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# Isoxsuprine hydrochloride
## Overview
Isoxsuprine hydrochloride is a non-ergot vasodilator used to improve blood flow.
## Primary Indications
* Peripheral vascular diseases, such as intermittent claudication and vasospastic conditions.
* Cerebrovascular insufficiency.
## Adult Dosing
* **Oral:** 10 mg to 20 mg three to four times daily.
* **Maximum:** 80 mg daily.
## Pediatric Dosing
* There is no established pediatric dosing. Use is generally not recommended.
## Dose Adjustments
* No specific dose adjustments are routinely recommended for hepatic or renal impairment, but caution is advised.
## Contraindications
* Hypersensitivity to isoxsuprine hydrochloride.
* Not recommended for use immediately postpartum or in patients with congenital heart defects.
## Adverse Effects
* **Common:** Tachycardia, hypotension, flushing, dizziness, nausea, vomiting, abdominal distress, rash.
* **Less Common:** Weakness, nervousness, drowsiness.
## Key Drug Interactions
* **Antihypertensives:** May potentiate hypotensive effects.
* **Epinephrine:** May antagonize the vasodilating effects of isoxsuprine.
## Monitoring
* Blood pressure and heart rate.
* Signs and symptoms of peripheral vascular disease.
## Clinical Pearls
* Efficacy in cerebrovascular insufficiency is controversial.
* Patient should be advised to avoid prolonged exposure to heat, as it can exacerbate vasodilation and hypotension.
* Discontinue if adverse effects occur.
**Disclaimer:** This information is intended for healthcare professionals. Always consult the most current prescribing information and relevant literature before making clinical decisions.