Drug Information
Side Effects > Colesevelam

Colesevelam Side Effects

Brand Names: Welchol

Please note - some side effects for Colesevelam may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA at http://www.fda.gov/medwatch/ or 1-800-FDA-1088 (1-800-332-1088).


Side Effects of Colesevelam - for the Consumer

Colesevelam

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome when using Colesevelam:

Constipation; indigestion; muscle aches; nausea; sore throat; stomach pain or discomfort; weakness.

Seek medical attention right away if any of these SEVERE side effects occur when using Colesevelam:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); choking; difficulty swallowing; severe constipation; severe or persistent dizziness or headache; severe stomach pain with or without nausea and vomiting.

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Side Effects by Body System

Gastrointestinal

Gastrointestinal side effects have included flatulence (12%), constipation (8.7% to 11%), dyspepsia (3.9% to 8%), diarrhea (5%), and nausea (3% to 4%). Bowel obstruction (in patients with a history of bowel obstruction or resection), dysphagia or esophageal obstruction (occasionally requiring medical intervention), fecal impaction, pancreatitis, abdominal distension, exacerbation of hemorrhoids, and increased transaminases have been reported in postmarketing experience.

Immunologic

Immunologic side effects have included infection (10%).

General

In the lipid-lowering trials, 807 patients received at least one dose of colesevelam therapy (total exposure 199 patient-years). In the type 2 diabetes trials, 566 patients received at least one dose of colesevelam therapy (total exposure 209 patient years). In clinical trials for the reduction of LDL-C, 68% of patients receiving colesevelam therapy versus 64% of patients receiving placebo reported an adverse event. In clinical trials of type 2 diabetes, 60% of patients receiving colesevelam therapy versus 56% of patients receiving placebo reported an adverse event.

Respiratory

Respiratory side effects have included nasopharyngitis (4%), pharyngitis (3%), rhinitis (3%), sinusitis (2%), and increased cough (2%).

Musculoskeletal

Musculoskeletal side effects have included myalgia (2%).

Metabolic

Metabolic side effects have included hypoglycemia (3%). Hypertriglyceridemia has been reported in postmarketing experience.

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More resources:

Cerner Multum colesevelam

PDR Colesevelam

MedFacts Colesevelam

Micromedex Colesevelam - Includes detailed dosage instructions.

FDA Welchol

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