Sulpir

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

Introduction

Sulpir is a dopamine D2 antagonist used in the treatment of functional gastrointestinal disorders like gastritis, intestinal colic, dyspepsia, and irritable bowel syndrome. It is commonly used with ppis like lansoprazole and rabeprazole.

Uses For

Sulpir is used for the treatment of functional gastrointestinal disorders like gastritis, intestinal colic, dyspepsia, and irritable bowel syndrome. It is used in combination with proton pump inhibitors (PPIs). It is also used to treat symptoms of drug-induced extrapyramidal dysfunction including parkinsonian syndrome.

Mechanism of Action

Sulpir works by blocking the action of dopamine at D2 receptors in the gut and the brain. By blocking dopamine, it reduces the symptoms of gastric acid reflux and ulcers, as well as symptoms of parkinsonism caused by certain drugs.

How Long Does It Take to Work?

Sulpir usually starts to take effect within 2 - 4 hours and peak effectiveness can be seen within 8 - 12 hours.

Absorption

Sulpir is rapidly and completely absorbed from the gastrointestinal tract.

Route of Elimination

Sulpir is eliminated mainly in the urine, with only a small amount eliminated in the faeces.

Dosage

The dosage of levosulpiride depends on the condition being treated and the individual patient characteristics. The recommended starting dosage is 25 mg two times daily. The dosage may be increased depending on the response. The maximum dosage is 75 mg/day.

Administration

Sulpir should be taken orally, preferably with a meal.

Side Effect

The most common side effects associated with levosulpiride use are dry mouth, constipation, headache, weight gain, and fatigue.

Toxicity

Sulpir is generally very safe, however, long-term use is associated with drowsiness, confusion, and restlessness.

Precaution and Interaction

Sulpir should be used with caution in people with cardiac disease, renal failure, or liver failure, as it can worsen these conditions. Sulpir should not be used with psychiatric medications, as it may increase the risk of psychotic symptoms.

Drug and Disease Interactions

The use of levosulpiride with certain medications, like antipsychotics, levodopa, and tricyclic antidepressants, can result in increased effects or side effects. Sulpir should be used with caution in people with Parkinson's disease or renal disease, as it can worsen these conditions.

Food Interactions

Sulpir should be taken with a meal or at least immediately after a meal for optimal absorption.

Pregnancy and Lactation Use

Sulpir should not be used during pregnancy or lactation as it can cause adverse effects in the fetus and nursing infant.

Acute Overdose

Symptoms of overdose include restlessness, tremor, hypotension, collapse, coma, and death.

Contraindication

Sulpir is contraindicated in people with hypersensitivity to the drug and those with hepatic impairment.

Use Direction

Sulpir should be taken orally, preferably with a meal. The dosage should be gradually increased as directed by the prescribing doctor, and maximum daily dosage should not exceed 75 mg per day.

Storage Condition

Sulpir should be stored at room temperature, away from direct sunlight and moisture.

Volume of Distribution

The volume of distribution for levosulpiride is 0.7 - 0.8 L/kg.

Half Life

The half-life of levosulpiride is 2 - 3 hours.

Clearance

The clearance of levosulpiride is 0.7 - 0.8 L/h/kg.

Here you find in details version of Sulpir

Some Frequently Asked Questions About Sulpir

What is Sulpir?

Sulpir is a medication used to help reduce or control the symptoms of gastrointestinal problems, such as stomach pain, constipation, and irritable bowel syndrome.

What is the mechanism of action of Sulpir?

Sulpir works by stimulating the release of dopamine, a neurotransmitter which can help to reduce nausea,relieve pain and reduce muscle spasms in the gastrointestinal tract.

Who should not take Sulpir?

Sulpir is not recommended for pregnant women or those with a history of seizures or extreme sensitivity to other similar medications. Furthermore, patients that are taking drugs such as MAO (monoamine oxidase inhibitors) should not take Sulpir.

What are the side effects of Sulpir?

The most common side effects of Sulpir include drowsiness, dizziness, headache, dry mouth, constipation, nausea, and increased blood pressure.

How should Sulpir be stored?

Sulpir should be stored in a cool, dry place, away from direct light and moisture. It should also be kept out of reach of children and pets.

How long does it take for Sulpir to take effect?

The effects of Sulpir will typically start to become apparent within 1 hour, but may take up to 3 hours to reach full effect.

Is Sulpir safe to use for long-term treatment?

Sulpir is considered safe to use for long-term treatment of gastrointestinal disorders. Studies have shown that long-term use does not lead to any unfavorable effects.

Does Sulpir interact with any other medications?

Yes, Sulpir can interact with some other medications. It is important to tell your doctor about all the other medications you are taking before starting treatment with Sulpir.

Can I take Sulpir with alcohol?

No, it is recommended that Sulpir not be taken with alcohol, as the combination may lead to drowsiness and increased risk of side effects.

Does Sulpir cause addiction?

No, Sulpir is not known to be addictive.

Is Sulpir available over-the-counter?

No, Sulpir is only available through a prescription from a doctor.

Does Sulpir cause weight gain?

No, Sulpir is not known to cause weight gain.

What is the dosage for Sulpir?

The dosage of Sulpir will depend on the individual patient's medical condition, age, and weight. Your doctor will be able to recommend the appropriate dose for your case.

Does Sulpir reduce stomach acid levels?

No, Sulpir does not reduce stomach acid levels, but can help to reduce the effects of acidic stomach contents.

Can Sulpir be used to treat gastroesophageal reflux disease (GERD)?

Yes, Sulpir can be used to help reduce the symptoms of gastroesophageal reflux disease (GERD).

Are there any herbs or supplements that could interact with Sulpir?

Yes, certain herbs and supplements, such as St. John's Wort, can interact with Sulpir, so it is important to tell your doctor about any herbs or supplements you are taking before starting treatment with Sulpir.

What is the usual duration of treatment with Sulpir?

The duration of treatment with Sulpir will depend on the individual patient and the severity of their medical condition. Generally, treatment with Sulpir should not exceed 16 weeks.

Is Sulpir safe to use in elderly patients?

Yes, Sulpir is considered safe to use in elderly patients.

Is Sulpir safe to use in children?

Sulpir is not recommended to be used in children below the age of 18.

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

If you miss a dose of Sulpir, take it as soon as possible. If it is almost time for the next dose, skip the missed dose and continue with your regular schedule.

What should I do if I overdose on Sulpir?

If you or someone else has overdosed on Sulpir, seek immediate medical attention. Common overdose symptoms include drowsiness, confusion, nausea, vomiting, rapid heart rate, and shallow breathing.

Can Sulpir be used to treat anxiety?

No, Sulpir is not recommended to be used to treat anxiety, as it is not known to have any therapeutic effect on anxiety.

Can Sulpir be used to treat depression?

No, Sulpir is not recommended to be used to treat depression, as it is not known to have any therapeutic effect on depression.

Can I take Sulpir while breastfeeding?

Sulpir is not recommended to be used by breastfeeding mothers, as it may be detectable in the mother's milk, and could potentially be passed on to the baby.

Can Sulpir be used to treat any other medical conditions?

Sulpir is only recommended to be used to treat gastrointestinal problems such as stomach pain, constipation, and irritable bowel syndrome. It is not recommended to be used for any other medical conditions.

What should I do if I experience any side effects while taking Sulpir?

If you experience any side effects while taking Sulpir, contact your doctor or pharmacist. Do not stop taking the medication, as this could worsen your condition.

Can Sulpir be used to treat Parkinson’s disease?

No, Sulpir is not recommended to be used to treat Parkinson’s disease.

Can Sulpir cause tardive dyskinesia?

Tardive dyskinesia is a rare but serious neurological disorder that is caused by long-term use of certain antipsychotic medications. There is no evidence suggesting that Sulpir can cause tardive dyskinesia.

Is Sulpir available as a generic drug?

No, Sulpir is not available as a generic drug.

Does Sulpir interact with other antipsychotic medications?

Yes, Sulpir can interact with other antipsychotic medications, such as haloperidol. It is important to tell your doctor about all other medications you are taking before starting treatment with Sulpir.

Is Sulpir effective in treating nausea and vomiting?

Yes, Sulpir has been shown to be effective in reducing the symptoms of nausea and vomiting.

Can Sulpir be used to treat gastroenteritis?

Yes, Sulpir can be used to help reduce the symptoms of gastroenteritis such as nausea, vomiting, stomach pain, and diarrhea.

Is Sulpir safe to use in liver disease or kidney disease?

Sulpir should be used with caution in patients with liver or kidney disease, as it may aggravate certain symptoms or cause problems with the elimination of the medication from the body.

Can Sulpir be used to treat seizures?

No, Sulpir is not recommended to be used to treat seizures.

Can Sulpir be used to treat migraine headaches?

No, Sulpir is not recommended to be used to treat migraine headaches.

Does Sulpir cause drowsiness?

Yes, Sulpir can cause drowsiness, so caution should be taken when operating machinery or driving.

Can Sulpir be used to treat IBS-C?

Yes, Sulpir has been shown to be effective in reducing the symptoms of irritable bowel syndrome with constipation (IBS-C).

Can Sulpir be used to treat IBS-D?

Yes, Sulpir has been shown to be effective in reducing the symptoms of irritable bowel syndrome with diarrhea (IBS-D).

Does Sulpir cause insomnia?

Sulpir may cause insomnia in some patients, although this is not a common side effect.

Can Sulpir be used to treat gastroparesis?

Yes, Sulpir has been shown to be effective in reducing the symptoms of gastroparesis.

Can Sulpir be used to treat ulcers?

Sulpir can help to reduce the symptoms of peptic ulcers, but it is not recommended to be used as the sole treatment for ulcers.

Does Sulpir cause withdrawal symptoms?

Sulpir does not usually cause withdrawal symptoms when treatment is stopped.