Tocogest SR 40mg Tablet 10'S

Introduction About TOCOGEST SR 40MG TABLET

TOCOGEST SR 40MG 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).

TOCOGEST SR 40MG 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).

TOCOGEST SR 40MG TABLET should not be used immediately after delivering a baby
or if you have a bleeding disorder. TOCOGEST SR 40MG 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 TOCOGEST SR 40MG TABLET as it
may cause dizziness. Do not take TOCOGEST SR 40MG TABLET if you are pregnant or
breastfeeding without consulting your doctor. Safety and effectiveness of
TOCOGEST SR 40MG TABLET in children have not been established.

Your doctor may want you to take blood tests or other medical evaluations during
management with TOCOGEST SR 40MG TABLET to monitor progress and side effects.
The most common side effects of taking TOCOGEST SR 40MG TABLET are chest pain or
an irregular heartbeat, nausea, vomiting, dizziness or weakness. Contact your
physician if any of the symptoms deteriorate.

Uses Of TOCOGEST SR 40MG TABLET

Manage:

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

How TOCOGEST SR 40MG TABLET Works

TOCOGEST SR 40MG 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 TOCOGEST SR 40MG TABLET

Take TOCOGEST SR 40MG 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 TOCOGEST SR 40MG TABLET

Common

• chest pain
• nausea, vomiting, upset stomach
• dizziness, weakness
• shaking
• fast heartbeat
• low blood pressure
• excessive fluid in the lungs

Rare

• chest pain
• shortness of breath

Stop taking TOCOGEST SR 40MG TABLET and contact your doctor immediately if you
experience any of the following side effects:

• allergic reaction (symptoms like difficulty breathing, closing of the throat, swelling of the lips, tongue or face, hives)
• rash
• restarting of contractions or breaking of water

How To Manage Side Effects

Nausea or vomiting:

Take TOCOGEST SR 40MG 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

TOCOGEST SR 40MG 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

TOCOGEST SR 40MG 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 TOCOGEST SR 40MG TABLET.

!### Allergy

Do not take TOCOGEST SR 40MG TABLET if you are allergic to Isoxsuprine, lactose
or some sugars or to any of the other ingredients of this medicine.

!### Heart Disease

TOCOGEST SR 40MG TABLET is not recommended for use in patients having heart
diseases, especially arrhythmias (irregular heartbeat). Consult your physician
before taking it.

Others

TOCOGEST SR 40MG TABLET is not recommended for use if you:

• have hyperthyroidism (overactive thyroid)
• have chorioamnionitis (infection of the amniotic fluid and tissue around the baby during pregnancy)
• have bleeding problems
• have eclampsia or preeclampsia (high blood pressure problems during pregnancy)
• just had a baby (immediately postpartum)

Before taking TOCOGEST SR 40MG TABLET, inform your doctor if you:

• smoke tobacco
• have glaucoma (increased eye pressure)

Use in pediatrics:

Safety and effectiveness of TOCOGEST SR 40MG TABLET in children have not been
established. Consult your child’s doctor for advice.

Use in geriatrics:

No specific information is available on the use of TOCOGEST SR 40MG TABLET in
elderly patients. It may reduce tolerance to cold temperatures in these
patients. Consult your doctor before taking it.

Interactions

A. Drug-Drug interactions:

Before taking TOCOGEST SR 40MG 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 TOCOGEST SR 40MG TABLET,
consult your doctor immediately or visit the nearby hospital. The symptoms of
overdosage may include weakness, lightheadedness, fainting, nausea and vomiting.

Synopsis

Drug	:	Isoxsuprine
Pharmacological Category	:	Vasodilators
Therapeutic Indication	:	Premature labor, to improve blood flow
Dosage Forms	:	Tablet, Capsule, Injection

More Information

• Keep TOCOGEST SR 40MG TABLET out of reach of children
• Store TOCOGEST SR 40MG TABLET below 30°C

FAQs About TOCOGEST SR 40MG TABLET

Does TOCOGEST SR 40MG TABLET affect the ability to drive?

TOCOGEST SR 40MG TABLET causes dizziness and sleepiness. So, avoid driving,
doing machinery work or anything that needs attention. Consult your physician
for advice.

Can TOCOGEST SR 40MG TABLET cause bleeding?

TOCOGEST SR 40MG 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 TOCOGEST SR 40MG TABLET?

Avoid consum
increase the dizziness and affect your ability to perform activities that need
alertness. Consult your physician for advice.

Is it safe to take TOCOGEST SR 40MG TABLET in patients with heart problems?

TOCOGEST SR 40MG 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 TOCOGEST SR 40MG TABLET
or select a suitable alternative management for you.

Can TOCOGEST SR 40MG TABLET be used in pregnant women?

TOCOGEST SR 40MG 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.