INTRODUCTION

C2WIN 1MG contains Prucalopride which belongs to the group of medicines called Gastrointestinal prokinetics. It is used to treat long standing/chronic constipation in adults in whom conventional medicines used to treat constipation (laxatives) are ineffective. Constipation is a condition that occurs when bowel movements become less frequent, and stools become difficult to pass which generally occurs due to changes in diet or inadequate intake of fibre food. It is characterized by symptoms such as hard, dry, or lumpy stools that are painful or difficult to pass; or having a feeling that stool has not passed at all.

Prucalopride is a gastrointestinal prokinetic agent that works by activating certain receptors in the intestinal walls that cause contractions in the walls resulting in increased frequency of passing stools in the constipated individuals, thereby providing relief from constipation.

C2WIN 1MG is not recommended for use in patients undergoing renal dialysis. It is also not recommended for use in patients suffering from perforation/obstruction of the gut wall, severe inflammation of the intestinal tract (such as crohn’s disease, ulcerative colitis or toxic megacolon/megarectum) and in patients who had recent bowel surgery. It should be used with caution in patients with heart disease, serious lung disease, severe kidney or liver disease.

C2WIN 1MG is not recommended for use in pregnant and breastfeeding women. It is also not recommended for use in children and adolescents (below 18 years of age). The common side effects associated with the use of C2WIN 1MG are headache, nausea, diarrhoea, abdominal pain, decreased appetite, dizziness, and vomiting. Contact your doctor or nearby hospital if any of the condition worsens.

USES OF C2WIN 1MG

• Treats chronic constipation in adults

HOW C2WIN 1MG WORKS

C2WIN 1MG helps in relieving constipation, where prucalopride works by activating certain receptors in the intestinal walls causing contractions which results in increased frequency of passing stools in constipated individuals, thereby providing relief from constipation.

DIRECTIONS FOR USE

Take C2WIN 1MG as advised by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and severity of the condition.

SIDE EFFECTS OF C2WIN 1MG

HOW TO MANAGE SIDE EFFECTS

Diarrhoea:

Drink lots of fluids, such as water to keep yourself hydrated. Try to avoid taking any medicine on your own to treat diarrhoea and consult your doctor if the symptom gets worse.

Nausea or vomiting:

Try to take C2WIN 1MG with or just after a meal or a snack. Stick to simple meals. Avoid eating rich or spicy food. Consult your doctor if the symptom gets worse.

Decreased appetite:

Eat when you feel hungry. Eat smaller meals frequently than usual. Snack only when you're hungry. Eat a nutritious snack which is rich in calories and protein, such as dried fruit and nuts. Consult your doctor if the symptom gets worse.

Headache:

Take rest and drink plenty of water. Avoid taking alcohol and skipping meals. Do not strain your eyes by watching screen for long time. Consult your doctor if the condition persists for long or gets worsened.

Dizziness:

Lie down until dizziness passes away and get up slowly. Do not bend down suddenly. Get a lot of rest. Walk slowly and carefully. Take plenty of fluids. Avoid drinking alcohol or smoking. Consult your doctor if the condition persists for long or gets worsened.

WARNING & PRECAUTIONS

INTERACTIONS

A. Drug-Drug Interactions

Before taking C2WIN 1MG, inform your doctor, if you are taking any of the following medicines:

• medicines used to treat fungal infections Ex. ketoconazole
• medicines used to treat bacterial infections Ex. erythromycin
• atropine (used to treat symptoms of low heart rate)
• warfarin (medicine used for preventing blood clots)
• digoxin (medicine used to treat heart failure and abnormal heart rhythms)
• paroxetine (medicine used to treat depression, panic attacks, obsessive-compulsive disorder, anxiety disorders, and post-traumatic stress disorder)
• oral contraceptives such as ethinyl estradiol, norethindrone (used to prevent pregnancy)

Overdosage:

If you or anyone else accidentally takes too much of C2WIN 1MG, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose are diarrhoea, headache and nausea.

SYNOPSIS

MORE INFORMATION

• Keep the medicine out of reach in children
• Store C2WIN 1MG at room temperature

FAQs ABOUT C2WIN 1MG

What is C2WIN 1MG used for?

C2WIN 1MG is used to treat chronic/long standing constipation in adults in whom other laxatives are ineffective. Constipation is a condition that occurs when bowel movements become less frequent, and stools become difficult to pass which generally occurs due to changes in diet or inadequate intake of fibre food. Consult your doctor before taking this medicine.

What happens if you take more C2WIN 1MG than your required dose?

If you or anyone else accidentally takes too much of C2WIN 1MG, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose are diarrhoea, headache and/or nausea.

What side effects are seen with C2WIN 1MG?

The common side effects associated with the use of C2WIN 1MG are headache, nausea, diarrhoea, abdominal pain, decreased appetite, dizziness, and vomiting. Contact your doctor or visit the nearby hospital if any of the condition worsens.

Who should avoid taking C2WIN 1MG?

C2WIN 1MG is not recommended for use in patients undergoing renal dialysis and in patients suffering from perforation or obstruction of the gut wall, or severe inflammation of the intestinal tract such as crohn’s disease, ulcerative colitis or toxic megacolon/megarectum and who had recent bowel surgery. It is not indicated for use in pregnant and breastfeeding women. It is also not recommended for use in children and adolescents (below 18 years of age).

Is C2WIN 1MG safe to use in children or elderly patients?

C2WIN 1MG is not recommended for use in children and adolescents (below 18 years). It should be used cautiously in elderly patients (above 65 years of age). Consult your doctor before taking C2WIN 1MG.

How does C2WIN 1MG work?

C2WIN 1MG helps in relieving constipation, where prucalopride which is a gastrointestinal prokinetic that works by activating certain receptors in intestinal walls, causing contractions in the intestinal walls, thereby increasing the frequency of passing stools in constipated individuals.

Can I drive or use heavy machinery after taking C2WIN 1MG?

Do not drive or operate heavy machines if you feel dizziness or tiredness after taking C2WIN 1MG due to safety concerns. Consult your doctor before taking this medicine.

How to take C2WIN 1MG?

Take C2WIN 1MG as advised by your physician. It can be taken with or without food, at any time of the day. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and severity of the condition.

What if I forget to take a dose of C2WIN 1MG ?

You should take C2WIN 1MG immediately when you remember. If it is time for your next dose skip the missed dose and follow your regular dose schedule. Do not double the dose to match up your missed dose.

When to stop taking C2WIN 1MG ?

Do not stop taking C2WIN 1MG without discussing with your doctor. If you stop taking C2WIN 1MG without the doctor’s recommendation, constipation may recur and affects the regular bowel habits.

REFERENCES

1. KD. Tripathi. Drugs for Constipation and Diarrhea. Essentials of medical pharmacology. Seventh edition. 2013. Page – 675.

2. Anam Omer, Eamonn M.M. Quigley. An update on prucalopride in the treatment of chronic constipation. NIH National Library of Medicine. National Centre for Biotechnology Information. PMC PubMed Central. October 2017. [Assessed on 12th July 2022] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5673021/#:~:text=Constipation%20may%20complicate%20several%20neurological,improving%20frequency%20of%20bowel%20movements

3. Movetis. Efficacy and Safety Study of Prucalopride for the Treatment of Chronic Constipation. NIH U.S. National Library of Medicine ClinicalTrials.gov. [Revised in April 2013] [Accessed on 12th July 2022] https://clinicaltrials.gov/ct2/show/NCT00483886

4. Sanico NV. Electronic Medicines Compendium (EMC). [Revised in June 2022] [Assessed on 12th July 2022] https://www.medicines.org.uk/emc/files/pil.584.pdf

5. Ortho-McNeil-Janssen Pharmaceuticals, Inc. Resotrans 1 mg and 2 mg tablets. [Revised in August 2021] [Assessed on 12th July 2022] https://www.medsafe.govt.nz/Consumers/cmi/r/resotrans.pdf