Can You Take Pinaverium Bromide with Aluminum Hydroxide, Mebeverine, and Pancrelipase? - Pharmacology

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Irritable Bowel Syndrome (IBS)


Dear pharmacists, I have irritable bowel syndrome and mild superficial ulcers in the duodenum.
My doctor prescribed me Aluminum dihydroxyal, Mebeverine, and Pancrelipase.
Can I take Pinaverium bromide after taking these three medications?

KK, 20~29 year old female. Ask Date: 2006/09/30

Dr. Liao Lingmei reply Pharmacology


Dear KK: Pinaverium bromide and mebeverine are similar medications with comparable active ingredients and effects.
If your pinaverium bromide was also prescribed by a physician, it is likely that it was prescribed by a different doctor.
I recommend that you present all four medications to your physician for reference; they may be able to select the most suitable medication based on your individual symptoms and health conditions.
From a pharmacist's perspective, you can choose either of the two medications mentioned above.
Wishing you health and happiness.

Reply Date: 2006/09/30

More Info


When considering the combination of medications such as Aluminum Hydroxide, Mebeverine, Pancrelipase, and Pinaverium Bromide, it is essential to understand the pharmacological properties and potential interactions of these drugs, especially in the context of your conditions, which include irritable bowel syndrome (IBS) and mild duodenal ulcers.

Aluminum Hydroxide is an antacid that works by neutralizing stomach acid. It is commonly used to relieve symptoms of heartburn, indigestion, and upset stomach. However, it can also bind to other medications, potentially reducing their effectiveness if taken simultaneously. Therefore, it is generally recommended to space out the administration of Aluminum Hydroxide and other medications by at least two hours.

Mebeverine is an antispasmodic agent specifically used to relieve symptoms of IBS. It works by relaxing the muscles in the gut, which can help alleviate cramping and discomfort. Mebeverine does not have significant interactions with other medications, making it a suitable choice for managing IBS symptoms.

Pancrelipase is a pancreatic enzyme replacement therapy used to aid digestion in individuals with pancreatic insufficiency. It helps break down fats, proteins, and carbohydrates, improving nutrient absorption. There are no significant interactions reported between Pancrelipase and the other medications mentioned.

Pinaverium Bromide is another antispasmodic medication that works similarly to Mebeverine. It is used to treat gastrointestinal spasms and is particularly effective in managing symptoms of IBS. Since both Mebeverine and Pinaverium Bromide have similar mechanisms of action, using them together is generally not necessary and could increase the risk of side effects without providing additional therapeutic benefit.

In your case, since you are already taking Mebeverine, it may be advisable to consult with your healthcare provider about the necessity of adding Pinaverium Bromide to your regimen. If both medications are prescribed by different healthcare providers, it is crucial to inform them about all the medications you are taking to avoid unnecessary duplication and potential side effects.

In summary, while there are no direct contraindications to taking Pinaverium Bromide with Aluminum Hydroxide, Mebeverine, and Pancrelipase, it is essential to consider the timing of administration, especially with Aluminum Hydroxide, to avoid interactions. It is always best to discuss any concerns with your healthcare provider, who can provide personalized advice based on your specific health needs and medication regimen. They may suggest monitoring for any potential side effects or adjusting dosages as necessary to ensure optimal management of your conditions.

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