藥品明細    
院內碼: ADA10
藥品名: 冠達悅膠囊
作用: 為鈣離子阻斷劑,能抑制細胞外的鈣離子經由專一性的slow calcium channels進行入心肌和平滑肌的細胞裡,故能擴張冠狀動脈和小動脈,並能阻止冠狀動脈痙攣,而減少心肌能量的消耗和氧的需求量。
適應症: 狹心症、高血壓
用法用量: Adalat 5/Adalat 10 Chronic stable angina pectoris, hypertension Usually 1 cap tid, can be increased to 2 cap tid.
副作用: 頭痛、末稍水腫、血管擴張、噁心、頭暈
禁忌: Pregnancy;unstable angina;cardiogenic shock; treatment of acute attacks of angina, or in patients who have had ischaemic pain following its administration previously; malignant hypertension;acute porphyria; coadministration with rifampicin
交互作用: 1.與其他的抗高血壓藥物一起使用,鈣離子阻斷劑有加成性的抗高血壓效應。
2.併用其他具有高蛋白質結合的藥物(如抗凝血劑等),會加強鈣離子阻斷劑的作用。
3.DILTIAZEM可能會降低肝臟的代謝,提高血中濃度和藥效,需監測。
醫療提示: 心臟用藥(CARDIAC DRUGS)
其他補充: Hypotension, poor cardiac reserve, heart failure or significantly impaired left ventricular function, diabetes, hepatic impairment. Discontinue treatment in patients who experience ischaemic pain following initiation of therapy.
藥品外觀: 乳膏劑