Reserpine

— THERAPEUTIC CATEGORIES —
  • Hypertension
  • Psychosis

Reserpine Generic Name & Formulations

General Description

Reserpine 0.1mg, 0.25mg; tabs.

Pharmacological Class

Rauwolfia compound.

How Supplied

Tabs—100, 1000, 5000

Manufacturer

Reserpine Indications

Indications

Mild essential hypertension. Adjunctive therapy with other antihypertensive agents in more severe forms of hypertenstion.

Reserpine Dosage and Administration

Adult

Usual initial dose: 0.5mg daily for 1 or 2 weeks. Maintenance: reduce to 0.1–0.25mg daily.

Children

Usually not recommended; if used, starting dose: 20mcg/kg daily; max 0.25mg daily.

Reserpine Contraindications

Contraindications

Depression or history of (esp. with suicidal tendencies). Active peptic ulcer. Ulcerative colitis. Electroconvulsive therapy.

Reserpine Boxed Warnings

Not Applicable

Reserpine Warnings/Precautions

Warnings/Precautions

Discontinue at first signs of depression. History of peptic ulcer, ulcerative colitis, gallstones (biliary colic may be precipitated). Renal impairment. Surgery. Pregnancy (Cat.C). Nursing mothers: not recommended.

Reserpine Pharmacokinetics

See Literature

Reserpine Interactions

Interactions

MAOIs: avoid or use with extreme caution. Concomitant tricyclics may decrease antihypertensive effects. May potentiate direct-acting amines (eg, epinephrine, isoproterenol, phenylephrine, metaraminol). May antagonize indirect-acting amines (eg, ephedrine, tyramine, amphetamines). Caution with digoxin, quinidine, other antihypertensive agents.

Reserpine Adverse Reactions

Adverse Reactions

GI upset, dry mouth, hypersecretion, arrhythmias, syncope, angina-like symptoms, bradycardia, edema, dyspnea, epistaxis, nasal congestion, dizziness, headache, paradoxical anxiety, depression, nervousness, nightmares, dull sensorium, drowsiness, muscle aches, pseudolactation, impotence, dysuria, gynecomastia, decreased libido, weight gain, deafness, optic atrophy, glaucoma, uveitis, conjunctival injection, purpura, rash, pruritus; rare: parkinsonian syndrome and other extrapyramidal symptoms.

Reserpine Clinical Trials

See Literature

Reserpine Note

Not Applicable

Reserpine Patient Counseling

See Literature

Reserpine Generic Name & Formulations

General Description

Reserpine 0.1mg, 0.25mg; tabs.

Pharmacological Class

Rauwolfia compound.

How Supplied

Tabs—100, 1000, 5000

Manufacturer

Reserpine Indications

Indications

Relief of symptoms in agitated psychotic states (eg, schizophrenia), primarily in those unable to tolerate phenothiazine derivatives or in those who require antihypertensive medication.

Reserpine Dosage and Administration

Adult

Individualize. Usual initial dose: 0.5mg daily, may range from 0.1–1mg.

Children

Not recommended.

Reserpine Contraindications

Contraindications

Depression or history of (esp. with suicidal tendencies). Active peptic ulcer. Ulcerative colitis. Electroconvulsive therapy.

Reserpine Boxed Warnings

Not Applicable

Reserpine Warnings/Precautions

Warnings/Precautions

Discontinue at first signs of depression. History of peptic ulcer, ulcerative colitis, gallstones (biliary colic may be precipitated). Renal impairment. Surgery. Pregnancy (Cat.C). Nursing mothers: not recommended.

Reserpine Pharmacokinetics

See Literature

Reserpine Interactions

Interactions

MAOIs: avoid or use with extreme caution. Concomitant tricyclics may decrease antihypertensive effects. May potentiate direct-acting amines (eg, epinephrine, isoproterenol, phenylephrine, metaraminol). May antagonize indirect-acting amines (eg, ephedrine, tyramine, amphetamines). Caution with digoxin, quinidine, other antihypertensive agents.

Reserpine Adverse Reactions

Adverse Reactions

GI upset, dry mouth, hypersecretion, arrhythmias, syncope, angina-like symptoms, bradycardia, edema, dyspnea, epistaxis, nasal congestion, dizziness, headache, paradoxical anxiety, depression, nervousness, nightmares, dull sensorium, drowsiness, muscle aches, pseudolactation, impotence, dysuria, gynecomastia, decreased libido, weight gain, deafness, optic atrophy, glaucoma, uveitis, conjunctival injection, purpura, rash, pruritus; rare: parkinsonian syndrome and other extrapyramidal symptoms.

Reserpine Clinical Trials

See Literature

Reserpine Note

Not Applicable

Reserpine Patient Counseling

See Literature