Mexohar 50 Mg Cap

MEXOHAR 50 MG CAPSULE

MEXOHAR 50 MG CAPSULE, manufactured by CIPLA LTD, is a medication primarily used for managing certain heart rhythm disorders.

• Name:

  • Common Name: Mexiletine
  • Brand Name: MEXOHAR

• Composition:

  • Active Ingredient: Mexiletine 50 mg

• Uses:

  • Primarily used to treat life-threatening ventricular arrhythmias, which are irregular heartbeats originating from the lower chambers of the heart.
  • Also indicated for the management of symptoms associated with non-dystrophic myotonic disorders in adults, which cause muscle stiffness and delayed relaxation.

• Dosage and Administration:

  • Dosage must be individualized based on response and tolerance.
  • It is recommended to take the capsule with food or an antacid to minimize stomach upset.
  • Swallow the capsule whole; do not crush, chew, or break it.
  • Typically taken regularly at a fixed time each day, as advised by your doctor. Initial adult dosage can be 200-300 mg every eight hours, not exceeding 1200 mg/day.

• Side Effects:

  • Common: Upper abdominal pain, lightheadedness, tremors, impaired coordination, nausea, dizziness, headache, insomnia, indigestion, and chest discomfort.
  • Serious: Worsening of arrhythmias, severe allergic reactions (e.g., severe rash, fever), liver injury, and significant heart rhythm disorders (e.g., very slow or fast heartbeats, chest pain).

• Precautions:

  • Not recommended for pregnant or breastfeeding women without consulting a doctor.
  • Avoid alcohol, as it may increase dizziness and drowsiness.
  • Use with caution in patients with severe heart, liver, or kidney disease.
  • Inform your doctor about any allergies to Mexiletine or local anesthetics.
  • Do not stop taking the medication abruptly without medical advice, as this can worsen your condition.
  • Caffeine intake should be reduced as MEXOHAR can increase blood caffeine levels.
  • Contraindicated for individuals who have had a myocardial infarction (heart attack).
  • Not for use in children and adolescents under 18 years of age.

• Storage:

  • Store in a cool, dry place and protect from light.
  • Keep out of reach and sight of children.
  • Store below 25°C or at 20-25°C.

Here are the most frequently asked questions about MEXOHAR 50 MG CAP:

What is MEXOHAR 50 MG CAP used for?

MEXOHAR 50 MG CAP contains Mexiletine and is primarily used to manage irregular heartbeats, specifically life-threatening ventricular arrhythmias. It can also be used to alleviate symptoms of myotonia in adults with non-dystrophic myotonic disorders, which are genetic conditions causing muscle stiffness and delayed relaxation.

How does MEXOHAR 50 MG CAP work?

MEXOHAR 50 MG CAP is an anti-arrhythmic medication that works by blocking abnormal electrical signals in the heart. It reduces the sensitivity of heart muscle cells to electrical impulses, thereby slowing down electrical conduction and helping to restore a regular and steady heart rhythm.

What is the usual dosage for MEXOHAR 50 MG CAP?

The dosage of MEXOHAR 50 MG CAP should be taken exactly as advised by your physician. It is typically recommended to take this medication with food at the same time each day. Do not crush or chew the medicine, and do not exceed the recommended dose. Your doctor will determine the correct dose and duration of treatment.

What are the possible side effects of MEXOHAR 50 MG CAP?

Common side effects can include abdominal pain, indigestion (dyspepsia), nausea, constipation, headache, dizziness, tiredness, tremor (involuntary shaking), and insomnia (difficulty sleeping). More serious, but rare, side effects can include severe allergic reactions, disorders of heart rhythm (worsening of arrhythmias), and liver injury. If any side effects worsen or persist, you should consult your doctor.

Is MEXOHAR 50 MG CAP safe during pregnancy or breastfeeding?

MEXOHAR 50 MG CAP is generally not recommended for use in pregnant women as it can potentially harm the unborn child. For breastfeeding women, it should be used with caution, as Mexiletine can pass into breast milk, and breastfeeding is often discouraged during treatment. Always consult your doctor if you are pregnant, planning to become pregnant, or breastfeeding.

Can MEXOHAR 50 MG CAP be taken with other medications?

MEXOHAR 50 MG CAP can interact with various medications. Inform your doctor about all prescription, over-the-counter, nutritional supplements, and herbal products you are taking. Interactions can occur with medicines used to manage heart problems, opioids, antacids, metoclopramide, ciprofloxacin, fluvoxamine, omeprazole, and phenytoin. Additionally, drugs that affect liver metabolism (specifically involving CYP2D6 and CYP1A2 enzymes) can alter Mexiletine levels.

What precautions should be taken while using MEXOHAR 50 MG CAP?

This medication is not recommended for individuals allergic to Mexiletine or local anesthetics, or those with certain heart problems (e.g., sinus syndrome, heart rhythm disorder, long QT syndrome, cardiogenic shock, or severe AV block without a pacemaker), severe liver, or severe kidney disease. Caution is advised for patients who smoke, have low/high electrolyte levels, seizures, or mild to moderate liver or kidney disease. Avoid alcohol consumption as it may worsen side effects like dizziness and drowsiness. Driving or operating machines should be avoided if the medication causes dizziness, drowsiness, or blurred vision. Regular monitoring of liver and kidney function may be advised by your doctor. Do not stop taking this medicine abruptly without consulting your doctor.

What happens if a dose of MEXOHAR 50 MG CAP is missed?

Specific instructions for a missed dose of MEXOHAR 50 MG CAP are not detailed in the provided information. If you miss a dose, it is important to consult your doctor or pharmacist for advice. Generally, with anti-arrhythmic medications, it's advised to take the missed dose as soon as you remember, unless it is almost time for your next scheduled dose. Never double the dose to make up for a missed one.

How should MEXOHAR 50 MG CAP be stored?

MEXOHAR 50 MG CAP should be stored in a cool and dry place, away from direct sunlight. Keep the medicine out of reach and sight of children. It should be stored at temperatures between 10ºC to 25ºC or below 30ºC.