Proactin Tablet

Cyproheptadine HCI
2mg
Eskayef Pharmaceuticals Ltd.
Pack size 50's pack
Unite Price 1 BDT

Indications

Proactin Tablet is used for: Rash, pruritus in a variety of condition, appetite stimulation, anorexia nervosa, cushing's syndrome, Nelson's syndrome, acromegaly, hyperprolactinemia, migraine, antidepressant-induced inorgasmia

Adult Dose

Oral Allergic conditions Adult: Initially, 4 mg tid, adjusted as necessary. Usual: 12-16 mg daily in 3-4 divided doses. Max: 32 mg/day. Treatment and prophylaxis of migraine and other vascular headaches Adult: 4 mg may be repeated after 30 min. Not to exceed 8 mg w/in a 4- to 6-hr period. Maintenance: 4 mg 4-6 hrly.

Child Dose

Oral Allergic conditions Child: 2-6 yr 2 mg bid or tid. Max: 12 mg daily; 7-14 yr 4 mg bid or tid. Max: 16 mg daily. Migraine Prophylaxis < 3 years: Safety and efficacy not established >3 years and adolescents: 0.2-0.4 mg/kg/day PO divided BID; not to exceed 0.5 mg/kg/day

Renal Dose

Administration

May be taken with or without food. May be taken w/ meals to reduce GI discomfort.

Contra Indications

Narrow-angle glaucoma; acute asthmatic attack; bladder neck obstruction; stenosing peptic ulcer; GIT obstruction; MAOIs therapy; hypersensitivity; neonates, lactation.

Precautions

Elderly; epilepsy; tasks requiring mental alertness; symptomatic prostate hypertrophy; epilepsy; alcoholism; pregnancy. Lactation: Excretion in milk unknown; contraindicated

Pregnancy-Lactation

Pregnancy category: B Lactation: Excretion in milk unknown; contraindicated

Interactions

May have additive effects w/ CNS depressants e.g. hypnotics, sedatives, tranquilizers, antianxiety agents. Potentially Fatal: MAOIs prolong and intensify the anticholinergic effects of antihistamines.

Side Effects

Side effects of Cyproheptadine HCI : Psychiatric/neurologic: CNS depression, drowsiness, sedation ranging from mild drowsiness to deep sleep (most frequent), dizziness, lassitude, disturbed coordination; less commonly, restlessness, insomnia, tremors, euphoria, nervousness, irritability, delirium, seizures, toxic psychosis, paresthesia Muscular: Weakness Cardiovascular: Palpitation, tachycardia, palpitation, ECG changes (eg, widened QRS), arrhythmias (eg, extrasystole, heart block), hypotension, hypertension, dizziness, sedation, hypotension GI: Epigastric distress, anorexia, nausea, vomiting, diarrhea, constipation Hepatic: Cholestasis, hepatitis, hepatic failure, hepatic function abnormality, jaundice (rare) Skin: Eczema, pruritus, inflammation, papular rash, erythema on exposed skin Sensory: Visual disturbances, blurred vision, diplopia, tinnitus, acute labyrinthitis Renal: Dysuria, urinary retention Respiratory: Thickening of bronchial secretions, wheezing, nasal stuffiness Other: Vertigo, sweating, chills, early menses, headache, impotence, dryness of mouth, nose, and throat, facial dyskinesia, tightness of chest, faintness

Mode of Action

Cyproheptadine is a sedating antihistamine w/ antimuscarinic, serotonin antagonist and Ca channel blocking properties. It competes w/ histamine for H1-receptor sites on effector cells in the GI tract, blood vessels and resp tract.

Note

Proactin 2mg Tablet generic name is Cyproheptadine HCI. Proactin 2mg Tablet is manufactured by Eskayef Pharmaceuticals Ltd.Proactin is availble in all over Bangladesh. Mes BD drug index information on Proactin Tablet is not intended for diagnosis, medical advice or treatment; neither intended to be a substitute for the exercise of professional judgment.

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