Inhouse product
Indications
Lorin tablet provides
fast, effective relief from the symptoms of seasonal allergic rhinitis,
perennial allergic rhinitis and skin allergies including chronic urticaria. It
is also effective in alleviating symptoms of allergic rhinitis such as
sneezing, nasal discharge, itching, ocular itching and burning. Nasal and
ocular sign and symptoms are relieved rapidly after oral administration. Lorin
tablet is also indicated in idiopathic urticaria. In children over 2 years
Lorin tablet is indicated for the symptomatic relief of seasonal allergic
rhinitis and allergic skin conditions such as urticaria, nettlerash.
* রেজিস্টার্ড চিকিৎসকের পরামর্শ মোতাবেক ঔষধ সেবন করুন'
Pharmacology
This tablet is a
preparation of Loratadine. Loratadine is a non-sedative histamine Hr receptor
antagonist with antiallergic properties. Loratadine is a long-acting tricyclic
antihistamine with selective peripheral Hi-receptor antagonistic activity and
no central sedative or anticholinergic effect. It is rapidly effective and
long-lasting, allowing once-a-day administration.
Dosage &
Administration
Adults and children
over 12 years of age: One Loratadine
tablet once daily. It is usually administered in the morning or when symptoms
require treatment.
Children 2-12 years: Body weight over 30 kg: one Loratadine
tablet once daily, below 30 kg: half Loratadine tablet once daily.
Below 2 years of age: Loratadine tablet is not recommended for use
below 2 years of age since safety and efficacy has not been established.
* রেজিস্টার্ড চিকিৎসকের পরামর্শ মোতাবেক ঔষধ সেবন করুন'
Interaction
There are no reports
of potentially hazardous interactions with other drugs. In contrast to many
other histamine H1 receptor antagonists, Lorin has no potentiating effects when
administered concurrently with alcohol, as measured by psychomotor performance
studies. Concomitant therapy with drugs that inhibit or are metabolized by
hepatic cytochromes P450 3A4 and 2D6 may elevate plasma concentrations of
either drug and this mayifesult in adverse effects. Cimetidine inhibits both
enzymes while erythromycin or ketoconazole inhibits P450 3A4. These drugs
increase Lorin serum concentrations but no adverse effects are reported.
Contraindications
Loratadine is
contraindicated in patients who have shown hypersensitivity or idiosyncrasy to
their components.
Side Effects
During controlled clinical
studies the incidence of adverse events, including sedation and anticholinergic
effects observed with 10 mg Lorin was comparable to that observed with placebo.
Studies on the effect of Lorin on actual driving performance, and on tests of
cognitive and psychomotor functioning have shown it to be comparable to
placebo.
Pregnancy &
Lactation
There is no experience
of the use of Loratadine in human pregnancy. Therefore its use during pregnancy
is not advisable. Loratadine is excreted in breast milk in a very small amount.
So nursing mothers are advised not to take the drug.
Precautions &
Warnings
Caution should be
taken in patients with liver impairment or renal insufficiency (eGFR <30
ml/min).
Overdose Effects
In adults somnolence,
tachycardia and headache have been reported with overdose greater than 10 mg.
Extrapyramidal signs and palpitations have been reported in children with
overdoses of greater than 10 mg. In the event of overdosage, general
symptomatic and supportive measures should be instituted promptly and
maintained for as long as necessary. It would seem reasonable to treat patients
presenting early after large overdoses with oral activated charcoal. The
conscious patients may be induced to vomit or gastric lavage may be performed.
Therapeutic Class
Non-sedating
antihistamines
Storage Conditions
Keep in a dry place
away from light and heat. Keep out of the reach of children.
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