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Amitiza
Overview
What is Amitiza?
Amitiza (lubiprostone) is chemically designated as (–)-7-[(2,4a,5,7a)-2-(1,1-difluoropentyl)-2-hydroxy-6-oxooctahydrocyclopenta[]pyran-5-yl]heptanoic acid. The molecular formula of
lubiprostone is CHFO with a molecular weight of 390.46
and a chemical structure as follows:
Lubiprostone drug substance occurs as white, odorless crystals or crystalline
powder, is very soluble in ether and ethanol, and is practically insoluble in
hexane and water. Amitiza is available as an imprinted, oval, soft gelatin
capsule in two strengths. Pink capsules contain 8 mcg of lubiprostone and the
following inactive ingredients: medium-chain triglycerides, gelatin, sorbitol,
ferric oxide, titanium dioxide, and purified water. Orange capsules contain 24
mcg of lubiprostone and the following inactive ingredients: medium-chain
triglycerides, gelatin, sorbitol, FD&C Red #40, D&C Yellow #10, and
purified water.
What does Amitiza look like?
What are the available doses of Amitiza?
Amitiza is available as an oval, gelatin capsule containing 8 mcg
or 24 mcg of lubiprostone.
What should I talk to my health care provider before I take Amitiza?
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How should I use Amitiza?
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Amitiza should be taken twice daily orally with food and water. Physicians and
patients should periodically assess the need for continued therapy.
What interacts with Amitiza?
Sorry No Records found
What are the warnings of Amitiza?
Sorry No Records found
What are the precautions of Amitiza?
Sorry No Records found
What are the side effects of Amitiza?
Sorry No records found
What should I look out for while using Amitiza?
Amitiza is contraindicated in patients with known or suspected mechanical
gastrointestinal obstruction.
What might happen if I take too much Amitiza?
There have been two confirmed reports of overdosage with Amitiza. The first
report involved a 3-year-old child who accidentally ingested 7 or 8 capsules of
24 mcg of Amitiza and fully recovered. The second report was a study patient who
self-administered a total of 96 mcg of Amitiza per day for 8 days. The patient
experienced no adverse reactions during this time. Additionally, in a Phase 1
cardiac repolarization study, 38 of 51 patients given a single oral dose of 144
mcg of Amitiza (6 times the highest recommended dose) experienced an adverse
event that was at least possibly related to the study drug. Adverse reactions
that occurred in at least 1% of these patients included the following: nausea
(45%), diarrhea (35%), vomiting (27%), dizziness (14%), headache (12%),
abdominal pain (8%), flushing/hot flash (8%), retching (8%), dyspnea (4%),
pallor (4%), stomach discomfort (4%), anorexia (2%), asthenia (2%), chest
discomfort (2%), dry mouth (2%), hyperhidrosis (2%), and syncope (2%).
How should I store and handle Amitiza?
Store at 25°C (77°F); excursions permitted to 15°C-30°C (59°F-86°F) [see USP Controlled Room Temperature].Amitiza is available as an oval, soft gelatin capsule containing 8 mcg or 24 mcg of lubiprostone with "SPI" printed on one side. Amitiza is available as follows:8-mcg pink capsuleStore at 25°C (77°F); excursions permitted to 15°–30°C (59°–86°F).PROTECT FROM EXTREME TEMPERATURES.Amitiza is available as an oval, soft gelatin capsule containing 8 mcg or 24 mcg of lubiprostone with "SPI" printed on one side. Amitiza is available as follows:8-mcg pink capsuleStore at 25°C (77°F); excursions permitted to 15°–30°C (59°–86°F).PROTECT FROM EXTREME TEMPERATURES.Amitiza is available as an oval, soft gelatin capsule containing 8 mcg or 24 mcg of lubiprostone with "SPI" printed on one side. Amitiza is available as follows:8-mcg pink capsuleStore at 25°C (77°F); excursions permitted to 15°–30°C (59°–86°F).PROTECT FROM EXTREME TEMPERATURES.Amitiza is available as an oval, soft gelatin capsule containing 8 mcg or 24 mcg of lubiprostone with "SPI" printed on one side. Amitiza is available as follows:8-mcg pink capsuleStore at 25°C (77°F); excursions permitted to 15°–30°C (59°–86°F).PROTECT FROM EXTREME TEMPERATURES.
Clinical Information
Chemical Structure
No Image foundClinical Pharmacology
Lubiprostone is a locally acting chloride channel activator that enhances a
chloride-rich intestinal fluid secretion without altering sodium and potassium
concentrations in the serum. Lubiprostone acts by specifically activating ClC-2,
which is a normal constituent of the apical membrane of the human intestine, in
a protein kinase A–independent fashion. By increasing intestinal fluid
secretion, lubiprostone increases motility in the intestine, thereby
facilitating the passage of stool and alleviating symptoms associated with
chronic idiopathic constipation. Patch clamp cell studies in human cell lines
have indicated that the majority of the beneficial biological activity of
lubiprostone and its metabolites is observed only on the apical (luminal)
portion of the gastrointestinal epithelium. Additionally, activation of ClC-2 by
lubiprostone has been shown to stimulate recovery of mucosal barrier function
via the restoration of tight junction protein complexes in studies of ischemic porcine intestine.
Non-Clinical Toxicology
Amitiza is contraindicated in patients with known or suspected mechanical gastrointestinal obstruction.Enter section text here
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Reference
This information is obtained from the National Institute of Health's Standard Packaging Label drug database.
"https://dailymed.nlm.nih.gov/dailymed/"
While we update our database periodically, we cannot guarantee it is always updated to the latest version.
Review
Professional
Clonazepam Description Each single-scored tablet, for oral administration, contains 0.5 mg, 1 mg, or 2 mg Clonazepam, USP, a benzodiazepine. Each tablet also contains corn starch, lactose monohydrate, magnesium stearate, microcrystalline cellulose, and povidone. Clonazepam tablets USP 0.5 mg contain Yellow D&C No. 10 Aluminum Lake. Clonazepam tablets USP 1 mg contain Yellow D&C No. 10 Aluminum Lake, as well as FD&C Blue No. 1 Aluminum Lake. Chemically, Clonazepam, USP is 5-(o-chlorophenyl)-1,3-dihydro-7-nitro-2H-1,4-benzodiazepin-2-one. It is a light yellow crystalline powder. It has the following structural formula: C15H10ClN3O3 M.W. 315.72Tips
Tips
Interactions
Interactions
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