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Milast-A 500 mcg (Tablet)

Manufactured by: Acme Laboratories Ltd.

Roflumilast Similar medicine

Milast-A is indicated for

  • Asthma
  • Chronic obstructive pulmonary disease

Precautions and warnings

Roflumilast is not a bronchodilator and should not be used to treat sudden breathing problems. Patients taking Roflumilast should have their weight checked regularly. If they lose weight for no clear reason or lose a lot of weight, the doctor should investigate, and stopping Roflumilast may be necessary. Use Roflumilast carefully in patients who have serious immune system diseases (like HIV, multiple sclerosis, lupus, or progressive multifocal leukoencephalopathy), serious infections (like tuberculosis or acute hepatitis), cancer (except for basal-cell carcinoma), or severe heart problems.

Side-effects

  • Normally
  • Roflumilast is well tolerated. Common side-effects are Weight decrease
  • decreased appetite
  • sleeplessness
  • headache
  • diarrhoea
  • nausea
  • stomach ache etc.

Drug Interactions

Erythromycin, ketoconazole, fluvoxamine, enoxacin, and cimetidine are some medications. Others include rifampicin, phenobarbital, carbamazepine, phenytoin, theophylline, and oral contraceptives (OC).

Contraindications

Roflumilast should not be used by people who are allergic to it or any of its ingredients. It also should not be taken by anyone with moderate to severe liver problems.

Mode of actions

A selective phosphodiesterase (PDE)-4 inhibitor works by blocking the action of PDE-4. This causes the levels of a molecule called cyclic adenosine monophosphate (cAMP) to increase inside lung cells. This increase in cAMP is believed to be how the drug produces its effects.

Dosage & Administration

In adults (above 18 years of age), the recommended dose of Roflumilast is one 500 microgram (mcg) tablet per day with or without food for both asthma and COPD.

As there is lack of safety information of this drug in children so, it should be avoided in children and adolescent under 18 years of age.

Pregnancy & Lactation

Although animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in pregnant women, but during pregnancy, this medicine can be used just when definitely required despite potential risks.

Mothers with a newborn baby who have used this drug during the last 3 months of pregnancy may seldom create symptoms including drowsiness, muscle stiffness or shakiness, feeding or breathing troubles, constant crying. If you notice any of these symptoms of your baby's particularly during their first month, tell the doctor immediately.

This medicine passes into breast milk. Talk to your doctor before breastfeeding.

Pack Size & Price

30's pack Price : ৳450

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There are few similar medicines of Milast-A are manufactured by other companies using the same ingredients. Although, it would be good if you are able to use the same medicine, which has been prescribed by your Doctor. Due to availability in the local market, you can try others. Please make sure and contact your Doctor first about alternatives.