Topsil
Generic Name
Cyproheptadine
Manufacturer
General Pharmaceuticals Ltd.
Country
Bangladesh
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Price Details
Current market pricing information
| Variant | Unit Price | Strip Price |
|---|---|---|
| topsil 4 mg tablet | ৳ 0.70 | ৳ 7.00 |
Description
Overview of the medicine
Cyproheptadine is a first-generation antihistamine used to relieve allergy symptoms like sneezing, runny nose, and itching. It also acts as an appetite stimulant, promoting weight gain.
Uses & Indications
Dosage
Adults
For allergies: 4 mg three times daily. For appetite stimulation: 4 mg two to three times daily before meals. Max 32 mg/day.
Elderly
Start with lower doses (e.g., 2 mg twice daily) and adjust based on response and tolerance due to increased sensitivity to anticholinergic effects.
Renal_impairment
Use with caution. Dosage adjustment may be required; monitor for increased side effects.
How to Take
Administer orally with or without food. For appetite stimulation, it can be taken before meals.
Mechanism of Action
It acts as an antagonist at histamine H1 receptors and serotonin 5-HT2 receptors. It also possesses anticholinergic and sedative properties.
Pharmacokinetics
Onset
Antihistaminic effects begin within 15-60 minutes.
Excretion
Mainly excreted via urine, with a small amount in feces.
Half life
Approximately 16 hours.
Absorption
Well absorbed orally, peak plasma concentrations reached within 1-3 hours.
Metabolism
Extensively metabolized in the liver, primarily via glucuronidation.
Side Effects
Contraindications
- Hypersensitivity to cyproheptadine or any component of the formulation
- Newborn or premature infants
- Breastfeeding mothers
- Patients with narrow-angle glaucoma
- Urinary retention (e.g., prostatic hypertrophy)
- Stenosing peptic ulcer
- Elderly and debilitated patients with conditions aggravated by anticholinergics
- Concurrent use with MAO inhibitors
Drug Interactions
MAO Inhibitors
Increased and prolonged anticholinergic effects.
CNS Depressants (e.g., alcohol, sedatives, hypnotics)
Increased central nervous system depression and sedation.
Anticholinergic drugs (e.g., tricyclic antidepressants, atropine)
Potentiated anticholinergic effects (e.g., dry mouth, urinary retention).
Storage
Store below 30°C in a dry place, protected from light and moisture. Keep out of reach of children.
Overdose
Symptoms may include drowsiness, confusion, ataxia, dry mouth, fixed dilated pupils, flushing, hallucinations, seizures, and coma. Management involves symptomatic and supportive treatment, gastric lavage, activated charcoal, and vasopressors for hypotension. Avoid analeptics.
Pregnancy & Lactation
Pregnancy Category B. Use only if clearly needed and the potential benefits outweigh the risks. Contraindicated in breastfeeding mothers due to excretion in breast milk and potential for adverse effects in infants.
Frequently Asked Questions
Common questions about this medicine
Pack Sizes
Shelf Life
Typically 2-3 years from the date of manufacture.
Availability
Pharmacies, Hospitals
Approval Status
Approved by health authorities (e.g., FDA, DGDA)
Patent Status
Generic available
Clinical Trials
Cyproheptadine is a well-established drug; however, ongoing studies may explore new indications or safety profiles. Refer to clinical trial registries for specific details.
Lab Monitoring
- Liver function tests (for long-term use or in patients with hepatic impairment)
- Complete blood counts (if blood dyscrasias are suspected)
Doctor Notes
- Counsel patients regarding potential sedative effects and advise against tasks requiring mental alertness.
- Monitor weight in patients using for appetite stimulation, particularly in children and adolescents.
- Be aware of increased anticholinergic sensitivity in elderly patients.
Patient Guidelines
- Avoid activities requiring mental alertness (e.g., driving, operating machinery) due to potential drowsiness.
- Avoid alcohol and other CNS depressants.
- Report any persistent or severe side effects to your doctor.
- Do not stop the medication abruptly without consulting your doctor.
Missed Dose Advice
If a dose is missed, take it as soon as remembered, unless it is almost time for the next dose. Do not double the dose to compensate.
Driving Precautions
Topsil 4 mg Tablet can cause drowsiness, dizziness, or blurred vision. Patients should avoid driving or operating heavy machinery until they know how the medicine affects them.
Lifestyle Advice
- For appetite stimulation, ensure a balanced and nutritious diet.
- Maintain good hydration by drinking plenty of fluids.
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Global Brand Names
International brand names for this medicine. Click a brand to search for detailed information.