Otilonium bromide


Generic Medicine Info
Indications and Dosage
Oral
Gastrointestinal spasm
Adult: For the relief of spasms due to gastrointestinal disorders (e.g. irritable bowel syndrome): 40 mg 2-3 times daily.
Administration
Should be taken on an empty stomach.
Special Precautions
Patient with benign prostatic hyperplasia, pyloric stenosis, and glaucoma. Pregnancy and lactation.
Adverse Reactions
Gastrointestinal disorders: Nausea, vomiting, abdominal distress.
Nervous system disorders: Headache, dizziness.
Skin and subcutaneous tissue disorders: Urticaria.
Action
Description:
Mechanism of Action: Otilonium bromide is a locally-acting antispasmodic agent that blocks the voltage-dependent Ca channels, thus relaxing the gastrointestinal smooth muscle. It also binds to the muscarinic receptor and tachykinin receptor.
Pharmacokinetics:
Absorption: Bioavailability: 3%. Time to peak plasma concentration: 2 hours.
Excretion: Via faeces (95-97%).
Chemical Structure

Chemical Structure Image
Otilonium bromide

Source: National Center for Biotechnology Information. PubChem Compound Summary for CID 72092, Otilonium Bromide. https://pubchem.ncbi.nlm.nih.gov/compound/Otilonium-Bromide. Accessed Oct. 25, 2023.

Storage
Store below 30°C.
MIMS Class
Antispasmodics
ATC Classification
A03AB06 - otilonium bromide ; Belongs to the class of synthetic anticholinergics, quaternary ammonium compounds. Used in the treatment of functional bowel disorders.
References
Triantafillidis JK and Malgarinos G. Long-Term Efficacy and Safety of Otilonium Bromide in the Management of Irritable Bowel Syndrome: A Literature Review. Clin Exp Gastroenterol. 2014 Apr;7:75-82. doi: 10.2147/CEG.S46291. Accessed 12/05/2023. PMID: 24741324

Anon. Otilonium. Lexicomp Online. Hudson, Ohio. Wolters Kluwer Clinical Drug Information, Inc. https://online.lexi.com. Accessed 12/05/2023.

Buckingham R (ed). Otilonium Bromide. Martindale: The Complete Drug Reference [online]. London. Pharmaceutical Press. https://www.medicinescomplete.com. Accessed 12/05/2023.

Spasmomen (A. Menarini Philippines, Inc). MIMS Philippines. http://www.mims.com/philippines. Accessed 12/05/2023.

Spasmomen Dragees 40 mg (A. Menarini Hong Kong Ltd). MIMS Hong Kong. http://www.mims.com/hongkong. Accessed 12/05/2023.

Disclaimer: This information is independently developed by MIMS based on Otilonium bromide from various references and is provided for your reference only. Therapeutic uses, prescribing information and product availability may vary between countries. Please refer to MIMS Product Monographs for specific and locally approved prescribing information. Although great effort has been made to ensure content accuracy, MIMS shall not be held responsible or liable for any claims or damages arising from the use or misuse of the information contained herein, its contents or omissions, or otherwise. Copyright © 2024 MIMS. All rights reserved. Powered by MIMS.com
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