Gastrointestinal spasm
Adult: For the relief of spasms due to gastrointestinal disorders (e.g. irritable bowel syndrome): 40 mg 2-3 times daily.
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.
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Administration
Should be taken on an empty stomach.
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Special Precautions
Patient with benign prostatic hyperplasia, pyloric stenosis, and glaucoma. Pregnancy and lactation.
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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
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Storage
Store below 30°C.
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MIMS Class
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ATC Classification
A03AB06 - otilonium bromide ; Belongs to the class of synthetic anticholinergics, quaternary ammonium compounds. Used in the treatment of functional bowel disorders.
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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.
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