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Generic Name : Methyldopa
Pronunciation : meth ill doe' pa
Therapeutic Classification : Anti- Adrenergic Blockers - Centrally Acting
ICD Code : Y51.8
Trade Name(s): India- Aldopam Ta, Alphadopa , Dopagyt, Emdopa, Gynapres, Sembrina. International- Aldochlor 250, Aldoril. Why it is prescribed (Indications) : This medication is an alpha-2 receptor agonist, prescribed for hypertension. It reduces elevated blood pressure by dilating blood vessels. When it is not to be taken (Contraindications): Contraindicated in patients with liver disease, on therapy with monoamine oxidase (MAO) inhibitors, and hypersensitivity.
Dosage & When it is to be taken : Adult- The usual initial dose is 250 mg two or three times a day in the first 48 hours. Maintenance: 500mg to gm in divided doses. Child- Initial dosage is based on 10 mg/kg of body weight daily in two to four doses. How it should be taken : It comes as a tablet and liquid to take by mouth, with or without food. Warnings and Precautions : * Caution should be exercised in patients with history of anemia, liver, kidney disease, tumor in adrenal glands, any allergy, who are taking other medications, elderly, during pregnancy and breastfeeding. * It may cause drowsiness or dizziness, do not drive a car or operate machinery while taking this medication. * Avoid alcohol consumption. * It should not be used in children. Side Effects : Heart - Aggravation of chest pain, heart failure, sinus hypersensitivity, low blood pressure, swelling or weight gain and slow heart rate. Gastrointestinal - Inflammation of intestine/pancreas/ mouth, vomiting, diarrhea, sore or "black" tongue, nausea, constipation, distension, flatulence and dryness of mouth. Blood - Bone marrow depression. Liver - Liver inflammation, jaundice and abnormal liver function. Hypersensitivity - Inflammation of heart muscle, blood vessels, lupus-like syndrome, drug-related fever and eosinophilia. Central Nervous System - Parkinson’s disease, Bell's palsy, decreased mental acuity, involuntary movements, mild psychoses or depression, headache, sleepiness, weakness, dizziness, lightheadedness and tingling. Metabolic - Rise in Blood Urea Nitrogen. Musculoskeletal - Joint pain/swelling and muscle pain. Respiratory - Nose stuffiness. Skin - Skin damage and rash. Genitourinary - Absence of menstrual periods, breast enlargement in male, spontaneous secretion of milk, impotence and decreased libido. * Avoid excess dosage. Storage Conditions : Store it in a well-closed container at controlled room temperature (15-30°C). |
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