🩺 ANTIHYPERTENSIVE 🏷️ Central alpha agonist
👨‍⚕️ Clinically Reviewed by: PakistaniBano Medical Editorial Board (Pharm.D Panel)
📅 Reviewed: November 2026 • 🔍 Authority: DRAP / WHO ATC
📦 Formulations, Pack Sizes & Retail Prices Currency: Rs.
Dosage Form Reg. No Pack Size Trade Price (TP) Maximum Retail Price (MRP)
Tab 250 mg 021555 10x10 Rs.134.95 Rs.158.76

📋 Indications & Clinical Dosage

*Hypertension:* Adult: Initially 250 mg 2-3 times a day, dose should be increased gradually at intervals of at least 2 days; max. 3 g per day Elderly: Initially 125 mg twice daily, dose should be increased gradually; max. 2 g per day Children: Not recommended.

⛔ Contraindications

Acute porphyria, depression, phaeochromocytoma, liver disaese.

⚠️ Precautions & Warnings

History of depression, haemolytic anaemia, history of liver disorder, renal impairment, anaesthesia

🔄 Drug Interactions

Tricyclic, MAOIs, other anti-hypertensives, rau-yr/raffia alkaloids, hydralazine.

⚠️ Adverse Reactions / Side Effects

Amenorrhoea, arthralgia, asthenia, Bells palsy, bone-marrow depression, bradycardia, depression, dizziness, eosinophilia, exacerbation of angina, GI disturbances, gynaecomastia, haemolytic anaemia, hyperprolactinaemia, liver disorder, impotence, leucopenia, mild psychosis, myalgia, myocarditis, oedema. Pancreatitis, paraesthesia, pericarditis, postural hypotension, sialadenitis, thrombocytopenia, toxic epidermal necrolysis

🤰 Pregnancy & Lactation Safety

Pregnancy Risk:
Caution advised
Lactation / Breastfeeding:
Caution advised

📚 Official Regulatory & Clinical References

  • Drug Regulatory Authority of Pakistan (DRAP): Drug Registration, S.R.O. Price Gazettes & National Essential Medicines List (NEML).
  • World Health Organization (WHO): Collaborating Centre for Drug Statistics Methodology (ATC/DDD Index).
  • Formulary Standards: British National Formulary (BNF) & Pakistan National Formulary (PNF) guidelines.

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