Introduction About TOCOLAN SR TABLET

TOCOLAN SR TABLET contains Isoxsuprine which belongs to the group of medicines called Vasodilators. It is used in the management of premature labor (when the uterus starts contracting for birth too early than usual), cerebral vascular insufficiency (poor blood flow to the brain) and arteriosclerosis obliterans (hardening of the arteries).

TOCOLAN SR TABLET can also be used to manage Buerger's disease (blood vessels become inflamed, swollen and can become blocked with blood clots), Raynaud’s phenomenon (decreased blood flow to the nose, ears, fingers, toes, nipples or knees) and dysmenorrhea (painful menstrual cramps).

TOCOLAN SR TABLET should not be used immediately after delivering a baby or if you have a bleeding disorder. TOCOLAN SR TABLET is not recommended for use if you have any heart disease (especially arrhythmias), hyperthyroidism, chorioamnionitis, bleeding, eclampsia or pre-eclampsia.

Avoid smoking and consuming alcohol while taking TOCOLAN SR TABLET as it may cause dizziness. Do not take TOCOLAN SR TABLET if you are pregnant or breastfeeding without consulting your doctor. Safety and effectiveness of TOCOLAN SR TABLET in children have not been established.

Your doctor may want you to take blood tests or other medical evaluations during management with TOCOLAN SR TABLET to monitor progress and side effects. The most common side effects of taking TOCOLAN SR TABLET are chest pain or an irregular heartbeat, nausea, vomiting, dizziness or weakness. Contact your physician if any of the symptoms deteriorate.

Uses Of TOCOLAN SR TABLET

Manage:

• premature labor
• cerebral vascular insufficiency
• arteriosclerosis obliterans
• thromboangitis obliterans (Buerger's disease)
• Raynaud’s phenomenon
• dysmeorrhea

How TOCOLAN SR TABLET Works

TOCOLAN SR TABLET manages premature labor by managing the contractions of the smooth muscles in the uterus. In peripheral vascular disease, it helps in widening of blood vessels to increase blood flow, thereby improving blood circulation to certain parts of the body (such as the hands/feet and brain).

How to use TOCOLAN SR TABLET

Take TOCOLAN SR TABLET as advised by your physician. Swallow the medicines with enough water. Do not crush or chew it. The correct dose and duration will be decided by your physician for you according to your age, body weight and disease condition.

Side Effects Of TOCOLAN SR TABLET

How To Manage Side Effects

Nausea or vomiting:

Take TOCOLAN SR TABLET with or just after meals. Stick to simple meals. Avoid eating oily or spicy foods. If symptom persists, contact your doctor.

Dizziness:

Lie or sit down promptly when you feel dizzy. If you're feeling severe episode of spinning, lie in a dark and quite place and close your eyes. Try to avoid vehicle driving. If symptom persists, contact your doctor.

Skin rash:

Avoid hot showers as it can irritate your skin more. Do not scratch the affected area. Use protective clothing when going outdoors and moisturize your skin regularly. If symptom persists, contact your doctor.

Warning & Precautions

Pregnancy

TOCOLAN SR TABLET is not recommended for use in pregnant women unless considered clearly necessary as it is not known whether this medicine will be harmful to an unborn baby. Consult your doctor before taking it.

Breastfeeding

TOCOLAN SR TABLET is not recommended for use in breastfeeding women unless considered clearly necessary as it is not known whether this medicine passes into breast milk. Consult your doctor before taking it.

Driving and Using Machines

Do not drive, use any machines or do anything that needs attention if you feel sleepy or dizzy after taking TOCOLAN SR TABLET.

Allergy

Do not take TOCOLAN SR TABLET if you are allergic to Isoxsuprine, lactose or some sugars or to any of the other ingredients of this medicine.

Heart Disease

TOCOLAN SR TABLET is not recommended for use in patients having heart diseases, especially arrhythmias (irregular heartbeat). Consult your physician before taking it.

Interactions

A. Drug-Drug interactions:

Before taking TOCOLAN SR TABLET, inform your doctor if you are taking any of the following medicines:

• other medicines used to manage low blood pressure (Ex. cilnidipine, phenylephrine)
• other vasodilators (Ex. hydralazine, minoxidil)

Overdosage:

If you or anyone else accidentally take too much of TOCOLAN SR TABLET, consult your doctor immediately or visit the nearby hospital. The symptoms of overdosage may include weakness, lightheadedness, fainting, nausea and vomiting.

Synopsis

More Information

• Keep TOCOLAN SR TABLET out of reach of children
• Store TOCOLAN SR TABLET below 30°C

FAQs About TOCOLAN SR TABLET

Does TOCOLAN SR TABLET affect the ability to drive?

TOCOLAN SR TABLET causes dizziness and sleepiness. So, avoid driving, doing machinery work or anything that needs attention. Consult your physician for advice.

Can TOCOLAN SR TABLET cause bleeding?

TOCOLAN SR TABLET might worsen the bleeding and thus it is not recommended for use in patients having bleeding disorders. Consult your doctor if you experience any kind of bleeding and it bothers you.

Can I have alcohol after taking TOCOLAN SR TABLET?

Avoid consumption of alcohol while taking TOCOLAN SR TABLET as it can increase the dizziness and affect your ability to perform activities that need alertness. Consult your physician for advice.

Is it safe to take TOCOLAN SR TABLET in patients with heart problems?

TOCOLAN SR TABLET is not recommended for use in patients having heart problems, especially arrhythmias (slow or fast heartbeat). Consult your doctor for advice. The doctor will determine a proper dose of TOCOLAN SR TABLET or select a suitable alternative management for you.  

Can TOCOLAN SR TABLET be used in pregnant women?

TOCOLAN SR TABLET is generally not recommended for use in pregnant women unless considered clearly necessary as it is not known whether this medicine will be harmful to an unborn baby. If you are pregnant, think you may be pregnant or are planning to have a baby, consult your doctor before taking it.

References

1. K.D. Tripathi. Adrenergic System and Drugs. Essentials of Medical Pharmacology. Seventh edition. 2013. Page – 136.

2. Azin Alavi, Minoo Rajaee, Malihe Amirian, Hamidreza Mahboobi, Keramat Allah Jahanshahi and Armaghan Faghihi. Effect of Maintenance Therapy with Isoxsuprine in the Prevention of Preterm Labor: Randomized controlled trial. NIH National Library of Medicine, National center for biotechnology information. Pubmed Central. August 2015. [Accessed on 9th July 2022]. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4578532/

3. Jaju PB. Effectiveness and Safety of Isoxsuprine Hydrochloride as Tocolytic Agent in Arresting Active/Threatened Preterm Labor and Its Role in Maintenance Tocolysis: A Prospective, Open-Label Study. NIH National Library of Medicine, National center for biotechnology information. Pubmed.gov. February 2021. [Accessed on 9th July 2022]. https://pubmed.ncbi.nlm.nih.gov/31550735/

4. FDA.report. Isoxsuprine. [Accessed on 9th July 2022]. https://fda.report/DailyMed/6baec489-724b-4184-9529-7b9ca3573025

5. MK Medicine. Isoxsuprine HCL 40Mg (Sustain Release) Tablet. [Accessed on 9th July 2022]. https://www.mkmedicine.in/isoxsuprine-hcl-40mg-(sustain-release)-tablet.html

6. DM Pharma. Isoxsuprine HCl 40 mg. [Accessed on 9th July 2022]. http://www.dmpharma.co.in/Isoxsuprine%20Tablet.html

7. Aalaina pharma. Isoxsuprine HCl 40 mg. [Accessed on 9th July 2022]. https://alainapharma.com/Isoxsuprine%20Tablet.html

8. Kabir life science. Oxen 10 (Isoxsuprine Hydrochloride Tablets 10 mg). [Accessed on 9th July 2022]. https://www.kabirlifescience.com/product/oxen-10

9. Taj Pharma. Adrenilan (Isoxsuprine Hydrochloride Sustained Release Tablet 10 and 40 mg). [Accessed on 9th July 2022]. https://meds.tajpharma.com/portfolio-item/isoxsuprine-hydrochloride-sustained-release-tablet-adrenilan/