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# Isoxsuprine hydrochloride
## Overview
Isoxsuprine hydrochloride is a vasodilator with some $\beta$-adrenergic agonist activity. It is thought to relax vascular smooth muscle, leading to vasodilation and improved blood flow.
## Primary Indications
* Treatment of peripheral vascular disease (e.g., arteriosclerosis obliterans, intermittent claudication, Buerger's disease) to improve blood flow.
* Management of cerebrovascular insufficiency.
* Adjunctive therapy in Ménière's disease.
## Adult Dosing
* **Typical dose:** 10-20 mg orally 3-4 times daily.
* **Maximum dose:** Not well established for chronic use. Generally, higher doses are not associated with significantly increased efficacy but may increase the risk of adverse effects.
## Pediatric Dosing
* There is no established pediatric dosing for isoxsuprine hydrochloride. Its use in children is generally not recommended due to lack of data and potential risks.
## Dose Adjustments
* **Renal impairment:** No specific dose adjustments are established. Use with caution in patients with severe renal impairment.
* **Hepatic impairment:** No specific dose adjustments are established. Use with caution in patients with severe hepatic impairment.
## Contraindications
* Hypersensitivity to isoxsuprine hydrochloride.
* Do not administer to patients recently diagnosed with glaucoma.
* Do not administer to patients who have experienced a recent myocardial infarction.
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