Has your doctor prescribed you a medicine called Colesevelam to lower your cholesterol or control your diabetes? It may sound a little unfamiliar because it comes in a powder form. But don't worry, it's very easy to use. Let's talk about this medicine clearly and simply.
What is this medicine (Colesevelam)? What is it used for?
Simply put, Colesevelam is a medication that is mainly used to lower high cholesterol levels in the body. It can be used in both adults and children.
In addition, this medicine also helps control blood sugar levels in adults with Type 2 Diabetes.
The most important thing is that this medicine does not work alone. To get good results, it must be used in conjunction with a proper diet and exercise .
Things you need to tell your doctor before using the medicine
It is very important that your doctor has a complete picture of your health. Therefore, before you use Colesevelam, be sure to tell your doctor if you have any of the following conditions:
- If you have a history of constipation or bowel obstruction.
- If your blood triglyceride levels are very high.
- If you have pancreatitis due to high triglyceride levels.
- If you have a condition called Phenylketonuria (PKU).
- If you are pregnant or trying to get pregnant.
- If you are a breastfeeding mother.
- If you have allergies to colesevelam or any other medicine, food, or dye.
How exactly do you use this medicine?
Since this comes in powder form, it's important to know exactly how to use it.
1. Never put this medicine powder directly into your mouth. That is, do not drink it in dry form.
2. Put the powder from the medicine packet into a glass.
3. Then add 4 to 8 ounces (about 120 - 240 ml) of a liquid such as water, fruit juice, or diet soda.
4. Stir well, dissolve, and drink immediately .
5. Take your medicine every day, exactly as prescribed by your doctor. Do not take more than the prescribed amount.
If you give it to children...
This medicine is sometimes prescribed for children over 10 years of age, but only in special cases and with special precautions. Therefore, if you are giving this medicine to your child, talk to your pediatrician about it and get advice.
What to do if you overdose?
If you think you have taken more than the prescribed dose, immediately call the National Poisons Information Centre at the Colombo National Hospital . Or go to the Emergency Treatment Unit (ETU) of the nearest hospital.
What if I miss a dose of medication?
If you forget to take a dose, take it as soon as you remember with your next meal. 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.
Other medications that may interact with this medicine (Interactions)
Some medications you take may interact with Colesevelam, so tell your doctor about all the medications you take (including vitamins and herbal remedies).
| Drug type / category | Examples |
|---|---|
| Birth control pills | (Birth control pills) |
| Medicine for diabetes | Insulin, Metformin, Glimepiride, Glipizide, Glyburide |
| Hormones that do not prevent pregnancy | Thyroid hormones |
| Medicine for epilepsy/ seizures | Carbamazepine, Phenobarbital, Phenytoin |
| Other medications | Cyclosporine, Warfarin, Verapamil, Olmesartan, Vitamins |
Things to keep in mind when using the medicine
- Regular check-ups: Visit your doctor on scheduled days to check your progress. Then, your blood sugar levels, cholesterol levels, etc. can be checked.
- Lifestyle: Remember, this medication is only one part of your cholesterol or diabetes management program. A healthy diet , regular exercise , and avoiding smoking and alcohol are also essential.
- Prevent constipation: This medicine may cause constipation in some people. To prevent this , drink plenty of water and eat more fiber-rich foods. If constipation persists, talk to your doctor.
- Folic Acid: This medication may slightly decrease the body's folic acid levels. So talk to your doctor or nutritionist about adding foods rich in folic acid to your diet.
What are the possible side effects?
Like all medicines, Colesevelam can cause some side effects. Not everybody gets them.
| Side effects that should be reported to your doctor immediately | |
|---|---|
| 🔴 | Allergic reactions such as skin rash , itching, swelling of the lips, tongue or face |
| 🔴 | Severe stomach pain |
| 🔴 | Bloody or black, tarry stools |
| 🔴 | Difficulty breathing |
| 🔴 | Muscle pain, nausea, vomiting |
| Side effects that usually do not require medical attention (but should be reported to the doctor if they persist) | |
| 🔵 | Heartburn or indigestion |
| 🔵 | Stomach upset |
Take-Home Message
- Never swallow the Colesevelam powder dry. Always dissolve it well in a liquid such as water or fruit juice and drink it immediately.
- This medicine works best with a healthy diet and regular exercise.
- It is very important to inform your doctor about all other medications, vitamins, and herbal products you are taking.
- If you experience any severe side effects, such as severe stomach cramps or black stools, seek medical advice immediately.
- Don't miss your doctor's appointments to monitor your progress.
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