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Bisacodyl
Bisacodyl is a stimulant laxative used to treat constipation and prepare the bowel for medical procedures.
Applications:
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Relieves occasional constipation.
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Used for bowel cleansing before colonoscopy or surgery.
Side Effects:
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Common: abdominal cramps, diarrhea, nausea.
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Serious (rare): electrolyte imbalance, dehydration with prolonged use.
Br120.00
Bisacodyl
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Fosaprepitant
Fosaprepitant is an antiemetic used to prevent nausea and vomiting caused by chemotherapy.
Applications:
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Prevents acute and delayed nausea/vomiting from highly emetogenic chemotherapy.
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Often used in combination with other antiemetics (like dexamethasone and a 5-HT3 antagonist).
Side Effects:
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Common: fatigue, headache, hiccups, and constipation.
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Serious (rare): infusion site reactions, allergic reactions, liver enzyme elevation.
Brands: Emend (IV).
Br120.00
Fosaprepitant
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Aprepitant
Applications:
Chemotherapy-Induced Nausea/Vomiting (CINV): Prevents acute/delayed nausea from highly emetogenic chemo (e.g., cisplatin).
Moderately Emetogenic Chemo: Used with dexamethasone + 5-HT3 blockers (e.g., ondansetron).
Postoperative Nausea/Vomiting (PONV): Alternative for high-risk surgeries (less common).Side Effects:
Common: Fatigue, hiccups, constipation, headache, loss of appetite.
Serious (Rare):-
Liver toxicity (elevated LFTs).
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Hypersensitivity (rash, anaphylaxis).
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Drug interactions (CYP3A4 inhibitor—affects warfarin, birth control, some chemo drugs).
Note: Avoid with pimozide (QT prolongation risk). IV form (fosaprepitant) available.
Br120.00
Aprepitant
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Simethicone + Algerines citrate
Applications:
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Bloating & Gas Relief:
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Simethicone: Breaks down gas bubbles in the gut (anti-foaming agent).
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Alverine Citrate: Relieves intestinal spasms (smooth muscle relaxant).
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Irritable Bowel Syndrome (IBS): Reduces cramping, distension, and discomfort.
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Functional GI Disorders: Eases symptoms of dyspepsia or diverticular disease.
Side Effects:
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Simethicone: Generally side-effect-free (not absorbed systemically).
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Alverine Citrate:
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Mild: Dizziness, nausea, headache.
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Rare: Allergic reactions (rash, itching).
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Br120.00
Simethicone + Algerines citrate
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Mebeverine
Applications:
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Irritable Bowel Syndrome (IBS): Relieves abdominal pain, bloating, and cramps.
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Functional GI Disorders: Manages spasms in conditions like diverticulitis.
Side Effects:
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Common: Mild dizziness, headache, nausea.
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Rare:
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Allergic reactions (rash, itching).
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Constipation or diarrhea.
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Br120.00
Mebeverine
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Hyoscine/Scopolamine Butyl bromide
Applications:
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GI Spasms: Treats irritable bowel syndrome (IBS), diverticulitis, and abdominal cramps.
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Biliary/Urinary Colic: Relieves pain from gallstones or kidney stones.
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Endoscopic Procedures: Reduces intestinal motility during colonoscopy.
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Menstrual Cramps: Eases dysmenorrhea (off-label use).
Side Effects:
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Common: Dry mouth, dizziness, blurred vision (mild anticholinergic effects).
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Serious (Rare):
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Tachycardia (fast heart rate).
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Urinary retention (especially in elderly men with prostate issues).
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Allergic reactions (rash, anaphylaxis).
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Br120.00
Hyoscine/Scopolamine Butyl bromide
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Darifenacin
Applications:
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Overactive Bladder (OAB): Treats frequent urination, urgency, and incontinence.
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Neurogenic Detrusor Overactivity: Manages bladder control issues in neurological conditions (e.g., MS, spinal cord injury).
Side Effects:
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Common: Dry mouth, constipation, blurred vision, dizziness.
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Serious (Rare):
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Severe allergic reactions (rash, swelling).
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Worsening glaucoma (caution in patients with eye conditions).
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Urinary retention (in men with prostate enlargement).
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Br120.00
Darifenacin
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Omeprazole + Sodium Bicarbonate
Omeprazole + Sodium Bicarbonate is a combination used primarily for the treatment of gastroesophageal reflux disease (GERD), acid reflux, and peptic ulcers, similar to sucralfate, but it works differently.
Applications:
- Treats GERD, heartburn, and acid reflux.
- Helps heal and prevent ulcers by reducing stomach acid production.
- Used to manage Zollinger-Ellison syndrome, where excess acid is produced.
Side Effects:
- Common: headache, nausea, diarrhea, and abdominal pain.
- Rare but serious: severe allergic reactions, kidney problems, and bone fractures with long-term use.
- Prolonged use can lead to vitamin B12 deficiency and low magnesium levels.
Unlike sucralfate, which forms a protective layer over ulcers, omeprazole with sodium bicarbonate works by reducing stomach acid to help heal and prevent damage.
Br120.00
Omeprazole + Sodium Bicarbonate
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