Zanidip

Zanidip

lercanidipine

Manufacturer:

Abbott

Distributor:

Zuellig Pharma
Concise Prescribing Info
Contents
Lercanidipine HCl
Indications/Uses
Dosage/Direction for Use
10 mg once daily, may be increased to 20 mg daily.
Administration
Should be taken on an empty stomach: Take at least 15 min before meals.
Contraindications
Hypersensitivity. Left ventricular outflow tract obstruction, untreated congestive cardiac failure, unstable angina pectoris or recent MI (w/in 1 mth). Co-administration w/ strong CYP3A4 inhibitors, cyclosporin, grapefruit or grapefruit juice. Severe hepatic or renal impairment; patients undergoing dialysis.
Special Precautions
Sick sinus syndrome w/o pacemaker; left ventricular dysfunction; ischaemic heart disease; peritoneal dialysis. Galactose intolerance, total lactase deficiency or glucose-galactose malabsorption. Avoid use w/ alcohol. Concomitant use w/ CYP3A4 inducers ie, anticonvulsants (eg, phenytoin, carbamazepine), rifampicin. May affect ability to drive & use machines. Not recommended in severe hepatic or renal impairment (GFR <30 mL/min). Mild to moderate renal or hepatic impairment. May affect fertility. Not recommended in women of childbearing potential & during pregnancy. Not to be used during lactation. Not recommended in childn <18 yr. Elderly.
Adverse Reactions
Headache; tachycardia, palpitations; flushing; peripheral oedema.
Drug Interactions
Avoid co-administration w/ CYP3A4 inhibitors eg, ketoconazole, itraconazole, ritonavir, erythromycin, troleandomycin, clarithromycin. Increased cyclosporin, simvastatin AUC. Increased hypotensive effect w/ grapefruit or grapefruit juice, high-dose cimetidine, other BP-affecting drugs eg, α-blockers, TCAs, neuroleptics. Reduced antihypertensive effect w/ CYP3A4 inducers ie, anticonvulsants (eg, phenytoin, phenobarb, carbamazepine), rifampicin. Potentiated effect w/ alcohol. Increased absorption w/ midazolam. Reduced bioavailability w/ metoprolol. Increased digoxin Cmax. Reduced hypotensive effect w/ corticosteroids. Caution w/ other CYP3A4 substrates ie, terfenadine, astemizole, class III antiarrhythmics eg, amiodarone, quinidine, sotalol.
MIMS Class
Calcium Antagonists
ATC Classification
C08CA13 - lercanidipine ; Belongs to the class of dihydropyridine derivative selective calcium-channel blockers with mainly vascular effects. Used in the treatment of cardiovascular diseases.
Presentation/Packing
Form
Zanidip FC tab 10 mg
Packing/Price
28's
Form
Zanidip FC tab 20 mg
Packing/Price
28's
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