section name header

Pronunciation ⬇

a-LOW-se-tron

Classifications ⬆ ⬇

Therapeutic Classification: anti irritable bowel syndrome agents

Pharmacologic Classification: five ht3 antagonists

Indications ⬆ ⬇

REMS


Action ⬆ ⬇

  • 5-HT3 receptors are nonselective cation channels responsible for regulation of visceral pain, colonic transit, and GI secretions. Alosetron inhibits the activation of these channels.
Therapeutic effects:
  • Increased colonic transit time without affecting orocecal transit time, resulting in decreased pain/discomfort and diarrhea associated with IBS.

Pharmacokinetics ⬆ ⬇

Absorption: 50–60% absorbed following oral administration.

Distribution: Widely distributed to tissues.

Metabolism/Excretion: Extensively metabolized by the liver; 13% excreted unchanged in urine.

Half-Life: 1.5 hr.

Time/Action Profile ⬆ ⬇

(pain/discomfort, diarrhea)

ROUTEONSETPEAKDURATION
POwithin 1–2 wkup to 6 wk1 wk‡

‡Following discontinuation.

Contraind./Precautions ⬆ ⬇

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects ⬆ ⬇

GI:

constipation

, abdominal discomfort, abdominal distention, ACUTE ISCHEMIC COLITIS , flatulence, nausea, GI viral infections, hemorrhoids, regurgitation or reflux, TOXIC MEGACOLON

Interactions ⬆ ⬇

Drug-drug:

Route/Dosage ⬆ ⬇

Availability ⬆ ⬇

(Generic available)

Assessment ⬆ ⬇

Implementation ⬆ ⬇

Patient/Family Teaching ⬆ ⬇

Evaluation/Desired Outcomes ⬆ ⬇

US Brand Names ⬆ ⬇

Lotronex

Code ⬆

NDC Code