Common Medications Contraindications & Notes Drug Praxilane (Naftidrofuryl) Ganaton Itopride Trental Pentoxifylline Oxybral Vincamine Trivestal R Piribedil Ambeziem Trypsin Chymotrypsin Procoralan Ivabradine Vastarel MR Trimetazidine Contraindications Special Notes 1- Oxalyate Crystals 2-Recurrent Kidney Stone formation patients Contain 38mg oxalate / tab 1-GI Bleeding , Obstruction Data of Long term use NOT Available Clinical Studies : Itopride has been admin. Up to 8 weeks Common Adverse Events : 1-10% 1-GI upsets 2-Facial redness - 1-Acute MI 2-Cerebral hemorrhagic bleeding 3-GI ulcer 4-In disease with increase bleeding Tendency 1-Convulsive Disorders 2-Cerebrovascular Accident (Acute) 3-Cardiac Arrhythmia 4- Hypokalemia , Hypocalcemia 1- Myocardial infarction 2- Serious Cardiovascular disease 3- With Antiemetic Neuroleptics 1-Severe General & Local Infection 2- Peptic Ulcer 3-Severe Hepatic Or Renal disease 4- Disorder in blood clotting mechanism ( Hemorrhagic Diathesis ) 1-HR < 70 b/m 2-Cardiogenic shock OR ( Acute HF) 3-Rhysm Disorder 4-Very Low blood Pressure 5-Heart attack 6-Unstable Angina (with very frequently chest pain 7-Severe liver Problem 1-Parkinson Disease 2-Severe Kidney Problem References: Package Leaflet of Manufactures May induce QT prolongation , TDP Indicated Use of Trivestal is for ttt of Parkinson Disease ( Dopamine Agonist) Avoid use with Anticoagulants Procoralan is 1-CYP 3A4 Substrate 2-May Induce Risk of QT Very Common Adverse Event : >10% Luminous Visual (Brightness)