Hypertension

Active Ingredient: Clonidine

Indication for Clonidine

Population group: only adults (18 years old or older)

Clonidine is indicated for the treatment of all grades of essential and secondary hypertension.

For this indication, competent medicine agencies globally authorize below treatments:

150-600 micrograms in 3 divided doses daily

Route of admnistration

Oral

Defined daily dose

150 - 600 ug

Dosage regimen

From 50 To 200 ug 3 time(s) per day every day

Loading dose

150 ug

Detailed description

Oral treatment should commence with 50-100 micrograms three times daily. This dose should be increased gradually every second or third day until control is achieved. Most patients will be controlled on divided daily doses of 300-1200 micrograms. However, some patients may require higher doses, e.g. 1800 micrograms or more.

Clonidine may be added to an existing antihypertensive regimen where blood pressure control has not been satisfactorily achieved. If side-effects with existing therapy are troublesome the concomitant use of clonidine may allow a lower dose of the established regimen to be employed. Patients changing treatment should have their existing therapy reduced gradually whilst clonidine is added to their regimen.

Patients undergoing anaesthesia should continue their clonidine treatment before, during and after anaesthesia using oral or i.v. administration according to individual circumstances.

No specific information on the use of this product in the elderly is available. Clinical trials have included patients over 65 years and no adverse reactions specific to this age group have been reported.

150-750 micrograms in 3 divided doses daily

Route of admnistration

Intravenous

Defined daily dose

150 - 750 ug

Dosage regimen

From 50 To 250 ug 3 time(s) per day every day

Loading dose

150 ug

Detailed description

In hypertensive crises 150 to 300 micrograms should be given by slow intravenous injection. This dose may be repeated up to a maximum of 750 micrograms in a 24 hour period.

Patients undergoing anaesthesia should continue their clonidine treatment before, during and after anaesthesia using oral or intravenous administration according to individual circumstances.

Intravenous injection of clonidine should be given slowly over 10-15 minutes to avoid a possible transient pressor effect.

Clonidine injection solution is compatible with 0.9% sodium chloride solution and with 5% Dextrose solution.

Dosage considerations

Intravenous injection of clonidine should be given slowly over 10-15 minutes to avoid a possible transient pressor effect.

Clonidine injection solution is compatible with 0.9% sodium chloride solution and with 5% Dextrose solution.

Active ingredient

Clonidine

Clonidine has been shown to have both central and peripheral sites of action. With long-term treatment clonidine reduces the responsiveness of peripheral vessels to vasoconstrictor and vasodilator substances and to sympathetic nerve stimulation. Early in treatment, however, blood pressure reduction is associated with a central reduction of sympathetic outflow and increased vagal tone.

Read more about Clonidine

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