Prucalo 2 mg (Tablet)

Unit Price: ৳ 24.00 (2 x 10: ৳ 480.00)
Strip Price: ৳ 240.00

Medicine Details

Category Details
Generic Prucalopride succinate
Company Opsonin pharma ltd
Also available as

Title

  • Prucalo 2mg Tablets

Categories

  • Medication
  • Gastrointestinal Health
  • Constipation Relief
  • Digestive Health

Description

  • Prucalo is a medication indicated for symptomatic treatment of chronic constipation in adults in whom laxatives fail to provide adequate relief.

Dosage

  • 2 mg once daily for adults
  • Start with 1 mg for older people, can be increased to 2 mg if needed
  • Not recommended for children and adolescents younger than 18 years

Mode of Action

  • Acts as a selective stimulator of the 5-HT4 receptors
  • Stimulates motility by interacting specifically with 5-HT4 receptors in the GI tract
  • Causes release of acetylcholine and contraction of the muscle layer of the colon

Interaction

  • Low interaction potential with therapeutic concentrations
  • Weak substrate for P-glycoprotein (P-gp)
  • Not expected to affect the CYP-mediated metabolism of co-medicated medicinal products
  • Possible interaction with potent inhibitors of P-gp like ketoconazole, verapamil, cyclosporine A, and quinidine

Contraindications

  • Hypersensitivity to the active substance or any of the excipients
  • Renal impairment requiring dialysis

Side Effects

  • Frequently reported adverse reactions include headache, abdominal pain, nausea, and diarrhea
  • Adverse reactions occur predominantly at the start of therapy and usually disappear within a few days

Pregnancy & Lactation

  • Not recommended during pregnancy
  • Women of childbearing potential should use effective contraception during treatment
  • Not recommended during breastfeeding

Precautions & Warnings

  • Dose adjustment in severe renal impairment
  • Caution in prescribing to patients with severe hepatic impairment
  • Possible reduction in efficacy of oral contraceptives in severe diarrhea cases

Use in Special Populations

  • Recommended lower dose for patients with severe renal impairment (GFR <30 ml/min/1.73 m^2)
  • Start with lower dose for patients with severe hepatic impairment (Child-Pugh class C), no dose adjustment for mild to moderate impairment

Overdose Effects

  • May result in symptoms like headache, nausea, and diarrhea
  • No specific treatment available, manage symptomatically and supportive measures instituted as required

Therapeutic Class

  • Osmotic purgatives

Storage Conditions

  • Store at room temperature, below 30°C
  • Do not remove desiccant
  • Dispense in original bottle

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