Eluxadoline is a drug that is prescribed for the treatment of irritable bowel syndrome with diarrhea. Irritable bowel syndrome is a condition which causes abdominal cramps, stomach pain, bloating, and either diarrhea or constipation in the absence of any specific abnormality of the digestive tract. The drug decreases bowel movements by acting on certain molecules in the digestive tract called mu-opioid receptors.
Eluxadoline should not be prescribed to patients who are allergic to the drug, patients with pancreatic or severe liver disease or bile duct obstruction, with the use of certain other medications or alcohol, in patients who suffer from severe constipation, or during pregnancy and breast feeding.
The recommended dose of the drug is 100mg to be taken twice daily along with food.
In case of patients with mild-to-moderate liver disease, patients who do not have a gall bladder and who are unable to tolerate 100mg of the drug, the dose of the drug is reduced to 75mg twice daily. This dose is also used in patients taking drugs like cyclosporin, gemfibrozil, anti-HIV drugs like lopinavir, saquinavir and tipranavir, and rifampin, which can increase the blood level of eluxadoline.
Eluxadoline comes in the form of a tablet to be taken twice daily along with food.
• Do not consume alcoholic beverages while taking eluxadoline as it may increase the risk of pancreatitis (inflammation of the pancreas).
• Like other opioids, eluxadoline can cause spasm of the sphincter that controls the flow of bile and pancreatic juice into the small intestine, called the Sphincter of Oddi. Patients without a gall bladder should be monitored regularly while taking eluxadoline as it can worsen abdominal pain and increase the levels of liver and pancreatic enzymes following the spasm.
• There is a possibility of dependence to eluxadoline if taken for a prolonged duration.
• Do not drive vehicle or operate heavy machinery while taking eluxadoline as it can cause dizziness and drowsiness.
• Consult your doctor if you are planning pregnancy or breast-feeding the child during eluxadoline treatment.
• Gastro-intestinal System: Nausea, vomiting, abdominal cramps, constipation, flatulence, pancreatitis
• Respiratory System - Upper respiratory tract infection, bronchitis
• Skin - Rash
Inform the doctor if you have a history of pancreatitis or severe constipation before taking the drug.
Eluxadoline should be avoided with:
OATP1B1 Inhibitors - Drugs like cyclosporin, gemfibrozil, anti-HIV drugs like lopinavir, saquinavir and tipranavir, and rifampin may increase the blood levels of eluxadoline.
CYP Inhibitors - Ciprofloxacin, fluconazole, clarithromycin, fentanyl, pimozide, quinidine, paroxetine and bupropion may increase the blood level of eluxadoline.
Drugs that induce constipation - Anticholinergic drugs, opioid drugs like loperamide, and alosetron which cause constipation should not be taken with eluxadoline as the combination can cause severe constipation.
Rosuvastatin – Eluxadoline increases the blood levels of rosuvastatin thereby increasing the risk of its serious side effect, rhabdomyolysis (breakdown of skeletal muscle) and myopathy (muscular disease.
Store the medicine in a tightly closed container at room temperature. Protect from excess heat, light and moisture. Keep out of reach of children.
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