Methylnaltrexone
متیلنالترکسون
🍽️ Alimentary Tract And MetabolismPeripherally acting opioid antagonist (PAMORA)
Market / country: 🇺🇸 USA
Relistor (US)
🧮 Dose calculator
Opioid-induced constipation · Regimen source: FDA Relistor · 2.2
- • Stop maintenance laxatives before starting. Stay near a toilet. Stop when the opioid is stopped. FDA Relistor · 2.1
Enter age (weight is optional for this regimen).
🛡️ Safety & information
Contraindications
- ⛔ Known or suspected GI obstruction and risk of recurrent obstruction. FDA Relistor · 4
Warnings
- • GI perforation; severe diarrhoea or abdominal pain; opioid withdrawal. FDA Relistor · 5
Renal adjustment
- • eGFR < 60: CrCl <60: tablets 150 mg; injection 6 mg (non-cancer pain); advanced illness half the table dose. FDA Relistor · 2.4
Formulations
- 150 mg tablet — tablet 🇺🇸 USA FDA Relistor · 3
- 12 mg/0.6 mL vial or syringe (8 mg/0.4 mL syringe) — injection 🇺🇸 USA FDA Relistor · 3
👥 Special populations
- 🤰 PregnancyUse with caution
Label states no clear risk or has limited data; use only if needed, under medical advice. FDA Relistor · 8.1
“Risk Summary The limited available data with RELISTOR in pregnant women are not sufficient to inform a drug-associated risk for major birth defects and miscarriages.”
- 🤱 BreastfeedingDangerous / avoid
Label: breastfeeding not recommended, or choose between the drug and breastfeeding. FDA Relistor · 8.2
“Because of the potential for serious adverse reactions, including opioid withdrawal, in breastfed infants, advise women that breastfeeding is not recommended during treatment with RELISTOR.”
- 👶 ChildrenUse with caution
The label has conditions, age limits or notes for children; the label sentence is quoted below. FDA Relistor · 8.4
“Safety and effectiveness of RELISTOR tablets and injection have not been established in pediatric patients.”
- 👴 Older adultsUse with caution
Label: use with caution in older adults, usually starting at the low end of the dose range. FDA Relistor · 8.5
“Monitor elderly patients for adverse reactions.”
- ⚥ Females & males of reproductive potentialNo data
The source for this drug has no section for this group.
🔗 Reference links
- FDA (approval record)NDA208271
- DailyMed (FDA label)FDA Relistor
- MedlinePlus (NIH)MethylnaltrexoneMethylnaltrexone Injection
- WHO ATC/DDDA06AH01
- Darooyab (Iran)Methylnaltrexone
🇮🇷 Not found in Iran list Darooyab · G-5289/Methylnaltrexone
Darooyab lists no registered dosage form or brand for this drug. This does not prove it is unavailable.
📚 Reference status for this drug
Shows which sources have references recorded for this drug and which do not.
- FDA label (DailyMed)✅ PresentFDA Relistor · 3FDA Relistor · 2.2FDA Relistor · 2.1FDA Relistor · 2.3, Table 1FDA Relistor · 4FDA Relistor · 5FDA Relistor · 2.4FDA Relistor · 8.1FDA Relistor · 8.2FDA Relistor · 8.4FDA Relistor · 8.5FDA Relistor · SPL approval / marketing category
- UK SmPC (eMC / MHRA)❌ Not present
- Published guideline❌ Not present
- Licensed reference (medical school)❌ Not present
- Iranian leaflet (IFDA)❌ Not present
- Pharmacy website (secondary, unreliable)✅ PresentDarooyab · G-5289/Methylnaltrexone
- Clinical review⚠ Unverified