Lotronex Side Effects
Generic Name: alosetron
Note: This document contains side effect information about alosetron. Some of the dosage forms listed on this page may not apply to the brand name Lotronex.
Some side effects of Lotronex may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA.
For the Consumer
Applies to alosetron: oral tablet
Along with its needed effects, alosetron (the active ingredient contained in Lotronex) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur while taking alosetron:More common
- Bloody diarrhea
- new or worsening stomach pain or discomfort
- rectal bleeding
- Abdominal or stomach pain, cramping, or burning
- black, tarry stools
- vomiting with or without blood or material that looks like coffee grounds
Get emergency help immediately if any of the following symptoms of overdose occur while taking alosetron:Symptoms of overdose
- Clumsiness, unsteadiness, trembling, or other problems with muscle control or coordination
- convulsions (seizures)
- difficulty breathing
- shakiness and unsteady walk
- withdrawn or socially detached behavior
Some side effects of alosetron may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:Less common
- Bleeding after bowel movement
- full or bloated feeling
- pressure in the stomach
- swelling of abdominal or stomach area
- uncomfortable swelling around rectal area
- skin rash
For Healthcare Professionals
Applies to alosetron: oral tablet
In IBS clinical trials, the incidence of serious complications of constipation in women was approximately 1 per 1,000 patients, but approximately 10% of patients on alosetron (the active ingredient contained in Lotronex) withdrew prematurely because of constipation.
Gastrointestinal side effects have included constipation as the most common side effect. It has been reported in 29% of treated patients versus 6% for placebo. In IBS clinical trials, the cumulative incidence of ischemic colitis in women was 2 per 1,000 patients over 3 months, and 3 per 1,000 patients over 6 months. Other GI side effects have included abdominal discomfort and pain (7 % vs. 4% for placebo), nausea (6% vs. 5% for placebo), GI discomfort and pain (5% vs. 3% for placebo), hemorrhoids (2% to 3%), hemorrhoidal hemorrhage (2% to 3%), diarrhea (2% to 3%), flatulence (1% to 3%), and upper abdominal pain (1% to 3%), abdominal distention (2% vs. 1% for placebo), and regurgitation and reflux (2% vs. 2% for placebo). Postmarketing surveillance side effects have also included ileus, impaction, obstruction, perforation, ulceration, and small bowel mesenteric ischemia.
Nervous system side effects have included infrequent (1 in 100 to 1 in 1,000 patients) reports of hypnagogic effects. Memory effects, tremors, dreams, cognitive function disorders, disturbances of sense of taste, disorders of equilibrium, confusion, sedation, and hypoesthesia have been reported rarely (fewer than 1 in 1,000 patients). Postmarketing reports have included headache.
Cardiovascular side effects have included infrequent (1 in 100 to 1 in 1,000 patients) reports of tachyarrhythmias and rare (fewer than 1 in 1,000 patients) reports of arrhythmias, increased blood pressure and extrasystoles.
Psychiatric side effects have included infrequent (1 in 100 to 1 in 1,000 patients) reports of anxiety and rare (less than 1 in 1,000 patients) reports of depressive disorders.
Hepatic side effects have included reports of ALT elevations greater than 2 fold in 1% of treated patients compared to 1.2% with placebo. Abnormal bilirubin levels and cholecystitis have been reported rarely. A single case of hepatitis has been reported.
Other side effects have included infrequent (1 in 100 to 1 in 1,000 patients) reports of malaise, fatigue, cramps, pain, and temperature regulation disturbances.
Respiratory side effects have included infrequent (1 in 100 to 1 in 1,000 patients) reports of breathing disorders. Viral respiratory infections have been reported rarely (1 in 1,000 patients).
Genitourinary side effects have included infrequent (1 in 100 to 1 in 1,000 patients) reports of urinary frequency and rare (fewer than 1 in 1,000 patients) reports of bladder inflammation, polyuria, diuresis, and sexual function disorders.
Dermatologic side effects have included infrequent (1 in 100 to 1 in 1,000 patients) reports of sweating and urticaria, and rare (fewer than 1 in 1,000 patients) reports of hair loss and alopecia; acne and folliculitis; sweat and sebum disorders; allergic skin reactions; eczema; skin infections; dermatitis and dermatosis; and nail disorders. Postmarketing reports have included rash.
Ocular side effects have included photophobia (less than 0.1%).
Musculoskeletal side effects have rarely included muscle pain, muscle stiffness, tightness and rigidity, and bone and skeletal pain.
Hematologic side effects have been reported rarely. These have included quantitative red cell or hemoglobin defects, hemorrhage, and lymphatic signs and symptoms.
More about Lotronex (alosetron)
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