Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
ITOPRIDE HYDROCHLORIDE
SPG PHARMA (MALAYSIA) SDN BHD
ITOPRIDE HYDROCHLORIDE
1 x 10's Tablets; 6 x 10's Tablets
SIAM BHEASACH CO LTD
_ _ _ _ _ _ _ Consumer Medication Information Leaflet (RiMUP)_ DOIZ 50 MG FC TABLET Itopride hydrochloride (50 mg) 1/2 WHAT IS IN THIS LEAFLET 1. What DOIZ is used for 2. How DOIZ works 3. Before you use DOIZ 4. How to use DOIZ 5. While you are using DOIZ 6. Side effects 7. Storage and Disposal of DOIZ 8. Product Description 9. Manufacturer and Product Registration Holder 10. Date of revision 11. Serial number WHAT DOIZ IS USED FOR DOIZ is used to treat symptoms cause by impaired bowel movement and delayed gastric emptying, such as gastric fullness, discomfort or painful pressure in the upper abdomen, loss of appetite, heartburn, nausea and vomiting, indigestion (not due to ulcer) or long-term gastric inflammation. HOW DOIZ WORKS DOIZ works by improving gastric movement and blocks the center inside your brain which initiate nausea and vomiting. BEFORE YOU USE DOIZ _When you must not use it _ Do not use DOIZ if: ▪ you are allergic to itopride or any other ingredients in this medicine ▪ you have gastrointestinal bleeding, obstruction or perforation _Before you start to use it _ _Pregnancy and breast-feeding _ If you are pregnant or breast- feeding, think you may be pregnant or are planning to have a baby, ask your doctor for advice before taking this medicine. Your doctor will decide whether you are suitable for DOIZ. _Taking other medicines _ Tell your doctor or pharmacist if you are taking or have recently taken any medicines, including traditional products bought without a prescription. Some medicines may interact with DOIZ when used concomitantly: ▪ Anticholinergic agents (commonly used to treat asthma, chronic obstructive pulmonary disease, diarrhoea, Parkinson’s disease) ▪ DOIZ can influence absorption of other medicines due to its effect on digestive tract, in particular medicines with narrow therapeutic range, sustained released medicines and medicines released in intestine HOW TO USE DOIZ _How much to use _ The usual daily dose for adults is one tablet (50 mg) three times a day before meals. The Baca dokumen lengkap
Drawing No. DOI-50-02-L-ENG-MY-A0001 Sent date 08/06/2022 PRODUCT NAME DOIZ 50 MG FC TABLET NAME AND STRENGTH OF ACTIVE SUBSTANCE Each film-coated tablet contains 50 mg itopride hydrochloride PRODUCT DESCRIPTION A white to off-white, round biconvex film-coated tablet engraved with “ ” logo on one side and “I” on the other side PHARMACODYNAMICS Pharmacotherapeutic group: gastrokinetic agent (a substituted benzamide) Mechanism of action Itopride has dual mechanism of action: dopamine D2 receptor antagonism and acetylcholinesterase inhibition. The effect of itopride is an increase in acetylcholine concentration, which promotes gastric motility, increases the lower oesophageal sphincter (LOS) pressure, accelerates gastric emptying and improves gastroduodenal coordination. Itopride hydrochloride also has antiemetic action through interaction with D2 receptors located in the chemoreceptor trigger zone. This was demonstrated by dose dependent inhibition of apomorphine-induced vomiting. The action of itopride hydrochloride is highly specific for the upper gastrointestinal tract. Itopride hydrochloride does not affect serum gastrin levels. PHARMACOKINETICS Absorption Itopride hydrochloride is rapidly and almost completely absorbed from the gastrointestinal tract. Relative bioavailability is calculated to be 60% due to liver first pass metabolism. There is no effect of food on bioavailability. Peak plasma levels (C max = 0.28 g/mL) are reached within 0.5 to 0.75 hours following oral administration of 50 mg itopride hydrochloride. Following multiple oral doses ranging from 50 mg to 200 mg TDS (three times daily), itopride hydrochloride and its metabolites showed linear pharmacokinetics over a treatment period of seven days, with minimal accumulation. Distribution Approximately 96% of itopride hydrochloride is bound to plasma proteins. Albumin accounts for most of the binding. Alpha-1-acid-glycoprotein accounts for less than 15% of binding. Metabolism Itopride undergoes extensive hepatic metabolism in humans. Three m Baca dokumen lengkap