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naldemedine

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Naldemedine, sold under the brand name Symproic in the US and Rizmoic in the European Union, is a medication that is used for the treatment of opioid-induced constipation in adults who have previously been treated with a laxative in the European Union, or to treat opioid induced constipation in adults with chronic non-cancer pain in the US. It is a peripherally acting μ-opioid receptor antagonist and was developed by Shionogi. Clinical studies have found it to possess statistically significant effectiveness for these indications and to be generally well tolerated, with predominantly mild to mo

Key facts

Drug.image
Naldemedine.svg
Drug.image_class
skin-invert-image
Drug.tradename
Symproic, Rizmoic
Drug.MedlinePlus
a617031
Drug.DailyMedID
Naldemedine
Drug.routes_of_administration
By mouth
Drug.ATC_prefix
A06
Drug.ATC_suffix
AH05
Drug.legal_US
Rx-only
Drug.legal_EU
Rx-only
Drug.protein_bound
93–94%
Drug.metabolism
primarily CYP3A4
Drug.elimination_half life
11 hrs
Drug.excretion
Urine, feces
Drug.index2_label
as salt
Drug.CAS_number
916072-89-4
Drug.CAS_supplemental
(tosylate)
Drug.PubChem
54732242

via Wikipedia infobox

~9 min read

Encyclopedic overview

15 sections
Contents
  • Medical uses
  • Contraindications
  • Side effects
  • Overdose
  • Interactions
  • Pharmacology
  • Mechanism of action
  • Pharmacokinetics
  • Chemistry
  • Society and culture
  • Commercialization
  • Manufacturer finances
  • Intellectual property
  • Clinical trials
  • References

Naldemedine, sold under the brand name Symproic in the US and Rizmoic in the European Union, is a medication that is used for the treatment of opioid-induced constipation in adults who have previously been treated with a laxative in the European Union, or to treat opioid induced constipation in adults with chronic non-cancer pain in the US. It is a peripherally acting μ-opioid receptor antagonist and was developed by Shionogi. Clinical studies have found it to possess statistically significant effectiveness for these indications and to be generally well tolerated, with predominantly mild to moderate gastrointestinal side effects. Effects indicative of central opioid withdrawal or impact on the analgesic or miotic effects of co-administered opioids have only been observed in a small number of patients.

==Medical uses== In the US, naldemedine is approved for the treatment of opioid induced constipation in adults with chronic non-cancer pain, including those who have chronic pain related to prior cancer or its treatment and do not need frequent opioid dosage escalation.

Excerpted from Wikipedia’s “naldemedine” article, available under the CC BY-SA 4.0 licence.