Lodopin-V: A Comprehensive Solution for Hypertension Management
Lodopin-V is a combination tablet designed to help manage high blood pressure. It contains amlodipine, a dihydropyridine calcium channel blocker, valsartan, an angiotensin II receptor blocker, and hydrochlorothiazide, a thiazide diuretic. These three components work together to lower blood pressure by blocking the contractile effects of calcium on cardiac and vascular smooth muscle cells, inhibiting the vasoconstrictive and sodium-retaining effects of angiotensin II, and promoting the excretion of sodium and chloride in the kidneys.
How It Works
- Amlodipine: Blocks the contractile effects of calcium on cardiac and vascular smooth muscle cells, leading to relaxation of these muscles and a subsequent decrease in blood pressure.
- Valsartan: Blocks the vasoconstrictive and sodium-retaining effects of angiotensin II, which helps in reducing blood pressure and fluid retention.
- Hydrochlorothiazide: Promotes the excretion of sodium and chloride in the kidneys, reducing intravascular volume and lowering blood pressure.
Therapeutic Indications
Lodopin-V is indicated for the treatment of hypertension to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions.
Dosage and Administration
The recommended dose of Lodopin-V is one tablet per day. The majority of its effect is attained within two weeks. It may be administered with or without food and can be used as add-on therapy for patients not controlled on monotherapy. For initial therapy, start with a lower dose (5/160/12.5 mg) and titrate upwards as necessary to a maximum of 10/320/25 mg once daily.
Important Considerations
- Contraindications: Known hypersensitivity to any component.
- Pregnancy and Lactation: Discontinue use if pregnancy is detected, and breastfeeding is not recommended.
- Geriatric and Pediatric Use: Not recommended for initial therapy in geriatric patients or pediatric use.
- Renal Impairment: Safety and effectiveness in patients with severe renal impairment have not been established.
Precautions
- Potassium Levels: Use with caution when taking potassium supplements, potassium-sparing diuretics, or salt substitutes containing potassium.
- Renal Artery Stenosis: Use with caution in patients with unilateral or bilateral renal artery stenosis or stenosis to a solitary kidney.
Overdose
Limited data are available related to overdosage in humans. The most likely manifestations of overdosage would be hypotension and tachycardia; bradycardia could occur from parasympathetic (vagal) stimulation.
By combining these three antihypertensive agents, Lodopin-V provides a comprehensive solution for managing high blood pressure, making it an effective choice for those seeking to lower their blood pressure and reduce the risk of cardiovascular events.
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