DIUREXAN Tablet Ref.[7664] Active ingredients: Xipamide

Source: Medicines & Healthcare Products Regulatory Agency (GB)  Revision Year: 2018  Publisher: Mylan Products Ltd, Station Close, Potters Bar, Hertfordshire, EN6 1TL, United Kingdom

Therapeutic indications

For treatment of hypertension, either alone or as an adjunct to treatment with anti-hypertensive drugs.

For use as a diuretic.

Posology and method of administration

Treatment of hypertension

Dosage

Adults

1 tablet (20 mg) daily, as a single early morning dose. When using Diurexan in combination with other antihypertensive therapy, the same dose of 20 mg as a single early morning dose should be maintained.

Children

No dose recommended.

Elderly

See ‘Precautions’.

Use as a diuretic

Dosage

Adults

In the initial phase of treatment the usual dose is 2 tablets (40 mg) daily in a single early morning dose. Depending on the patient’s response, the dose may be lowered to 1 tablet daily when sufficient control of oedema has been achieved. Higher doses, up to 4 tablets daily (80 mg), may be employed in resistant cases.

Children

No dose recommended.

Elderly

See ‘Precautions’.

Overdose

There is no specific antidote to xipamide. Acute intoxications express themselves especially with disturbances in the electrolytes and fluid balance (hyponatraemia, hypokalaemia). Clinical symptoms such as nausea, vomiting, drop in blood pressure, convulsions, dizziness, somnolence, confusional state, polyuria or oliguria and anuria (due to hypovolaemia) may occur.

Emergency procedures: detoxification by administering activated charcoal; subsequently restoration of a normal water and electrolytes balance in a specialized centre.

Gastric lavage or induced emesis may prevent further absorption. General measures should be aimed at the maintenance of blood pressure, restoration of blood volume and correction of electrolyte imbalance with appropriate intravenous infusion as required.

Shelf life

5 years.

Special precautions for storage

None.

Nature and contents of container

Aluminium – PVC Blister strip holds 14 tablets Ten blister strips in folded cardboard box.

Special precautions for disposal and other handling

Not relevant.

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