Laxpru
Generic Name
Prucalopride
Manufacturer
Square Pharmaceuticals Ltd.
Country
Bangladesh
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Price Details
Current market pricing information
| Variant | Unit Price | Strip Price |
|---|---|---|
| laxpru 2 mg tablet | ৳ 24.00 | ৳ 240.00 |
Description
Overview of the medicine
Prucalopride is a selective, high-affinity 5-HT4 receptor agonist indicated for the symptomatic treatment of chronic idiopathic constipation in adults for whom laxatives fail to provide adequate relief.
Uses & Indications
Dosage
Adults
2 mg once daily.
Elderly
No dose adjustment is generally required for elderly patients with normal renal function.
Renal_impairment
For patients with severe renal impairment (CrCl <30 mL/min), the dose is 1 mg once daily. No adjustment needed for mild to moderate impairment.
How to Take
Oral. Can be taken with or without food at any time of day.
Mechanism of Action
Prucalopride is a selective, high-affinity 5-HT4 receptor agonist that stimulates colonic motility, leading to increased bowel movements and reduced transit time. It enhances propulsive colonic motility by stimulating serotonin 5-HT4 receptors in the gastrointestinal tract.
Pharmacokinetics
Onset
Improvement in bowel movements may be observed within 1-2 days.
Excretion
Primarily excreted unchanged in urine (about 60-65%) and to a lesser extent in feces.
Half life
Approximately 24-28 hours.
Absorption
Rapidly absorbed after oral administration. Peak plasma concentrations are reached within 2-4 hours. Bioavailability is >90%.
Metabolism
Minimally metabolized. Major metabolic pathway involves CYP3A4, but it is not a significant substrate.
Side Effects
Contraindications
- •Hypersensitivity to the active substance or to any of the excipients.
- •Intestinal perforation or obstruction.
- •Obstructive ileus.
- •Severe inflammatory conditions of the intestinal tract (e.g., Crohn's disease, ulcerative colitis, toxic megacolon).
Drug Interactions
Cyclosporine
Increased prucalopride plasma levels when co-administered. Caution advised.
Ketoconazole
May slightly increase prucalopride exposure.
Storage
Store below 30°C in a dry place, away from light and moisture. Keep out of reach of children.
Overdose
Symptoms may include headache, nausea, and diarrhea. Treatment is symptomatic and supportive.
Pregnancy & Lactation
Pregnancy: Use only if clearly needed and the potential benefit outweighs the potential risk to the fetus. Limited human data. Lactation: Prucalopride is excreted in breast milk. A risk to the suckling child cannot be excluded. Decision to discontinue breastfeeding or prucalopride should be made considering benefit of breastfeeding and benefit of therapy for the mother.
Frequently Asked Questions
Common questions about this medicine
Pack Sizes
Shelf Life
36 months
Availability
Pharmacies, hospitals
Approval Status
Approved by regulatory authorities (e.g., FDA, EMA, DGDA)
Patent Status
Generic available, original patent expired in many regions
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