce serious adverse effects. It can cause pericardial effusion, occasionally progressing to tamponade, and angina pectoris may be exacerbated. Minoxidil should be reserved for hypertensive patients who do not respond adequately to maximum therapeutic doses of a diuretic and two other antihypertensive agents. In experimental animals, minoxidil caused several kinds of myocardial lesions as well as other adverse cardiac effects (see Cardiac Lesions in Animals). Minoxidil must be administered under close supervision, usually concomitantly with therapeutic doses of a beta-adrenergic blocking agent to prevent tachycardia and increased myocardial workload. It must also usually be given with a diuretic, frequently one acting in the ascending limb of the loop of Henle, to prevent serious fluid accumulation. Patients with malignant hypertension and those already receiving guanethidine (see WARNINGS) should be hospitalized when minoxidil is first administered so that they can be monitored to avoid too rapid, or large orthostatic, decreases in blood pressure. DESCRIPTION Minoxidil tablets contain minoxidil, an antihypertensive peripheral vasodilator. Minoxidil occurs as a white to off-white, odorless, crystalline solid that is soluble in water to the extent of approximately 2 mg/mL, is readily soluble in propylene glycol or ethanol, and is almost insoluble in acetone, chloroform or ethyl acetate. The chemical name for minoxidil is 2,4-pyrimidinediamine, 6-(1-piperidinyl)-, 3-oxide. C H N 0 MW 209.25 Minoxidil tablets for oral administration contain either 2.5 mg or 10 mg of minoxidil. Inactive ingredients include colloidal silicon dioxide, corn starch, lactose anhydrous, magnesium stearate and microcrystalline cellulose. CLINICAL PHARMACOLOGY 1. GENERAL PHARMACOLOGIC PROPERTIES Minoxidil is an orally effective direct acting peripheral vasodilator that r Lees het volledige document