Emistat 4 mg/5 ml (Oral Solution)

50 ml bottle: ৳ 50.00

Medicine Details

Indications

  • Prevention of nausea and vomiting associated with emetogenic cancer chemotherapy
  • Prevention and treatment of post-operative nausea and vomiting
  • Prevention of radiotherapy-induced nausea and vomiting

Dosage

  • Available in 4 mg and 8 mg orodispersible tablets
  • Dosage based on patient weight and condition
  • Also available in oral solution form for pediatric patients

Mode of Action

  • Potent, highly selective 5HT3 receptor-antagonist
  • Blocks initiation of vomiting reflex by activating vagal afferents via 5HT3 receptors
  • Antagonizes 5HT3 receptors in both peripheral and central nervous system

Form

  • Oral soluble film
  • Injection
  • Oral solution

Pharmacological Class

  • Serotonin subtype 3 (5-HT3) receptor antagonist
  • Selective blocking agent of the serotonin 5-HT3 receptor type

Administration

  • Oral soluble film dissolves on top of the tongue within 20 seconds
  • No water required for dissolution or swallowing
  • Can be swallowed with or without liquid

Storage Conditions

  • Store at temperature not exceeding 30°C
  • Protect from light and moisture

Interaction

  • Metabolized by hepatic cytochrome P-450 drug-metabolizing enzymes
  • Clearance and half-life may be affected by inducers or inhibitors of these enzymes

Contraindications

  • Hypersensitivity to the drug or any of its components
  • Concomitant use of apomorphine

Side Effects

  • Frequently reported adverse events include headache, constipation, and diarrhea
  • Rash reported in approximately 1% of patients
  • Rare cases of anaphylaxis, tachycardia, and hypokalemia

Pregnancy & Lactation

  • Not mutagenic in standard tests for mutagenicity
  • No evidence of impaired fertility or harm to the fetus in animal studies
  • Caution advised when administered to nursing women

Precautions & Warnings

  • Caution in patients with hypersensitivity to other 5-HT3 receptor antagonists
  • Should not be used instead of nasogastric suction
  • May mask a progressive ileus and/or gastric distension

Special Populations

  • Dosage adjustment not needed for patients with impaired renal function
  • Specific dosage recommendation for patients with severe hepatic impairment

Therapeutic Class

  • Anti-emetic drugs

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