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Cevimeline HCl 15 mg Capsules

Cevimeline HCl 15 mg Capsules are solid dosage forms composed of two gelatin or vegetarian shells that enclose the medication. This formulation allows for convenient and easy swallowing, providing a precise dosage of the active ingredient.

These capsules are primarily used to treat symptoms associated with Sjögren's syndrome, such as dry mouth, by stimulating saliva production.

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Cevimeline Hydrochloride
Capsules
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Formula Information

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Cevimeline HCl 15 mg Capsules are formulated as solid dosage forms, consisting of two gelatin or vegetarian shells that encapsulate the medication. This design ensures precise dosing of the active ingredient, facilitating convenient and easy swallowing for patients requiring this medication.

Cevimeline hydrochloride is a cholinergic agonist that selectively binds to muscarinic receptors in the body, particularly the M3 receptors located on exocrine glands. By stimulating these receptors, Cevimeline enhances the secretion of saliva and tears, thereby alleviating symptoms associated with dry mouth and dry eyes.

This medication is primarily indicated for the treatment of xerostomia (dry mouth) in patients with Sjögren's syndrome, an autoimmune disorder characterized by the destruction of salivary and lacrimal glands. By increasing salivary flow, Cevimeline helps to improve oral comfort, reduce the risk of dental caries, and enhance overall quality of life for individuals affected by this condition.

The recommended dosage of Cevimeline HCl for adults is typically 15 mg taken orally three times a day. The dosage may be adjusted based on the patient's response and tolerance to the medication. It is important for prescribers to tailor the dosing regimen to each patient's specific needs and medical condition.

Patients are advised to take the capsules with water and can be administered with or without food. Consistent dosing intervals should be maintained to ensure steady therapeutic effects. Patients should be instructed to adhere closely to the prescribed dosing schedule and not to discontinue the medication without consulting their healthcare provider.

Cevimeline may cause side effects, including excessive sweating, nausea, runny nose, diarrhea, and increased urinary frequency. These effects are generally related to its cholinergic activity. Patients should be monitored for signs of overstimulation of muscarinic receptors, and any adverse effects should be reported to a healthcare professional promptly.

Precautions should be taken when prescribing Cevimeline to patients with a history of cardiovascular disease, asthma, chronic obstructive pulmonary disease, or other conditions that may be exacerbated by cholinergic agonists. It is contraindicated in patients with uncontrolled asthma, acute iritis, or narrow-angle glaucoma.

Potential drug interactions may occur with concomitant use of other medications that have cholinergic or anticholinergic properties. Prescribers should review all medications the patient is taking to avoid adverse interactions. Patients should be advised to inform their healthcare provider of all prescription, over-the-counter medications, and supplements they are using.

Capsules should be stored at room temperature, away from moisture and heat, in their original container. Patients should be instructed to keep the medication out of reach of children and to dispose of any expired or unused capsules properly.

For patients using Cevimeline HCl 15 mg Capsules, it is important to maintain regular dental check-ups and practice good oral hygiene to maximize the benefits of increased saliva production. Patients should be encouraged to report any persistent adverse effects or concerns to their healthcare provider.

If you have any questions, please reach out to us.

Drug Interactions

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Cevimeline HCl 15 mg capsules are a solid dosage form designed for convenient and precise administration of the active ingredient, cevimeline hydrochloride. This medication is primarily used to treat symptoms associated with Sjögren's syndrome, a condition characterized by dry mouth and dry eyes due to reduced secretion of saliva and tears. By stimulating muscarinic receptors, cevimeline enhances the secretion of exocrine glands, thereby alleviating these symptoms and improving the quality of life for patients with this autoimmune disorder.

When considering the use of cevimeline HCl 15 mg capsules, it is crucial to be aware of potential drug interactions that may affect the efficacy and safety of the treatment. Cevimeline is metabolized primarily by the liver enzyme CYP2D6, and to a lesser extent by CYP3A4. Therefore, medications that inhibit or induce these enzymes can alter the plasma concentration of cevimeline, potentially leading to suboptimal therapeutic effects or increased risk of adverse reactions.

Patients taking strong CYP2D6 inhibitors, such as fluoxetine, paroxetine, or quinidine, may experience increased levels of cevimeline, which could enhance the risk of side effects like excessive sweating, nausea, or diarrhea. Conversely, CYP2D6 inducers, although less common, could reduce the effectiveness of cevimeline by decreasing its plasma concentration. Similarly, strong CYP3A4 inhibitors, such as ketoconazole or itraconazole, may also elevate cevimeline levels, necessitating careful monitoring and possible dosage adjustments.

Additionally, cevimeline may interact with other medications that have anticholinergic properties, such as certain antihistamines, tricyclic antidepressants, and antipsychotics. These interactions could potentially counteract the therapeutic effects of cevimeline, as anticholinergic drugs tend to reduce secretions, opposing the action of cevimeline. Patients should be advised to inform their healthcare provider of all medications they are currently taking, including over-the-counter drugs and supplements, to ensure safe and effective use of cevimeline.

For prescribers, it is important to assess the patient's complete medication profile and consider potential interactions before initiating cevimeline therapy. Regular monitoring and follow-up appointments can help manage any adverse effects or interactions that may arise during treatment. Adjustments to the dosage or alternative therapies may be necessary based on the patient's response and any concurrent medications.

If you have any questions or require further information regarding the use of cevimeline HCl 15 mg capsules and potential drug interactions, please do not hesitate to reach out to us. Our team of knowledgeable compounding pharmacists at Bayview Pharmacy is here to assist you with any inquiries or concerns you may have.

How Does it Work

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Cevimeline HCl 15 mg capsules are a solid dosage form designed to deliver a precise and consistent dose of the active ingredient, Cevimeline Hydrochloride, to the patient. These capsules are composed of two gelatin or vegetarian shells that encapsulate the medication, ensuring ease of swallowing and convenience for the patient. The encapsulation process not only aids in the administration of the medication but also helps in protecting the active ingredient from environmental factors such as moisture and light, which can potentially degrade the medication.

Cevimeline is a muscarinic agonist that primarily acts on the M3 muscarinic receptors, which are predominantly found in the exocrine glands, such as the salivary and sweat glands. By stimulating these receptors, Cevimeline increases the secretion of saliva and sweat, which is particularly beneficial in treating conditions like Sjögren's syndrome, where patients suffer from dry mouth (xerostomia) due to reduced saliva production. This increase in salivary secretion helps alleviate the discomfort associated with dry mouth, improving oral health and enhancing the patient's quality of life.

For prescribers, it is important to note that Cevimeline HCl is metabolized in the liver and excreted primarily through the kidneys. Therefore, caution should be exercised when prescribing this medication to patients with hepatic or renal impairment. Additionally, due to its mechanism of action, Cevimeline may have parasympathomimetic effects, which could potentially exacerbate conditions such as asthma or chronic obstructive pulmonary disease (COPD). It is crucial to evaluate the patient's overall health condition and medication profile to avoid any adverse interactions or contraindications.

Patients taking Cevimeline HCl 15 mg capsules should be advised to follow the prescribed dosage regimen closely and report any side effects or unusual symptoms to their healthcare provider. Common side effects may include increased sweating, nausea, and rhinitis, which are generally mild and transient. However, if any severe reactions occur, medical attention should be sought immediately.

If you have any questions or require further information about Cevimeline HCl 15 mg capsules, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you with any inquiries or concerns you may have regarding this formulation or its use in treating specific disease states.

Other Uses

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Cevimeline HCl 15 mg capsules, typically used for the treatment of symptoms associated with Sjögren's syndrome, such as dry mouth, may have other potential uses that are being explored in clinical settings. While the primary indication is to stimulate saliva production, the pharmacological action of cevimeline as a muscarinic receptor agonist suggests it could have broader applications. For instance, cevimeline may be considered in the management of other conditions characterized by reduced secretions, such as certain cases of xerostomia not related to Sjögren's syndrome, or potentially in patients who experience dry mouth as a side effect of medications or radiation therapy. Additionally, there is ongoing research into its use for improving symptoms in other autoimmune disorders where glandular function is compromised.

For prescribers, it is important to consider the off-label use of cevimeline HCl 15 mg capsules carefully, weighing the potential benefits against any risks. The precise dosage provided by the capsule form ensures accurate administration, which is crucial when exploring new therapeutic areas. Patients should be monitored for any adverse effects, particularly those related to its cholinergic activity, such as sweating, nausea, or increased urinary frequency. It is also essential to assess the patient's overall medication regimen to avoid potential interactions.

Patients considering the use of cevimeline for conditions other than Sjögren's syndrome should have a thorough discussion with their healthcare provider to understand the potential benefits and risks. They should be informed about the mechanism of action of cevimeline and how it might help alleviate their symptoms. As with any medication, adherence to prescribed dosages and schedules is crucial to achieving the desired therapeutic outcomes while minimizing side effects.

If you have any questions or need further information about the use of cevimeline HCl 15 mg capsules for conditions beyond its primary indication, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide guidance and support for both patients and healthcare providers.

Frequently Asked Questions

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What is Cevimeline HCl 15 mg used for?

Cevimeline HCl 15 mg is primarily used to treat symptoms of dry mouth in patients with Sjögren's syndrome by stimulating saliva production.

How should I take Cevimeline HCl 15 mg capsules?

Take Cevimeline HCl 15 mg capsules orally with a full glass of water. Follow your healthcare provider's instructions regarding dosage and frequency.

Can I take Cevimeline HCl 15 mg with food?

Cevimeline HCl 15 mg can be taken with or without food. However, taking it with food may help reduce any potential stomach upset.

What should I do if I miss a dose of Cevimeline HCl 15 mg?

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not double the dose to catch up.

Are there any side effects associated with Cevimeline HCl 15 mg?

Common side effects may include sweating, nausea, runny nose, and increased urination. If you experience severe side effects, contact your healthcare provider immediately.

Can I take Cevimeline HCl 15 mg if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, consult your healthcare provider before taking Cevimeline HCl 15 mg to ensure it is safe for you and your baby.

How should I store Cevimeline HCl 15 mg capsules?

Store Cevimeline HCl 15 mg capsules at room temperature, away from moisture and heat. Keep the medication out of reach of children and pets.

Can I drink alcohol while taking Cevimeline HCl 15 mg?

It is advisable to avoid alcohol while taking Cevimeline HCl 15 mg, as it may increase the risk of side effects such as dizziness and dehydration.

What should I do in case of an overdose of Cevimeline HCl 15 mg?

In case of an overdose, seek emergency medical attention immediately. Symptoms of overdose may include severe dizziness, confusion, or difficulty breathing.

Is Cevimeline HCl 15 mg suitable for children?

Cevimeline HCl 15 mg is not typically recommended for use in children. Consult a healthcare provider for appropriate treatment options for pediatric patients.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.