Methylnaltrexone

متیل‌نالترکسون

⚠ Unverified

🍽️ 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

👥 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 status for this drug

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