Drug information of Alizapride

Alizapride

Drug group: Antiemetic

Alizapride is a dopamine antagonist that is capable of demonstrating both prokinetic and antiemetic effects. This kind of pharmacological activity makes it effective for use in the treatment of various kinds of nausea and vomiting, including that which may occur postoperatively.

Alizapride

Mechanism of effect

The anti-emetic action of Alizapride is due to its antagonist activity at D2 receptors in the chemoreceptor trigger zone (CTZ) in the central nervous system (CNS)—this action prevents nausea and vomiting triggered by most stimuli. Structurally similar to metoclopramide.

Pharmacodynamic

Alizapride is a dopamine antagonist.

Pharmacokinetics

Absorption: Well absorbed after oral admin.
Route of elimination: renal
Half-life: 3 hours
Excretion: Excreted mainly unchanged in urine.

Drug indications

Nausea/Vomiting - Chemotherapy Induced , Nausea/Vomiting - Postoperative

Dosage

Oral
Nausea and vomiting
Adult: 75-300 mg/day in divided doses.
Child: 5 mg/kg/day.
Parenteral
Nausea and vomiting associated with cancer chemotherapy
Adult: 2-5 mg/kg/day given by IV/IM in 2 divided doses. 1st dose to be administered 30 min before and the next dose 4-8 hr after admin of cytotoxic drug. For highly emetogenic regimens requiring doses >5 mg/kg, dose may be given via IV infusion over 15 min every 2 hr for 5 doses. Start infusion 30 min before admin of cytotoxic drug. Max: 4.5 g/course of chemotherapy.

Drug contraindications

pregnancy , Breast feeding , Pheochromocytoma

Side effects

Diarrhea , Headache , flushing , vertigo , extrapyramidal effects , difficulty urinating , Gynecomastia

Interactions

Butalbital and Acetaminophen , Ramelteon , Rotigotine , Secobarbital , Tolcapone , Quazepam , Cariprazine , Opium , Digoxin , Levodopa , ethotoin

Alerts

It is not advisable to drink alcohol concomitantly with Alizapride.
Alizapride not recommended in patients with epilepsy as the benzamides can lower the seizure threshold.
Alizapride is not recommended for epileptic patients because benzamides may lower theepileptic threshold .
Special Warnings: The duration of treatment should not exceed one week.

Pregnancy level

In the absence of epidemiological studies, alizapride should not be prescribed during pregnancy.

Breast feeding warning

It is not known if alizapride hydrochloride is excreted into human milk and thereforeits use duringlactation is not recommended.

Tags

Nausea/Vomiting - Chemotherapy Induced

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