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General Medicine

Nor-ADR Injection is a brand of Noradrenaline (Norepinephrine) Bitartrate Injection, manufactured by American Remedies. It is primarily used in critical care settings to manage severe hypotension (low blood pressure) and shock. ________________________________________ ✅ Primary Uses Nor-ADR Injection is indicated for: • Septic Shock: A life-threatening condition caused by severe infection leading to dangerously low blood pressure. • Cardiogenic Shock: A state where the heart is unable to pump sufficient blood to meet the body's needs. Anaphylactic Shock: A severe allergic reaction causing a sudden drop in blood pressure. • Hypotension During Surgery or Trauma: To maintain adequate blood pressure during and after surgical procedures or traumatic events. • Cardiac Arrest: As an adjunct in the management of cardiac arrest to improve blood flow to vital organs. These indications are supported by clinical guidelines and pharmacological references. ________________________________________ ⚙️ Mechanism of Action Noradrenaline is a potent vasopressor that works by: Alpha-1 Adrenergic Receptor Activation: Causing vasoconstriction, which increases systemic vascular resistance and raises blood pressure. • Beta-1 Adrenergic Receptor Activation: Increasing heart rate and myocardial contractility, thereby enhancing cardiac output. This dual action helps restore blood pressure and improve perfusion to vital organs in shock states. ________________________________________ ⚠️ Precautions and Side Effects Precautions: • Administration: Should be administered intravenously under strict medical supervision, typically in an intensive care unit (ICU) setting. • Monitoring: Continuous monitoring of blood pressure and heart rate is essential during administration. • Contraindications: Should not be used in patients with mesenteric or peripheral vascular thrombosis unless absolutely necessary. Common Side Effects: • Hypertension (high blood pressure) • Headache Nausea • Anxiety • Dizziness Serious Side Effects: • Arrhythmias (irregular heartbeats) • Tissue necrosis at the injection site • Reduced renal perfusion leading to renal failure Immediate medical attention is required if any serious side effects occur.

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General Medicine

Milrican 10 is a brand of Milrinone Lactate Injection, manufactured by American Remedies. Milrinone is a phosphodiesterase-3 (PDE3) inhibitor that serves as both an inotropic agent and a vasodilator. ________________________________________ ✅ Primary Uses of Milrican 10 Milrican 10 is indicated for the short-term intravenous treatment of: • Severe congestive heart failure: Particularly in patients unresponsive to conventional therapies. • Acute decompensated heart failure: Including low output states following cardiac surgery. It is commonly used in intensive care units or during cardiac procedures to support heart function. ________________________________________ ⚙️ Mechanism of Action Milrinone works by inhibiting PDE3, leading to increased cyclic AMP (cAMP) levels in cardiac and vascular smooth muscle cells. This results in: • Increased myocardial contractility: Enhancing the heart's ability to pump blood. • Vasodilation: Relaxing blood vessels, which reduces the heart's workload and improves blood flow. ________________________________________ ⚠️ Important Considerations • Administration: Milrican 10 should only be administered intravenously under the supervision of a healthcare professional. • Monitoring: Patients receiving Milrican 10 require close monitoring of blood pressure, heart rate, and kidney function. • Contraindications: Not recommended for patients with severe dehydration, electrolyte imbalances, or known hypersensitivity to milrinone. • Pregnancy and Breastfeeding: Consult a doctor before use if pregnant or breastfeeding.

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Immunoglobulins

Hetgloby 5% Solution is an immunostimulant drug in the category of immunoglobulin derivatives, containing the active ingredient Human Normal Immunoglobulin. It is used as a replacement therapy for individuals with primary immunodeficiency disorders (PIDs), where the body's immune system cannot produce sufficient antibodies to fight off infections. The medication is also used to modulate or regulate the immune system in certain autoimmune and inflammatory conditions. It can help reduce excessive inflammation and suppress abnormal immune responses. In Immunoglobulins deficiency Hetgloby 5% Solution strengthens or boost the immune system and lower the risk of infection in persons with a weakened immune system. It works by producing antibodies against foreign substances thereby fighting against infection. It is also used to increase the blood count (platelets) in persons with a certain blood disorder (idiopathic thrombocytopenic purpura-ITP). This helps stop bleeding and promote the formation of blood clots. Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them Common side effects of Hetgloby Flushing (sense of warmth in the face, ears, neck and trunk) Injection site reactions (pain, swelling, redness) Injection site soreness Injection site bruising Induration (hardening of a normally soft tissue or organ) Itching Rash

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Kidney Disease Medicine

DARCEPT 40MG INJECTION belongs to the class of medication called 'blood-forming agent' primarily used to treat anaemia (low red blood cell count) in person with long-term serious (chronic) kidney disease and persons receiving chemotherapy for some types of cancer (except for bone marrow or blood cells' cancer). DARCEPT 40MG INJECTION helps to reverse anaemia and reduce the need for blood transfusion. Anaemia occurs when the body has a lower amount of red blood cells or haemoglobin. In chronic kidney disease, the kidney gets damaged and doesn't filter the blood, leading to anaemia. DARCEPT 40MG INJECTION contains a protein 'Darbepoetin alfa' which works by providing signals to the bone marrow to make more red blood cells. DARCEPT 40MG INJECTION is a biologic response modifier and erythropoiesis-stimulating protein. In chronic kidney disease, when the kidney fails to produce sufficient 'erythropoietin protein' which aids in the formation of red blood cells, DARCEPT 40MG INJECTION stimulates the production of this protein in the bone marrow. DARCEPT 40MG INJECTION will be injected by the healthcare provider. Do not self-administer. The most common side effects of DARCEPT 40MG INJECTION are shortness of breath, cough, low blood pressure during dialysis, headache, body aches, diarrhoea, injection site pain and abdominal pain. Most of these sides effects of DARCEPT 40MG INJECTION do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

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Kidney Disease Medicine

Encicarb 1K Injection is an iron replacement medicine. It is used to treat a type of anemia where you have fewer amount of red blood cells due to insufficient iron in your body (iron-deficiency anemia). Iron is needed to produce the red blood cells that carry oxygen around your body. Encicarb 1K Injection is given by injection or infusion (saline drip) into a vein by your doctor or nurse. You will be watched carefully to make sure you do not have an allergic reaction. It is usually given in two doses, seven days apart. Your doctor will decide how much and how often you may need injections to improve your anemia. Eating a well-balanced diet that has enough iron, vitamins, and minerals can help to replenish your iron reserves. Good sources of iron include meat, eggs, raisins, broccoli, and lentils. The most common side effects include vomiting, headache, dizziness, high blood pressure, and pain or irritation at the site of injection. Most of these usually go away within a short time of the injection. If you are bothered by them or they go on for longer, talk to your doctor or nurse. You should not have this medicine if your anemia is not caused by a lack of iron.

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Kidney Disease Medicine

NEPHROSTERIL INFUSION contains Amino acid which are naturally occurring physiological compounds. It is used for management of protein depletion in patients requiring parenteral nutrition when oral or enteral nutrition is not possible, insufficient, or not recommended. NEPHROSTERIL INFUSION can be used to manage negative nitrogen balance in patients. NEPHROSTERIL INFUSION can also be used to manage hepatic encephalopathy in patients with liver scarring or inflammation. Your doctor might monitor your fluid an electrolyte status and various other functions throughout your management. NEPHROSTERIL INFUSION is not recommended for use in patients with amino acid metabolism problems since birth, pulmonary edema, or excess acid in blood due to low cardiac output. Before receiving NEPHROSTERIL INFUSION, inform your doctor if you have diabetes, kidney, heart, or liver disease. NEPHROSTERIL INFUSION should be used in pregnant and breastfeeding women only if considered clearly necessary. NEPHROSTERIL INFUSION is not recommended for use in children and should be used with caution in elderly patients, therefore consult your doctor before receiving it. The most common side effects of receiving NEPHROSTERIL INFUSION are generalized flushing, fever, nausea, and local injection site reactions. Contact your doctor if any of the symptoms worsen.

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Heart Disorder

Dixin Injection Salt: Digoxin (0.5mg) Description Dixin 0.25mg Injection is a medicine used for the emergency treatment of heart failure and abnormal heart rhythm (arrhythmia). It helps to provide symptomatic relief by making the heart pump blood more efficiently. It helps in arrhythmia by restoring a steady and normal heartbeat. Dixin 0.25mg Injection is a medicine used for the emergency treatment of heart failure and abnormal heart rhythm (arrhythmia). It helps to provide symptomatic relief by making the heart pump blood more efficiently. It helps in arrhythmia by restoring a steady and normal heartbeat. Dixin 0.25mg Injection is administered under the supervision of a doctor. Your doctor will decide the dose and duration of the medicine for you. Doctor may closely monitor your blood pressure, heart rate and ECG till you became stable. You should continue all your other medicines that are advised by the doctor for your long-term treatment even after this injection. Common side effects of this medicine include nausea, vomiting, diarrhea, dizziness, and visual disturbances. Consult your doctor if these effects bother you. This medicine is used with caution for some people. Thus, you must inform the doctor if you are suffering from any kidney disease. Also, let your doctor know if you are pregnant or breastfeeding and about all the other medications that you are taking regularly. Benefits 1. In Heart failure: Heart failure means your heart is weak and cannot pump enough blood to your lungs and the rest of your body. The most common symptoms are breathlessness, tiredness, and swelling in your legs, ankles, abdomen and other parts of your body. Dixin 0.25mg Injection makes it easier for your heart to pump blood around your body and is therefore an effective treatment for heart failure. It is given as an injection by a doctor or nurse and should not be self-administered. This medicine will help relieve your symptoms, making you feel better and more energetic. You should make appropriate lifestyle changes (such as eating healthily and keeping active) to help this medicine be effective. 2. In Arrhythmia: Dixin 0.25mg Injection is used to stabilize heart rhythms (particularly atrial fibrillation). It helps in normalizing an abnormal heart rhythm, preventing it from occurring in the first place, or slowing down the heart rate during an episode.' Side Effects Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them. Common side effects of Dixin: - Visual impairment - Nausea - Vomiting - Diarrhea - Dizziness - Arrhythmia (irregular heartbeats)

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Heart Disorder

Dixin Syrup Salt: Digoxin (3mg) Description Dixin 3mg Syrup is a medicine used for the treatment of heart failure in combination with other medicines. It helps to provide symptomatic relief by making the heart pump blood more efficiently. This medicine is also used to treat abnormal heart rhythm (arrhythmia). Dixin 3mg Syrup is a medicine used for the treatment of heart failure in combination with other medicines. It helps to provide symptomatic relief by making the heart pump blood more efficiently. This medicine is also used to treat abnormal heart rhythm (arrhythmia). Dixin 3mg Syrup restores and maintains a normal and steady heartbeat. It should be taken regularly as advised by the doctor. You may take it with or without food but it is better to take this medicine at a fixed time. This medicine should not be stopped abruptly without consulting the doctor as this can worsen your condition. Regular follow-up with your doctor is advised while using this medicine. Common side effects of this medicine include nausea, vomiting, diarrhea, dizziness, and visual disturbances. Consult your doctor if these effects bother you. This medicine is used with caution for some people. Thus, you must inform the doctor if you are suffering from any kidney disease. Also, let your doctor know if you are pregnant or breastfeeding and about all the other medications that you are taking regularly. Your doctor may advise for regular monitoring of kidney function while you are taking this medicine. Benefits 1. In Heart failure: Heart failure means your heart is weak and cannot pump enough blood to your lungs and the rest of your body. The most common symptoms are breathlessness, tiredness, and swelling in your legs, ankles, abdomen and other parts of your body. Dixin 3mg Syrup makes it easier for your heart to pump blood around your body and is therefore an effective treatment for heart failure. This medicine will help relieve your symptoms, making you feel better and more energetic. You should make appropriate lifestyle changes (such as eating healthily and keeping active) to help this medicine be effective. Take it regularly and keep taking it even if you feel better. 2. In Arrhythmia: Dixin 3mg Syrup is used to stabilize heart rhythms (particularly atrial fibrillation). It helps in normalizing an abnormal heart rhythm, preventing it from occurring in the first place, or slowing down the heart rate during an episode.' Side Effects Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them. Common side effects of Dixin: - Visual impairment - Skin rash - Nausea - Vomiting - Diarrhea - Dizziness - Arrhythmia (irregular heartbeats)

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Heart Disorder

Dixin Tablet Salt: Digoxin (0.25mg) Description Dixin Tablet is a medicine used for the treatment of heart failure in combination with other medicines. It helps to provide symptomatic relief by making the heart pump blood more efficiently. This medicine is also used to treat abnormal heart rhythm (arrhythmia). Dixin Tablet is a medicine used for the treatment of heart failure in combination with other medicines. It helps to provide symptomatic relief by making the heart pump blood more efficiently. This medicine is also used to treat abnormal heart rhythm (arrhythmia). Dixin Tablet restores and maintains a normal and steady heartbeat. It should be taken regularly as advised by the doctor. You may take it with or without food but it is better to take this medicine at a fixed time. This medicine should not be stopped abruptly without consulting the doctor as this can worsen your condition. Regular follow-up with your doctor is advised while using this medicine. Common side effects of this medicine include nausea, vomiting, diarrhea, dizziness, and visual disturbances. Consult your doctor if these effects bother you. This medicine is used with caution for some people. Thus, you must inform the doctor if you are suffering from any kidney disease. Also, let your doctor know if you are pregnant or breastfeeding and about all the other medications that you are taking regularly. Your doctor may advise for regular monitoring of kidney function while you are taking this medicine. Benefits 1. In Heart failure: Heart failure means your heart is weak and cannot pump enough blood to your lungs and the rest of your body. The most common symptoms are breathlessness, tiredness, and swelling in your legs, ankles, abdomen and other parts of your body. Dixin Tablet makes it easier for your heart to pump blood around your body and is therefore an effective treatment for heart failure. This medicine will help relieve your symptoms, making you feel better and more energetic. You should make appropriate lifestyle changes (such as eating healthily and keeping active) to help this medicine be effective. Take it regularly and keep taking it even if you feel better. 2. In Arrhythmia: Dixin Tablet is used to stabilize heart rhythms (particularly atrial fibrillation). It helps in normalizing an abnormal heart rhythm, preventing it from occurring in the first place, or slowing down the heart rate during an episode. Side Effects Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them. Common side effects of Dixin: - Visual impairment - Skin rash - Nausea - Vomiting - Diarrhea - Dizziness - Arrhythmia (irregular heartbeats)

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