Almal Tablet 10mg (Arotinolol Hydrochloride)

Adult dose

For essential hypertension (mild to moderate), angina pectoris, and tachyarrhythmia: Adults: Administer arotinolol hydrochloride 10㎎ per dose twice daily orally. If the effect is insufficient, the dose may be increased to 30㎎ per day. Adjust the dose as appropriate according to age and symptoms. For essential tremor: Adults: Start with arotinolol hydrochloride 10mg per day. If the effect is insufficient, administer 20mg per day as the maintenance dose in 2 divided oral doses. The dose may also be adjusted as appropriate according to age and symptoms, but should not exceed 30mg per day.

This medication should not be administered to patients with very slow heart rates or those with issues in the conduction of electrical signals in the heart. Caution is necessary for patients with diabetic ketoacidosis or metabolic acidosis, as heart function may be further compromised. Patients with bronchial asthma or bronchospasm should avoid this medication as it may exacerbate their symptoms. Care should also be taken to avoid administering this drug to patients with severe heart failure due to cardiogenic shock, right heart failure due to pulmonary hypertension, or congestive heart failure. It is safest for women who are pregnant or potentially pregnant to avoid using this medication. Patients with a risk of congestive heart failure should be administered this medication cautiously under medical supervision, with regular checks on heart function. Patients with difficult-to-control diabetes or those who have not been eating properly for an extended period should carefully monitor for glucose level changes. Patients with severely impaired liver or kidney function, peripheral circulation disorders, and the elderly should be particularly careful while using this medication. Skin symptoms similar to psoriasis may occur, and cardiovascular side effects such as reduced heart function, bradycardia, dizziness, and hypotension may also arise, thus regular check-ups are necessary. Psychological symptoms of lethargy, headache, drowsiness, depression, and insomnia may manifest. Gastrointestinal issues may include loose stools, diarrhea, abdominal discomfort, reduced appetite, nausea, and vomiting. There may be an increase in liver function test results, and respiratory issues can arise, such as bronchospasm, wheezing, and coughing. Tear secretion may decrease and vision may become blurry; if any unusual symptoms occur, administration should be stopped. Allergic reactions such as rashes, itching, and burning sensations may appear, necessitating discontinuation of use if these symptoms occur. With prolonged use, regular checks on heart function, blood pressure, and electrocardiograms are necessary, and if symptoms worsen, dosage adjustment or discontinuation may be required. It is advisable not to take this medication within 48 hours prior to surgery, and caution is needed for interactions with other medications. It is best for women who are pregnant or breastfeeding to avoid this medication, and safety in pediatric patients has not been sufficiently established. In the elderly, treatment should start at a low dose and be carefully monitored, watching for significantly lowered blood pressure or slowing heart rate. Sudden discontinuation of this medication may worsen cardiac symptoms, so dosage should be gradually reduced under a doctor's guidance. Dizziness may occur during treatment; therefore, caution is advised when driving or operating hazardous machinery.

Psoriasis or psoriasiform lesions, heart failure, bradycardia, chest pain, chest discomfort, dizziness, orthostatic dysregulation, palpitations, hypotension, shortness of breath, atrial fibrillation, worsening of heart block, peripheral circulation disorders (Raynaud's phenomenon, cold sensation), weakness, fatigue, headache, heaviness in the head, drowsiness, depression, insomnia, loose stools, diarrhea, abdominal discomfort, abdominal pain, loss of appetite, nausea, vomiting, indigestion, abdominal bloating, constipation, elevated ALT, elevated AST, elevated ALP, elevated LDH, bronchospasm, wheezing, cough, decreased tear secretion, blurred vision, fatigue at rest, rash, itching, burning sensation, edema, paralysis, elevated triglycerides, elevated uric acid, elevated BUN, increased cardiothoracic ratio, myalgia, elevated blood sugar levels fasting, elevated total cholesterol, elevated CPK, leukocytosis, thirst, hair loss

This medication should be stored in a sealed container to prevent air and moisture exposure. Doing so helps maintain the medication's effectiveness and prevents deterioration.

Appearance

Pale orange round film-coated tablet

Package unit

30 tablets/bottle, 120 tablets/bottle