Question

LND LEGAL PRACTICES-PRESCRI Requip (ropinirole) Name of Drug (Trade and Generic): Classification and Indication for Use: Normal Dosage: Route of Administration Side effects: de and Generic): Lanoxin (digoxin) 5. Name of Drug (Trade Generic): Classification and Indication for Use: Normal Dosage: Route of Administration: Side effects: 6. Name of Drug (Trade and Generic): Ultram (ramadol HCI) Classification and Indication for Use: Normal Dosage: Route of Administration: Side effects:

Answer 1

4.REQUIP (ROPIRINOLE)

Classification

It is a dopamine agonist (non ergoline dopamine agonist)

Indication for use

• Parkinson disease
• Restless leg syndrome

Normal Dosage

• for Parkinson's disease (24mg/day ) in three divided doses as a maximum dose.
  • For first 1 to 2 weeks (2mg/day) in case of extended release tablet
  • For first 1 week 0.25 mg thrice a day ,then increased tom0.25 mg weekly after first week.After 4 week the dose can be increased unto 1.5mg/day
• For RLS (4mg/day) is the maximum dose
  • For immediate release tablet take 0.25 mg/day before bed time (1 to 3 hours.After 2 days increase to 0.5 mg/day,after 1 week increase to 1mg/day)

Route of administration

• Oral

Side effects

• Gastrointestinal :nausea,vomiting, anorexia ,flatulence
• Cardiac: tachycardia or bradycardia, orthostatic hypotension ,cardiac arrest, extrasystole,palpitations
• Respiratory :dyspnea
• CNS:syncope,dizziness,delusion,compulsive behaviour ,somnalescence
• Sensory :glaucoma
• Others:fatigue ,muscle pain, abdominal pain,hypersexuality

5.LANOXIN (DIGOXIN)

Classification

Cardiac glycocides

Indication and uses

• Atrial fibrillation
• Atrial flutter
• Heart failure
• Irregular heart beat
• Abortion

Normal dosage

• 0.125 mg or 0.25 mg everyday in case of heart failure
• 0.125 mg to 0.25 mg everyday for atrial fibrillation

Route of administration

• oral
• Injection

Side effects

• Digoxin toxicity
• Gynecomastia in male patient
• Nausea,vomiting, anorexia, diarrhoea
• Dizxines,headache
• Rash
• Blurred vision

6.ULTRAM (TRAMADOL HCL)

Classification

Opiod analgesics

Indication and Uses

• All types of pain
• Post operative pain (abdominal, musculoskeletal )

Normal Dosage

• Adult : 50mg /dose twice or thrice as per order
• Paediatric :50mg orally
• Immediate release :25mg every morning gradually increase not to exceed 400mg/day.In acute pain 50 to 100mg oral dose every 4 to 6 hours
• Extended release: 100mg daily and increase gradually ,not to be more than 300mg/day

Route of administration

• oral (tablet)
• Injection (IM or IV)

Side effects

• nausea,constipation ,dry mouth,indigestion
• Vertigo,headache,insomnia,nervousness
• Hives,rash,itching,severe perspiration
• Sore eyes
• Breathing difficulties