Esmolol is in a class of drugs called beta-blockers. Beta-blockers work by affecting the response to some nerve impulses in certain parts of the body. As a result, they decrease the heart's need for blood and oxygen by reducing its workload. They also help the heart to beat more regularly. Esmolol is a fast acting beta-blocker and is only given by slow injection into the veins. It acts specifically on the receptors in the heart muscle and Esmolol is therefore known as a cardio-selective beta-blocker. Esmolol is used for temporary control of heart rate and blood pressure.
Esmolol is indicated as a medicine for Supraventricular, tachycardia, peri operative tachycardia and hypertension.
How to Take Esmolol
Esmolol must be administered by a qualified healthcare provider.
What are the Side Effects of Esmolol -
Like all medicines, Esmolol can cause some side-effects. Some common side effects reported with this medicine include the following. Call your doctor right away if you notice any of these side effects:
* Hypotension, * dizziness, * headache, * confusion, * fatigue, * paresthesia, * asthenia, * depression, * anxiety, * anorexia, * Inflammation of the wall of a vein with a blood clot forming in the affected segment of vein (local thrombophlebitis) * Skin reactions such as rash and itch * bronchospasm
Esmolol intraction with other drugs:
No significant interaction of Esmolol with digoxin, warfarin and morphine.
Warnings and precautions before taking Esmolol :
* Remember do not stop using this Esmolol medicine suddenly without asking your doctor, or you may develop life-threatening heart problems. You may need to slowly decrease your dose before stopping it completely. * Use Esmolol with caution in pregnan'cy, nursing mothers, and in children. * Take special precaution and consult your doctor before taking Esmolol if you have Lactation, asthma, renal insufficiency, diabetes. * Talk with your physician or pharmacist if you are taking other medications. * Breast Feeding - Problems such as slow heartbeat, low blood pressure, and trouble in breathing have been reported in nursing babies. Mothers who are taking beta-blockers including Esmolol and who wish to breast-feed should discuss this with their doctor.
What if Overdose of Esmolol ?
If you think you or anyone else may have taken too many Esmolol, immediately telephone your doctor or contact your local or regional Poisons Information Centre Seek medical attention immediately. You may need urgent medical attention.
What if Missed Dose of Esmolol?
If you miss a dose of Esmolol medicine then contact your doctor if you miss a dose of Esmolol. Do not double doses.
Storage Conditions for Esmolol:
Store Esmolol at room temperature away from moisture and heat. Keep this medicine where young children cannot reach them such as a locked cupboard.
Epival is an "extended-release" form of carbamazepine, which means that the medicine is released into the body slowly instead of all at once. Epival is used to aid in the treatment of epilepsy. TEGRETOL is another name for it.
Epival is used to treat seizures and nerve pain such as trigeminal neuralgia and diabetic neuropathy. Epival medications is not for common aches and pains.
How to Take Epival
Take Epival exactly as prescribed by health care provider. Epival is available in CAPSULE form. Take this medicine after food. Do not stop Epival medication without the advice of your doctor; doing so may result in an increase in seizures. The Tegretol, Tegretol XR, and Epitol brands of Epival should be taken with food. The Epival brand of Epival may be taken with or without food.
What are the Side Effects of Epival -
Like other medicines, Epival can cause side effects. Some of the more common side effects of Epival include
* mouth ulcers * pain or difficulty passing urine * redness, blistering, peeling or loosening of the skin, including inside the mouth * ringing in the ears * seizures (convulsions) * shortness of breath, wheezing * skin rash, hives, itching * sore throat * Sleepiness/drowsiness * Coordination difficulties * Rash or other allergic reaction (swollen glands, fever, sore throat). * Weakness of the bones (osteopenia) * stomach pain * swollen joints or muscle/joint aches and pains * unusual bleeding or bruising * unusual swelling * vomiting
Epival is metabolized in the liver and interacts with several other epilepsy drugs and other medications, such as warfarin, theophyline, and doxycycline. It may reduce the effectiveness of other antiepileptic drugs which are also processed through the liver and with the effectiveness of birth control pills at standard doses. Tell your doctor if you are taking other drugs.
Warnings and precautions before taking Epival :
* If you are taking carbamazepine for epilepsy (seizures) do not stop taking it suddenly. This increases the risk of seizures. Wear a Medic Alert bracelet or necklace. Carry an identification card with information about your condition, medications, and prescriber or health care professional. * Epival capsule must not be used during pregnancy as it may cause harmful side effects to the unborn child. Seek medical advice from your doctor. * Talk with your physician or pharmacist if you are taking other medications along with Epival. * Breast Feeding - Mothers who are taking Epival and who wish to breast-feed should discuss this with their doctor. * Do not drink alcohol while taking Epival. Alcohol may increase drowsiness caused by Epival. It may also increase the risk of seizures. * The safety and efficay of this medicine have not been studied in children and adolescents, hence it is not recommended for use in these age groups.
What if Overdose of Epival ?
If you think you or anyone else taken overdose of Epival, immediately telephone your doctor or contact your local or regional Poisons Information Centre Seek medical attention immediately. You may need urgent medical attention.
What if Missed Dose of Epival?
If you miss a dose of Epival medicine and you remember within an hour or so, take the dose immediately. If you do not remember until later, skip the dose you missed and go back to your regular schedule. Do not double doses.
Storage Conditions for Epival:
Store Epival capsules at room temperature (below 77'F) and protect them from light and moisture. Keep the medication away from the children.
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