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- Pharmacology For S-Amlodipine + Hydrochlorothiazide
S-Amlodipine + Hydrochlorothiazide Pharmacology
S-Amlodipine + Hydrochlorothiazide
About S-Amlodipine + HydrochlorothiazideN/AMechanism of Action of S-Amlodipine + HydrochlorothiazideN/APharmacokinets of S-Amlodipine + HydrochlorothiazideN/AOnset of Action for S-Amlodipine + HydrochlorothiazideN/ADuration of Action for S-Amlodipine + HydrochlorothiazideN/AHalf Life of S-Amlodipine + HydrochlorothiazideN/ASide Effects of S-Amlodipine + Hydrochlorothiazide1.Nausea
2.Drowsiness
3.Dizziness
4.Dehydration.
Contra-indications of S-Amlodipine + Hydrochlorothiazide1.Liver insufficiency.
2.Hypersensitivity to any drug component or sulfonamide-derived drug
Special Precautions while taking S-Amlodipine + HydrochlorothiazideN/APregnancy Related InformationContraindicatedOld Age Related InformationN/ABreast Feeding Related InformationCaution when used duringChildren Related InformationN/AIndications for S-Amlodipine + HydrochlorothiazideManagement of essential hypertension and angina pectoris.Interactions for S-Amlodipine + HydrochlorothiazideN/ATypical Dosage for S-Amlodipine + HydrochlorothiazideN/ASchedule of S-Amlodipine + HydrochlorothiazideN/AStorage Requirements for S-Amlodipine + HydrochlorothiazideN/AEffects of Missed Dosage of S-Amlodipine + HydrochlorothiazideN/AEffects of Overdose of S-Amlodipine + HydrochlorothiazideN/AS-Amlodipine
About S-AmlodipineCalcium Channel Blocker (dihydropyridine class), Anti hypertensive,anti angina.Mechanism of Action of S-AmlodipineS-Amlodipine, which is an enantiomer of Amlodipine; is a dihydropyridine Ca2+ channel blocker. It exerts it`s antihypertensive action through blocking the influx of Ca2+ ions through voltage gated L-type Calcium channels to the peripheral vascular smooth muscle cells, Coronary smooth muscle cells and to the myocardial cells and causes dilatation of vascular endothelium, decrease peripheral resistance, & reduce myocardial oxygen demand and improves oxygen supply to myocardial cells. It directly dilates vascular smooth muscle and reduces hypertension.Pharmacokinets of S-AmlodipineN/AOnset of Action for S-AmlodipineN/ADuration of Action for S-AmlodipineN/AHalf Life of S-AmlodipineN/ASide Effects of S-Amlodipine1.Headache
2.Dizziness
3.Nausea
4.Abdominal pain
5.Fatigue
6.Flushing
7.Pruritus
8.Rash
9.Dyspnea
10.Dyspepsia
11.Muscle spasm
Contra-indications of S-Amlodipine1.Hyper sensitivity to the drug or other dihydropyridines
2.Hepatic impairment
Special Precautions while taking S-AmlodipineHepatic impairmentPregnancy Related InformationContraindicatedOld Age Related InformationN/ABreast Feeding Related InformationN/AChildren Related InformationN/AIndications for S-AmlodipineHypertensionInteractions for S-AmlodipineN/ATypical Dosage for S-Amlodipine2.5mg once dailySchedule of S-AmlodipineHStorage Requirements for S-AmlodipineStore at room temperature below 30 degree C. Protect from moisture and light.Effects of Missed Dosage of S-AmlodipineTake the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.Effects of Overdose of S-AmlodipineGive supportive measures and symptomatic treatment.Hydrochlorothiazide
About HydrochlorothiazideThiazide derivatibve, Diuretic.Mechanism of Action of HydrochlorothiazideIt is thiazide diuretic which exerts its action by acting at site-3(central dilating segment of early distal tubule). It binds to Na+Cl- symporter and inhibits Na+Cl- symport at the luminal membrane. It has additional carbonic anhydrase inhibitory actions in proximal tubules. It increases natriuresis, kaliuresis and diuresis. It decreases Ca2+ excretion and increases Mg2+excretion. It also has minor carbonic anhydrase inhibitory action. It also causes direct arteriolar vasodilatation and decreases total peripheral resistance. The antihypertensive actions of the drug may be attributable to depletion of sodium and subsequent reduction in plasma volume and a decrease in peripheral resistance. Decrease in peripheral resistance is due to either the loss of sodium from the arteriolar wall or a direct action on the vascular bed. It is an effective drug in edema associated with congestive heart failure.
Vertigo: Diuretics are used in vertigo in assumption that vertigo is due to endolymphatic hydrops. They reduce labyrinthine fluid pressure
Pharmacokinets of HydrochlorothiazideAbsorption: It is absorbed after oral administration.
Metabolism: It is not metabolized in the body.
Excretion: Excreted unchanged in urine.
Onset of Action for Hydrochlorothiazide1 to 3 hoursDuration of Action for Hydrochlorothiazide12 to 16 hoursHalf Life of Hydrochlorothiazide5 to 15 hoursSide Effects of Hydrochlorothiazide1. Dizziness
2. Blurred vision
3. Confusion
4. Tingling fingers
5. Dry mouth
6. Nausea
7. Diarrhoea
8. Constipation
9. Vomiting
10. Weakness
11. Hypokalaemia
12. Hyponatraemia
13. Hyperuricaemia
14. Elevated levels of glucose, calcium and lipids
15. Gastro intestinal disturbances
16. Polyuria
17. Electrolyte imbalance
18. Jaundice
19. Rashes
20. Photosensitivity
21. Fever
22. Itching
23. Myalgia
24. Muscle cramps
25. Arthralgia
26. Blood dyscrasias
27. Ototoxicity
Contra-indications of Hydrochlorothiazide1. Hyper uricaemia
2. Hyper calcaemia
3. Renal impairment
4. Hepatic impairment
5. Anuria
6. Hypersensitivity to the drug
7. Hyper sensitivity to sulfonamides
8. Fluid and electrolyte imbalance
Special Precautions while taking Hydrochlorothiazide1. Gout
2. Diabetes mellitus
3. Renal impairment
4. Hepatic impairment
5. Monitor and correct Fluid and electrolyte imbalance
6. Hyper parathyroidism
7. Cirrhosis
Pregnancy Related InformationContraindicatedOld Age Related InformationUse with cautionBreast Feeding Related InformationContraindicatedChildren Related InformationMay be usedIndications for Hydrochlorothiazide1. Hypertension
2. Oedema associated with heart failure
3. Oedema due to renal and hepatic diseases
4. Diabetes insipidus
5. Idiopathic hypercalciurea.
6. Vertigo
Interactions for HydrochlorothiazideCholestyramine & Colestipol: decrease absorption of hydrochlorothiazide.
Diazoxide: Additive action - may cause hyperglycemia, hyperuricaemia and hypotension.
Digitalis: Diuretics induced hypokalaemia may precipitate digitalis toxicity.
Lithium: Hydrochlorothiazide potentiates therapeutic and toxic effects by increasing its renal excretion.
Frusemide: Synergy leading to profound diuresis and greater than predicted electrolyte loss.
Non-depolarizing muscle relaxants: Diuretics induced hypokalaemia enhances efficacy.
Sulfonylureas: Efficacy decreased due to hydrochlorothiazide induced glucose intolerance.
Chlorpropamide: Hypokalaemia.
Propantheline: Bioavailability of hydrochlorothiazide increased.
Metoclopramide: Bioavailability of hydrochlorothiazide decreased.
NSAIDs: Natriuretic effect of hydrochlorothiazide decreased.
Typical Dosage for HydrochlorothiazideAdults:
Hypertension: 25mg once daily or in divided doses. Increased to 50mg if required; depending up on the patient`s response.
Children: 1mg/kg single daily dose.
Oedema:
Adults:
Starts with 25 to 50mg. Increased the dose until desired response is obtained.
Maximum dose: 200mg/day
Maintenance dosage: 25 to 100mg daily or on alternate days.
Children: 1mg/kg single daily dose or 1 to 3mg/kg/day in two divided doses
Schedule of HydrochlorothiazideGStorage Requirements for HydrochlorothiazideStore at room temperature in a well closed container and protected from light.Effects of Missed Dosage of HydrochlorothiazideTake the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose.Continue the regular schedule.Do not double the dose.Effects of Overdose of HydrochlorothiazideTreatment is supportive and symptomatic. Remove drug from the body by induced emesis and gastric lavage. Monitor and assist respiratory, cardiovascular, and renal function as indicated. Monitor and support fluid and electrolyte balance.Home Delivery for S-Amlodipine + Hydrochlorothiazide in Your City
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However, we do publish a comprehensive directory of Pharmacies, Chemists and Druggists in cities all over India. You can use this directory to find the medicine stores in your city (or area) that provide home delivery services for s-amlodipine + hydrochlorothiazide and other medicines and health products. Home delivery services for s-amlodipine + hydrochlorothiazide may be free or they may cost you depending on the pharmacy and the minimum order requirements. It would be best to get this clarified while placing the order.
Please be aware that you should take s-amlodipine + hydrochlorothiazide only if a doctor has recommended or prescribed it. Some or all pharmacies who provide a home delivery service for medicines might insist on a prescription for s-amlodipine + hydrochlorothiazide before they complete the sale. You can get this information while placing the order for s-amlodipine + hydrochlorothiazide with the pharmacy.
S-Amlodipine + Hydrochlorothiazide is a generic medicine name and there are several brands available for it. Some of the brands for s-amlodipine + hydrochlorothiazide might be better known than s-amlodipine + hydrochlorothiazide itself. If the pharmacy that's willing to deliver medicines to your home doesn't have s-amlodipine + hydrochlorothiazide in stock, you can ask for one of the branded alternatives for s-amlodipine + hydrochlorothiazide.
