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Overview

Levosulpiride

Prescription vs OTC : Prescription by Doctor required

About Levosulpiride

Levosulpiride is prescribed to treat Gastroesophageal Reflux Disease and irritable bowel syndrome. This medicine falls under a class of medication known as antipsychotic (also familiar as neuroleptics or tranquilizers) medicines. It is mainly used for mental disorders such as hallucinations, schizophrenia, bipolar disorder, anxiety disorder, and vertigo.

Recently it has also come to be used in the treatment of premature ejaculation as it is believed to be a cause of both psychological as well as organic shortcomings. On using Levosulpiride the associated side effects that you may suffer from are lightheadedness, insomnia, irregular menstrual periods, fatigue, abdominal pain, drowsiness, lowered sexual desire, rapid or irregular heartbeat.

In certain severe cases you may experience fever, uncontrollable sweating, gynecomastia (a disorder of the endocrine system where there is an enlargement of the male breast size). In the latter case it will be necessary for you to seek medical attention. Before using this medication it is advised that you consult your doctor and tell him/her if you have or are:

  • Pregnant, or are planning to become pregnant.
  • Nursing a baby. In case of absolute necessity of using Levosulpiride, it is advised that breastfeeding be stopped.
  • Taking any prescriptive or over the counter drugs, herbals medications or dietary supplements.
  • Recent surgery or are scheduled for one in the near future.
  • Pheochromocytoma or gastrointestinal perforation.
  • History of cancer-related disease.
  • History of epilepsy or any other kind of seizures.
  • Allergic to any medicine, food or substance.

The dosage of Levosulpiride will be as prescribed by your doctor as per the severity of your condition, your age, gender and overall medical history. But commonly a dose of 25 mg of Levosulpiride is prescribed which needs to be taken three times in a day. Results may start to show within an hour or two of using. In case of drug overdose notify your physician right away.

Also Read: Kuff Q NF Tablet Uses and Side Effects

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Psychiatrist before using this medicine.

    What are the uses of Levosulpiride

    • Gastroesophageal Reflux Disease

      This medicine is used for the treatment of gastroesophagal reflux disease marked by increased irritation of the stomach caused by bile and acid.

    • Irritable Bowel Syndrome (Ibs)

      Levosulpiride is used for the treatment of irritable bowel syndrome marked by persistent stomach pain, flatulence, diarrhea, or constipation.

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Psychiatrist before using this medicine.

    What are the contraindications of Levosulpiride ?

    • Allergy

      This medicine is not recommended for use if you have a known history of allergy to Levosulpiride or any other component present with it.

    • Epilepsy

      This medicine is not recommended for use if you suffer from epilepsy or have a history of convulsions.

    • Bipolar Disorder

      This medicine is not recommended for use in patients suffering from bipolar disorder marked by frequent episodes of anxiety, agitation, depression, hallucinations etc.

    • Pheochromocytoma

      This medicine is not recommended for use in patients having a tumor of the adrenal glands that causes a life threatening rise in blood pressure.

    • Gastrointestinal Perforations

      Levosulpiride is not recommended for use if you have a condition where the food pipe and the gut is bleeding, obstructed, and perforated.

    • Breast Cancer

      This medicine is not recommended for use if you have been diagnosed with breast cancer (malignant mastopathy).

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Psychiatrist before using this medicine.

    What are the side effects of Levosulpiride ?

    • Drowsiness

    • Breast Tenderness

    • Irregular Menstrual Periods

    • Gynecomastia

    • Constipation

    • Abdominal Pain And Cramps

    • Weight Gain

    • Sleeplessness

    • Unusual Tiredness And Weakness

    • Increased Salivation

    • Decrease In Libido

    • Fever

    • Excessive Sweating

    • Change In Heart Rate

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Psychiatrist before using this medicine.

    Key highlights of Levosulpiride

    • How long is the duration of effect?

      The effect of this medicine lasts for an average duration of 5-8 hours upon oral administration.

    • What is the onset of action?

      The effect of this medicine can be observed within 1-2 hours of oral administration.

    • Are there any pregnancy warnings?

      Use of Levosulpiride during pregnancy is not recommended unless absolutely necessary. It is advised to use this medicine only when the benefits outweigh the risks involved.

    • Is it habit forming?

      No habit forming tendencies were reported.

    • Are there any breast-feeding warnings?

      Use of this medicine by breastfeeding women is not recommended. However, if it is absolutely necessary to use this medicine, then breastfeeding should be discontinued. Consult your doctor before using this medicine.

    • Is It safe with alcohol?

      Consumption of alcohol along with this medication is found to be unsafe.

    • Is it safe to drive while on this medicine?

      This medicine may affect the consciousness of the patients. Thus driving must be avoided if you are taking this medication.

    • Does this affect kidney function?

      Only limited information is available regarding its use in patients with kidney disease. Kindly consult your doctor before taking this medication.

    • Does this affect liver function?

      Only limited information is available regarding its use in patients with liver disease. Kindly consult your doctor before taking this medication.

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Psychiatrist before using this medicine.

    What are the dosage instructions?

    • Are there any missed dose instructions?

      Take the missed dose as soon as you remember. If it is almost time for the next scheduled dose, then the missed dose can be skipped.

    • Are there any overdose instructions?

      Contact a doctor if an overdose with Levosulpiride is suspected. Symptoms of an overdose may include excessive drowsiness, fall in blood pressure, agitation, coma etc.

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Psychiatrist before using this medicine.

    Where is the Levosulpiride approved?

    • India

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Psychiatrist before using this medicine.

    Medicines containing Levosulpiride

    Below is the list of medicines, which contains Levosulpiride as ingredient

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Psychiatrist before using this medicine.

    How does this medication work?

    This medicine works by selectively binding to dopamine receptors in the brain and the periphery. This action results in an increased tone of muscles in the gastrointestinal tract.

      Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Psychiatrist before using this medicine.

      What are the interactions of Levosulpiride ?

      Whenever you take more than one medicine, or mix it with certain foods or beverages, you"re at risk of a drug interaction.

        test
      • Interaction with Alcohol

        Avoid or limit the uptake of alcohol while taking this medicine as the risk of adverse effects are increasingly high. Contact your doctor if an excess of drowsiness is experienced.
      • Interaction with Lab Test

        Prolactin test

        Report the use of this medicine before undergoing a laboratory test to determine the levels of the hormone prolactin in the body. This medicine can interfere with the test and yield false positive results.
      • Interaction with Medicine

        Diltiazem

        Report the use of diltiazem or any other medicine taking for managing high blood pressure to the doctor. These medicines should be used with caution as the risk of adverse effects are increasingly high. Your doctor may determine the best course of treatment after assessing the conditions.

        Pregabalin

        Report the use of either of the medicine to the doctor. You may require a dose adjustment and more frequent monitoring while using these medicines together. Do not stop the use of any medicine without consulting your doctor.

        Sucralfate

        Report the use of either of the medicine to the doctor. You may require a dose adjustment and frequent clinical monitoring while using these medicines together. Do not stop the use of any medicine without consulting your doctor.

        Tramadol

        Report the use of any narcotic pain-killer medicine to the doctor. These medicines should be used with extreme caution as the risk of adverse effects are significantly high. Your doctor may decide the best course of treatment after assessing the conditions.

        Aluminium Hydroxide/Magnesium Hydroxide

        Report the use of any aluminum or magnesium containing antacids to the doctor before receiving this medicine. You may need a dose adjustment and frequent clinical monitoring to safely use these medicines together.

        Ipratropium

        Report the use of either of the medicine to the doctor. You may require a dose adjustment and more frequent monitoring while using these medicines together. Do not stop the use of any medicine without consulting your doctor.

        Cyclosporine

        If concomitantly administered, this medication inhibits the metabolism of cyclosporine and creates its concentration to be over 50 times higher than its normal Cmax.
      • Interaction with Disease

        Heart Diseases

        Levosulpiride should be used with caution in patients suffering from a disease of the heart and blood vessels. You may require an adjusted dose and safety monitoring to safely use this medicine.

        Gastrointestinal Bleeding

        This medicine should be used with extreme caution in patients suffering from perforation and bleeding of the stomach and the intestine. Report any instance of fever with chills, nausea, vomiting, presence of blood in stool to the doctor.

        Prolactin Imbalance

        This medicine should not be used in patients having an abnormal level of the hormone prolactin. Breast cancer due to a high level of prolactin should be ruled out before treatment with this medicine is initiated.

        Neuroleptic Malignant Syndrome (Nms)

        Use of this medicine is not recommended if the patient suffers from Neuroleptic malignant syndrome. Introduction or reintroduction of this medicine should be done with caution in patients having a known history of this syndrome.

        Asthma

        This medicine should be used with caution if you have asthma. Report any instances of difficulty in breathing, wheezing, chest pain etc to the doctor immediately.
      • Interaction with Food

        Information not available.

      FAQs about Levosulpiride

      • Ques : What is Levosulpiride?

        Ans : This medication belongs to a medical group that contains Levo-enantiomer of sulpiride as the main ingredient present. It is used for the treatment of Gastroesophageal reflux disease.

      • Ques : What is the use of Levosulpiride?

        Ans : Levosulpiride is used to treat conditions like Gastroesophageal Reflux Disease and acidity. It is also used for stomach and intestine disorders.

      • Ques : How long do I need to use Levosulpiride before I see improvement in my condition?

        Ans : This medication should be consumed, until the complete eradication of the disease. Thus it is advised to use, till the time directed by your doctor. Also taking this medication longer than it was prescribed, can cause an inadequate effect on the patient's condition. So please consult your doctor.

      • Ques : At what frequency do I need to use Levosulpiride?

        Ans : The duration of the effect of this medicine is dependent on the severity of the patient’s condition. Therefore the frequency of usage of this medication will vary from person to person. It is advised to follow the proper prescription of the doctor, directed according to the patient's condition.

      • Ques : Should I use Levosulpiride empty stomach, before food or after food?

        Ans : This medication is advised to be consumed orally. The salts involved in this medication react properly if it is taken after having food. If you take it on an empty stomach, it might upset the stomach. Please consult the doctor before using it.

      • Ques : What are the instructions for the storage and disposal of Levosulpiride?

        Ans : This medication contains salts which are suitable to store only at room temperature, as keeping this medication above or below that, can cause an inadequate effect. Protect it from moisture and light. Keep this medication away from the reach of children. It is advised to dispose of the expired or unused medication, for avoiding its inadequate effect.

      • Ques : Is Levosulpiride safe?

        Ans : Yes, this drug is safe if used at prescribed doses for the prescribed duration as advised by your doctor.

      • Ques : Is Levosulpiride an antidepressant?

        Ans : No, it is used in the treatment of gastro-oesophageal reflux disease, irritable bowel syndrome, psychosis, dyspepsia.

      • Ques : Levosulpiride belongs to which class of drugs?

        Ans : This medication belongs to a class of medication called atypical antipsychotics. It acts by decreasing the activity of dopamine in the brain.

      • Ques : Does Levosulpiride cause erectile dysfunction?

        Ans : No. patients should follow the advice of the doctor regarding the possible side effects.

      References

      • Levosulpiride- Drug Information Portal [Internet]. druginfo.nlm.nih.gov. 2021 [Cited 25 Nov 2021]. Available from:

        https://druginfo.nlm.nih.gov/drugportal/name/levosulpiride

      • Levosulpiride - DrugBank [Internet]. Drugbank.ca. 2021 [cited 3 December 2021]. Available from:

        https://go.drugbank.com/drugs/DB16021

      • Levosulpiride - PubChem [Internet]. Pubchem.ncbi.nlm.nih.gov. 2021 [cited 03 December 2021]. Available from:

        https://pubchem.ncbi.nlm.nih.gov/compound/688272

      Disclaimer : The information produced here is best of our knowledge and experience and we have tried our best to make it as accurate and up-to-date as possible, but we would like to request that it should not be treated as a substitute for professional advice, diagnosis or treatment.

      Lybrate is a medium to provide our audience with the common information on medicines and does not guarantee its accuracy or exhaustiveness. Even if there is no mention of a warning for any drug or combination, it never means that we are claiming that the drug or combination is safe for consumption without any proper consultation with an expert.

      Lybrate does not take responsibility for any aspect of medicines or treatments. If you have any doubts about your medication, we strongly recommend you to see a doctor immediately.
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      Written ByDrx Hina FirdousPhD (Pharmacology) Pursuing, M.Pharma (Pharmacology), B.Pharma - Certificate in Nutrition and Child CarePharmacology
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      Reviewed ByDr. Garima SharmaMBBS, Master in Healthcare Administration, Diploma in Occupational HealthGeneral Physician
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