البلد: ماليزيا
اللغة: الإنجليزية
المصدر: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
LOPERAMIDE HYDROCHLORIDE
MALAYSIAN PHARMACEUTICAL INDUSTRIES SDN. BHD.
LOPERAMIDE HYDROCHLORIDE
1000 Tablets
MALAYSIAN PHARMACEUTICAL INDUSTRIES SDN. BHD.
_CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP) _ 1 ANPROMIDE TABLETS 2MG Loperamide Hydrochloride (2mg) WHAT IS IN THIS LEAFLET: 1. What Anpromide Tablets is used for 2. How Anpromide Tablets works 3. Before you use Anpromide Tablets 4. How to use Anpromide Tablets 5. While you are using it 6. Side Effects 7. Storage and Disposal of Anpromide Tablets 8. Product description 9. Manufacturer and Product Registration Holder 10. Date of Revision WHAT ANPROMIDE TABLETS IS USED FOR Loperamide is indicated for the control and symptomatic relief of acute diarrhoea and of chronic diarrhoea, and to reduce the volume of discharge from ileostomies (an opening in the abdominal wall where the small intestine is diverted that’s made during surgery). HOW ANPROMIDE TABLETS WORKS Loperamide hydrochoride is the active ingredient of Anpromide Tablets. Loperamide belongs to the group of medicine called Antidiarrheal, which act to relieve symptoms of diarrhea. It works by prolongs the transit time of intestinal contents and making the stools more dense. BEFORE YOU USE ANPROMIDE TABLETS - _When you must not use it _ If you are allergic (hypersensitive) to Loperamide hydrochloride or any of the other ingredients of Anpromide Tablets 2mg. If you have toxic megacolon (expansion of colon caused by complication of inflammatory large intestine disease or infection)._ _ If you have dysentry or if constipation must be avoided because it may result in fluid retention in the intestine, which may aggravate and mask dehydration and depletion of electrolytes, especially in children. If you have severe colitis (inflammation of the lining of the large intestine). For children under 6 years old. - _Before you start to use it_ You must tell your doctor if: You have allergies to any medicine which you have taken previously to treat your current condition. You are pregnant, trying to become pregnant or breast- feeding. The medicines should be used during pregnancy and lactation only when clearly indicated. _Pregnancy and br اقرأ الوثيقة كاملة
7012-03 ANPROMIDE TABLET 2MG NAME AND STRENGTH OF ACTIVE INGREDIENT(S): Each tablet contains: Loperamide hydrochloride………………………………………………2mg PRODUCT DESCRIPTION: A pink, scored, flat of diameter 7mm tablets with ‘MPI’ logo. PHARMACODYNAMICS : Loperamide is a synthetic derivative of pethidine that inhibits gut motility and may also reduce gastrointestinal secretions. Loperamide binds to the opiate receptor in the gut wall. Consequently, it inhibits the release of acetylcholine and prostaglandins, thereby reducing propulsive peristalsis, and increasing intestinal transit time. Loperamide increases viscosity, increases bulk density, reduces daily fecal volume, and diminishes loss of fluids and electrolytes. Loperamide increases the tone of the anal sphincter, thereby reducing incontinence and urgency. Additionally, loperamide will prolong mouth-to-cecum transit time without affecting gastric emptying. PHARMACOKINETICS: _Absorption: _ Most ingested loperamide is absorbed from the gut, but as a result of significant first pass metabolism, systemic bioavailability is only approximately 0.3%. _Distribution: _ Little intact drug reaches the systemic circulation Gastrointestinal tract: 85% Liver: 5% Tissues: 0.04 to 0.2% The plasma protein binding of loperamide is 95%, mainly to albumin. _Metabolism: _ Loperamide undergoes significant first pass metabolism in the liver. Oxidative N-demethylation is the main metabolic pathway for loperamide, and is mediated mainly through CYP3A4 and CYP2C8. Oxidative n-dealkylation may be another pathway. Due to this very high first pass effect; plasma concentrations of unchanged drug remain extremely low. _Elimination: _ The half-life of loperamide in man is 10.8 hours with a range of 9-14 hours. Approximately 50% of an orally administered dose is excreted unchanged, primarily in the faeces; there is slight urinary excretion INDICATION: Loperamide HCl is indicated for the symptomatic control of acute and chronic diarrhea. In patients with an ileostom اقرأ الوثيقة كاملة