Propulsid

(Generic versions may still be available.)

DRUG DESCRIPTION

Propulsid (cisapride removed from us market) tablets and suspension contain cisapride as the monohydrate, which is an oral gastrointestinal agent chemically designated as ()-cis-4-amino-5-chloro-N-[1-[3-(4-fluorophenoxy) propyl]-3-methoxy-4-piperidinyl]-2-methoxybenzamide monohydrate. Its empirical formula is C23H29ClFN3O4ĚH2O. The molecular weight is 483.97.

Cisapride as the monohydrate is a white to slightly beige odorless powder. It is practically insoluble in water, sparingly soluble in methanol, and soluble in acetone. Each 1.04 mg of cisapride as the monohydrate is equivalent to one mg of cisapride.

Propulsid (cisapride removed from us market) is available for oral use in tablets containing cisapride as the monohydrate equivalent to 10 mg or 20 mg of cisapride and as a suspension containing the equivalent of 1 mg/ml of cisapride. The inactive ingredients in the tablets are colloidal silicon dioxide, lactose monohydrate, magnesium stearate, microcrystalline cellulose, polysorbate 20, povidone, and starch (corn). The 20 mg tablets also contain FD&C blue no. 2 aluminum lake. The inactive ingredients in the suspension are hydroxypropyl methylcellulose, methylparaben, microcrystalline cellulose and carboxymethylcellulose sodium, polysorbate 20, propylparaben, sodium chloride, sorbitol, and water. The 1 mg/ml suspension also contains artificial cherry cream flavor and FD&C red no. 40.

What are the possible side effects of cisapride (Propulsid)?

If you experience any of the following serious side effects, stop taking cisapride and seek emergency medical attention or notify your doctor immediately:

  • an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);
  • fainting; or
  • fast or irregular heartbeats.

Other, less serious side effects may be more likely to occur. Continue to take cisapride and talk to your doctor if you experience

  • abdominal pain, nausea, or...

Read All Potential Side Effects and See Pictures of Propulsid


Propulsid Patient Information Including Side Effects

Brand Names: Propulsid

Generic Name: cisapride (oral) (Pronunciation: SISS a pride)

  • What is cisapride (Propulsid)?
  • What are the possible side effects of cisapride (Propulsid)?
  • What is the most important information I should know about cisapride (Propulsid)?
  • What should I discuss with my healthcare provider before taking cisapride (Propulsid)?
  • How should I take cisapride (Propulsid)?
  • What happens if I miss a dose (Propulsid)?
  • What happens if I overdose (Propulsid)?
  • What should I avoid while taking cisapride (Propulsid)?
  • What other drugs will affect cisapride (Propulsid)?
  • Where can I get more information?

What is cisapride (Propulsid)?

Cisapride increases the rate at which your esophagus, stomach, and intestines move during digestion. It also increases the rate at which your stomach empties into your intestines and increases the strength of your lower esophageal sphincter (the muscle between your stomach and your esophagus).

Cisapride is used to treat gastric reflux (the regurgitation of stomach acid into the esophagus), which is usually experienced as heartburn.

Cisapride may also be used for purposes other than those listed in this medication guide.

What are the possible side effects of cisapride (Propulsid)?

If you experience any of the following serious side effects, stop taking cisapride and seek emergency medical attention or notify your doctor immediately:

  • an allergic reaction (difficulty breathing; closing of your throat; swelling of your lips, tongue, or face; or hives);
  • fainting; or
  • fast or irregular heartbeats.

Other, less serious side effects may be more likely to occur. Continue to take cisapride and talk to your doctor if you experience

  • abdominal pain, nausea, or diarrhea; or
  • increased frequency of urination.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What is the most important information I should know about cisapride (Propulsid)?

Do not take cisapride if you have heart disease or hardening of the arteries; heart failure; an irregular heartbeat or a history of irregular heartbeats; a history of prolonged QT intervals; a family history of congenital long QT syndrome; a slow heart rate that is considered a medical condition; a structural heart defect; heart block or other conduction disturbances; severe dehydration (loss of water), vomiting, malnutrition, an eating disorder; or kidney failure. These conditions may increase the risk of irregular heartbeats, heart attack, and death while taking cisapride.

Do not take cisapride with any of the following drugs: antibiotics such as clarithromycin (Biaxin), erythromycin (Ery-Tab, E.E.S., E-Mycin, others), troleandomycin (TAO), and sparfloxacin (Zagam); antidepressants such as amitriptyline (Elavil), maprotiline (Ludiomil), and nefazodone (Serzone); antifungal medications such as fluconazole (Diflucan), itraconazole (Sporanox), and ketoconazole (Nizoral); phenothiazines such as prochlorperazine (Compazine, others) and promethazine (Phenergan, others); antihistamines such as astemizole (Hismanal); blood pressure medications such as bepridil (Vascor); heart medications such as procainamide (Procan SR, Procanbid, Pronestyl) and quinidine (Quinidex, Quinaglute); and HIV medications such as indinavir (Crixivan) and ritonavir (Norvir). Taken with any of these drugs, cisapride may cause irregular heartbeats that could lead to death. This is not a complete list of drugs that may interact with cisapride and cause heart problems. Talk to your doctor or pharmacist before taking any other medications.

Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while you are taking cisapride.

Use other medications cautiously during treatment with cisapride to avoid harming yourself or others. Excessive drowsiness may result if benzodiazepines such as alprazolam (Xanax), diazepam (Valium), chlordiazepoxide (Librium), and temazepam (Restoril) are taken during treatment with cisapride.

Do not consume grapefruit or grapefruit juice while taking cisapride. Grapefruit products may increase amount of cisapride available in your body, which could lead to dangerous side effects.

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