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CAPTOPRIL

 
 
StockNo Product description
EB0280-424-04 CAPTOPRIL 25 MG X 40 TABL
 
 
COMPOSITION:
Captopril 25 mg in one tablet.

ACTION:
Captopril is a highly effective oral ACE-inhibitor - inhibitor of angiotensin I conversion into active angiotensin II, which is a strong vasoconstrictor and stimulator of aldosterone release. It decreases the systemic AP by decreasing the peripheral vessel resistance. It increases the regional blood flow in kidneys, brain and heart. It increases the diuresis, decreases the pre- and post-load of the heart, increases the minute cardiac volume, improves the pump function of the heart.

PHARMACOKINETICS:
Captopril is absorbed very well after oral administration by creating maximum plasma concentrations 30 to 90 min after a single intake. It metabolizes by oxidation up to a relevant disulfide and is excreted mainly with the urine.

INDICATIONS:
Slight, moderate and severe hypertension. The preparation is applied in cases which have not been influenced by other antihypertensive drugs, including combinations of diuretic, betablocker and vasodilator.

CONTRAINDICATIONS:
Hypersensitivity to Captopril, pregnancy, lactation, neutropenia, thrombocytopenia, anemia, aortic stenosis, autoimmunopathy, hyperaldosteronism, collagenosis, renal insufficiency, Quincke's edema.

SIDE EFFECTS:
Rarely shock, sometimes Quincke's edema, headache, fatigue, paresthesiae, sleep disturbances, decreased reactivity, dizziness, retrosternal pain, orthostatic dysregulation, anemia, agranulocytosis, nausea, vomiting, etc.

DRUG INTERACTIONS:
Captopril decreases the effect of antiacid drugs, acetosalicylic acid and nonsteroid antiinflammatory drugs. Simultaneous administration with cimetidim may provoke neuropathy. It increases the plasma level of digoxin, increases the insulin hypoglycemia, increases the cardoiodepression when administered with antiarrhythmic betareceptor blockers, decreases the effect of calcium blockers. The estrogen drugs decrease its effects. Captopril initiates hypocalaemia and it has to be given with cautious with potassiumsparing diuretics.

DOSAGE AND ADMINISTRATION:
In adults the treatment begins with 25 mg 3 times daily. Failing to produce a satisfactory effect during the first 1-2 weeks, the dose is increased three times by 50 mg. If good therapeutic effect is not obtained during the next 1-2 weeks even with this, a diuretic of the thiazide group is included in the therapy. The maximum daily dose at unsatisfactory results is 450 mg, divide into 3 intakes of 150 mg.

MEDICINAL FORM AND PACKAGE:
Tablets of 25 mg in packs of 40.

STORAGE:
At moderate temperature (15-30° C) in a place protected from moisture and light.

EXPIRY:
3 (three) years.

 

 

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EB0280 01/28/2001