নির্দেশনা
Eluxadoline is indicated in adults for the treatment of irritable bowel syndrome with diarrhea (IBS-D).
Composition
ফার্মাকোলজি
Eluxadoline is a mu-opioid receptor agonist, kappa opioid receptor agonist & delta opioid receptor antagonist. Eluxadoline works directly in intestine to reduce peristalsis, also makes the nerves in intestine less sensitive to stimulation.
মাত্রা ও সেবনবিধি
The recommended dose is 75 mg tablet taken orally twice daily with food. Patients who develop severe constipation for more than 4 days have to discontinue the drug. If a dose is missed, patient should take the next dose at the regular time and avoid taking two doses at a time. Pediatric Use : Safety and effectiveness in pediatric patients have not been established. Hepatic Impairment : It is contraindicated in patients with severe hepatic impairment.
প্রতিনির্দেশনা
Known or suspected biliary duct obstruction, sphincter of oddi disease or dysfunction & pancreatitis.
পার্শ্ব প্রতিক্রিয়া
Most common adverse reactions are constipation, nausea and abdominal pain.
গর্ভাবস্থায় ও স্তন্যদানকালে
Pregnancy: Not established. Lactation: Not established.
সতর্কতা
Sphincter of Oddi spasm and Pancreatitis. Patients who should be monitored closely- without a gallbladder with new or worsening abdominal pain with nausea and vomiting with acute biliary pain with liver or pancreatic enzyme elevation
থেরাপিউটিক ক্লাস
Carboxylic acids and derivatives, Prokinetic drugs