Colestiramina

Colestiramina Uses, Dosage, Side Effects, Mechanism of Action, How Long Does it Take to Work? Colestiramina is a brand name. Its generic name is Cholestyramine.

Introduction

Colestiramina is a prescription medication used to lower cholesterol levels in the blood. Colestiramina works by binding to bile acids in the gastrointestinal tract, which helps reduce the absorption of cholesterol. It is a white to off-white colored powder, available in both regular and low-calorie formulas.

Uses for

Colestiramina is mainly used to help reduce high levels of cholesterol (hypercholesterolemia). It is sometimes used to treat other conditions such as pruritus associated with bile-acid diarrhea, diarrhea associated with Colestiramina therapy, and as adjunctive therapy for ileal-resected patients with ileal disease.

Mechanism of Action

Colestiramina works by binding to bile acids in the gut which prevents them from being absorbed by the body. This in turn lowers the cholesterol levels in the blood, since bile acids are derived from cholesterol. It also binds to certain medications, so it should not be taken with other medications.

How Long Does it Take to Work?

The effects of Colestiramina can be seen as soon as a few hours after its ingestion. The maximum effect is usually seen after 3-4 weeks of continuous use. The effect of Colestiramina also depends on how it is administered. Taking it with food increases the effect.

Absorption

Colestiramina is not absorbed. It binds to bile acids and other substances in the gut, preventing them from being absorbed. In some cases, it can slightly reduce absorption of other medications. For this reason, it should be taken at least 2 hours before or 4-6 hours after taking any other medications.

Route of Elimination

Colestiramina is eliminated through the feces in its unchanged form. It is not metabolized and does not accumulate in the body.

Dosage

The usual adult starting dose is 8-16 g/day in up to 4 divided doses ranging from 4-8 g per dose. Dose titration is usually recommended in order to reach desired reduction in LDL cholesterol. The typical weekly dose is 48-96 g. For children 6 years or older, the recommended dose is 1 g per kg of body weight per day.

Administration

Colestiramina usually comes in powder form and should be taken with meals and 8-16 oz of water. If the powder is not completely dissolved, it should be taken with 8-16 oz of water, and stirred vigorously at least 5 times a day. It should not be taken within 1-2 hours of taking other oral medications.

Side Effect

Common side effects of Colestiramina include abdominal pain, nausea, vomiting, constipation, dizziness, and headache. Other less common side effects include joint and muscle pain, rashes, and changes in taste and smell.

Toxicity

Colestiramina is relatively safe, and serious side effects related to toxicity are rare. However, some people may experience a decrease in the absorption of important vitamins and minerals.

Precaution

Colestiramina should not be taken by pregnant women or nursing mothers, as it may cause harm to the unborn baby or to the nursing infant. It should also not be taken by patients with gastrointestinal disease or obstruction, as it may aggravate the conditions. If it is taken with other medications, it is recommended to take them at least 2 hours apart.

Interaction

Colestiramina may interact with other medications such as warfarin, furosemide, digoxin, and certain antibiotics. It is recommended to tell the doctor about all the medications being taken, as this may affect the dosage of medications or their effectiveness.

Disease Interaction

Colestiramina may interact with certain diseases, such as colitis, renal impairment, or hepatic function abnormalities. It is important to tell the doctor about any pre-existing health conditions before starting the medication, as these may affect the effectiveness of the drug.

Drug Interaction

Colestiramina may interact with certain drugs, such as other drugs for high cholesterol or anticoagulants (e.g. warfarin). These interactions can affect the dosage or effectiveness of other drugs taken simultaneously. It is important to tell the doctor about all the medications being taken before starting this medication.

Food Interactions

Colestiramina does not interact with food, however it should be taken with food. Some people may experience changes in taste or smell after taking Colestiramina, which usually resolves after a few weeks.

Pregnancy Use

Colestiramina should not be taken by pregnant women or nursing mothers, as it may cause harm to the unborn baby or to the nursing infant. It is recommended to consult a doctor before taking the medication if pregnant or nursing.

Lactation Use

Colestiramina should not be taken by pregnant women or nursing mothers, as it may cause harm to the unborn baby or to the nursing infant. It is recommended to consult a doctor before taking the medication if pregnant or nursing.

Acute Overdose

There have been no reported cases of overdose with Colestiramina. However, an overdose may cause nausea, abdominal discomfort, and diarrhea. It is important to contact a doctor if an overdose is suspected.

Contraindication

Colestiramina is contraindicated in patients with gastrointestinal obstruction or narrowing, as it may aggravate these conditions. It should also not be used in patients with a known hypersensitivity to any of the ingredients in the product.

Use Direction

Colestiramina should be taken with food and 8-16 oz of water, and should not be taken with other medications. It should be taken 4-6 times daily, and stirred vigorously at least 5 times a day. It should be taken at least 2 hours apart from other oral medications.

Storage Condition

Colestiramina should be stored in a cool, dry place away from direct sunlight. It should be kept away from children and pets.

Volume of Distribution

The volume of distribution for Colestiramina is not known as it is not absorbed into the body.

Half-Life

The half-life of Colestiramina is not known as it is not absorbed into the body.

Clearance

The clearance of Colestiramina is not known as it is not absorbed into the body.

Here you find in details version of Colestiramina

Some Frequently Asked Questions About Colestiramina

What is Colestiramina?

Colestiramina is a medication used to lower total blood cholesterol levels. It works by binding bile acids in the intestine, thus reducing the reabsorption of cholesterol from the intestine into the blood.

How does Colestiramina work?

Colestiramina binds bile acids in the intestine, thereby decreasing the reabsorption of cholesterol from the intestine by increasing the fecal elimination of bile acids.

How long does it take for Colestiramina to work?

It typically takes several weeks to several months for Colestiramina to take effect. The amount of time depends on the individual's response to the medication.

What are the side effects of Colestiramina?

Common side effects of Colestiramina include upset stomach, bloating, gas, constipation, heartburn, nausea, and vomiting.

What should I tell my doctor before taking Colestiramina?

Tell your doctor if you are pregnant, breastfeeding or have any allergies, kidney or liver problems, or any other medical conditions.

Is Colestiramina safe to take?

Yes, Colestiramina is generally safe to take under the guidance of a doctor. However, some people may experience side effects from the medication.

What are the interactions of Colestiramina?

Colestiramina may interact with other medications, such as warfarin, digoxin, estrogens, and thyroid hormones.

How should Colestiramina be taken?

Colestiramina should be taken with meals or snack times, as directed by your doctor. Take it with a full glass of water and stir the powder in the water for about 1 minute until it dissolves.

Can I take Colestiramina on an empty stomach?

No, Colestiramina should not be taken on an empty stomach. It should be taken with meals or snack times, as directed by your doctor.

Can Colestiramina cause constipation?

Yes, Colestiramina may cause constipation. It is important to drink plenty of fluids and maintain a healthy lifestyle and diet to prevent constipation.

Is there a generic form of Colestiramina available?

Yes, there is a generic form of Colestiramina available. It is called Colestiramina Light.

How long can I take Colestiramina?

Colestiramina can be taken indefinitely as long as it is beneficial for the patient. It is important to follow up with your doctor regularly while taking this medication.

Is Colestiramina the same as statins?

No, Colestiramina is not the same as statins. Statins are used to lower cholesterol levels, while Colestiramina is used to bind bile acids in the intestine, thus reducing the reabsorption of cholesterol from the intestine into the blood.

Does Colestiramina interact with other medications?

Yes, Colestiramina may interact with other medications, such as warfarin, digoxin, estrogens, and thyroid hormones. Be sure to tell your doctor about all of the medications you take.

Does Colestiramina cause weight gain?

No, Colestiramina does not cause weight gain. In fact, it may help to reduce weight by increasing the fecal elimination of bile acids and cholesterol.

Can Colestiramina be used to treat other conditions?

Yes, Colestiramina can be used to treat some other conditions, such as Crohn's disease and pancreatitis.

Is Colestiramina FDA approved?

Yes, Colestiramina is FDA approved to reduce cholesterol levels in the blood.

Can I drink alcohol while taking Colestiramina?

It is generally not recommended to drink alcohol while taking Colestiramina. Alcohol may decrease the effectiveness of the medication.

Should I exercise while taking Colestiramina?

Yes, it is important to exercise regularly while taking Colestiramina in order to maintain a healthy lifestyle.

Are there any natural alternatives to Colestiramina?

Yes, there are a few natural alternatives to Colestiramina, such as guggul, artichoke extract, garlic, and flaxseeds.

What should I do if I miss a dose of Colestiramina?

If you miss a dose of Colestiramina, take it as soon as you remember. If it is close to the time for your next dose, skip the missed dose and continue with your regular schedule.

How long do the effects of Colestiramina last?

The effects of Colestiramina typically last as long as the medication is taken. It is important to follow up with your doctor regularly while taking Colestiramina.

Can children take Colestiramina?

No, Colestiramina is not recommended for children under 12 years of age. It is not known if it is safe or effective for younger children.

Can Colestiramina cause dizziness?

Yes, Colestiramina can cause dizziness. If you experience dizziness, it is important to talk to your doctor.

Can Colestiramina be taken with other medications?

Yes, Colestiramina can be taken with other medications, as long as they do not interact with one another. Be sure to tell your doctor about all of the medications you are currently taking.

Is Colestiramina available over-the-counter?

No, Colestiramina is not available over-the-counter and must be prescribed by a doctor.

Can Colestiramina be taken with food?

Yes, Colestiramina should be taken with meals or snack times, as directed by your doctor.

Is Colestiramina safe for long-term use?

Yes, as long as it is beneficial for the patient, Colestiramina can be taken indefinitely under the supervision of a doctor.

Can Colestiramina cause kidney problems?

Yes, Colestiramina may cause an increase in blood levels of certain substances which can lead to kidney problems. If you experience any unusual symptoms, it is important to contact your doctor.

Can Colestiramina be taken with antacids?

Yes, Colestiramina can be taken with antacids but it is important to separate them by at least 2 hours to prevent the antacid from reducing the effectiveness of the medication.

Does Colestiramina increase the risk of heart attack?

No, Colestiramina does not increase the risk of heart attack when taken as directed. It can actually help lower cholesterol levels and reduce the risk of heart disease.

Is Colestiramina safe for pregnant women?

No, Colestiramina should not be taken by pregnant women. If you are pregnant or planning to become pregnant, it is important to talk to your doctor before taking Colestiramina.

Is Colestiramina safe for breastfeeding women?

No, Colestiramina should not be taken by breastfeeding women. If you are breastfeeding or planning to breastfeed, it is important to talk to your doctor before taking Colestiramina.

Does Colestiramina cause hair loss?

No, Colestiramina does not cause hair loss. However, some people may experience hair loss as a side effect of other medications they are taking.

Can Colestiramina be taken if I have diabetes?

Yes, Colestiramina can be taken if you have diabetes. However, it is important to monitor your blood sugar levels closely while taking this medication.

What is the highest dose of Colestiramina that can be taken?

The highest dose of Colestiramina that can be taken should be determined by your doctor. It is important to follow the directions given to you by your doctor.

What should I do if I experience side effects while taking Colestiramina?

If you experience side effects while taking Colestiramina, it is important to contact your doctor right away. Your doctor may be able to adjust the dosage or recommend another medication.

Can Colestiramina be taken with other cholesterol-lowering medications?

Yes, Colestiramina can be taken with other cholesterol-lowering medications. However, it is important to talk to your doctor before taking any medications together.

Can Colestiramina be crushed or split into smaller doses?

No, Colestiramina should not be crushed or split into smaller doses. It is important to take the medication as directed by your doctor.

What is the difference between Colestiramina and Questran?

Colestiramina and Questran are both cholesterol-lowering medications. The main difference between them is that Colestiramina is a powder and Questran is a tablet.

Does Colestiramina cause weight loss?

No, Colestiramina does not cause weight loss. However, it may help to reduce weight by increasing the fecal elimination of bile acids and cholesterol.

Can Colestiramina be taken with vitamin supplements?

Yes, Colestiramina can be taken with vitamin supplements. However, it is important to talk to your doctor before taking any medications together.

Does Colestiramina cause bad breath?

No, Colestiramina does not cause bad breath. However, some people may experience bad breath as a result of taking other medications.