Doxiva 200 mg~
Indications of Doxiva 200 mg
Doxiva
200 mg is used to treat the following indications: Bronchial asthma,
Bronchospasm, Chronic obstructive pulmonary disease (COPD), Pulmonary disease
with a spastic bronchial component.
Theropeutic Class
Bronchodilator,
Methyl xanthine derivatives
Pharmacology
Doxiva
200 mg is a novel bronchodilator that structurally differs from Theophylline
due to the presence of a dioxolane group in position 7. It selectively inhibits
phosphodiesterase 4, relaxing bronchial smooth muscle. However, unlike
Theophylline, Doxiva 200 mg appears to have decreased affinities toward
adenosine A1 and A2 receptors, potentially accounting for its improved safety
profile. Additionally, it is reported to inhibit platelet-activating factor
(PAF) and the generation of leukotriene production.
Dosage & Administration of Doxiva 200 mg
Elderly:
200 mg tablet two or three times daily. Adults: 400 mg tablet two or three
times daily or as prescribed by the physician.
Children:
>12 years of age: 10 ml syrup or 200 mg tablet two or three times daily.
6-12 years of age: 6-9 mg/kg body weight two times daily, i.e. if body weight
is 10 kg, 3 ml (60 mg) two times daily or as prescribed by the physician.
Interaction of Doxiva 200 mg
Doxiva
200 mg should not be administered together with other xanthine derivatives.
Toxic synergism with ephedrine has been documented for xanthines. Like other
xanthines, concomitant therapy with troleandomycin, lincomycin, clindamycin,
allopurinol, cimetidine, ranitidine, propranolol, and anti-flu vaccine may
decrease the hepatic clearance of xanthines, leading to an increase in blood
levels.
No
evidence of a relationship between Doxiva 200 mg serum concentrations and toxic
events has been reported.
Contraindications
Doxiva
200 mg is contraindicated in acute myocardial infarction. It is also
contraindicated in patients with hypotension, in lactating women & patients
who have shown hypersensitivity to its components.
Side Effects of Doxiva 200 mg
Doxiva
200 mg rarely causes serious side effects, however possible side effects are
similar for taking excess amount of caffeine. These include: nausea, vomiting,
headache, upset stomach and heartburn.
Pregnancy & Lactation
Animal
reproduction studies indicate that Doxiva 200 mg does not cause fetal harm when
administered to pregnant animals or affect reproduction capacity. However, due
to limited experience in pregnant humans, xanthines should only be given to
pregnant women when clearly necessary. It's important to note that Doxiva 200
mg is contraindicated in nursing mothers.
Precautions & Warnings
The
half-life of xanthine derivatives is influenced by a number of known variables.
It may be prolonged in patients with liver disease, in patients with congestive
heart failure and in those patients taking certain other drugs like
erythromycin, troleandomycin, lincomycin, allopurinol, cimetidine, propanolol
and anti-flu vaccine. In these cases, a lower dose of Doxiva 200 mg may be
needed. Phenytoin, other anticonvulsants and smoking may cause an increase in
clearance with a shorter mean half-life. In these cases higher doses of Doxiva
200 mg may be needed.
Overdose Effects of Doxiva 200 mg
In
case of overdose severe cardiac arrhythmias and tonic-clonic seizure may occur.
These effects may represent the first signs of intoxication. The appearance of
side effects may require discontinuation of the treatment which, if necessary,
at the physician’s discretion, may be resumed at lower doses after all signs
and symptoms of toxicity have subsided.As there is no specific antidote, in
case of overdose a symptomatic treatment of cardiovascular collapse should be
instituted.
Storage Conditions
Keep
in a dry place away from light and heat. Keep out of the reach of children. Doxiva
200 mg should be used only on prescription of specialist physician.
Drug Classes
Bronchodilator,
Methyl xanthine derivatives
Mode Of Action
Doxiva
200 mg is a novel bronchodilator. It structurally differs from Theophylline due
to the presence of a dioxolane group in position 7. Doxiva 200 mg selectively
inhibits phosphodiesterase 4 thereby relaxes bronchial smooth muscle. However,
differently from Theophylline, Doxiva 200 mg appears to have decreased
affinities toward adenosine A1 and A2 receptors, which may account for the
better safety profile of the drug. Doxiva 200 mg is reported to inhibit
platelet activating factor (PAF) and generation of leukotriene production.
Disclaimer
The
information provided is accurate to our best practices, but it does not replace
professional medical advice. We cannot guarantee its completeness or accuracy.
The absence of specific information about a drug should not be seen as an
endorsement. We are not responsible for any consequences resulting from this
information, so consult a healthcare professional for any concerns or
questions.
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