Emadrin Uses

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What is Emadrin?

Emadrin reduces the effects of certain chemicals in your body that may become unbalanced as a result of disease (such as Parkinson's disease), drug therapy, or other causes.

Emadrin is used to treat the stiffness, tremors, spasms, and poor muscle control of Parkinson's disease. It is also used to treat and prevent these same muscular conditions when they are caused by drugs such as chlorpromazine (Thorazine), fluphenazine (Prolixin), perphenazine (Trilafon), and others.

Emadrin may also be used for purposes other than those listed in this medication guide.

Emadrin indications

An indication is a term used for the list of condition or symptom or illness for which the medicine is prescribed or used by the patient. For example, acetaminophen or paracetamol is used for fever by the patient, or the doctor prescribes it for a headache or body pains. Now fever, headache and body pains are the indications of paracetamol. A patient should be aware of the indications of medications used for common conditions because they can be taken over the counter in the pharmacy meaning without prescription by the Physician.
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Emadrin (Emadrin hydrochloride) is indicated in the treatment of parkinsonism including the postencephalitic, arteriosclerotic, and idiopathic types. Partial control of the parkinsonism symptoms is the usual therapeutic accomplishment. Emadrin hydrochloride is usually more efficacious in the relief of rigidity than tremor; but tremor, fatigue, weakness, and sluggishness are frequently beneficially influenced. It can be substituted for all the previous medications in mild and moderate cases. For the control of more severe cases, other drugs may be added to Emadrin therapy as indications warrant.

Clinical reports indicate that Emadrin often successfully relieves the symptoms of extrapyramidal dysfunction (dystonia, dyskinesia, akathisia, and parkinsonism) which accompany the therapy of mental disorders with phenothiazine and rauwolfia compounds. In addition to minimizing the symptoms induced by tranquilizing drugs, the drug effectively controls sialorrhea resulting from neuroleptic medication. At the same time, freedom from the side effects induced by tranquilizer drugs, as provided by the administration of Emadrin, permits a more sustained treatment of the patient's mental disorder.

Clinical results in the treatment of parkinsonism indicate that most patients experience subjective improvement characterized by a feeling of well-being and increased alertness, together with diminished salivation and a marked improvement in muscular coordination as demonstrated by objective tests of manual dexterity and by increased ability to carry out ordinary self-care activities. While the drug exerts a mild atropine-like action and therefore causes mydriasis, this may be kept minimal by careful adjustment of the daily dosage.

How should I use Emadrin?

Use Emadrin as directed by your doctor. Check the label on the medicine for exact dosing instructions.

Ask your health care provider any questions you may have about how to use Emadrin.

Uses of Emadrin in details

There are specific as well as general uses of a drug or medicine. A medicine can be used to prevent a disease, treat a disease over a period or cure a disease. It can also be used to treat the particular symptom of the disease. The drug use depends on the form the patient takes it. It may be more useful in injection form or sometimes in tablet form. The drug can be used for a single troubling symptom or a life-threatening condition. While some medications can be stopped after few days, some drugs need to be continued for prolonged period to get the benefit from it.
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Emadrin is used to relieve symptoms of Parkinsonism (a clinical syndrome characterized by tremor, muscular rigidity, slow and imprecise movements) due to any cause- drug-induced, age-induced, post-infections, due to compromised blood supply to brain, or unknown cause.

Emadrin description

A muscarinic antagonist that crosses the blood-brain barrier and is used in the treatment of drug-induced extrapyramidal disorders and in parkinsonism. [PubChem]

Emadrin dosage

Emadrin Dosage

Generic name: Emadrin hydrochloride

Dosage form: tablets

The information at Drugs.com is not a substitute for medical advice. Always consult your doctor or pharmacist.

For Parkinsonism: The dosage of the drug for the treatment of parkinsonism depends upon the age of the patient, the etiology of the disease, and individual responsiveness. Therefore, the dosage must remain flexible to permit adjustment to the individual tolerance and requirements of each patient. In general, younger and postencephalitic patients require and tolerate a somewhat higher dosage than older patients and those with arteriosclerosis.

For Patients Who Have Received No Other Therapy: The usual dose of Emadrin hydrochloride for initial treatment is 2.5 mg administered three times daily after meals. If well tolerated, this dose may be gradually increased to 5 mg three times a day and occasionally 5 mg given before retiring. In some cases smaller doses may be employed with good therapeutic results.

Occasionally a patient is encountered who cannot tolerate a bedtime dose of the drug. In such cases it may be desirable to adjust dosage so that the bedtime dose is omitted and the total daily requirement is administered in three equal daytime doses. It is best administered during or after meals to minimize the development of side reactions.

To Transfer Patients to Emadrin from Other Therapy: Patients who have been receiving other drugs may be transferred to Emadrin hydrochloride. This is accomplished gradually by substituting 2.5 mg three times a day for all or part of the original drug. The dose of Emadrin is then increased as required while that of the other drug is correspondingly omitted or decreased until complete replacement is achieved. The total daily dosage may then be adjusted to the level which produces maximum benefit.

For Drug-Induced Extrapyramidal Symptoms: For treatment of symptoms of extrapyramidal dysfunction induced by tranquilizer drugs during the therapy of mental disorders, the dosage of Emadrin hydrochloride will depend on the severity of side effects associated with tranquilizer administration. In general, the larger the dosage of the tranquilizer, the more severe will be the associated symptoms, including rigidity and tremors. Accordingly, the drug dosage should be adjusted to suit the needs of the individual patient and to provide maximum relief of the induced symptoms. A convenient method to establish the daily dosage of Emadrin is to begin with the administration of 2.5 mg three times daily. This may be increased by 2.5 mg daily increments until the patient obtains relief of symptoms. In most cases excellent results will be obtained with 10 to 20 mg daily.

More about Emadrin (Emadrin)

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Emadrin interactions

See also:
What other drugs will affect Emadrin?

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Drug Interactions

Emadrin can interact with the follwing drugs

amantadine or rimantadine, narcotic analgesics, amitriptyline (Elavil, Endep), doxepin (Sinequan), or clomipramine (Anafranil), quinidine (Quinora, Quinaglute, Quinidex, Cardioquin), some antiarrhythmics, antihistamines (diphenhydramine, chlorpheniramine, triprolidine, brompheniramine, clemastine, etc), Atenolol, Cholinergic agents (tacrine and donepezil), Digoxin, Levodopa, phenothiazines, chlorpromazine (Thorazine), fluphenazine (Prolixin), perphenazine (Trilafon), mesoridazine (Serentil), thioridazin (Mellaril), promazine (Sparine), trifluoperazine, and haloperidol

Drugs other than listed here may also have interactions with Emadrin.

Emadrin side effects

See also:
What are the possible side effects of Emadrin?

Cardiovascular

Tachycardia; palpitations; orthostatic hypotension.

CNS

Disorientation; confusion; memory loss; hallucinations; agitation; nervousness; depression; drowsiness; giddiness; lightheadedness.

Dermatologic

Rash; urticaria; decreased sweating.

EENT

Mydriasis; blurred vision.

GI

Dry mouth; nausea; vomiting; epigastric distress; constipation; paralytic ileus.

Genitourinary

Urinary retention; urinary hesitancy.

Miscellaneous

Muscle weakness; acute suppurative parotitis; hyperthermia; heat stroke.

Emadrin contraindications

See also:
What is the most important information I should know about Emadrin?

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Emadrin hydrochloride should not be used in angle-closure glaucoma although simple type glaucomas do not appear to be adversely affected.

Active ingredient matches for Emadrin:

Procyclidine in Pakistan.


List of Emadrin substitutes (brand and generic names)

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Unit description / dosage (Manufacturer)Price, USD
Tablet; Oral; Procyclidine Hydrochloride 5 mg (GlaxoSmithKline)
Elixir; Oral; Procyclidine Hydrochloride 2.5 mg / 5 ml (Glaxo Smithkline Pharmaceuticals Ltd.)
Tablet; Oral; Procyclidine Hydrochloride 2 mg (Glaxo Smithkline Pharmaceuticals Ltd.)
Tablet; Oral; Procyclidine Hydrochloride 5 mg (Glaxo Smithkline Pharmaceuticals Ltd.)
KEMADRIN Capsule/ Tablet / 2.5mg / 10 units (Glaxo Smithkline Pharmaceuticals Ltd.)$ 0.26
KEMADRIN Capsule/ Tablet / 5mg / 10 units (Glaxo Smithkline Pharmaceuticals Ltd.)$ 0.74
Kemadrin 2.5mg TAB / 10 (Glaxo Smithkline Pharmaceuticals Ltd.)$ 0.26
Kemadrin 5mg TAB / 10 (Glaxo Smithkline Pharmaceuticals Ltd.)$ 0.79
2.5 mg x 10's (Glaxo Smithkline Pharmaceuticals Ltd.)$ 0.26
5 mg x 10's (Glaxo Smithkline Pharmaceuticals Ltd.)$ 0.79
Kemadrin 2.5 mg Tablet (Glaxo Smithkline Pharmaceuticals Ltd.)$ 0.04
Kemadrin 5 mg Tablet (Glaxo Smithkline Pharmaceuticals Ltd.)$ 0.08
KEMADRIN 2.5 MG TABLET 1 strip / 10 tablets each (Glaxo Smithkline Pharmaceuticals Ltd.)$ 0.54
KEMADRIN 5 MG TABLET 1 strip / 10 tablets each (Glaxo Smithkline Pharmaceuticals Ltd.)$ 1.04
KEMADRIN tab 2.5 mg x 10's (Glaxo Smithkline Pharmaceuticals Ltd.)$ 0.26
KEMADRIN tab 5 mg x 10's (Glaxo Smithkline Pharmaceuticals Ltd.)$ 0.87
Tablet; Oral; Procyclidine Hydrochloride 2 mg (Wellcome)
Tablet; Oral; Procyclidine Hydrochloride 5 mg (Wellcome)
NOPARK 2.5 MG TABLET 1 strip / 10 tablets each (Kivi Labs Ltd)$ 0.37
NOPARK 5 MG TABLET 1 strip / 10 tablets each (Kivi Labs Ltd)$ 0.59
Nopark 2.5mg Tablet (Kivi Labs Ltd)$ 0.04
Nopark 5mg Tablet (Kivi Labs Ltd)$ 0.06
OCYL 2.5MG TABLET 1 strip / 10 tablets each (Zenith Healthcare Ltd)$ 0.31
OCYL 5MG TABLET 1 strip / 10 tablets each (Zenith Healthcare Ltd)$ 0.38
Ocyl 5mg Tablet (Zenith Healthcare Ltd)$ 0.04
2.5 mg x 100's (Sunrise)$ 3.02
Parksun 2.5mg TAB / 100 (Sunrise)$ 3.02
PARKSUN tab 2.5 mg x 10's (Sunrise)$ 0.30
Parksun 2.5mg TAB / 100 (Sunrise)$ 3.02
5 mg x 100's (Sunrise)$ 5.56
Parksun-DS 5mg TAB / 100 (Sunrise)$ 5.56
PARKSUN-DS tab 5 mg x 10's (Sunrise)$ 0.56
Parksun-DS 5mg TAB / 100 (Sunrise)$ 5.56

References

  1. PubChem. "procyclidine". https://pubchem.ncbi.nlm.nih.gov/com... (accessed September 17, 2018).
  2. DrugBank. "procyclidine". http://www.drugbank.ca/drugs/DB00387 (accessed September 17, 2018).
  3. DTP/NCI. "procyclidine: The NCI Development Therapeutics Program (DTP) provides services and resources to the academic and private-sector research communities worldwide to facilitate the discovery and development of new cancer therapeutic agents.". https://dtp.cancer.gov/dtpstandard/s... (accessed September 17, 2018).

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