Deskripsyon
Manufacturer
Viatris Pharmaceuticals LLC
Registraction Number
MAL19991461AZ
Content
- Active Ingredient: Eplerenone 25 mg per tablet
- Formulation: Film-coated tablets
Indication
Inspra is indicated for:
- Heart Failure Post-Myocardial Infarction: To reduce the risk of cardiovascular mortality and morbidity in stable patients with left ventricular dysfunction (LVEF ≤40%) and clinical evidence of heart failure after a recent myocardial infarction (MI).
- Hypertension: As an antihypertensive agent, either alone or in combination with other antihypertensive medications.
Instructions
- Administration:
- Take one tablet once daily.
- May be taken with or without food.
- Swallow the tablet whole with water; do not chew or crush.
- Dosage Adjustment:
- For heart failure post-MI, initiate with 25 mg daily and titrate to 50 mg daily within 4 weeks, based on serum potassium levels.
- For hypertension, the usual starting dose is 50 mg daily; may be increased to 100 mg daily if blood pressure is not adequately controlled.
- Monitoring:
- Regular monitoring of serum potassium and renal function is recommended, especially in patients with renal impairment or those taking concomitant medications that affect potassium levels.medicines.org.uk
- Contraindications:
- Hypersensitivity to eplerenone or any component of the tablet.
- Hyperkalemia (serum potassium >5.0 mmol/L) at initiation.
- Severe renal impairment (creatinine clearance <30 mL/min).
- Concomitant use with potassium-sparing diuretics or potent CYP3A4 inhibitors (e.g., ketoconazole, itraconazole, ritonavir).
- Precautions:
- Use with caution in patients with mild-to-moderate renal or hepatic impairment.
- Avoid concomitant use with potassium supplements or salt substitutes containing potassium.
- Monitor for signs of hyperkalemia, especially in patients with diabetes, renal dysfunction, or those on other medications that increase potassium levels
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