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Isradipine 1 mg/mL Oral Suspension

Isradipine 1 mg/mL Oral Suspension is a liquid dosage form in which the active ingredient, isradipine, is uniformly dispersed throughout a liquid medium, ensuring a homogeneous mixture for precise administration. This formulation is primarily used to treat hypertension and certain types of angina, providing an effective option for patients requiring a liquid form of medication.

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Isradipine
Suspension
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Formula Information

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Isradipine 1 mg/mL Oral Suspension is a compounded liquid medication designed to provide precise dosing of isradipine, a calcium channel blocker used primarily for the management of hypertension (high blood pressure). This formulation allows for flexible dosing adjustments and is especially beneficial for patients who have difficulty swallowing tablets or require dosages not available in commercially manufactured forms.

Isradipine works by relaxing the smooth muscles of the blood vessels, leading to vasodilation and a subsequent reduction in blood pressure. By inhibiting the influx of calcium ions into vascular smooth muscle cells, it decreases peripheral vascular resistance, effectively managing hypertension. This can help reduce the risk of cardiovascular events such as stroke, heart attack, and kidney complications associated with high blood pressure.

The 1 mg/mL oral suspension provides a uniform dispersion of isradipine throughout the liquid medium, ensuring consistent dosing with each administration. This is particularly useful for pediatric patients, elderly patients, or those with swallowing difficulties (dysphagia). Accurate dosing can be achieved using an oral syringe or calibrated measuring device, allowing for precise titration according to individual patient needs.

For prescribers, the compounded isradipine suspension offers the flexibility to tailor the dosing regimen, which is crucial for patients requiring individualized therapy. Adjustments can be made based on the patient's response to treatment and tolerance. The suspension form also facilitates dose adjustments in small increments, enhancing the ability to fine-tune blood pressure control while minimizing potential side effects.

Patients using isradipine oral suspension should be aware of possible side effects, including dizziness, headache, flushing, fatigue, nausea, and peripheral edema (swelling of the ankles or feet). It is important to monitor blood pressure regularly and report any adverse reactions or concerns to the healthcare provider promptly. Patients should inform their healthcare provider of all medications, supplements, and herbal products they are taking to avoid potential drug interactions.

The compounded oral suspension should be stored according to the pharmacist's instructions, typically in a cool place away from light to maintain its stability and effectiveness. Before each use, the suspension should be shaken well to ensure the medication is evenly distributed. Adherence to the prescribed dosing schedule is essential for optimal therapeutic outcomes, and

Drug Interactions

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Isradipine 1 mg/mL Oral Suspension is a calcium channel blocker used primarily in the management of hypertension and certain types of angina. By inhibiting the influx of calcium ions into vascular smooth muscle and cardiac muscle, isradipine causes vasodilation, leading to a reduction in blood pressure and alleviation of anginal symptoms. While this formulation offers a convenient liquid dosage form for patients who may have difficulty swallowing tablets or capsules, it is important to be aware of potential drug interactions that could affect its efficacy and safety.

Concomitant use of isradipine with other antihypertensive agents, such as beta-blockers, ACE inhibitors, or diuretics, may result in additive blood pressure-lowering effects. This can lead to hypotension, dizziness, or fainting, especially when initiating therapy or adjusting doses. Patients should be monitored closely for signs of excessive hypotension, and dose adjustments may be necessary to maintain optimal blood pressure control.

Isradipine may interact with drugs that affect hepatic enzyme activity, particularly those metabolized by the cytochrome P450 system. For instance, co-administration with CYP3A4 inhibitors, such as ketoconazole, itraconazole, or certain macrolide antibiotics, can increase plasma concentrations of isradipine, potentially enhancing its pharmacological effects and risk of adverse reactions. Conversely, CYP3A4 inducers like rifampin or phenytoin may decrease isradipine levels, reducing its therapeutic efficacy. Regular monitoring and possible dose adjustments are recommended when isradipine is used alongside these agents.

Patients taking isradipine should also be cautious with the use of grapefruit juice, as it can inhibit CYP3A4 enzymes in the gut wall, leading to increased absorption and higher plasma levels of isradipine. This interaction may enhance the drug's effects and side effects, necessitating careful monitoring and potential dietary modifications.

Additionally, isradipine may interact with other cardiovascular drugs. For example, when used with digoxin, there is a potential for altered digoxin levels, necessitating monitoring of digoxin serum concentrations to avoid toxicity. Similarly, the combination of isradipine with antiarrhythmic agents may require careful consideration due to the potential for additive effects on cardiac conduction and contractility.

Patients should inform their healthcare providers of all medications they are taking, including over-the-counter drugs and supplements, to assess for potential interactions. Healthcare providers should evaluate the risk-benefit profile of isradipine in the context of the patient's overall medication regimen and health status. If you have any questions or concerns about drug interactions with Isradipine 1 mg/mL Oral Suspension, please reach out to us for further guidance and support.

How Does it Work

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Isradipine 1 mg/mL Oral Suspension is a liquid dosage form designed to deliver the active ingredient, isradipine, in a homogeneous mixture for easy administration. Isradipine is a calcium channel blocker that works by inhibiting the influx of calcium ions through L-type calcium channels in the smooth muscle cells of the vascular system. This action results in the relaxation of vascular smooth muscles, leading to vasodilation and a subsequent decrease in blood pressure. By reducing peripheral vascular resistance, isradipine effectively lowers blood pressure, making it a valuable treatment option for managing hypertension.

The oral suspension formulation of isradipine provides several advantages over traditional tablet or capsule forms, particularly for patients who have difficulty swallowing pills or require precise dosing adjustments. The liquid medium ensures that the active ingredient is evenly dispersed, allowing for consistent dosing with each administration. This is particularly beneficial for pediatric or geriatric patients, or those with specific swallowing difficulties, as it allows for easier ingestion and absorption of the medication.

In addition to its primary use in treating hypertension, isradipine may also be used off-label for other cardiovascular conditions as determined by a healthcare provider. The flexibility of the oral suspension form allows for tailored dosing regimens that can be adjusted based on the patient's specific needs and response to treatment. This personalized approach can enhance therapeutic outcomes and improve patient adherence to the prescribed treatment plan.

For prescribers, the use of isradipine in an oral suspension form offers the ability to customize the dosage to meet individual patient requirements, which can be particularly useful in managing complex cases or when transitioning patients from other antihypertensive therapies. The liquid form also facilitates easier dose titration, allowing for gradual adjustments to achieve optimal blood pressure control while minimizing potential side effects.

Patients using isradipine oral suspension should be advised to shake the bottle well before each use to ensure the medication is properly mixed. It is important to use a calibrated measuring device to ensure accurate dosing. Patients should follow their healthcare provider's instructions regarding dosage and administration, and report any side effects or concerns promptly.

If you have any questions about Isradipine 1 mg/mL Oral Suspension or its use in treating hypertension or other conditions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide support and guidance to both patients and healthcare providers.

Other Uses

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Isradipine 1 mg/mL Oral Suspension is primarily utilized for the management of hypertension and certain types of angina. However, this formulation may have other potential uses that could be beneficial for both patients and prescribers seeking alternative therapeutic options. One such use is in the management of Raynaud's phenomenon, a condition characterized by episodes of reduced blood flow to the extremities, often triggered by cold or stress. Isradipine, as a calcium channel blocker, can help alleviate the vasospastic attacks associated with this condition by promoting vasodilation and improving blood flow.

Additionally, there is emerging interest in the potential neuroprotective effects of calcium channel blockers like isradipine in neurodegenerative diseases such as Parkinson's disease. Some studies suggest that isradipine may help slow the progression of Parkinson's disease by reducing calcium influx into neurons, thereby protecting them from degeneration. While this use is still under investigation and not yet a standard treatment, it represents a promising area of research that could expand the therapeutic applications of isradipine in the future.

For patients with difficulty swallowing tablets or those requiring precise dosing adjustments, the oral suspension form of isradipine offers a convenient and flexible alternative. This liquid formulation ensures uniform dispersion of the active ingredient, allowing for accurate dosing and ease of administration, particularly in pediatric or geriatric populations who may have specific needs. As with any medication, it is crucial for patients and prescribers to discuss the potential benefits and risks of using isradipine for off-label purposes, ensuring that the decision aligns with the patient's overall treatment goals and health status.

If you have any questions or require further information about the use of Isradipine 1 mg/mL Oral Suspension, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries or concerns you may have regarding this formulation or its potential applications.

Frequently Asked Questions

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What is Isradipine 1 mg/mL Oral Suspension?

Isradipine 1 mg/mL Oral Suspension is a liquid dosage form where the active ingredient, Isradipine, is uniformly dispersed in a liquid medium to create a homogeneous mixture for easy administration.

What is Isradipine used for?

Isradipine is a medication primarily used to treat high blood pressure (hypertension) by relaxing blood vessels, allowing blood to flow more easily.

How should I take Isradipine Oral Suspension?

Isradipine Oral Suspension should be taken as directed by your healthcare provider. It is typically administered orally using a measuring device to ensure accurate dosing.

Can Isradipine Oral Suspension be taken with food?

Yes, Isradipine Oral Suspension can be taken with or without food. However, it is best to follow your healthcare provider's instructions regarding food intake.

What should I do if I miss a dose of Isradipine Oral Suspension?

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.

Are there any side effects associated with Isradipine Oral Suspension?

Common side effects may include dizziness, headache, flushing, or fatigue. If you experience severe side effects or signs of an allergic reaction, seek medical attention immediately.

How should I store Isradipine Oral Suspension?

Store Isradipine Oral Suspension at room temperature, away from light and moisture. Keep it out of reach of children and do not freeze the suspension.

Can I drive or operate machinery while taking Isradipine?

Isradipine may cause dizziness or lightheadedness. It is advisable to avoid driving or operating heavy machinery until you know how the medication affects you.

Is Isradipine Oral Suspension safe for children?

The safety and effectiveness of Isradipine in pediatric patients have not been established. Consult your healthcare provider for advice specific to children.

Can I take Isradipine Oral Suspension if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, consult your healthcare provider before taking Isradipine, as it may not be recommended depending on your specific circumstances.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.