Indications of Contine 100 ml
Contine 100 ml is indicated for the-
Control of acute asthma.
Management of chronic asthma (For both Symptomatic and prophylactic treatment).
For controlling nocturnal asthma and early morning wheezing.
Management of chronic obstructive lung disease (Chronic bronchitis and emphysema) and acute exacerbation of chronic obstructive lung disease.
Control of apnea of pre-maturity.
Theropeutic Class
Bronchodilator, Contine 100 ml & related drugs
Pharmacology
Contine 100 ml is a bronchodilator, structurally classified as a Methylxanthine. Contine 100 ml has two distinct actions in the airways of patients with reversible obstruction; smooth muscle relaxation and suppression of the response of the airways to stimuli. Contine 100 ml also increases the force of contraction of diaphragmatic muscles. The half-life of Contine 100 ml is influenced by a number of known variables. In adult nonsmokers with uncomplicated asthma the half-life ranges from 3 to 9 hours
Dosage & Administration of Contine 100 ml
The dose of Contine 100 ml must be individualized on the basis of peak serum Contine 100 ml concentration measurements in order to achieve a dose that will provide maximum potential benefit with minimal risk of adverse effects. Most of the sustained release preparations may be administered every 12 hours in adults while administration every 8 hours may be necessary in some children with markedly rapid hepaticmetabolism of Contine 100 ml. The recommended maintenance dose within accepted therapeutic range is as follows :
16 years or older: 10 mg/Kg/day (Do not exceed 900 mg/day)
12 years-15 years: 13 mg/Kg/day
9-11 years: 16 mg/Kg/day
1 year-8 years: 24-24 mg/Kg/day
6 months-1 year: 12-18 mg/Kg/day
1-6 months: 10 mg/Kg/day.
Dosage of Contine 100 ml
The dose of Contine 100 ml must be individualized on the basis of peak serum Contine 100 ml concentration measurements in order to achieve a dose that will provide maximum potential benefit with minimal risk of adverse effects. Most of the sustained release preparations may be administered every 12 hours in adults while administration every 8 hours may be necessary in some children with markedly rapid hepaticmetabolism of Contine 100 ml. The recommended maintenance dose within accepted therapeutic range is as follows :
16 years or older: 10 mg/Kg/day (Do not exceed 900 mg/day)
12 years-15 years: 13 mg/Kg/day
9-11 years: 16 mg/Kg/day
1 year-8 years: 24-24 mg/Kg/day
6 months-1 year: 12-18 mg/Kg/day
1-6 months: 10 mg/Kg/day.
Interaction of Contine 100 ml
Contine 100 ml should not be used concurrently with other preparations containing xanthine derivatives. The clearance of Contine 100 ml is increased by barbiturates, carbamazepine, lithium, phenytoin, rifampicin and sulphinpyrazone and it may therefore be necessary to increase dosage. On the other hand, the clearance of the drug is reduced by allopurinol, cimetidine, ciprofloxacin, corticosteroids, erythromycin, frusemide, isoprenaline, oral contraceptive and thiabendazole and a reduced dosage may therefore be needed to avoid side effects. Contine 100 ml can potentiate hypokalemia resulting from beta-2-agonist therapy, steroids, diuretics and hypoxia, so serum potassium levels should be monitored in such instances.
Contraindications
Contine 100 ml is contraindicated in patients with hypersensitivity to Contine 100 ml or any other component of the product.
Side Effects of Contine 100 ml
Generally side effects are rare at normal dosage. It may include gastrointestinal discomfort, headache, nausea, insomnia and hypotension. CNS stimulation and diuresis may also occur, especially in children.
Pregnancy & Lactation
It is not known whether Contine 100 ml can cause foetal harm when administered to pregnant woman. Xanthines should be given to a pregnant woman only if clearly needed. Contine 100 ml is excreted into breast milk and may cause irritability or other signs of mild toxicity in nursing human infants. Serious adverse effects in the infant are unlikely unless the mother has toxic serum Contine 100 ml concentrations.
Precautions & Warnings
Careful consideration is needed for various interacting drugs and physiologic conditions that can alter Contine 100 ml clearance. Dosage adjustment is required prior to initiation of Contine 100 ml therapy, prior to increases in Contine 100 ml dose, and during follow up. The dose of Contine 100 ml selected for initiation of therapy should be low and, if tolerated, increased slowly over a period of time.
Storage Conditions
Keep all medicines out of reach of children. Store in a cool and dry place, protected from light.
Use In Special Populations
Pediatrics use: The clearance of Contine 100 ml is very low in neonates. Careful attention to dosage selection and monitoring of serum Contine 100 ml concentrations are required in pediatric patients.
Drug Classes
Bronchodilator, Contine 100 ml & related drugs
Mode Of Action
Contine 100 ml is a bronchodilator, structurally classified as a Methylxanthine. Contine 100 ml has two distinct actions in the airways of patients with reversible obstruction; smooth muscle relaxation and suppression of the response of the airways to stimuli. Contine 100 ml also increases the force of contraction of diaphragmatic muscles. The half-life of Contine 100 ml is influenced by a number of known variables. In adult nonsmokers with uncomplicated asthma the half-life ranges from 3 to 9 hours
Pregnancy
It is not known whether Contine 100 ml can cause foetal harm when administered to pregnant woman. Xanthines should be given to a pregnant woman only if clearly needed. Contine 100 ml is excreted into breast milk and may cause irritability or other signs of mild toxicity in nursing human infants. Serious adverse effects in the infant are unlikely unless the mother has toxic serum Contine 100 ml concentrations.
Pediatric Uses
Pediatrics use: The clearance of Contine 100 ml is very low in neonates. Careful attention to dosage selection and monitoring of serum Contine 100 ml concentrations are required in pediatric patients.