Mogit Uses

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What is Mogit?

Mogit increases the rate at which your esophagus, stomach, and intestines move during digestion. It also increases the rate at which your stomach empties into your intestines and increases the strength of your lower esophageal sphincter (the muscle between your stomach and your esophagus).

Mogit is used to treat gastric reflux (the regurgitation of stomach acid into the esophagus), which is usually experienced as heartburn.

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

Mogit indications

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The symptomatic management of gastrointestinal motility disorders including: gastroesophageal reflux disease; gastroparesis, idiopathic or associated with diabetic neuropathy; and intestinal pseudo-obstruction. Also for the prophylaxis o gastroesophageal reflux disease.

Uses of Mogit in details

Mogit is used in adults in the treatment of night-time heartburn that occurs when stomach contents reflux in to the food pipe (gastro esophageal reflux disease [GERD]).

Mogit description

In many countries (including Canada) Mogit has been either withdrawn or has had its indications limited due to reports about long QT syndrome due to Mogit, which predisposes to arrhythmias. The FDA issued a warning letter regarding this risk to health care professionals and patients.

Mogit dosage

Usual Adult Dose for Gastroesophageal Reflux Disease:

10 mg orally 4 times a day 15 minutes before meals and at bedtime.

May be increased to 20 mg per dose if necessary.

Usual Adult Dose for Gastroparesis:

10 mg orally 4 times a day 15 minutes before meals and at bedtime.

May be increased to 20 mg per dose if necessary.

Usual Adult Dose for Dyspepsia:

5 mg orally 3 times a day 15 minutes before meals.

May be increased to 10 mg per dose if necessary.

Usual Pediatric Dose for Gastroesophageal Reflux Disease:

>1 year: 0.2 to 0.3 mg/kg/dose orally 3 to 4 times a day.

Maximum: 10 mg per dose.

Mogit interactions

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What other drugs will affect Mogit?

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Mogit is metabolized mainly via the cytochrome P450 3A4 enzyme. In some cases where serious ventricular arrhythmias, QT prolongation, and torsades de pointes have occurred when Mogit was taken in conjunction with one of the cytochrome P450 3A4 inhibitors, elevated blood Mogit levels were noted at the time of the QT prolongation

Antibiotics: In vitro and/or in vivo data show that clarithromycin, erythromycin, and troleandomycin markedly inhibit the metabolism of Mogit, which can result in an increase in plasma Mogit levels and prolongation of the QT interval on the ECG

Anticholinergics: Concurrent administration of certain anticholinergic compounds, such as belladonna alkaloids and dicyclomine, would be expected to compromise the beneficial effects of Mogit

Anticoagulants (Oral): In patients receiving oral anticoagulants, the coagulation times were increased in some cases. It is advisable to check coagulation time within the first few days after the start and discontinuation of Mogit therapy, with an appropriate adjustment of the anticoagulant dose, if necessary

Antidepressants: In vitro data indicate that nefazodone inhibits the metabolism of Mogit, which can result in an increase in plasma Mogit levels and prolongation of the QT interval on the ECG

Antifungals: In vitro and/or in vivo data indicate that fluconazole, itraconazole, and oral ketoconazole markedly inhibit the metabolism of Mogit, which can result in an increase in plasma Mogit levels and prolongation of the QT interval on the ECG. Human pharmacokinetic data indicate that oral ketoconazole markedly inhibits the metabolism of Mogit, resulting in a mean eight-fold increase in AUC of Mogit. A study in 14 normal male and female volunteers suggests that coadministration of Mogit and ketoconazole can result in prolongation of the QT interval on the ECG

H2 Receptor Antagonists: Cimetidine coadministration leads to an increased peak plasma concentration and AUC of Mogit, there is no effect on Mogit absorption when it is coadministered with ranitidine. The gastrointestinal absorption of cimetidine and ranitidine is accelerated when they are coadministered with Mogit

Protease Inhibitors: In vitro data indicate that indinavir and ritonavir markedly inhibit the metabolism of Mogit which can result in an increase in plasma Mogit levels and prolongation of the QT interval on the ECG

Other: Coadministration of grapefruit juice with Mogit increases the bioavailability of Mogit and concomitant use should be avoided

Mogit should not be used concomitantly with other drugs known to prolong the QT interval: certain antiarrhythmics, including those of Class IA (such as quinidine and procainamide) and Class III (such as sotalol); tricyclic antidepressants (such as amitriptyline); certain tetracyclic antidepressants (such as maprotiline); certain antipsychotic medications (such as sertindole); astemizole, bepridil, sparfloxacin, and terodiline. The preceding lists of drugs are not comprehensive

The acceleration of gastric emptying by Mogit could affect the rate of absorption of other drugs. Patients receiving narrow therapeutic ratio drugs or other drugs that require careful titration should be followed closely; if plasma levels are being monitored, they should be reassessed.

Mogit side effects

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What are the possible side effects of Mogit?

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may cause extrapyramidal symptoms (usually acute dystonic reactions); these are more common in children and young adults, especially if female, and at daily doses above 500 micrograms/kg. Parkinsonism and tardive dyskinesia have occasionally occurred, usually during prolonged treatment in elderly patients.

Other adverse effects include restlessness, drowsiness, and diarrhoea. Hypotension, hypertension, dizziness, headache, and depression may occur and there are isolated reports of blood disorders, hypersensitivity reactions (rash, bronchospasm), and neuroleptic malignant syndrome. Disorders of cardiac conduction have been reported with intravenous metoclopramide.

it may also

stimulates prolactin secretion and may cause galactorrhoea or related disorders. Transient increases in plasma-aldosterone concentrations have been reported.

Mogit contraindications

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What is the most important information I should know about Mogit?

Serious cardiac arrhythmias including ventricular tachycardia, ventricular fibrillation, torsades de pointes, and QT prolongation have been reported in patients taking Mogit with other drugs that inhibit cytochrome P450 3A4. Some of these events have been fatal. Concomitant oral or intravenous administration of the following drugs with Mogit may lead to elevated Mogit blood levels and is contraindicated. Antibiotics:

Oral or IV erythromycin, clarithromycin (Biaxin), troleandomycin (TAO). Antidepressants: Nefazodone (Serzone). Antifungals:

Oral or IV fluconazole (Diflucan), itraconazole (Sporanox), oral ketoconazole (Nizoral). Protease Inhibitors: Indinavir (Crixivan), ritonavir (Norvir).Mogit is Also Contraindicated for Patients With: History of prolonged electrocardiographic QT intervals or known family history of congenital long QT syndrome; renal failure; history of ventricular arrhythmias, ischemic heart disease, and congestive heart failure; clinically significant bradycardia; uncorrected electrolyte disorders (hypokalemia, hypomagnesemia); respiratory failure; and concomitant medications known to prolong the QT interval and increase the risk of arrhythmia, such as certain antiarrhythmics, certain antipsychotics, certain antidepressants, astemizole, bepridil, sparfloxacin, and terodiline. The preceding lists of drugs are not comprehensive. Mogit should not be used in patients with uncorrected hypokalemia or hypomagnesemia or who might experience rapid reduction of plasma potassium such as those administered potassium-wasting diuretics and/or insulin in acute settings. Mogit should not be used in patients in whom an increase in gastrointestinal motility could be harmful, e.g., in the presence of gastrointestinal hemorrhage, mechanical obstruction, or perforation. Mogit is contraindicated in patients with known sensitivity or intolerance to the drug.



Active ingredient matches for Mogit:

Cisapride


Unit description / dosage (Manufacturer)Price, USD
MOGIT 10MG TABLET 1 strip / 10 tablets each (Tas Med India Pvt Ltd)$ 0.72
MOGIT 20MG TABLET 1 strip / 10 tablets each (Tas Med India Pvt Ltd)$ 0.81
Mogit 20mg Tablet (Tas Med India Pvt Ltd)$ 0.08

List of Mogit substitutes (brand and generic names):

Moten 10 mg
Moten 10 mg x Blister pk
Moten 10mg TAB / 10$ 0.46
Moten 1mg/mL SUSP / 60ml$ 0.40
MOTICARE 10MG TABLET 1 strip / 10 tablets each (Organon (India) Ltd)$ 0.42
Normagut TAB Cisapride 10mg, Methylpolysiloxane 125mg TAB / 10$ 0.46
Normokime 10 mg Tablet (Wander Ltd)$ 0.04
Nupride 10 mg Tablet (East India Pharmaceutical Works Ltd.)$ 0.04
NUPRIDE 10MG TABLET 1 strip / 10 tablets each (East India Pharmaceutical Works Ltd.)$ 0.43
Nupride 10mg Tablet (East India Pharmaceutical Works Ltd.)$ 0.04
Orticid 10 mg Tablet (Ortin Laboratories Ltd)$ 0.04
Peristil 5mg TAB / 10$ 0.22
Peristil 10mg TAB / 10$ 0.42
Peristil 1mg/mL SUSP / 60ml$ 0.35
PERISTIL 10MG TABLET 1 strip / 10 tablets each (Dr Reddy's Laboratories Ltd)$ 0.44
PERISTIL 1MG SUSPENSION 1 bottle / 60 ML suspension each (Dr Reddy's Laboratories Ltd)$ 108.43
PERISTIL 5MG TABLET 1 strip / 10 tablets each (Dr Reddy's Laboratories Ltd)$ 0.22
Peristil 10mg Tablet (Dr Reddy's Laboratories Ltd)$ 0.04
Peristil 1mg Suspension (Dr Reddy's Laboratories Ltd)$ 108.43
Peristil 5mg Tablet (Dr Reddy's Laboratories Ltd)$ 0.02
Suspension; Oral; Cisapride 1 mg / ml (Janssen-Ortho)
Tablet; Oral; Cisapride 10 mg (Janssen-Ortho)
Tablet; Oral; Cisapride 20 mg (Janssen-Ortho)
Tablet; Oral; Cisapride 5 mg (Janssen-Ortho)
Prepulsid 5mg TAB / 10 (Janssen-Ortho)$ 0.31
Prepulsid 10mg TAB / 10 (Janssen-Ortho)$ 0.46
Prepulsid 20mg TAB / 10 (Janssen-Ortho)$ 0.83
Prepulsid 5 mg x 10 Blister x 10 Tablet (Janssen-Ortho)
Prepulsid 5 mg x 300's (Janssen-Ortho)$ 105.00
Prepulsid 1 mg/1 mL x 200 mL x 1's (Janssen-Ortho)$ 38.00
PREPULSID 10MG TABLET 1 strip / 10 tablets each (Janssen-Ortho)$ 1.08
PREPULSID 5MG TABLET 1 strip / 10 tablets each (Janssen-Ortho)$ 0.40
Prepulsid 10mg Tablet (Janssen-Ortho)$ 0.11
Prepulsid 5mg Tablet (Janssen-Ortho)$ 0.04

References

  1. PubChem. "cisapride". https://pubchem.ncbi.nlm.nih.gov/com... (accessed September 17, 2018).
  2. DrugBank. "cisapride". http://www.drugbank.ca/drugs/DB00604 (accessed September 17, 2018).
  3. MeSH. "Serotonin Receptor Agonists". https://www.ncbi.nlm.nih.gov/mesh/68... (accessed September 17, 2018).

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Information checked by Dr. Sachin Kumar, MD Pharmacology

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