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COMPOSITION :
Covaryl - 2
Each
enteric-coated tablet contains
Molsidomin.......................2mg
Covaryl - 4
Each
enteric-coated tablet contains
Molsidomin.......................4mg
Molsidomine, an effective long-acting anti-anginal
drug:
Molsidomine is an orally
active, long acting, NO releasing vasodilator which requires
hepatic metabolism for activity but which does not cause
pharmacological tolerance. Molsidomine is a NO-releasing prodrug.
Liver esterases convert molsidomine to the active metabolite,
SIN-1 (half-life in plasma is 1-2 hours), which then releases NO.
Used: in severe cases of angina pectoris.
Abstract :
Molsidomine was compared with propranolol for anti-anginal
efficacy in a double-blind, cross-over, fixed-dose clinical trial,
involving 39 patients with moderate, stable angina pectoris, and
objective evidence of coronary sclerosis. The incidence of anginal
attacks under molsidomine did not differ statistically from that
under propranolol. However, propranolol was more effective in
reducing the nitroglycerin requirement at the doses used.
Ergometry showed that both drugs increased exercise tolerance to a
comparable extent. However the rate pressure product during
exertion indicates that these drugs achieve this result via
different paths, molsidomine having a nitrate-like effect.
Unwanted effects during the four week treatment periods were minor
and generally tolerable.
Molsidomine is an effective long-acting anti-anginal agent with
nitrate-like effects and should be a useful addition to the drugs
already in use.
Pharmaceutical active ingredients:
Molsidomine
Forms:
Tablet; Oral; Molsidomine 2 mg
Tablet; Oral; Molsidomine 4 mg
Injectable; Injection; Molsidomine 2 mg / ml
Destination / Category:
Human
Indications and usages:
ATC
ICD-10
DOSAGE AND ADMINISTRATION
Prevention of ischaemic events
The recommended dose is one tablet once daily.
Acute coronary syndrome
Loading dose: Four tablets.
Maintenance: One tablet daily
PACKAGING INFORMATION :
COVARYL -2: Blister of 10 tablets
COVARYL -4: Blister of 10 tablets
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