Friday, 31 October 2014

Treatment of Arthritis, Dysmenorrhoea, and Pyrexia Using Brufen Tablets

What is Primary Dysmenorrhea?

Dysmenorrhea can include different kinds of pain, including sharp, throbbing, dull, nauseating, burning, or shooting pain. Dysmenorrhea may precede menstruation by several days or may accompany it, and it usually subsides as menstruation tapers off. Dysmenorrhea may coexist with excessively heavy blood loss, known as menorrhagia.
Primary dysmenorrhea is menstrual pain that's not a symptom of an underlying gynecologic disorder but is related to the normal process of menstruation. It often begins with the onset of ovulatory cycles six months to one year after the first menstrual cycle. The pain begins with the onset of the period and may last for 24-72 hours.
Primary dysmenorrhea is more likely to affect girls during adolescence. Fortunately for many women, the problem eases as they mature, particularly after a pregnancy. Although it may be painful and sometimes debilitating for brief periods of time, it is not harmful.

What is Pyrexia?

Fever, also known as Pyrexia is one of the most common medical signs and is characterized by an elevation of body temperature above the normal range of 36.5-37.5°C (97.7-99.5 °F) due to an increase in the temperature regulatory set-point. As a person's temperature increases, there is, in general, a feeling of cold despite an increase in body temperature.
With the exception of very high temperatures, treatment to reduce fever is often not necessary; however, antipyretic medications can be effective at lowering the temperature, which may improve the affected person's comfort.

Brufen Tablets – Product Information

Brufen Tablets (Ibuprofen) is used for relief of the signs and symptoms of Rheumatoid arthritis, Osteoarthritis, Juvenile rheumatoid arthritis, Primary dysmenorrhoea, and Pyrexia. Brufen is also used for the relief of acute and/or chronic pain states in which there is an inflammatory component.
The active ingredient present in Brufen Tablets is Ibuprofen.
Ibuprofen is marketed under trade names such as Motrin, Brufen, Ibugesic, Advil, Nuprin, Calprofen, Ribafen, Nurofen.

Brufen Tablets - Contraindications

Brufen Tablets is contraindicated for patients with hypersensitivity to Ibuprofen or any of the inactive ingredients present in Brufen tablets.
Hypersensitivity (e.g. asthma, rhinitis or urticaria) to aspirin or other nonsteroidal anti-inflammatory drugs. Ibuprofen should not be used in active gastrointestinal bleeding or perforation related to previous NSAID therapy. Ibuprofen should not be used in patients with active, or a history of, ulcerative colitis, Crohn's disease, recurrent peptic ulceration or gastrointestinal haemorrhage.

Brufen Tablets - Dosage

Brufen Tablets comes as an oral tablet in 200 mg, 400 mg and 600 mg dosage forms. The recommended adult Oral dosage of Brufen Tablets for adults is given below:
Recommended Adult Dosage:
The recommended initial dosage of Brufen tablets is 1200 mg to 1800 mg daily in divided doses. Some patients can be maintained on 600 to 1200 mg daily. In severe or acute conditions it can be advantageous to increase the dosage until the acute phase is brought under control, providing that the total daily dosage does not exceed 2400mg in divided doses.
Primary Dysmenorrhoea:
For the treatment of dysmenorrhea, beginning with the earliest onset of such pain or menstrual bleeding, Ibuprofen tablets should be given in a dose of 400 mg every 4 to 6 hours as necessary with amaximum total daily dose of 1,600 mg.
Mild to Moderate Pain:
The recommended adult dosage is 400 mg every 4 to 6 hours as necessary for relief of pain.
Maintenance Dose:
In all indications the doses should be adjusted for each patient and the smallest dose that results in acceptable control of the symptoms employed. In general, patients with rheumatoid arthritis and osteo arthritis tend to require higher doses than patients with other conditions.

Side Effects of Brufen Tablets

The common possible side effects reported in patients treated with Brufen Tablets include Nausea, epigastric pain, heartburn, diarrhea, abdominal distress, nausea and vomiting, indigestion, constipation, abdominal cramps or pain, fullness of GI tract (bloating and flatulence),Dizziness, headache, nervousness, Rash (including maculopapular type), pruritus, Tinnitus, decreased appetite, Edema, and fluid retention.
Rare side effects include Gastic or duodenal ulcer with bleeding and/or perforation, gastrointestinal hemorrhage, melena, gastritis, hepatitis, jaundice, abnormal liver function tests; pancreatitis, Depression, insomina, confusion, emotional lability, somnolence, aseptic meningitis with fever and coma, vesiculobullous eruptions, urticaria, erythema multiforme, Stevens-Johnson syndrome, alopecia,hearing loss, amblyopia (blurred and/or diminished vision, scotomata and/or changes in color vision), neutropenia, agranulocytosis, aplastic anemia, hemolytic anemia (sometimes Coombs Positive), thrombocytopenia with or without purpura, eosinophilia, decreases in hemoglobin and hematocrit, congestive heart failure in patients with marginal cardiac function, elevated blood pressure, palpitations, Syndrome of abdominal pain, fever, chills, nausea and vomiting; anaphylaxis; bronchospasm, acute renal failure, decreased creatinine clearance, polyuria, azotemia, cystitis, hematuria, dry eyes and mouth, gingival ulcer and rhinitis.

Brufen Tablets - More Details

For more details on Brufen Tablets please read the Prescription Information or watch the presentation below:



Thursday, 30 October 2014

Treatment of High Cholesterol Using Crestor Tablets

What is High Cholesterol?

Cholesterol is a lipid (fat) which is produced by the liver and is vital for normal body function. Every cell in our body has cholesterol in its outer layer. The desirable levels of Cholesterol is less than 200 mg/dL, borderline high value is 200 to 239 mg/dL and a high value is 240 mg/dL and above.
Hypercholesterolemia is the presence of high levels of cholesterol in the blood.
Cholesterol can build up in the artery wall, restricting the flow of blood to your heart, brain and the rest of your body. High cholesterol levels can cause:
1)Atherosclerosis which means narrowing of the arteries
2)Higher coronary heart disease risk - an abnormality of the arteries that supply blood and oxygen to the heart.
3)Heart attack occurs when the supply of blood and oxygen to an area of heart muscle is blocked, usually by a clot in a coronary artery. This causes your heart muscle to die.
4)Angina (chest pain or discomfort) occurs when your heart muscle does not get enough blood.
5)Other cardiovascular conditions - diseases of the heart and blood vessels.
6)Stroke and mini-stroke
It also increases the chance of a blood clot

Crestor Tablets (Rosuvastatin Calcium) – Product Information

Crestor Tablets manufactured by Astra Zeneca is a medicine used in combination with exercise, diet, and weight-loss to treat high cholesterol and related conditions. Crestor is used when the the response to diet and exercise is not adequate.
It is also indicated for risk reduction of MI, stroke, and arterial revascularization procedures in patients without clinically evident CHD, but with multiple risk factors.
Crestor belongs to a group of medicines known as 'statins'. It lowers the "bad" cholesterol, and raises the "good" cholesterol when exercise and changes to diet are not enough on their own. It also lowers the risk of heart attacks and strokes.
The active ingredient present in Crestor Tablets is Rosuvastatin Calcium.

Crestor Tablets (Rosuvastatin calcium) - Contraindications

Crestor Tablets (Rosuvastatin calcium) is contraindicated in patients with

  • Hypersensitivity to Rosuvastatin calcium or any component of this product.
  • Pregnancy
  • Active liver disease or persistent, unexplained elevations in transaminases.
  • During pregnancy, while breast-feeding and in women of child-bearing potential not using appropriate contraceptive measures.
  • Pre-disposing factors for myopathy/rhabdomyolysis.Such factors include:
    • hypothyroidism
    • personal or family history of hereditary muscular disorders
    • previous history of muscular toxicity with another HMG-CoA reductase inhibitor or fibrate
    • alcohol abuse
    • situations where an increase in rosuvastatin plasma levels may occur
    • severe renal impairment (CrCl < 30 mL/min)
    • Asian patients
    • concomitant use of fibrates

Crestor Tablets (Rosuvastatin calcium) - Dosage

Crestor Tablets may be given at any time of the day, with or without food.The recommended adult Oral dosage of various indications is given below:
Prevention Of Major Cardiovascular Events:
A dose of 20 mg once daily has been found to reduce the risk of major cardiovascular events.
Hypercholesterolaemia:
The usual dose range is 10 - 40 mg orally once a day. The dosage of Crestor should be individualised according to the goal of therapy and patient response. The majority of patients are controlled at the start dose.
Primary hypercholesterolaemia, mixed dyslipidaemia and isolated hypertriglyceridaemia:
The usual start dose is 10 mg once a day. For patients with severe hypercholesterolaemia, a start dose of 20 mg may be considered.
Homozygous familial hypercholesterolaemia:
For patients with homozygous familial hypercholesterolaemia a start dose of 20 mg once a day is recommended.
Dosage In Patients With Renal Insufficiency
The usual dose range applies in patients with mild to moderate renal impairment.For patients with severe renal impairment the dose of Crestor should not exceed 10 mg once daily.
Race
A 5 mg starting dose of Crestor should be considered for Asian patients.

Side Effects of Crestor Tablets (Rosuvastatin Calcium)

Crestor (Rosuvastatin calcium) is generally well tolerated. The side effects seen with Crestor are generally mild and transient. In controlled clinical trials, less than 4% of CRESTOR treated patients were withdrawn due to adverse events. This withdrawal rate was comparable to that reported in patients receiving placebo.
Inform your doctor if you notice any of the following side effects and they worry you Headache, myalgia, asthenia, stiff or painful joints (arthralgia), constipation, dizziness, nausea(feeling sick), unusual tiredness, memory loss, skin rash, itching or hives, stomach pain.
Tell your doctor immediately or go to Accident and Emergency at your nearest hospital in case you notice any of the following serious side effects:
muscle pain, aching muscles, muscle tenderness or weakness not caused by exercise, particularly if you also have a fever or generally feel unwell,swelling of the face, eyelids and lips.
You may need urgent medical attention. Serious side effects of Crestor Tablets are rare.

Crestor Tablets (Rosuvastatin calcium) - More Details

For more details please read the Prescription Information or watch the presentation below:

Cholesterol Reduction by Using Generic Lipitor Tabets

Generic Lipitor (Atorlip Tablets) – Product Information

The active ingredient present in Atorlip Tablets is Atorvastatin Calcium .
Generic Lipitor tablets can lower the risk for heart attack, stroke, certain types of heart surgery, and chest pain in patients who have heart disease or risk factors for heart disease such as age, smoking, high blood pressure, low HDL, or family history of early heart disease. Generic Lipitor (Atorvastatin Calcium) tablets can also lower the risk for heart attack or stroke in patients with diabetes and risk factors such as diabetic eye or kidney problems, smoking, or high blood pressure.
Generic Lipitor is also available as Atoris, Lipvas, Sortis, Torvast, Torvacard, Tortalip and Tulip. Atorlip Tablets are available in strengths of 5 mg, 10 mg , 20 mg and 40 mg. Each film-coated tablet contains Atorvastatin calcium equivalent to Atorvastatin 5 mg, 10 mg , 20 mg, 40 mg respectively.

Uses Of Generic Lipitor Tablets

Generic Lipitor (Atorlip Tablets) are indicated along with diet changes to reduce the amount of cholesterol and certain fatty substances in blood. This reduces or prevents Cardiovascular Diseases. In particular Atorlip tablets reduce the risk of myocardial infarction, stroke, revascularization procedures, and angina. Drug therapy is recommended as an adjunct to diet when the response to a diet restricted in saturated fat and cholesterol and other non-pharmacologic measures alone has proved to be inadequate.

Generic Lipitor (Atorlip Tablets) - Dosage And Administration

The recommended starting dose of Generic Lipitor (Atorlip Tablets) in adult patients is 10 or 20 mg once daily. Patients that require large Low-Density-Lipoprotein cholesterol (LDL-C) reduction (>45%) can start at 40 mg once daily. The recommended starting dose for pediatric patients is 10 mg once daily; maximum recommended dose: 20 mg once daily.

Atorlip Tablets (Generic Lipitor)- Contraindications

The use of Generic Lipitor is contraindicated in patiennts that have a hypersensitivity to Atorvastatin calcium or any other component of this medication. Generic Lipitor (Atorlip Tablets) are also contraindicated in persons with Active liver disease, Women who are pregnant or may become pregnant and Nursing mothers.

Warnings And Precautions

Skeletal muscle effects:
Risks increase when higher doses are used concomitantly with cyclosporine, fibrates, and strong CYP3A4 inhibitors (e.g., clarithromycin, itraconazole, HIV protease inhibitors). Predisposing factors include advanced age (> 65), uncontrolled hypothyroidism, and renal impairment. Rare cases of rhabdomyolysis with acute renal failure secondary to myoglobinuria have been reported. In cases of myopathy or rhabdomyolysis, therapy should be temporarily withheld or discontinued.
Liver enzyme abnormalities and monitoring:
Persistent elevations in hepatic transaminases can occur. Monitor liver enzymes before and during treatment. A higher incidence of hemorrhagic stroke was seen in patients without CHD but with stroke or TIA within the previous 6 months in the Lipitor 80 mg group vs. placebo.

Generic Lipitor Tablets (Atorlip) Side Effects

The most commonly reported side effects in patients undergoing treatment with Generic Lipitor tablets with an incidence rate of 2% or more were: nasopharyngitis, arthralgia, diarrhea, pain in extremity, and urinary tract infection.

Generic Lipitor (Atorvastatin Calcium Tablets) - More Details

For more details on Generic Lipitor (Atorlip tablets) please read the Prescribing Information or watch the presentation below:

Reduce Cholesterol With Generic Lipitor

Wednesday, 29 October 2014

Treatment of Epileptic Seizures and Trigeminal Neuralgia using Generic Tegretol Tablets

What is an Epileptic Seizure?

An Epileptic Seizure (also known as a fit or Seizure) is a transient symptom of "abnormal excessive or synchronous neuronal activity in the brain". Seizures are generally described in two major groups of seizures, primary generalized seizures and partial seizures. The difference between these types is in how and where they begin.
Epileptic Seizures can manifest as an alteration in mental state, tonic or clonic movements, convulsions, and various other psychic symptoms. Sometimes it is not accompanied by convulsions but a full body "slump", where the person simply will lose body control and slump to the ground.

Generic Tegretol (Zeptol Tablets) – Product Information

Generic Tegretol Tablets (Zeptol Tablets) is used for controlling Partial seizures with complex symptomatology, Generalized tonic-clonic seizures (grand mal) and Mixed seizure patterns which include the above, or other partial or generalized seizures. Generic Tegretol is also used in the treatment of the pain associated with true trigeminal neuralgia as well as glossopharyngeal neuralgia.
The active ingredient present in Generic Tegretol is Carbamazepine.
Carbamazepine is available as Biston, Calepsin, Carbatrol, Epitol, Equetro, Finlepsin, Sirtal, Stazepine, Telesmin, Tegretol, EPITAB XR, Teril, Timonil, Trimonil, Epimaz, Carbama/Carbamaze, Amizepin, Carzine, Mazetol, Tegrital, Tegrita, Zeptol, Karbapin, Hermolepsin, Degranol, and Tegretal.

Generic Tegretol (Zeptol Tablets) - Contraindications

Generic is contraindicated in patients with

  • Hypersensitivity to Carbamazepine or any inactive component present in Generic Tegretol
  • Known sensitivity to any of the tricyclic compounds, such as amitriptyline, desipramine, imipramine, protriptyline, nortriptyline, etc.
  • History of previous bone marrow depression
  • Use with monoamine oxidase inhibitors is not recommended
  • MAO inhibitors should be discontinued for a minimum of 14 days, or longer
  • Coadministration of carbamazepine with nefazodone is contraindicated.

Generic Tegretol - Dosage

The recommended adult Oral dosage of Generic Tegretol (Zeptol Tablets) for adults is given below:
Epilepsy
Adults and children over 12 years of age:
Initial: 200 mg twice a day.Increase at weekly intervals by adding up to 200 mg/day using a twice a day regimen until the optimal response is obtained. Dosage generally should not exceed 1000 mg daily in children 12-15 years of age, and 1200 mg daily in patients above 15 years of age.
Maintenance: Adjust dosage to the minimum effective level, usually 800-1200 mg daily.
Trigeminal Neuralgia
Adult Dosage:
Initial: On the first day, 100 mg twice a day for a total daily dose of 200 mg. This daily dose may be increased by up to 200 mg/day using increments of 100 mg every 12 hours, only as needed to achieve freedom from pain. Do not exceed 1200 mg daily.
Maintenance: Control of pain can be maintained in most patients with 400-800 mg daily. However, some patients may be maintained on as little as 200 mg daily, while others may require as much as 1200 mg daily.

Side Effects of Generic Tegretol (Zeptol Tablets)

The side effects reported in patients treated with Generic Tegretol are dizziness, drowsiness, unsteadiness, headache, ataxia, fatigue, diplopia, leukopenia, oedema, fluid retention, weight increase, hyponatraemia and blood osmolarity decreased, nausea, vomiting , and allergic skin reactions (dermatitis allergic, urticaria)

Generic Tegretol (Zeptol Tablets) - More Details

For more details please read the Prescription Information or watch the presentation below: