Bipinor 2.5mg (Tablet)
Manufactured by: ACI Limited
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Bipinor is indicated for
- 心臟衰竭、高血壓
Precautions and warnings
對不同過敏原有嚴重過敏反應（過敏反應）史的老人。 患有其他疾病，包括第一級心臟傳導阻滯、四肢血流不良（週邊動脈疾病）、糖尿病、穩定性心臟衰竭、重症肌無力、精神健康問題和腎功能下降。 注意：可能隱藏甲狀腺功能亢進的症狀（如心跳加快）。
Side-effects
- 週邊水腫、心搏過緩、胸痛；頭痛、疲勞、頭暈、失眠；皮疹;高膽固醇血症、高密度脂蛋白水平降低、高尿酸血症、三酸甘油酯水平升高、尿酸水平升高；腹瀉，噁心，腹痛；血小板減少症;感覺異常，無力；尿素氮 (BUN) 增加；呼吸困難。 潛在致命：過敏反應。
Drug Interactions
當此藥物與帕羅西汀、氟西汀、普羅帕酮、硫利達嗪或奎尼丁等強效 CYP2D6 抑制劑併用時，血漿濃度可能會升高。 將這種藥物與某些抗心律不整藥物（如胺碘酮或丙吡胺）或非二氫吡啶類鈣通道阻斷劑（如地爾硫卓或維拉帕米）一起使用可能會導致心臟傳導問題。 如果與其他β受體阻斷劑或地高辛併用，心率減慢或傳導問題的風險會更高。 將這種藥物與減少兒茶酚胺的藥物（如利血平）一起服用也可能會增加低血壓或心率緩慢的風險。 突然停止可樂定會增加高血壓反彈的風險。
Contraindications
患有肝臟問題、病態竇房結症候群或二度/三度心臟傳導阻滯的人（除非他們有起搏器）不應使用此產品。 也不適合有氣喘病史、代謝性酸中毒、四肢血流嚴重不良、心跳非常緩慢、心因性休克、嚴重心臟衰竭或未經治療的嗜鉻細胞瘤的患者。 懷孕和哺乳期間也應避免使用這種藥物。
Mode of actions
奈必洛爾主要針對β1腎上腺素受體，透過直接作用於血管內壁來幫助擴張血管，導致一氧化氮的釋放。 它本身沒有刺激或膜穩定作用。
Dosage & Administration
成人：PO HTN 5 mg/天。 最大劑量：40 毫克，每日一次。 心臟衰竭初始：1.25 mg，每日一次。 可以每週 1-2 週加倍劑量，最多每天一次 10 毫克。
Pregnancy & Lactation
儘管動物生殖研究顯示對胎兒有不良影響，並且在孕婦中沒有充分且良好對照的研究，但在懷孕期間，儘管存在潛在風險，但在確實需要時可以使用該藥物。
在懷孕最後 3 個月內使用這種藥物的新生兒母親可能很少會出現困倦、肌肉僵硬或顫抖、餵食或呼吸困難、持續哭泣等症狀。 如果您發現寶寶有任何這些症狀，尤其是在第一個月內，請立即告訴醫生。
這種藥物會進入母乳。 哺乳前請先諮詢您的醫生。
Pack Size & Price
30's pack Price : ৳151.2
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