Do you also often feel a burning sensation in your chest and a sour taste in your throat? We also call this gastritis. To be precise, this may be due to a condition called `(Gastroesophageal Reflux Disease)` or `(GERD)`. So, a special medicine given for such problems is `(Cisapride)`. But this is not a medicine that is given to everyone and can be easily purchased from the pharmacy. Due to some serious risks involved, doctors only give this to those whose chest inflammation has not subsided despite making lifestyle changes and using other medications. Today, let's talk a little more about `(Cisapride)`.
What kind of medicine is this `(Cisapride)`?
Simply put, `(Cisapride)` is a medication that helps regulate the function of your digestive system to some extent . Specifically, it is used to treat heartburn, a condition caused by acid reflux from the stomach, known as `(GERD)`.
But the most important thing here is that due to some serious side effects (especially those affecting the heart rate) , this medicine is no longer sold openly in pharmacies. After August 2000, this medicine is only available from specially registered doctors. This means that the doctor must be registered with the company that manufactures this medicine and meet the relevant criteria. Otherwise, it is not easy to get it. This should give you an idea of how carefully this medicine should be used.
Doctors may also prescribe this medicine for other conditions, so if you have any questions, ask your doctor or pharmacist.
The common brand name of this medicine is `(Propulsid)`.
What are the things I need to tell the doctor before using this medicine?
Before you start taking Cisapride, there are a few things you should definitely tell your doctor. Don't hide these things, because they could affect your health.
- Do you have an eating disorder ? For example, conditions like `(Anorexia)` (not eating) or `(Bulimia)` (eating and vomiting).
- Do you have heart disease or heart failure ?
- Do you have heart rhythm problems ?
- Do you have heart valve problems ?
- Do you have a history of low calcium, potassium, or magnesium levels ?
- Do you have kidney disease ?
- Do you have liver disease ?
- Do you have a lung disease ?
- Do you have stomach bleeding, blockage, or ulceration ?
- Do you have an allergic reaction to Cisapride, other medications, foods, artificial colors, or preservatives?
- Are you pregnant? Or are you trying to get pregnant?
- Are you a breastfeeding mother?
When you tell your doctor all of these things, he or she can decide exactly whether this medication is right for you or not, and how to give it.
How do I use this medicine exactly?
This medicine should be taken by mouth, with a glass of water. Follow the instructions on the medicine label exactly.
Most importantly: This medicine should be taken on an empty stomach. That is, at least 15 minutes before eating and before going to bed at night .
Do not take more than the doctor tells you to.
If giving this medicine to children: Talk to your pediatrician about it. Special care may be needed.
Overdosage: If you think you have taken too much of this medicine, call a poison control center or emergency room immediately.
Please note: This medicine is for you only. Do not share it with others, even if they have the same symptoms as you.
What do you do if you miss a dose of medicine?
If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take your next dose at the scheduled time. Never take two doses at once.
What other medications may interact with this medicine?
Here's something to be very careful about. Cisapride can cause serious side effects, especially heart rate problems, if taken with other medications. Therefore, it's important to tell your doctor about all the medications you're taking, including vitamins, herbal products, and even painkillers .
There is a list of medications that should not be taken with `(Cisapride).` Some of them are:
- Antiviral drugs for HIV or AIDS
- Some medications for fungal infections (e.g., `(Fluconazole)`, `(Ketoconazole)`, `(Itraconazole)`)
- Some types of `(Antibiotics)` (e.g. `(Clarithromycin)`, `(Erythromycin)`)
- Some medications for depression, anxiety, or other mental illnesses (e.g., Haloperidol, Pimozide)
- Some medications for irregular heartbeats (e.g. Amiodarone, Quinidine, Sotalol)
- Some medicines for cancer (e.g. `(Imatinib)`)
- Grapefruit juice (This is not the grape we eat, it is a special fruit called Grapefruit. This is not common in Sri Lanka, but it is good to know.)
- Other medications that prolong the `QT interval` (that is, affect the electrical pattern of the heartbeat).
This list is not exhaustive, so it's safest to tell your doctor about all the medications you take.
In addition, Cisapride may interact with the following:
- Diuretics (medicines that cause increased urination)
- `(Insulin)`
Tell your doctor if you smoke, drink alcohol, or take other drugs. Some things can interact with your medication.
What other things should I be careful about when taking this medicine?
See your doctor regularly to check on your health. For this medicine to work properly, you will need to make some changes to your lifestyle.
- Reduce the amount of food you eat at one meal.
- When sleeping, keep the head of the bed elevated about 6 to 8 inches. You can use an extra pillow for this.
- Reduce your intake of fatty foods, chocolate, alcohol, smoking, caffeinated drinks like coffee, and carbonated drinks (like soda) . Don't eat too much at night and go to bed early.
Very important: If you feel dizzy, have difficulty breathing, or feel your heartbeat is fast or irregular while taking this medicine, stop taking the medicine immediately and see a doctor.
Do not drink grapefruit juice while taking this medicine. Grapefruit juice may increase the risk of serious side effects from this medicine.
What are the possible side effects of this medicine?
Like all medicines, Cisapride can cause some side effects.
Side effects that should be reported to your doctor or healthcare professional immediately:
- Difficulty breathing
- Swelling or drooping
- Rapid or irregular heartbeat
- Feeling unusually weak or tired
- Vomiting
It is important to seek medical advice quickly as these can be serious.
Side effects that usually do not require medical advice (but should be reported to the doctor if they persist or are bothersome):
- Flatulence or constipation
- Headache (headache)
- Nausea (feeling like vomiting)
- Stomach pain
- Nasal congestion
This list does not include all side effects. If you experience any other unusual symptoms, ask your doctor about them as well.
How should I store these pills?
- Keep it out of the reach of children.
- Store at room temperature (between 15 and 30 degrees Celsius). Protect from light.
- Throw away expired medication.
Finally, a few things to remember
This article only provides a summary of the drug `(Cisapride)`. It does not contain all the information. If you have any questions about this drug, talk to your doctor, pharmacist, or other healthcare provider.
Remember, `(Cisapride)` is a drug that should be used with great care, only on medical advice, and only when all other treatments have failed. The reason for this is that it can cause serious side effects. Therefore, it is very important to follow your doctor's instructions exactly and to tell him about all other medications you are taking. Your safety should come first.
` Cisapride, cisapride, chest inflammation, GERD, gastroesophageal reflux, side effects, medication, drugs
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