Orpan
Orpan Uses, Dosage, Side Effects, Food Interaction and all others data.
Orpan is dopamine receptor (D2) antagonist which selectively inhibits dopamine at the D2 receptor. It acts principally at receptors in the chemoreceptor trigger zone (CTZ) and also at receptors in the stomach.
Orpan is a specific blocker of dopamine receptors. It speeds gastrointestinal peristalsis, causes prolactin release, and is used as antiemetic and tool in the study of dopaminergic mechanisms.
| Trade Name | Orpan |
| Generic | Domperidone |
| Domperidone Other Names | Domperidona, Domperidone, Domperidonum |
| Weight | 300mg |
| Type | Dsr Capsule, Capsule |
| Formula | C22H24ClN5O2 |
| Weight | Average: 425.911 Monoisotopic: 425.161852744 |
| Protein binding | 91%-93% |
| Groups | Approved, Investigational, Vet approved |
| Therapeutic Class | Motility Stimulants, Motility stimulants/Dopamine antagonist, Prokinetic drugs |
| Manufacturer | Orb Pharma Pvt Ltd, Orbital Healthcare Pvt Ltd, Beximco Pharmaceuticals Ltd |
| Available Country | India, Bangladesh |
| Last Updated: | September 19, 2023 at 7:00 am |
Uses
Stimulation of gut motility in-
- Non-ulcer dyspepsia
- Oesophageal reflux, reflux oesophagitis and gastritis
- Diabetic gastroparesis
- Functional dyspepsia
- Speeding barium transit in follow through radiological studies
Prevention and symptomatic relief of acute nausea and vomiting from any cause including cytotoxic therapy, radiotherapy and antiparkinsonism therapy.
In the prophylactic treatment of migraine.
Orpan is also used to associated treatment for these conditions: Diabetic Gastroparesis, Dyspepsia, Erosive Esophagitis, Gastrointestinal Symptoms, Non-erosive Reflux Esophagitis Disease (NERD), Upper gastrointestinal motility disorders
How Orpan works
Orpan acts as a gastrointestinal emptying (delayed) adjunct and peristaltic stimulant. The gastroprokinetic properties of domperidone are related to its peripheral dopamine receptor blocking properties. Orpan facilitates gastric emptying and decreases small bowel transit time by increasing esophageal and gastric peristalsis and by lowering esophageal sphincter pressure. Antiemetic: The antiemetic properties of domperidone are related to its dopamine receptor blocking activity at both the chemoreceptor trigger zone and at the gastric level. It has strong affinities for the D2 and D3 dopamine receptors, which are found in the chemoreceptor trigger zone, located just outside the blood brain barrier, which - among others - regulates nausea and vomiting
Dosage
Orpan dosage
Adults: 10 - 20 mg every 4 - 8 hours daily
Children: 0.2 - 0.4 mg/kg every 4 - 8 hours daily.
Orpan tablet and suspension should be taken 15 - 30 minutes before a meal. For acute nausea and vomiting, maximum period of treatment is 12 weeks.
Side Effects
Orpan may produce hyperprolactinemia which may cause galactorrhea & breast enlargement, soreness and reduced libido. It may rarely cause dry mouth, thirst, headache, nervousness, drowsiness, diarrhea, skin rash and itching.
Toxicity
Side effects include galactorrhea, gynecomastia, or menstrual irregularities.
Precaution
Orpan should be used with absolute caution in case of children because there may be an increased risk of extra-pyramidal reactions in young children because of an incompletely developed blood brain barrier.
Interaction
Orpan may reduce the hypoprolactinaemic effect of bromocriptine. Anti-muscarinics and opioid analgesics may antagonize the action of Orpan on gastrointestinal function.
Food Interaction
- Take before a meal. Take 15-30 minutes before meals.
Half Life
7 hours
Pregnancy & Breastfeeding use
Use in pregnancy: The safety of this drug has not been established for pregnant women. So it is not recommended during pregnancy.
Use in lactation: Orpan may precipitate galactorrhea and improve postnatal lactation, which is secreted in breast milk but in very small quantities insufficient to be considered harmful.
Contraindication
Orpan is contraindicated to the patients who have hypersensitivity to this drug and in case of neonates.
Acute Overdose
Overdose has been reported primarily in infants and children. Symptoms of overdosage may include disorientation, somnolence and extrapyramidal reactions. There is no specific antidote to domperidone, but in the event of overdose, the administration of activated charcoal may be useful. Anticholinergics, antiparkinson drugs may be useful in controlling extrapyramidal reactions. The patient should be observed closely and supportive measures employed.
Storage Condition
Store in a cool dry place protected from light. Keep out of reach of children.
Innovators Monograph
You find simplified version here Orpan
Orpan contains Domperidone see full prescribing information from innovator Orpan Monograph, Orpan MSDS, Orpan FDA label
FAQ
What is Orpan used for?
Orpan help to stop feeling or being sick like as nausea or vomiting.It can also be used to treat stomach pain if you're having end of life care. Orpan is sometimes used to increase milk supply.
Is Orpan safe to take?
For most people, taking Orpan is safe.If you have heart problems or are taking other medicines, you should first check with your healthcare professional that this medicine is appropriate.
What are the side effects of Orpan?
Common side effects of Orpan are include:
- swelling of the ankles/feet.
- unusual tiredness.
- mental/mood changes (e.g., nervousness, irritability)
- hot flashes.
- breast swelling/pain.
- unusual leakage of milk from the breast.
- changes in menstrual periods.
- decreased sexual ability.
Is Orpansafe during pregnancy?
Orpan is not usually recommended in pregnancy.
Why Orpan is not safe in pregnancy?
Orpan is contraindicated for use in pregnant women and in women suspected of being pregnant, due to teratogenicity observed in reproductive toxicity studies.
Is Orpan safe during breastfeeding?
A very small amount of the Orpan you take can pass into your breast milk, but there is no record of harmful side effects in the baby from the mother taking Orpan.
Can I drink alcohol with Orpan?
It is best to avoid alcohol when taking Orpan. Drinking alcohol can make side effects worse, such as sleepiness or an irregular heartbeat.
How long does Orpan take to work?
Orpan often takes at least three or four days before you notice any effect. It usually takes about two weeks to get a maximum effect, but some find it takes even longer.
Can I take Orpan before bed?
Orpan is best taken 15 to 30 minutes before meals and id necessary at bedtime.
Is Orpan good for acid reflux?
It decreases postprandial reflux time and is therefore used to treat regurgitation and vomiting.
Can I take Orpan after eating?
Orpan is best taken about 15 to 30 minutes before meals, with a glass of water. If you take Orpan after a meal, it will still work, but it may take longer to have an effect.
Is Orpan good for gastritis?
Orpan has a good advantage in the treatment of reflux gastritis and is more effective than conventional treatment.Orpan is a kind of drug to strengthen gastric motility.
What does Orpan do to your body?
Orpan is a medicine that increases the movements or contractions of the stomach and bowel. Orpan is also used to treat nausea and vomiting caused by other drugs used to treat Parkinson's Disease.
Is Orpan safe for kidneys?
Orpan are not significantly renally cleared and can be used in CKD.
Does Orpan help anxiety?
Orpan is used to treat severe anxiety like as emotional state where you may sweat, tremble, feel anxious and have a fast heartbeat or agitation.
Does Orpan raise blood pressure?
Orpan increases blood pressure and heart rate without inducing nocturnal hypertension in apomorphine treated patients with idiopathic Parkinson's disease.
Is Orpan a narcotic?
Orpan is not a controlled substance e.g. sleeping pills, valium, narcotics.
Does Orpan cause depression?
Orpan can cause central nervous system side effects such as fatigue, irritability, or depression.
Can I take Orpan for a long time?
You should usually take Orpan for up to a week.Because Orpan can cause an irregular heartbeat if you take it for longer or at a high dose.
What happens when I stop taking Orpan?
Most women do not experience discomfort when stopping the medication, gradual weaning from the medication will help the mother's milk supply to adjust without frustrating the baby or causing her discomfort. It is very important to stop the Orpan slowly.
