Introduction

Sulvorid is a medication that contains levosulpiride as its active ingredient. Levosulpiride is a dopamine d2 receptor antagonist that is used to treat a variety of gastrointestinal disorders. It works by increasing the motility of the digestive tract, reducing the symptoms of nausea, vomiting, bloating, and abdominal pain.


Uses of sulvorid tablet

Sulvorid, which contains levosulpiride, is used to treat various gastrointestinal disorders, including:

  • Functional dyspepsia: sulvorid is commonly used to treat functional dyspepsia, which is a condition characterized by upper abdominal pain, bloating, nausea, and indigestion.
  • Gastroesophageal reflux disease (gerd): sulvorid is also used to treat gerd, a condition that causes acid reflux and heartburn.
  • Irritable bowel syndrome (ibs): sulvorid may be prescribed to treat ibs, which is a common condition that affects the large intestine and causes symptoms like abdominal pain, bloating, constipation, and diarrhea.
  • Gastroparesis: sulvorid is sometimes used to treat gastroparesis, a condition in which the stomach takes too long to empty its contents, leading to symptoms like nausea, vomiting, and bloating.
  • Other gastrointestinal disorders: sulvorid may also be prescribed to treat other gastrointestinal disorders, such as peptic ulcers and non-ulcer dyspepsia.

Drug interactions

Some common drug interactions of sulvorid include:

  • Central nervous system (cns) depressants: levosulpiride can enhance the effects of cns depressants such as alcohol, sedatives, and tranquilizers, leading to excessive drowsiness, dizziness, and impaired coordination.
  • Antacids: antacids can reduce the absorption of levosulpiride, reducing its effectiveness.
  • Levodopa: levosulpiride can reduce the effectiveness of levodopa, a medication used to treat parkinson's disease.
  • Ketoconazole: ketoconazole can increase the levels of levosulpiride in the blood, leading to increased side effects.
  • Digoxin: levosulpiride can reduce the absorption of digoxin, a medication used to treat heart failure.
  • Metoclopramide: levosulpiride and metoclopramide both work by increasing gastrointestinal motility, and using them together can lead to excessive stimulation of the digestive tract.

Disease interactions

Some common disease interactions of sulvorid include:

  • Parkinson's disease: levosulpiride can reduce the effectiveness of levodopa, a medication used to treat parkinson's disease. Therefore, it should be used with caution in individuals with parkinson's disease.
  • Epilepsy: levosulpiride can lower the seizure threshold and increase the risk of seizures in individuals with epilepsy.
  • Liver disease: levosulpiride is metabolized in the liver, and individuals with liver disease may have reduced liver function, which can affect the metabolism of levosulpiride. Therefore, it should be used with caution in individuals with liver disease.
  • Renal impairment: levosulpiride is excreted by the kidneys, and individuals with renal impairment may have reduced kidney function, which can affect the elimination of levosulpiride from the body. Therefore, it should be used with caution in individuals with renal impairment.
  • Gastrointestinal obstruction: levosulpiride can increase gastrointestinal motility, and in individuals with gastrointestinal obstruction, it can worsen the obstruction.

Food interactions

There are no known food interactions with sulvorid which contains levosulpiride.


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Side effects of sulvorid tablet

The usual side effects of sulvorid include:

  • Drowsiness
  • Dizziness
  • Headache
  • Nausea and vomiting
  • Diarrhea
  • Constipation
  • Dry mouth
  • Increased salivation
  • Breast enlargement in men
  • Irregular menstrual periods

The complicated side effects of sulvorid are rare but can occur. They include:

  • Extrapyramidal symptoms (eps): these are movement disorders that can include muscle stiffness, tremors, restlessness, and involuntary muscle movements.
  • Tardive dyskinesia: this is a rare but potentially irreversible movement disorder that can develop after long-term use of sulvorid.
  • Neuroleptic malignant syndrome (nms): this is a infrequent but likely life-threatening situation that can happen with the utilization of sulvorid. Symptoms can include high fever, muscle rigidity, altered mental status, and autonomic dysfunction.
  • Allergic reactions: rarely, sulvorid can cause allergic reactions that can include skin rashes, itching, hives, swelling of the face, tongue or throat, and difficulty breathing.

Dosage form

Levosulpiride is available in various dosage forms such as tablets, capsules, and injections. The most commonly prescribed form is the tablet, which can be taken orally with water. Levosulpiride tablets are available in different strengths, typically ranging from 25 mg to 75 mg.


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Dosing information

The recommended dosages for common conditions are as follows:

  • Gastroesophageal reflux disease (gerd): the usual adult dosage is 25 mg to 50 mg three times a day, taken before meals.
  • Dyspepsia: the usual adult dosage is 25 mg to 50 mg three times a day, taken before meals.
  • Irritable bowel syndrome (ibs): the usual adult dosage is 25 mg to 50 mg three times a day, taken before meals.
  • Psychiatric disorders: the dosage and duration of treatment vary depending on the condition being treated and the patient's response to therapy. It is recommended to start with a low dose and gradually increase the dosage as necessary.

Packaging

  • For tablets, it is typically packaged in blister packs or plastic bottles. The blister packs are individual pockets of a thin, transparent plastic film that protects the tablets from moisture and light. The plastic bottles usually contain a desiccant to absorb moisture and prevent degradation of the medication.
  • For injections, sulvorid is typically packaged in glass ampules or vials containing sterile solution for injection.

Storage

The following are general guidelines for storage:

  • Tablets and capsules: store in a cool, dry place away from light and moisture. Avoid storing in a bathroom or kitchen where humidity and temperature fluctuations can occur. Keep away the medicine from the reach of the children
  • Injections: store in a refrigerator at a temperature between 2°c to 8°c (36°f to 46°f). Do not freeze the medication. Keep away the medicine from childrens.

Price of sulvorid tablet

  • Sulvorid (levosulpiride) 25mg box of 20 tablets is of 226pkr.
  • Sulvorid (levosulpiride) 50mg box of 20 tablets is of 374pkr.

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