Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
DOMPERIDONE MALEATE
ALLPAC SOLUTIONS SDN. BHD.
DOMPERIDONE MALEATE
10x10 Tablets
HOVID BERHAD
_CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP)_ MEDIDONE FILM COATED TABLET 10 MG Domperidone 10 mg 1 WHAT IS IN THIS LEAFLET 1. What Medidone is used for 2. How Medidone works 3. Before you use Medidone 4. How to use Medidone 5. While you are using it 6. Side effects 7. Storage and Disposal of Medidone 8. Product description 9. Manufacturer and Product Registration Holder 10. Date of Revision 11. Serial Number WHAT MEDIDONE IS USED FOR Medidone is used for the relief of the symptoms of nausea and vomiting from various causes (including chemotherapy, radiotherapy or other medicines). HOW MEDIDONE WORKS Medidone works by blocking the action of a chemical messenger in the brain which causes the feeling of nausea and vomiting, as well as increasing the movement or contractions of the stomach and intestines, allowing food to move more easily through the stomach. BEFORE YOUR USE MEDIDONE _- When you must not use it_ You should not use Medidone if: • You know you are allergic (hypersensitive) to domperidone and other ingredients listed at the end of the leaflet. • You suffer from a tumour of the pituitary gland called prolactinoma. • Have bleeding, ibstruction and hole in the stomach and bowel (e.g. severe stomach cramps or persistent black stools). • Have moderate to severe liver disease. • Have abnormal potassium level, low magnesium level in the blood. • Have or had heart problems including heart failure or heart rhythm disorders including a slow or irregular heartbeat. If in doubt, ask your pharmacist or doctor for advice. Stop taking Medidone an contact your doctor immediately if you experience abnormal heartbeat. _Pregnancy_ If you are pregnant or think you may be, tell your doctor, who will decide if you can take Medidone. _Breast-feeding_ Small amounts of Medidone can end up in the mother’s milk. Breast- feeding is not recommended for mothers who are taking Medidone. Talk to your doctor if you have any questions. _- Before you start to use it_ Before taking Medidone, you should let your doctor k Baca dokumen lengkap
xxx MEDIDONE FILM COATED TABLET 10MG VIXXXxx-08 DESCRIPTION Round, 6.0 mm in diameter, white to off-white coated tablet with shallow convex faces. COMPOSITION Each film-coated tablet contains Domperidone Maleate 12.73 mg, equivalent to Domperidone 10 mg. ACTIONS AND PHARMACOLOGY Domperidone is a dopamine antagonist with anti-emetic properties. Domperidone does not readily cross the blood-brain barrier. In domperidone users, especially adults, extrapyramidal side effects are very rare, but domperidone promotes the release of prolactin from the pituitary. Its anti-emetic effect may be due to a combination of peripheral (gastrokinetic) effects and antagonism of dopamine receptors in the chemoreceptor trigger zone, which lies outside the blood-brain barrier in the area postrema. PHARMACOKINETICS ABSORPTION Domperidone is rapidly absorbed after oral administration, with peak plasma concentrations occurring at approximately 60 minutes after dosing. DISTRIBUTION Domperidone is 91 - 93% bound to plasma proteins. METABOLISM Domperidone undergoes rapid and extensive hepatic metabolism by hydroxylation and Ndealkylation. EXCRETION Urinary and faecal excretions amount to 31 and 66% of the oral dose respectively. The proportion of the drug excreted unchanged is small (10% of faecal excretion and approximately 1% of urinary excretion). Special Populations HEPATIC IMPAIRMENT In patients with moderate hepatic impairment the unbound fraction is increased by 25%, and the terminal elimination half-life is prolonged from 15 to 23 hours. Patients with mild hepatic impairment have a somewhat lower systemic exposure, with no change in protein binding or terminal half-life. RENAL IMPAIRMENT In patients with severe renal insufficiency (serum creatinine > 6 mg/100 mL, i.e., > 0.6 mmol/L) the half-life of domperidone is increased from 7.4 to 20.8 hours, but plasma drug levels are lower than in patients with normal renal function. Very little unchanged drug (approximately 1%) is excreted via the kidneys. INDICATIONS Domperidone is indicated Baca dokumen lengkap