Aspirin (Low Dose) + Calcium + Citric acid Pharmacology

Aspirin (Low Dose) + Calcium + Citric acid

About Aspirin (Low Dose) + Calcium + Citric acid
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Mechanism of Action of Aspirin (Low Dose) + Calcium + Citric acid
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Pharmacokinets of Aspirin (Low Dose) + Calcium + Citric acid
N/A
Onset of Action for Aspirin (Low Dose) + Calcium + Citric acid
N/A
Duration of Action for Aspirin (Low Dose) + Calcium + Citric acid
N/A
Half Life of Aspirin (Low Dose) + Calcium + Citric acid
N/A
Side Effects of Aspirin (Low Dose) + Calcium + Citric acid
N/A
Contra-indications of Aspirin (Low Dose) + Calcium + Citric acid
N/A
Special Precautions while taking Aspirin (Low Dose) + Calcium + Citric acid
N/A
Pregnancy Related Information
Contraindicated; since Aspirin (low dose) is contraindicated in pregnancy. So the combination generic cannot be used in pregnancy.
Old Age Related Information
N/A
Breast Feeding Related Information
Contraindicated; since Aspirin (low dose) is contraindicated in lactation.
Children Related Information
N/A
Indications for Aspirin (Low Dose) + Calcium + Citric acid
1. Myocardial infarction
Interactions for Aspirin (Low Dose) + Calcium + Citric acid
N/A
Typical Dosage for Aspirin (Low Dose) + Calcium + Citric acid
1 - 3 tablets / day
Schedule of Aspirin (Low Dose) + Calcium + Citric acid
N/A
Storage Requirements for Aspirin (Low Dose) + Calcium + Citric acid
N/A
Effects of Missed Dosage of Aspirin (Low Dose) + Calcium + Citric acid
N/A
Effects of Overdose of Aspirin (Low Dose) + Calcium + Citric acid
N/A

Aspirin (Low Dose)

About Aspirin (Low Dose)
Salicylate, Anti platelet.
Mechanism of Action of Aspirin (Low Dose)
The drug exerts it`s antithrombotic action by interfering with platelet aggregation. It irreversibly inactivating and inhibiting the enzymes cyclooxygenase and thromboxane-synthetase. At lower doses it selectively suppresses the release of thromboxane-A2 till fresh platelets are formed. It also inhibits the release of ADP from platelets and their sticking to each other.
Pharmacokinets of Aspirin (Low Dose)
Absorption: Well absorbed orally, Distribution: Widely distributed in the body in a protein bound form, Metabolism: Metabolized in the liver in to metabolites. Excretion: Excreted through urine as salicylates and it`s metabolites.
Onset of Action for Aspirin (Low Dose)
N/A
Duration of Action for Aspirin (Low Dose)
5 to 7days
Half Life of Aspirin (Low Dose)
15 to 20minutes
Side Effects of Aspirin (Low Dose)
1.Prolonged bleeding time
2.Thrombocytopenia
3.Gastrointestinal disturbances
4.Allergic reactions
5.Rash
6.Urticaria
7.Angioedema
Contra-indications of Aspirin (Low Dose)
1.Hypersensitivity to the drug
2.Peptic ulcer
3.Severe renal impairment
4.Severe hepatic impairment
5.G6PD deficiency
6.Haemorrhagic disorders
Special Precautions while taking Aspirin (Low Dose)

1.Hypo prothrobinemia
2.Renal impairment
3.Hepatic impairment
4.In gastrointestinal lesions
5.Vitamin K deficiency
6.Thrombotic thrombocytopenic purpura
Pregnancy Related Information
Contraindicated
Old Age Related Information
Use with caution
Breast Feeding Related Information
Contraindicated
Children Related Information
Contraindicated
Indications for Aspirin (Low Dose)
Prophylaxis treatment of increased risks of blood clotting
Interactions for Aspirin (Low Dose)
Drugs Affecting Aspirin:
Activated charcoal: Decreases absorption of aspirin.
Antacids Urinary alkalizers and Cortiosteroids: Decrease efficacy of aspirin.

Drugs affected by aspirin:
Alcohol: Risk of G.I. ulceration increases; may also prolong bleeding time.
ACE inhibitors: Antihypertensive action decreased.
Oral Anticoagulants : May potentiate effect.
Methotrexate: Effect potentiated.
Tetracycline: Efficacy decreased.
Tricyclic Antidepressants - Effect potentiated.
Nitroglycerin: May result in unexpected hypotension.
Beta-adrenergic Blockers - Antihypertensive effect blunted.
NSAIDs: May decrease serum concentration.
Sulfonylureas and Exogenous Insulin: In high doses may potentiate these drugs.
Valproic Acid: Potentiates effect.
Spironolactone: May inhibit diuretic effect.
Probenecid & Sulfinpyrazone : Antagonise uricosuric effect (In doses > 3gm/day - uricosuric effect)
Lab Tests:
Thyroid Function Tests: Increase in PBI
Serum Uric Acid Levels: Increased by levels less than 10 mg/dl and decreased by levels> 10 mg/dl.
Urine Glucose: False negative by glucose oxidase method. False positive results by reduction method.
Urinary Ketones: Produce reddish colour.
Typical Dosage for Aspirin (Low Dose)
0ral: 50mg to 160mg/day
Schedule of Aspirin (Low Dose)
H
Storage Requirements for Aspirin (Low Dose)
Store at room temperature and protects from moisture.
Effects of Missed Dosage of Aspirin (Low Dose)
Take 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 Aspirin (Low Dose)
Empty stomach by induced emesis and gastric lavage. Reduce absorption by administration of activated charcoal. Give symptomatic and supportive treatment. Monitor and assist respiratory function, fluid and electrolyte balance, and other vital parameters. Administer sodium bicarbonate and enhance alkaline diuresis. Haemodialysis is effective in severe poisoning.

Calcium

About Calcium
Calcium is necessary for cardiac function, muscle contraction, nervous activity, coagulation of blood and for maintaining structural integrity of cell membranes.
Plasma concentration of calcium is kept in normal range by three endocrine factors which control metabolism of calcium. These are (a) Parathyroid hormone, (b) Calcitonin, (c) Vitamin D. Calcium in plasma is bound to albumin, is complexed with anions (e.g. phosphate) and as diffusible ionic calcium. The physiological effects are exerted by ionic calcium. The predominant source of calcium is dairy products and the daily intake varies from 200 - 2500 mg. Adequate calcium intake is particularly important during periods of bone growth in childhood and adolescence and during pregnancy and lactation.
Patients with advanced renal insufficiency exhibit phosphate retention and some degree of hyperphosphataemia. The retention of phosphate plays a pivotal role in causing secondary hyperparathyroidism associated with osteodystrophy and soft tissue calcification. Calcium acetate, when taken with meals, combines with dietary phosphate to form insoluble calcium phosphate which is excreted in the faeces.
Deficiency signs and symptoms: Osteoporosis, pathological fractures, brittle nails and hair.
Mechanism of Action of Calcium
Calcium is essential for maintaining the functional integrity of nervous, muscular, and skeletal system. It controls excitability of nerves and muscles and regulates permeability of cell membrane. It also regulates cell adhesion and maintains integrity of cell membrane. Calcium acts as intracellular messenger for hormones, autacoids, and transmitters. It is required for excitation-contraction coupling in all types of muscle and excitation-secretion coupling in exocrine and endocrine glands. It is essential for release of transmitters from nerve endings and other release reactions. It is also essential for impulse generation in heart and determines level of automaticity and
A-V conduction. Calcium is also required for blood-coagulation.
Pharmacokinets of Calcium
Absorption: Actively absorbed from gastrointestinal tract in an ionized form; and vitamin D in it`s active form is required for calcium absorption, Distribution: Distributed mainly in to skeletal tissue (99%) and 1% is distributed equally between the intracellular and extra cellular fluid. CSF levels are about half of the serum calcium levels, Metabolism: Not significantly metabolized in the body, Excretion: Excreted mainly through faeces and a small amount is excreted through urine.
Onset of Action for Calcium
N/A
Duration of Action for Calcium
N/A
Half Life of Calcium
N/A
Side Effects of Calcium
1.Constipation
2.Bloating
3.Excess gas
4.Anorexia
5.Nausea
6.Vomiting
7.Abdominal pain
8.Thirst
9.Hypercalcaemia
10.Polyuria
11.Dry mouth
12.Delirium
13.Confusion
Contra-indications of Calcium
1.Renal calculi
2.Hypophosphataemia
3.Hypercalcaemia
4.Ventricular fibrillation.
Special Precautions while taking Calcium
1.Renal impairment
2.Cardiac diseases
3.Sarcoidosis
4.Cor pulmonale
5.Respiratory acidosis
6.Respiratory failure
7.End stage renal failure
8.Hypoparathyroid patients
9.Digitalized patients
10.Prolonged use of therapeutic amounts.
Pregnancy Related Information
Use with caution
Old Age Related Information
Use with caution
Breast Feeding Related Information
May be used
Children Related Information
Use with caution
Indications for Calcium
1.Hypocalcaemia
2.Calcium and vitamin D deficiency
3.Calcium deficiency during pregnancy and lactation
4.Rickets
5.Prevention of osteoporosis in postmenopausal women
6.Chronic renal failure.
Interactions for Calcium
N/A
Typical Dosage for Calcium
Oral: 500mg to 2g daily in two to four divided doses.
Hypocalcaemia:
Adults: 1g daily. Increases to 2g daily if required.
Prevention of osteoporosis: 1 to 1.5g daily.
Children: 45 to 65mg/kg daily.
Neonates: 50 to 150mg/kg and should not exceed 1g.

Schedule of Calcium
N/A
Storage Requirements for Calcium
Store in a well closed container in a cool and dry place. Protect from light.


Effects of Missed Dosage of Calcium
Take 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 Calcium
Remove calcium from stomach by induced emesis and gastric lavage. Provide symptomatic treatment and supportive measures.

Citric acid

About Citric acid
Weak organic carboxylic acid, an alkalinizing agent, expectorant, antioxidant, flavouring agent.
Mechanism of Action of Citric acid
Citric acid is an organic acid which is used widely in medicine and also as flavouring agent. Citric acid is an alkalinizing agent which is used to make the urine more alkaline (less acidic).It prevents certain kinds of kidney stones. It is used in expectorant preparations to increase bronchial secretion. It also posses antioxidant properties.
Pharmacokinets of Citric acid
Absorption: Administered orally, Excretion: Excreted through urine.
Onset of Action for Citric acid
N/A
Duration of Action for Citric acid
N/A
Half Life of Citric acid
N/A
Side Effects of Citric acid
1 Polyuria
2.Hypernatremia
3.Metabolic alkalosis
4.Diarrhea
5.Loose bowel movements
6.Allergic reactions (rare)
7.Chest pain (rare)
8.Shortness of breath(rare)
Contra-indications of Citric acid
1.Hypersensitivity to the drug
2.Patients on sodium-restricted diets
3.Renal impairment with oliguria, azotemia, or anuria
4.Acute dehydration
5.Heat cramps
6.Severe myocardial damage
7.Hyperkalemia.
Special Precautions while taking Citric acid
1.Renal impairment
2.Edema
3.Hypertension
4.Along with other medication
5.Addison`s disease
6.Type 2 diabetes mellitus
7.Urolithiasis
8.Cardiac diseases
9.Toxemia of pregnancy
10.Urinary tract infections
Pregnancy Related Information
Use with caution
Old Age Related Information
Use with caution
Breast Feeding Related Information
Use with caution
Children Related Information
May be used
Indications for Citric acid
1.Expectorant
2.Kidney stones
3.Gout
4.Urine and blood alkaliniser
5.Symptomatic treatment of nausea and vomiting
Interactions for Citric acid
N/A
Typical Dosage for Citric acid
Oral:
As alkaliniser: Dosage are individualized and varies in different combinations
Schedule of Citric acid
N/A
Storage Requirements for Citric acid
Store in a cool dry area in a tightly closed container. Protect from direct light, heat, and moisture.
Effects of Missed Dosage of Citric acid
Take 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 Citric acid
Provide symptomatic treatment and supportive measures.

Home Delivery for Aspirin (Low Dose) + Calcium + Citric acid in Your City

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