Axant Tablet

Axant is a centrally acting skeletal muscle relaxant and an antispastic agent with a spinal site of action.

Uses

Axant is used for:

  • Spasm.
  • Spinal cord diseases.
  • Cerebrovascular accidents or neoplastic or degenerative brain disease.
  • Muscle spasm of cerebral origin especially infantile cerebral palsy.
  • The alleviation of spasticity resulting from multiple sclerosis

Axant is also used to associated treatment for these conditions: Joint Pain, Soreness, Muscle, Flexor spasm, Reversible Spasticity, Severe cerebral origin Spasticity, Severe spinal cord origin Spasticity

Trade Name Axant
Generic Baclofen
Other Names Baclofen, Baclofène, Baclofeno, Baclofenum, DL-Baclofen
Weight 10mg, 25mg, 50mg
Type Tablet
Formula C10H12ClNO2
Weight Average: 213.661
Monoisotopic: 213.05565634
Protein binding

30%

Therapeutic Class Centrally acting Skeletal Muscle Relaxants
Manufacturer Novus Pharmaceuticals Ltd, Sigmund Promedica
Available Country Bangladesh, India
Last Updated: June 23, 2021 at 11:16 am

Dosage

Axant dosage

Adults:

Treatment should be started with low dose and increased gradually until optimum effect is achieved. The following dosage titration schedule is suggested:

 

5 mg 3 times daily for 3 days,

10 mg 3 times daily for 3 days,

15 mg 3 times daily for 3 days,

20 mg 3 times daily for 3 days,

25 mg 3 times daily for 3 days.

 

Thereafter, additional increases may be necessary. The optimum dosage generally ranges from 30 - 80 mg daily in 3 - 4 divided doses. Daily doses of 100 - 120 mg may be given to carefully supervised patients in hospitals.

 

Children:

Treatment should be started at a very low dose, e.g., 0.3 mg/kg per day in divided (preferably 4) doses. The dosage should be raised cautiously at 1-2 week intervals until it is sufficient for the child\'s individual needs. The usual dosage range for maintenance therapy is 0.75 to 2 mg/kg body weight per day. In children aged over 10 years a maximum daily dose of 2.5 mg/kg body weight may be given.

 

Renal Insufficiency:

Axant is excreted principally in urine as unchanged drug. So it may be necessary to reduce the dosage in patients with impaired renal function.

Side Effects

The most common side effects include drowsiness, nausea, dizziness, lassitude, lightheadedness, confusion, fatigue, muscular pain & weakness and hypotension.

Precaution

Patients suffering from psychotic disorders, schizophrenia, depressive or manic disorders, confusional states or Parkinson\'s disease, should be treated cautiously with Axant. Axant stimulates gastric acid secretion and should be used with caution in patients with a history of peptic ulcer and avoided in those with active peptic ulcer disease . Liver function should be monitored in patients with liver disease; patients with renal impairment need a reduced dose. Axant should be used with caution in patients with respiratory impairment. Observations of increased blood sugar concentrations suggest caution in patients with diabetes mellitus. Care is also required in the elderly, in whom adverse effects may be more common, and in patients with cerebrovascular disease (who tolerate Axant poorly). Axant may cause drowsiness; patients affected should not drive or operate machinery. Abrupt withdrawal of Axant may result in a withdrawal syndrome and exacerbation of spasticity; dosage should be reduced gradually over at least 1 to 2 weeks, or longer if symptoms occur.

Interaction

Alcohol and other CNS depressants may exacerbate the CNS effects of Axant and should be avoided. There may be increased weakness if Axant is given to patients taking a tricyclic antidepressant and an increased hypotensive effect if it is given to patients receiving antihypertensive therapy.

Food Interaction

  • Avoid alcohol.
  • Take with food. Take with food or milk to reduce gastric irritation.

Volume of Distribution

Apparent volume of distribution: 59 liters .

Axant does not readily cross the blood-brain barrier .

Half Life

Elimination half-life: Approximately 5.5 hours .

Clearance

Total systemic clearance: 180 mL/min Renal clearance: 103 mL/min

Axant is primarily excreted unchanged by the kidneys. It should be administered cautiously, and it may be necessary to reduce the dosage in patients with reduced renal function .

Pregnancy & Breastfeeding use

There are no adequate and well controlled studies of Axant in pregnant women. So it should be used during pregnancy only if the potential benefit outweighs the potential risk to the fetus.

Axant is excreted in breast milk. However, evidence suggests that the quantities are so small that no undesirable effect on the infant would be expected.

Contraindication

Axant is contraindicated in patients with hypersensitivity to any component of this product.

Special Warning

Renal Insufficiency: Axant is excreted principally in urine as unchanged drug. So it may be necessary to reduce the dosage in patients with impaired renal function.

Acute Overdose

Prominent features are signs of central nervous system depression. No specific antidote of Axant is known. Elimination of the agent from GI tract, artificial respiration, administration of fluid with a diuretic and dialysis should be considered.

Interaction with other Medicine

Alcohol and other CNS depressants may exacerbate the CNS effects of Axant and should be avoided. There may be increased weakness if Axant is given to patients taking a tricyclic antidepressant and an increased hypotensive effect if it is given to patients receiving antihypertensive therapy.

Storage Condition

Store in cool & dry place, away from children.

Axant contains Baclofen see full prescribing information from innovator Monograph