User:Mr. Ibrahem/Tegaserod

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Mr. Ibrahem/Tegaserod
Clinical data
Trade namesZelnorm, Zelmac
AHFS/Drugs.comMonograph
Pregnancy
category
  • AU: B3
Routes of
administration
By mouth
Legal status
Legal status
  • US: Usage requires authorization from the FDA
Pharmacokinetic data
Bioavailability10%
Protein binding98%
MetabolismStomach and liver
Elimination half-life11 ± 5 hours
ExcretionFecal and Kidney
Identifiers
  • (2E)-2-[(5-Methoxy-1H-indol-3-yl)methylene]-N-pentylhydrazinecarboximidamide
Chemical and physical data
FormulaC16H23N5O
Molar mass301.394 g·mol−1
3D model (JSmol)
  • CCCCCNC(=N)NN=Cc1c[nH]c2ccc(OC)cc12
  • InChI=1S/C16H23N5O/c1-3-4-5-8-18-16(17)21-20-11-12-10-19-15-7-6-13(22-2)9-14(12)15/h6-7,9-11,19H,3-5,8H2,1-2H3,(H3,17,18,21)/b20-11+ checkY
  • Key:IKBKZGMPCYNSLU-RGVLZGJSSA-N checkY
 ☒NcheckY (what is this?)  (verify)

Tegaserod, sold under the brand name Zelnorm among others, is a medication used to treat irritable bowel syndrome with constipation.[1] It is taken by mouth.[1]

Common side effects include headache, abdominal pain, diarrhea, and dizziness.[1] Other side effects may include heart attacks, stroke, and suicide.[1] It is a 5-HT4 activator which stimulates both contraction and increased fluid release by the intestines.[1]

Tegaserod was approved for medical use in the United States in 2002.[1] It was removed from the market in 2007 due to concerns related to the heart but than re-allowed in 2019.[1] In Europe it was refused approval in both 2005 and 2006.[2] In the United States it costs about 360 USD per month as of 2021.[3] It was withdrawn from the market due to commercial reasons in 2022.[4]

References[edit]

  1. ^ a b c d e f g h i j "Tegaserod Monograph for Professionals". Drugs.com. Archived from the original on 28 January 2021. Retrieved 24 September 2021.
  2. ^ "Zelnorm". Archived from the original on 6 October 2018. Retrieved 24 September 2021.
  3. ^ "Zelnorm Prices, Coupons & Savings Tips - GoodRx". GoodRx. Retrieved 24 September 2021.
  4. ^ "Pharmacist's Letter". pharmacist.therapeuticresearch.com. Archived from the original on 8 August 2022. Retrieved 12 January 2023.