Wednesday, October 26, 2016

cysteamine


sis-TEE-a-meen


Commonly used brand name(s)

In the U.S.


  • Cystagon

Available Dosage Forms:


  • Capsule

Therapeutic Class: Renal-Urologic Agent


Uses For cysteamine


Cysteamine is used to prevent damage that may be caused by the buildup of cystine crystals in organs such as the kidneys. cysteamine works by removing the extra cystine from the cells of the body.


Before Using cysteamine


In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For cysteamine, the following should be considered:


Allergies


Tell your doctor if you have ever had any unusual or allergic reaction to cysteamine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.


Pediatric


cysteamine has been tested in children and, in effective doses, has not been shown to cause different side effects or problems than it does in adults.


Geriatric


Many medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults or if they cause different side effects or problems in older people. There is no specific information comparing use of cysteamine in the elderly with use in other age groups.


Pregnancy








Pregnancy CategoryExplanation
All TrimestersCAnimal studies have shown an adverse effect and there are no adequate studies in pregnant women OR no animal studies have been conducted and there are no adequate studies in pregnant women.

Breast Feeding


There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.


Interactions with Medicines


Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.


Interactions with Food/Tobacco/Alcohol


Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.


Other Medical Problems


The presence of other medical problems may affect the use of cysteamine. Make sure you tell your doctor if you have any other medical problems, especially:


  • Blood problems (or a history of) or

  • Convulsions (seizures) or

  • Liver disease—Cysteamine may make these conditions worse

Proper Use of cysteamine


If you vomit your dose of cysteamine within 20 minutes of taking it, take the dose again. However, if you vomit the dose a second time, do not repeat the dose but wait and take your next dose as scheduled. Also, if vomiting occurs more than 20 minutes after you take your dose, do not repeat the dose.


It is important that you follow any special instructions from your doctor, such as taking dietary supplements. These supplements will replace minerals lost through the kidneys.


For children under 6 years of age, the capsule may be opened and the contents of the capsule sprinkled on food or mixed in formula.


Dosing


The dose of cysteamine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of cysteamine. If your dose is different, do not change it unless your doctor tells you to do so.


The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.


  • For oral dosage form (capsules):
    • To prevent buildup of cystine crystals in the kidney:
      • Adults and teenagers—The starting dose must be determined by your doctor. Your doctor may gradually increase your dose.

      • Children—The starting dose is based on body size and must be determined by your doctor. Your doctor may gradually increase your dose.



Missed Dose


If you miss a dose of cysteamine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.


Storage


Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.


Keep out of the reach of children.


Do not keep outdated medicine or medicine no longer needed.


Precautions While Using cysteamine


Your doctor should check your progress at regular visits to make sure that cysteamine is working properly and does not cause unwanted effects.


cysteamine may cause some people to become dizzy or drowsy. Make sure you know how you react to cysteamine before you drive, use machines, or do anything else that could be dangerous if you are dizzy or are not alert.


cysteamine Side Effects


Along with its needed effects, a medicine 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 as soon as possible if any of the following side effects occur:


More common
  • Abdominal pain

  • diarrhea

  • drowsiness

  • fever

  • loss of appetite

  • nausea or vomiting

  • skin rash

Less common
  • Confusion

  • dizziness

  • headache

  • mental depression

  • sore throat

  • trembling

Rare
  • Convulsions (seizures)

  • increased thirst

  • unusual tiredness or weakness

Some side effects 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
  • Breath odor

  • constipation

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.


Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

See also: cysteamine side effects (in more detail)



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More cysteamine resources


  • Cysteamine Side Effects (in more detail)
  • Cysteamine Use in Pregnancy & Breastfeeding
  • Cysteamine Support Group
  • 0 Reviews · Be the first to review/rate this drug


  • cysteamine Concise Consumer Information (Cerner Multum)

  • Cysteamine MedFacts Consumer Leaflet (Wolters Kluwer)

  • Cystagon Prescribing Information (FDA)


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