Herbesser SR 90mg Capsule 10 ‘S

Description

About

Herbesser SR 90mg Capsule 10 ‘S is a drug that belongs to a class of medicines known as “Anti-hypertensive”. This drug is prescribed to patients with high blood pressure (normal blood pressure for adults is usually 120/80 mmHg) and to treat patients with mild to moderate chronic heart conditions such as angina thus Herbesser SR 90mg Capsule 10 ‘S is very effective in decreasing the risk of future heart diseases like stroke and heart failure. Hypertension if left untreated can cause severe damage to the brain, heart, kidney, blood vessels, and other body organs and may have life-threatening consequences.

The pumping mechanism of the heart is dependent upon certain factors; calcium is one of the regulating factors. Herbesser SR 90mg Capsule 10 ‘S is chemically composed of Diltiazem, a calcium channel blocker involved in slowing down the heart rate and conduction, by reducing the high pressure within the vessels, creating an added pressure on the heart muscle. It does so by causing the tone of vessels to decrease, widen and be in a relaxed state. It also decreases the oxygen requirement needed by the heart muscle. The medicine starts working within 3 to 6 hours of taking it.  Herbesser SR 90mg Capsule 10 ‘S is not considered safe during pregnancy and breastfeeding as well as children under 18 years of age must not use it. Please follow the doctor’s prescription strictly. 

A tablet per day is commonly prescribed to patients to be swallowed with water either with or without a meal but this can vary to 2 to 3 times depending on the type of release mechanism of this medicine and your condition. Herbesser SR 90mg Capsule 10 ‘S is to be taken regularly, preferably at the same time each day to help the patient remember their daily dose. The medicine starts working within 3 to 6 hours of taking it orally. It is important to not stop taking Herbesser SR 90mg Capsule 10 ‘S abruptly without consulting a doctor first even if the patient is no longer suffering from common symptoms of hypertension as ceasing the intake of the medicine has reported cases of rebound hypertension (the re-emergence). The most common side effects observed with Herbesser SR 90mg Capsule 10 ‘S include low blood pressure,  fatigue, dizziness, and skin rash.

Indications

Herbesser SR 90mg Capsule 10 ‘S is prescribed for the management of:

• Hypertension 
• Angina pectoris
•  Arrhythmias
•  Atrial fibrillation

How Does Herbesser SR 90mg Capsule 10 ‘S Work

Herbesser SR 90mg Capsule 10 ‘S is chemically composed of Diltiazem, a calcium channel blocker involved in antagonizing the key role of calcium ions in a contracting heart. Calcium ions are directly associated with the blood pumping mechanism of the heart. Blocking these calcium channels stops the inflow of calcium into the heart muscle and smooth muscles that constitute the blood vessels, thereby decelerating the electrical activity. Herbesser SR 90mg Capsule 10 ‘S cause the tone of vessels to decrease, widen and be in a relaxed state. It also decreases the oxygen requirement needed by the heart muscle. The overall effect is manifested in form of a decrease in high blood pressure and heart rate.  

How To Use {{Product}}

Herbesser SR 90mg Capsule 10 ‘S is available in form of oral tablets or capsules in a formulation based upon the mechanism, of their release in the blood. Herbesser SR 90mg Capsule 10 ‘S is to be swallowed with a glass of water without chewing or breaking it into half. Its dose is recommended with the patient’s condition. Herbesser SR 90mg Capsule 10 ‘S should be ingested only as directed by the medical expert. The medicine should be consumed daily if instructed by the doctor, if another medicine is recommended along with Herbesser SR 90mg Capsule 10 ‘S by the doctor then it should not be forgotten and ingested accordingly as many times as directed by the doctor. The dose is generally titrated throughout overspending on the medical requirement of the patient. 

Regular Tablets: These tablets start releasing their chemical components and begin the absorption process right after consumption. The blood levels of this type of medicine tend to fluctuate and may be required to take at regular intervals throughout the day

Sustained (extended) release These types of medicines are formulated to release their chemical contents slowly after ingestion over some time to allow patients to gain benefits on a prolonged basis. Usually, these maintain steady levels in the blood and are required to be taken once or twice. These are labeled as “SR” at the end of the brand name.

Dosage Forms And Potency

• Tablets – 30 mg, 60 mg, 90 mg
•  Capsules (Sustained Release) –  90 mg, 180 mg, 240 mg

Dosage

Adult Dosage

A patient with angina may be recommended the consumption of medicine 3 times a day, for the blood pressure maybe once, the potency of the tablet can vary depending on the severity of the problem. 

There may be a slight variation in dosage depending upon the brand underuse. These are general guidelines, make sure to follow your doctor’s advice tailored to your needs. 

Hypertension

Regular Tablet

Starting Dose: 180 to 240 mg, once a day, orally

Maximum Safe Dose: 480 mg once a day, orally

Sustained Release capsules 

Starting: 180 to 240 mg, once a day, orally

Maximum Dose (Sustained Release) – 540 mg once a day

or

Starting dose – 120 mg, twice a day, at 12 hourly interval

Angina Pectoris

Regular Tablet

Starting Dose: 30 mg, 4 times a day, at 6 hourly interval

Initial dose:      120 mg to 180 mg once daily

Maximum dose: 480 mg once daily

Sustained Release capsules

Starting Dose: 90 mg twice a day, at 12 hours interval 

or 

120 to 180 mg, once a day 

Maximum Safe dose – 480 mg once a day

Child dosage

Herbesser SR 90mg Capsule 10 ‘S is not prescribed to children and adolescents under 18 years old.

Elderly Dosage

Dosage in the elderly population is dependent on several factors. caution is advised with regards to long-standing heart and liver conditions, as well as other co-morbidities. Always consult a physician first. 

Pregnancy Use and Lactation

Herbesser SR 90mg Capsule 10 ‘S is categorized as FDA pregnancy category C (first 3 months) and later on in pregnancy this changes to category D, which means it should not be taken at all during pregnancy due to potentially harmful effects on unborn babies. Therefore, if you are pregnant, or are planning to conceive a baby, please do discuss Herbesser SR 90mg Capsule 10 ‘S with your doctor before using it.

If you are breastfeeding an infant, ask your doctor first for the amount of medicine secreted into breast milk is unclear. With regards to safety please make sure to consult your doctor first before using it. 

Contraindications

Please tell your doctor if you have a history of any of the following before using Herbesser SR 90mg Capsule 10 ‘S:

•     Sick sinus syndrome
•     Low blood pressure
•     Heart facing trouble pumping blood
•     Liver disease
•     Kidney disease
•     Third-degree av block
•     History of heart failure
•     Bradycardia
•     Cardiogenic shock
•     Impaired left ventricular function
•     Wide ventricular tachycardia 

Precautions‌ ‌

Please‌ ‌tell‌ ‌your‌ ‌doctor‌ ‌about‌ ‌any‌ ‌of‌ ‌the‌ ‌following‌ ‌conditions‌ before starting or during the treatment with ‌Herbesser SR 90mg Capsule 10 ‘S:‌ 

• If there is a history of allergy to medicines or products that are sulfonamide derivatives. Carefully read the contents of this product to avoid any future inconvenience 
• Adequacy of liver and kidney functions must be ensured
• Patients with a chronic history of heart diseases (see contraindications) must take this medicine strictly under a doctor’s supervision
• If you have Gastric or bowel problems caution is advised before using it 
• Conditions like muscular dystrophy must be discussed with the doctor
• Herbesser SR 90mg Capsule 10 ‘S is teratogenic which can cause serious problems if used during pregnancy. In case you get pregnant or breast-feeding while using Herbesser SR 90mg Capsule 10 ‘S, immediately inform your doctor 
• Herbs like St John’s Wort used to treat depression and anxiety can have interaction with Herbesser SR 90mg Capsule 10 ‘S. Provide a complete list of your current drugs to the pharmacist and doctor
• Herbesser SR 90mg Capsule 10 ‘S can cause light-headedness, be careful while standing up lying down, or sitting position for too long
• Regular monitoring of blood pressure is advised at home
• Regular monitoring of liver function and kidney tests are advised. Herbesser SR 90mg Capsule 10 ‘S can cause liver toxicity, therefore monitoring is advised
• Over the counter medicines like supplements or herb-based medicines must not be taken without a doctor’s advice due to potential interactions

Interaction With Other Medicines

•   Antibiotics like erythromycin, clarithromycin
•   Antivirals 
•   Azole Antifungals 
•   Beta-blocker
•   Cholesterol-lowering medicine
•   Seizure medicine like carbamazepine
•  Barbiturates 
•   Tuberculosis medicine
•   Lithium
• HIV medicines 
• CYP 450 inhibitors (ketoconazole, amiodarone, cimetidine, etc.)

Adverse Effects

  Common Side Effects

• Constipation or Diarrhea
• Headache
• Hypotension 
• Low pulse rate
• Generalized weakness
• Flushing  
• Lightheadedness 
• Skin rash/itching 
• peripheral edema

Less Common Side Effects

• Anaphylactic reaction
• Breathing difficulty
• Chest pain
• Arrhythmias
• Myocardial infarction
• Liver toxicity
• Gingival Hyperplasia
• Muscle cramps
• Insomnia
• Electrolyte imbalance
• Dehydration
• Palpitations
• Visual disturbance
• Mood changes
• Gynecomastia (breast enlargement in men)
• Vasculitis 

 How To Cope Up With Adverse Effects

• Allergic Reactions – Allergic reactions to the drug may be mild to severe or potentially could be life-threatening. If allergy is suspected immediately take anti-allergy (antihistamine) medicine which will stop the mild reaction. If a serious allergic reaction is suspected, rush to the nearby hospital and avoid Herbesser SR 90mg Capsule 10 ‘S and drugs with similar compounds in the future.
• Headaches – In which case make sure you rest and drink plenty of fluids. Avoid the use of alcohol. Take a prescribed painkiller. Consult your doctor if the headaches last longer than a week or are severe
• Constipation – Can be combated by adding more fibers to the patient’s diet, asking the patient to drink plenty of fluids, and increasing their physical activity to trigger contractions in the intestines.
• Feeling or being sick (nausea or vomiting) or diarrhea – Avoid eating rich or spicy food. It might help to take medication after food. If you’re sick, try drinking small, frequent sips of water. 
• Feeling dizzy (lightheaded) or weak – If the medication makes you feel dizzy or weak, stop what you’re doing and sit or lie down until you feel better, and do not rise too fast or immediately from a sitting or lying down position to a standing posture. Do not drive or use tools or machinery in case of any of these effects.
• Blurred vision – This side effect tends to go away on its own if a few days; patients are advised to not operate heavy machinery or drive any motorized vehicles in the meantime. If blurred vision persists, please contact your doctor.
• Dehydration- Patients are recommended to always care around a water bottle with them wherever they go and periodically keep sipping to prevent thirst and extremely dry mouth. Ice pops in hot weather and energy drinks (verified by the doctor) help combat dehydration
• Muscular Aches And Pains – A hot or cold compress can be placed at the area of discomfort to bring relief; an over-the-counter pain reliever such as paracetamol or ibuprofen can be ingested to bring ease as well. Avoid high-intensity exercise while suffering from muscular pain.

FAQ’s

#1. CAN LIFESTYLE CHANGES HELP ME WITH MY CONDITION?

Yes, you can adopt certain healthy lifestyle changes to help with high blood pressure. These include quitting smoking, avoiding alcohol, eating a wholesome diet consisting of fresh vegetables and fruits with the cut down on salt, and incorporating physical activity into your daily routine.

#2. WHAT IF I TAKE TOO MUCH OF Herbesser SR 90mg Capsule 10 ‘S?

In case of too much consumption by accident, kindly contact your doctor or nearby hospital straight away. The amount of medication that can result in severe side effects varies from person to person. An overdose results in slowing down of heart rate and difficulty breathing accompanied by dizziness and fainting spells.

#3. IS IT SAFE TO HAVE Herbesser SR 90mg Capsule 10 ‘S BEFORE UNDERGOING ANY SURGICAL PROCEDURE?

If the surgical procedure involves general anesthesia, the surgeon may ask you to stop the intake of the drug for 24 to 48 hours as general anesthesia also tends to lower blood pressure levels in a few patients. Stopping the medicine abruptly is not advised, therefore seek the doctor’s advice.

#4.HOW IS Herbesser SR 90mg Capsule 10 ‘S SUPPOSED TO BE TAKEN?

Herbesser SR 90mg Capsule 10 ‘S is to be ingested orally once daily or as per a doctor’s prescription. Herbesser SR 90mg Capsule 10 ‘S is to be swallowed either with or without food, preferably with water to ease the tablet’s passage to the patient’s throat. As per suggestions, it is taken a few hours before bedtime.

#5. CAN I TAKE Herbesser SR 90mg Capsule 10 ‘S DURING MY PREGNANCY?

This drug is not to be taken or prescribed to expecting and lactating mothers as it may have severe consequences for the unborn child. If you are taking the drug and become pregnant, inform your doctor immediately. Herbesser SR 90mg Capsule 10 ‘S isn’t recommended to lactating mothers. If you are planning to conceive and are taking Herbesser SR 90mg Capsule 10 ‘S as treatment, then refer to the doctor. The physician is likely to change your medicine and dosage.

#6.HOW TO STORE Herbesser SR 90mg Capsule 10 ‘S?

Herbesser SR 90mg Capsule 10 ‘S is to be kept away from the reach of children, in a cool dry place away from direct sunlight and humidity as that tends to ruin certain drugs.

#7. DOES Herbesser SR 90mg Capsule 10 ‘S CAUSE ADDICTION?

No, This drug has shown no evidence to prove addiction of any kind in any patient.

#8. WHAT LAB TESTS WILL BE PRESCRIBED WHILE TREATMENT WITH Herbesser SR 90mg Capsule 10 ‘S AND HOW OFTEN?

Kidney and liver function tests along with blood tests are advised to be done periodically. It is also advised that patients learn to monitor their blood pressure levels daily at home and inform their doctor of any changes seen.

#9. CAN I CONSUME ALCOHOL WITH Herbesser SR 90mg Capsule 10 ‘S?

Alcohol is also known to lower your blood pressure which if taken with the medication may lead to extreme dizziness. It is best to avoid the intake of alcohol during your treatment.

#10. WHAT IF I FORGET TO TAKE THE Herbesser SR 90mg Capsule 10 ‘S?

It is advised that the drug is taken at the same time each day, and an alarm can be placed to remind patients to take Herbesser SR 90mg Capsule 10 ‘S at the proper time. If the patient misses a dose of Herbesser SR 90mg Capsule 10 ‘S, they should take it immediately but if the time for the next dose of the drug is near then it’s beneficial for patients to skip the missed dose and take the tablets as per schedule, doubling of doses has proven to cause severe side effects.

#11. IS Herbesser SR 90mg Capsule 10 ‘S SAFE TO GIVE TO ELDERLY PATIENTS?

Yes, for elderly patients the dosage of the drug may be lower than normal due to decreased kidney and liver function, Herbesser SR 90mg Capsule 10 ‘S may not be effectively removed from the body and so, in such cases, the doctor may prescribe an altered dose of the Herbesser SR 90mg Capsule 10 ‘S.

#12. CAN Herbesser SR 90mg Capsule 10 ‘S INTERFERE WITH FERTILITY?

There is no evidence to support the above statement. If a patient does become pregnant it is imperative that they inform their doctor immediately as Herbesser SR 90mg Capsule 10 ‘S can have fatal effects on the developing fetus.

#13. WILL Herbesser SR 90mg Capsule 10 ‘S AFFECT MY SEXUAL ACTIVITY?

Although it is not a common side effect, some patients have experienced erection problems. If this affects you, discuss it with your doctor. 

#14 CAN I DRIVE AFTER TAKING THIS MEDICATION?

This medication is known to make you dizzy hence if that happens kindly avoid driving or operating any heavy machinery.

#15. CAN Herbesser SR 90mg Capsule 10 ‘S CAUSE DIZZINESS? IF SO, HOW SHOULD I MANAGE IT?

Yes. It can cause dizziness as one of the most common side effects. If this happens, you should sit or lie down until the symptoms pass. However, please note this is temporary and usually goes away as the treatment continues. It is also advised to avoid the consumption of alcohol during your treatment, as it may worsen the dizziness.