Tolgrin
Generic Name
Tolperisone
Manufacturer
Square Pharmaceuticals Ltd.
Country
Bangladesh
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Price Details
Current market pricing information
Variant | Unit Price | Strip Price |
---|---|---|
tolgrin 200 mg tablet | ৳ 10.00 | ৳ 100.00 |
Description
Overview of the medicine
Tolgrin contains Tolperisone, a centrally acting muscle relaxant used to treat pathological increased tone of skeletal muscles and muscle spasms.
Uses & Indications
Dosage
Adults
Initially 50 mg three times daily, gradually increased to 150 mg three times daily according to patient's needs and tolerance.
Elderly
No special dosage adjustment needed, but caution advised.
Renal_impairment
Use with caution in moderate renal impairment, avoid in severe renal impairment.
How to Take
To be taken orally after meals, swallowed whole with water.
Mechanism of Action
Tolperisone acts on the central nervous system, inhibiting spinal reflex activity by stabilizing neuronal membranes and reducing excitability of primary afferent and motor neurons. It does not cause sedation.
Pharmacokinetics
Onset
Onset of action within 1-2 hours.
Excretion
Mainly excreted by the kidneys, primarily as metabolites.
Half life
Short half-life of about 1.5-2.5 hours.
Absorption
Well absorbed from the gastrointestinal tract, but undergoes extensive first-pass metabolism.
Metabolism
Extensively metabolized in the liver by cytochrome P450 enzymes.
Side Effects
Contraindications
- Myasthenia gravis
- Known hypersensitivity to tolperisone or its excipients
- Children below 18 years
Drug Interactions
Niflumic acid
Can slightly enhance the effect of Niflumic acid.
Other muscle relaxants
No significant interactions with other centrally acting muscle relaxants.
Storage
Store below 30°C in a dry place, away from light and moisture.
Overdose
Symptoms include drowsiness, dizziness, nausea, vomiting, abdominal pain. Treatment is symptomatic and supportive.
Pregnancy & Lactation
Not recommended during pregnancy and lactation unless clearly necessary. Consult a doctor.
Side Effects
Contraindications
- Myasthenia gravis
- Known hypersensitivity to tolperisone or its excipients
- Children below 18 years
Drug Interactions
Niflumic acid
Can slightly enhance the effect of Niflumic acid.
Other muscle relaxants
No significant interactions with other centrally acting muscle relaxants.
Storage
Store below 30°C in a dry place, away from light and moisture.
Overdose
Symptoms include drowsiness, dizziness, nausea, vomiting, abdominal pain. Treatment is symptomatic and supportive.
Pregnancy & Lactation
Not recommended during pregnancy and lactation unless clearly necessary. Consult a doctor.
Frequently Asked Questions
Common questions about this medicine
Pack Sizes
Shelf Life
3 years from manufacturing date
Availability
Available in pharmacies nationwide
Approval Status
Approved by DGDA
Patent Status
Off-patent
Clinical Trials
Extensive clinical trials have demonstrated its efficacy and safety in various spasticity and muscle spasm conditions.
Lab Monitoring
- No specific routine lab monitoring required.
Doctor Notes
- Ensure patient is not suffering from Myasthenia gravis before prescribing.
- Advise patients about potential dizziness.
- Can be safely used in combination with NSAIDs.
Patient Guidelines
- Take exactly as prescribed by your doctor.
- Do not stop taking the medicine suddenly without consulting your doctor.
- Report any unusual side effects immediately.
Missed Dose Advice
If a dose is missed, take it as soon as you remember. If it's almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.
Driving Precautions
May cause dizziness or drowsiness in some individuals. Exercise caution when driving or operating machinery.
Lifestyle Advice
- Avoid alcohol consumption as it may worsen dizziness.
- Maintain a healthy diet and regular exercise as advised by your doctor.
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Global Brand Names
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