Serpalan

Name: Serpalan

Pregnancy

Rauwolfia alkaloids have not been studied in pregnant women. However, too much use of rauwolfia alkaloids during pregnancy may cause unwanted effects (difficult breathing, low temperature, loss of appetite) in the baby. In rats, use of rauwolfia alkaloids during pregnancy causes birth defects and in guinea pigs decreases newborn survival rates. Before taking this medicine, make sure your doctor knows if you are pregnant or if you may become pregnant.

Commonly used brand name(s)

In the U.S.

  • Rauwolfemms
  • Resa
  • Serpalan

Available Dosage Forms:

  • Tablet

Uses For Serpalan

Rauwolfia alkaloids belong to the general class of medicines called antihypertensives. They are used to treat high blood pressure (hypertension).

High blood pressure adds to the workload of the heart and arteries. If it continues for a long time, the heart and arteries may not function properly. This can damage the blood vessels of the brain, heart, and kidneys, resulting in a stroke, heart failure, or kidney failure. High blood pressure may also increase the risk of heart attacks. These problems may be less likely to occur if blood pressure is controlled.

Rauwolfia alkaloids work by controlling nerve impulses along certain nerve pathways. As a result, they act on the heart and blood vessels to lower blood pressure.

Rauwolfia alkaloids may also be used to treat other conditions as determined by your doctor.

These medicines are available only with your doctor's prescription.

Before Using Serpalan

Allergies

Tell your doctor if you have ever had any unusual or allergic reaction to medicines in this group or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Pediatric

Although there is no specific information comparing use of rauwolfia alkaloids in children with use in other age groups, rauwolfia alkaloids are not expected to cause different side effects or problems in children than they do in adults.

Geriatric

Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults. Although there is no specific information comparing use of rauwolfia alkaloids in the elderly with use in other age groups, dizziness or drowsiness may be more likely to occur in the elderly, who are more sensitive to the effects of rauwolfia alkaloids.

Pregnancy

Rauwolfia alkaloids have not been studied in pregnant women. However, too much use of rauwolfia alkaloids during pregnancy may cause unwanted effects (difficult breathing, low temperature, loss of appetite) in the baby. In rats, use of rauwolfia alkaloids during pregnancy causes birth defects and in guinea pigs decreases newborn survival rates. Before taking this medicine, make sure your doctor knows if you are pregnant or if you may become pregnant.

Breast Feeding

Rauwolfia alkaloids pass into breast milk and may cause unwanted effects (difficult breathing, low temperature, loss of appetite) in infants of mothers taking large doses of this medicine. Be sure you have discussed this with your doctor before taking this medicine.

Interactions with Medicines

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are taking any of these medicines, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.

Using medicines in this class with any of the following medicines is not recommended. Your doctor may decide not to treat you with a medication in this class or change some of the other medicines you take.

  • Brofaromine
  • Clorgyline
  • Deutetrabenazine
  • Furazolidone
  • Iproniazid
  • Isocarboxazid
  • Lazabemide
  • Linezolid
  • Moclobemide
  • Nialamide
  • Pargyline
  • Phenelzine
  • Procarbazine
  • Rasagiline
  • Selegiline
  • Tetrabenazine
  • Toloxatone
  • Tranylcypromine

Using medicines in this class with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.

  • Colchicine
  • Fosphenytoin
  • Iobenguane I 123
  • Phenytoin

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other Medical Problems

The presence of other medical problems may affect the use of medicines in this class. Make sure you tell your doctor if you have any other medical problems, especially:

  • Allergies or other breathing problems such as asthma—Rauwolfia alkaloids can cause breathing problems.
  • Epilepsy
  • Gallstones or
  • Stomach ulcer or
  • Ulcerative colitis—Rauwolfia alkaloids increase activity of the stomach, which may make the condition worse.
  • Heart disease—Rauwolfia alkaloids can cause heart rhythm problems or slow heartbeat.
  • Kidney disease—Some patients may not do well when blood pressure is lowered by rauwolfia alkaloids.
  • Mental depression (or history of)—Rauwolfia alkaloids cause mental depression.
  • Parkinson's disease—Rauwolfia alkaloids can cause parkinsonism-like effects.
  • Pheochromocytoma
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