Zelnorm Treatment Report

Category: Prescription Drugs

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What is Zelnorm?

An example of Zelnorm

Zelnorm is a brand name for the drug tegaserod. It is used for the treatment of irritable bowel syndrome with constipation and chronic idiopathic constipation in women less than 55 years of age in which no alternative therapy exists.

Reported Purpose & Perceived Effectiveness

Reasons and Perceived effectiveness
Perceived Effectiveness
Purpose # of patients # of patients with evaluations
Major
Moderate
Slight
None
Can’t tell
2 1 Efficacy_major
1 0
1 0

See 1 patient currently taking Zelnorm

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Reported Side Effects

Side effects as an overall problem

Severe
0
Moderate
0
Mild
0
None
1

Reported Dosages

  6 mg daily
  1 Number of Patients: 1  

Reported Stop Reasons

Why Patients Stopped Taking Zelnorm (multiple reasons could be selected)
Reason # Patients Percentage of patients
Other 2   Other: 100%

See all 2 patients who’ve stopped taking Zelnorm

Stopped Taking Zelnorm

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more
0
0
0
0

Reported Adherence, Burden & Cost See details from patient evaluations

Adherence

Taking treatment as prescribed

Adherence of Zelnorm

Always
1 100%
Usually
0 0%
Sometimes
0 0%
Never
0 0%

Burden

Difficulty being on treatment

Burden of Zelnorm

Very
0 0%
Somewhat
1 100%
A little
0 0%
Not at all
0 0%

Cost

Paid out of pocket

Cost of Zelnorm

$200+
0 0%
$100-199
0 0%
$50-99
0 0%
$25-49
0 0%
< $25
1 100%

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1 patient evaluation for Zelnorm

Purpose: Bowel irritability (Started Sep 01, 2001)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Jun 01, 2008 12 mg Daily Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways SomewhatSomewhatSomewhatSomewhatSomewhat
Date
Jun 01, 2008
Advice & Tips
It WORKED!!! Too good. Zelnorm was discontinued last year by the FDA for causing heart attacks at a rate of 1:10,000.
Cost
< $25 monthly
  • Icon_thumb_off 0 helpful marks

What is tegaserod?

Tegaserod was withdrawn from the U.S. market on March 30, 2007. This medication may still be used in limited emergency situations.

Tegaserod increases the action of a chemical called serotonin in the intestines. This speeds the movement of stools through the bowels.

Tegaserod is used to treat severe, chronic, irritable bowel syndrome (IBS) in women who have constipation (and not diarrhea) as their main bowel problem.

Tegaserod is also used to treat chronic constipation in patients younger than 55 years old.

Tegaserod may also be used for other purposes not listed in this medication guide.


Precautions

You should not use this medication if you are allergic to tegaserod, or if you have:

  • a history of stroke or heart attack;
  • untreated or uncontrolled angina (chest pain);
  • high blood pressure;
  • high cholesterol or triglycerides;
  • diabetes;
  • depression or anxiety;
  • if you smoke;
  • if you are older than 55 years;
  • if you are overweight; or
  • if you have a history of suicidal thoughts or actions.

Before taking tegaserod, tell your doctor if you are allergic to any drugs, or if you have:

  • diarrhea or if diarrhea is your main symptom of IBS;
  • gallbladder problems;
  • a blockage in your intestines;
  • any other stomach or intestinal disorders;
  • kidney disease; or
  • liver disease.

If you have any of these conditions, you may need a dose adjustment or special tests to safely use tegaserod.

FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.

It is not known whether tegaserod passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Tegaserod has not been shown to be helpful for men with irritable bowel syndrome.

Follow your doctor’s instructions about any restrictions on food, beverages, or activity while you are using tegaserod.

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Instructions

Seek emergency medical attention if you think you have used too much of this medicine.

Overdose symptoms may include diarrhea, stomach pain, nausea, and vomiting.

If you miss a dose or forget to take your medicine, wait until it is time for your next dose and skip the missed dose. Do not take extra medicine to make up the missed dose.

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Side Effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop taking tegaserod and call your doctor at once if you have a serious side effect such as:

  • new or worsening stomach pain;
  • blood in your stools;
  • ongoing diarrhea;
  • severe stomach pain or cramps; or
  • feeling like you might pass out.

Less serious side effects may include:

  • headache, dizziness or migraine;
  • back pain or joint pain; or
  • mild stomach pain, nausea or gas.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

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Interactions

Other drugs may interact with tegaserod. Talk your doctor and pharmacist before taking any prescription or over-the-counter medicines, including herbal products.

Other Names

Zelnorm and tegaserod

Available Strengths & Dosages


Route Form Strength
oral tablet 6 mg
oral tablet 2 mg

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Disclaimer

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2004 Cerner Multum, Inc. Version 2.05. Revision date 8/23/04

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