Peringatan Keamanan

Overdosage with colestipol has not been reported FDA Label, L6115, F4555, F4567. Regardless, in the case of overdosage, the chief potential harm would be obstruction of the gastrointestinal tract FDA Label, L6115, F4555, F4567. The location of such potential obstruction, the degree of obstruction and the presence or absence of normal gut motility would determine treatment FDA Label, L6115, F4555, F4567.

No clinical data are available on the use of colestipol in pregnant women and during lactation FDA Label, L6115, F4555, F4567. Colestipol does not appear to be absorbed systematically FDA Label, L6115, F4555, F4567. Due to its known interference with absorption of fat-soluble vitamins, the use of colestipol in pregnancy or lactation or by women of childbearing potential requires that the benefits of drug therapy be weighed against the possible hazards to the mother and the child FDA Label, L6115, F4555, F4567.

There are no data on the effect of colestipol on fertility in humans FDA Label, L6115, F4555, F4567.

The use of colestipol in children is limited FDA Label, L6115, F4555, F4567. Clinical trials conducted in children with colestipol ranules have usually employed doses of 5 to 20 g/day FDA Label, L6115, F4555, F4567. The National Cholesterol Education Program (NCEP) Expert Panel recommends drug therapy be considered in children 10 years or older, who have previously undergone an adequate trial of diet therapy but still have unacceptably high serum cholesterol levels FDA Label, L6115, F4555, F4567. In certain situations where a young child has extremely high serum cholesterol levels, drug treatment may even be initiated before 10 years of age FDA Label, L6115, F4555, F4567. If the child is started on drug therapy, a carefully assessed diet therapy should also be continued in order to obtain optimal results FDA Label, L6115, F4555, F4567. However, the safety of using colestipol tablets in patients under the age of 18 years has not been established FDA Label, L6115, F4555, F4567. Furthermore, because bile acid sequestrants like colestipol may interfere with the absorption of fat-soluble vitamins, appropriate monitoring of growth and development is essential if colestipol is used in children FDA Label, L6115, F4555, F4567.

Appropriate studies on the relationship of age to the effects of colestipol have not been performed in the geriatric population FDA Label, L6115, F4555, F4567. However, patients over 60 years of age may be more likely to experience gastrointestinal side effects, as well as adverse nutritional effects FDA Label, L6115, F4555, F4567.

Additionally, it has been determined that the oral LD50 in rats is > 1000 mg/kg MSDS.

Colestipol

DB00375

small molecule approved

Deskripsi

Bile acid sequestrants like colestipol have been in use since the 1970s.FDA Label, F4555, F4567, L6262 And even though such an agent may very well be useful in reducing elevated cholesterol levels and decreasing the risk for atherosclerotic vascular disease due to hypercholesterolemia, colestipol is still generally only employed as an adjunct therapy and the relatively physical nature of its pharmacological activity sometimes limits its usefulness.FDA Label, F4555, F4567, L6262

In particular, as colestipol's general mechanism of action ultimately results in the decreased absorption and enhanced secretion of bile acids and lipids in the feces, patients who take complicated medication regimens, experience constipation or biliary obstruction, etc. may not be good candidates for using the agent owing to its physical effects on the gut.FDA Label, F4555, F4567, L6262

Alternatively, colestipol predominantly elicits its activities within the gut environment because it undergoes little absorption and metabolism.FDA Label, F4555, F4567, L6262 The resultant lack of systemic exposure consequently means the medication generally demonstrates very few adverse effects inside the body.FDA Label, F4555, F4567, L6262

Struktur Molekul 2D

Struktur tidak tersedia

Peta Jejaring Molekuler
Legenda: ObatTargetGenEnzim(Panah → menunjukkan arah efek / relasi)TransporterCarrier

Profil Farmakokinetik

Waktu Paruh (Half-Life) Colestipol is not absorbed into the systemic circulation nor is it hydrolyzed by any digestive enzymes [FDA Label, L6115, F4555, F4567]. Its action is ultimately limited to the lumen of the gastrointestinal tract, where it is eventually passed into the feces [FDA Label, L6115, F4555, F4567].
Volume Distribusi Colestipol is not absorbed into the systemic circulation [FDA Label, L6115, F4555, F4567].
Klirens (Clearance) Colestipol is not absorbed into the systemic circulation [FDA Label, L6115, F4555, F4567].

Absorpsi

Colestipol is hydrophilic, but it is virtually water-insoluble (99.75%) FDA Label, L6115, F4555, F4567. This water insolubility, combined with the high molecular weight polymer in colestipol basically means the agent and the complexes it forms when it binds with bile acids are not absorbed FDA Label, L6115, F4555, F4567. The action of colestipol is ultimately limited to the lumen of the gastrointestinal tract FDA Label, L6115, F4555, F4567. It binds bile acids in the intestinal lumen and causes them to be excreted in the feces together with the polymer FDA Label, L6115, F4555, F4567. When the enterohepatic circulation of bile acids is interrupted, cholesterol conversion to bile acids is enhanced and plasma cholesterol levels are thereby lowered FDA Label, L6115, F4555, F4567.

Metabolisme

Colestipol is not absorbed into the systemic circulation nor is it hydrolyzed by any digestive enzymes FDA Label, L6115, F4555, F4567.

Rute Eliminasi

Colestipol hydrochloride binds bile acids in the intestine forming a complex that is then ultimately excreted in the feces FDA Label, L6115, F4555, F4567. In humans, less than 0.17% of a single 14C-labeled colestipol hydrochloride dose is excreted in the urine when given following 60 days of chronic dosing of 20 grams of colestipol hydrochloride per day FDA Label, F4555. The increased fecal loss of bile acids due to colestipol hydrochloride administration leads to increased oxidation of cholesterol to bile acids FDA Label, F4555.

Interaksi Makanan

2 Data
  • 1. Drink plenty of fluids. The tablet and granule formulations must be taken with plenty of water or other fluids.
  • 2. Take with food.

Interaksi Obat

348 Data
Diltiazem Colestipol can cause a decrease in the absorption of Diltiazem resulting in a reduced serum concentration and potentially a decrease in efficacy.
Amiodarone The excretion of Amiodarone can be increased when combined with Colestipol.
Pravastatin Colestipol can cause a decrease in the absorption of Pravastatin resulting in a reduced serum concentration and potentially a decrease in efficacy.
Lovastatin Colestipol can cause a decrease in the absorption of Lovastatin resulting in a reduced serum concentration and potentially a decrease in efficacy.
Cerivastatin Colestipol can cause a decrease in the absorption of Cerivastatin resulting in a reduced serum concentration and potentially a decrease in efficacy.
Simvastatin Colestipol can cause a decrease in the absorption of Simvastatin resulting in a reduced serum concentration and potentially a decrease in efficacy.
Atorvastatin Colestipol can cause a decrease in the absorption of Atorvastatin resulting in a reduced serum concentration and potentially a decrease in efficacy.
Fluvastatin Colestipol can cause a decrease in the absorption of Fluvastatin resulting in a reduced serum concentration and potentially a decrease in efficacy.
Rosuvastatin Colestipol can cause a decrease in the absorption of Rosuvastatin resulting in a reduced serum concentration and potentially a decrease in efficacy.
Mevastatin Colestipol can cause a decrease in the absorption of Mevastatin resulting in a reduced serum concentration and potentially a decrease in efficacy.
Pitavastatin Colestipol can cause a decrease in the absorption of Pitavastatin resulting in a reduced serum concentration and potentially a decrease in efficacy.
Ursodeoxycholic acid Colestipol can cause a decrease in the absorption of Ursodeoxycholic acid resulting in a reduced serum concentration and potentially a decrease in efficacy.
Glycochenodeoxycholic Acid Colestipol can cause a decrease in the absorption of Glycochenodeoxycholic Acid resulting in a reduced serum concentration and potentially a decrease in efficacy.
Cholic Acid Colestipol can cause a decrease in the absorption of Cholic Acid resulting in a reduced serum concentration and potentially a decrease in efficacy.
Glycocholic acid Colestipol can cause a decrease in the absorption of Glycocholic acid resulting in a reduced serum concentration and potentially a decrease in efficacy.
Deoxycholic acid Colestipol can cause a decrease in the absorption of Deoxycholic acid resulting in a reduced serum concentration and potentially a decrease in efficacy.
Taurocholic acid Colestipol can cause a decrease in the absorption of Taurocholic acid resulting in a reduced serum concentration and potentially a decrease in efficacy.
Chenodeoxycholic acid Colestipol can cause a decrease in the absorption of Chenodeoxycholic acid resulting in a reduced serum concentration and potentially a decrease in efficacy.
Taurochenodeoxycholic acid Colestipol can cause a decrease in the absorption of Taurochenodeoxycholic acid resulting in a reduced serum concentration and potentially a decrease in efficacy.
Tauroursodeoxycholic acid Colestipol can cause a decrease in the absorption of Tauroursodeoxycholic acid resulting in a reduced serum concentration and potentially a decrease in efficacy.
Bamet-UD2 Colestipol can cause a decrease in the absorption of Bamet-UD2 resulting in a reduced serum concentration and potentially a decrease in efficacy.
Dehydrocholic acid Colestipol can cause a decrease in the absorption of Dehydrocholic acid resulting in a reduced serum concentration and potentially a decrease in efficacy.
Hyodeoxycholic Acid Colestipol can cause a decrease in the absorption of Hyodeoxycholic Acid resulting in a reduced serum concentration and potentially a decrease in efficacy.
Deferasirox Colestipol can cause a decrease in the absorption of Deferasirox resulting in a reduced serum concentration and potentially a decrease in efficacy.
Ezetimibe Colestipol can cause a decrease in the absorption of Ezetimibe resulting in a reduced serum concentration and potentially a decrease in efficacy.
Leflunomide Colestipol may increase the excretion rate of Leflunomide which could result in a lower serum level and potentially a reduction in efficacy.
Teriflunomide Colestipol may increase the excretion rate of Teriflunomide which could result in a lower serum level and potentially a reduction in efficacy.
Lomitapide Colestipol can cause a decrease in the absorption of Lomitapide resulting in a reduced serum concentration and potentially a decrease in efficacy.
Methotrexate Colestipol may increase the excretion rate of Methotrexate which could result in a lower serum level and potentially a reduction in efficacy.
Niacin Colestipol can cause a decrease in the absorption of Niacin resulting in a reduced serum concentration and potentially a decrease in efficacy.
Propranolol Colestipol can cause a decrease in the absorption of Propranolol resulting in a reduced serum concentration and potentially a decrease in efficacy.
Raloxifene Colestipol can cause a decrease in the absorption of Raloxifene resulting in a reduced serum concentration and potentially a decrease in efficacy.
Vancomycin The therapeutic efficacy of Vancomycin can be decreased when used in combination with Colestipol.
Mycophenolate mofetil Colestipol can cause a decrease in the absorption of Mycophenolate mofetil resulting in a reduced serum concentration and potentially a decrease in efficacy.
Mycophenolic acid Colestipol can cause a decrease in the absorption of Mycophenolic acid resulting in a reduced serum concentration and potentially a decrease in efficacy.
Acetyldigitoxin Colestipol can cause a decrease in the absorption of Acetyldigitoxin resulting in a reduced serum concentration and potentially a decrease in efficacy.
Deslanoside Colestipol can cause a decrease in the absorption of Deslanoside resulting in a reduced serum concentration and potentially a decrease in efficacy.
Ouabain Colestipol can cause a decrease in the absorption of Ouabain resulting in a reduced serum concentration and potentially a decrease in efficacy.
Digitoxin Colestipol can cause a decrease in the absorption of Digitoxin resulting in a reduced serum concentration and potentially a decrease in efficacy.
Oleandrin Colestipol can cause a decrease in the absorption of Oleandrin resulting in a reduced serum concentration and potentially a decrease in efficacy.
Cymarin Colestipol can cause a decrease in the absorption of Cymarin resulting in a reduced serum concentration and potentially a decrease in efficacy.
Proscillaridin Colestipol can cause a decrease in the absorption of Proscillaridin resulting in a reduced serum concentration and potentially a decrease in efficacy.
Lanatoside C Colestipol can cause a decrease in the absorption of Lanatoside C resulting in a reduced serum concentration and potentially a decrease in efficacy.
Gitoformate Colestipol can cause a decrease in the absorption of Gitoformate resulting in a reduced serum concentration and potentially a decrease in efficacy.
Peruvoside Colestipol can cause a decrease in the absorption of Peruvoside resulting in a reduced serum concentration and potentially a decrease in efficacy.
Desogestrel Colestipol can cause a decrease in the absorption of Desogestrel resulting in a reduced serum concentration and potentially a decrease in efficacy.
Megestrol acetate Colestipol can cause a decrease in the absorption of Megestrol acetate resulting in a reduced serum concentration and potentially a decrease in efficacy.
Levonorgestrel Colestipol can cause a decrease in the absorption of Levonorgestrel resulting in a reduced serum concentration and potentially a decrease in efficacy.
Medroxyprogesterone acetate Colestipol can cause a decrease in the absorption of Medroxyprogesterone acetate resulting in a reduced serum concentration and potentially a decrease in efficacy.
Norethisterone Colestipol can cause a decrease in the absorption of Norethisterone resulting in a reduced serum concentration and potentially a decrease in efficacy.
Estradiol Colestipol can cause a decrease in the absorption of Estradiol resulting in a reduced serum concentration and potentially a decrease in efficacy.
Ethynodiol diacetate Colestipol can cause a decrease in the absorption of Ethynodiol diacetate resulting in a reduced serum concentration and potentially a decrease in efficacy.
Mifepristone Colestipol can cause a decrease in the absorption of Mifepristone resulting in a reduced serum concentration and potentially a decrease in efficacy.
Norgestimate Colestipol can cause a decrease in the absorption of Norgestimate resulting in a reduced serum concentration and potentially a decrease in efficacy.
Ethinylestradiol Colestipol can cause a decrease in the absorption of Ethinylestradiol resulting in a reduced serum concentration and potentially a decrease in efficacy.
Drospirenone Colestipol can cause a decrease in the absorption of Drospirenone resulting in a reduced serum concentration and potentially a decrease in efficacy.
Cyproterone acetate Colestipol can cause a decrease in the absorption of Cyproterone acetate resulting in a reduced serum concentration and potentially a decrease in efficacy.
Gestodene Colestipol can cause a decrease in the absorption of Gestodene resulting in a reduced serum concentration and potentially a decrease in efficacy.
Dienogest Colestipol can cause a decrease in the absorption of Dienogest resulting in a reduced serum concentration and potentially a decrease in efficacy.
Norethynodrel Colestipol can cause a decrease in the absorption of Norethynodrel resulting in a reduced serum concentration and potentially a decrease in efficacy.
Norgestrel Colestipol can cause a decrease in the absorption of Norgestrel resulting in a reduced serum concentration and potentially a decrease in efficacy.
Gestrinone Colestipol can cause a decrease in the absorption of Gestrinone resulting in a reduced serum concentration and potentially a decrease in efficacy.
Lynestrenol Colestipol can cause a decrease in the absorption of Lynestrenol resulting in a reduced serum concentration and potentially a decrease in efficacy.
Ormeloxifene Colestipol can cause a decrease in the absorption of Ormeloxifene resulting in a reduced serum concentration and potentially a decrease in efficacy.
Chlormadinone Colestipol can cause a decrease in the absorption of Chlormadinone resulting in a reduced serum concentration and potentially a decrease in efficacy.
Norgestrienone Colestipol can cause a decrease in the absorption of Norgestrienone resulting in a reduced serum concentration and potentially a decrease in efficacy.
Quingestanol Colestipol can cause a decrease in the absorption of Quingestanol resulting in a reduced serum concentration and potentially a decrease in efficacy.
Demegestone Colestipol can cause a decrease in the absorption of Demegestone resulting in a reduced serum concentration and potentially a decrease in efficacy.
Nomegestrol acetate Colestipol can cause a decrease in the absorption of Nomegestrol acetate resulting in a reduced serum concentration and potentially a decrease in efficacy.
Norethindrone enanthate Colestipol can cause a decrease in the absorption of Norethindrone enanthate resulting in a reduced serum concentration and potentially a decrease in efficacy.
Estetrol Colestipol can cause a decrease in the absorption of Estetrol resulting in a reduced serum concentration and potentially a decrease in efficacy.
Hydroxyprogesterone caproate The serum concentration of Hydroxyprogesterone caproate can be decreased when it is combined with Colestipol.
Clofibrate Colestipol can cause a decrease in the absorption of Clofibrate resulting in a reduced serum concentration and potentially a decrease in efficacy.
Fenofibrate Colestipol can cause a decrease in the absorption of Fenofibrate resulting in a reduced serum concentration and potentially a decrease in efficacy.
Gemfibrozil Gemfibrozil can cause a decrease in the absorption of Colestipol resulting in a reduced serum concentration and potentially a decrease in efficacy.
Bezafibrate Colestipol can cause a decrease in the absorption of Bezafibrate resulting in a reduced serum concentration and potentially a decrease in efficacy.
Etofibrate Colestipol can cause a decrease in the absorption of Etofibrate resulting in a reduced serum concentration and potentially a decrease in efficacy.
Ciprofibrate Colestipol can cause a decrease in the absorption of Ciprofibrate resulting in a reduced serum concentration and potentially a decrease in efficacy.
Simfibrate Colestipol can cause a decrease in the absorption of Simfibrate resulting in a reduced serum concentration and potentially a decrease in efficacy.
Ronifibrate Colestipol can cause a decrease in the absorption of Ronifibrate resulting in a reduced serum concentration and potentially a decrease in efficacy.
Aluminium clofibrate Colestipol can cause a decrease in the absorption of Aluminium clofibrate resulting in a reduced serum concentration and potentially a decrease in efficacy.
Clofibride Colestipol can cause a decrease in the absorption of Clofibride resulting in a reduced serum concentration and potentially a decrease in efficacy.
Fenofibric acid Colestipol can cause a decrease in the absorption of Fenofibric acid resulting in a reduced serum concentration and potentially a decrease in efficacy.
Icosapent Colestipol can cause a decrease in the absorption of Icosapent resulting in a reduced serum concentration and potentially a decrease in efficacy.
Indomethacin Colestipol can cause a decrease in the absorption of Indomethacin resulting in a reduced serum concentration and potentially a decrease in efficacy.
Nabumetone Colestipol can cause a decrease in the absorption of Nabumetone resulting in a reduced serum concentration and potentially a decrease in efficacy.
Ketorolac Colestipol can cause a decrease in the absorption of Ketorolac resulting in a reduced serum concentration and potentially a decrease in efficacy.
Tenoxicam Colestipol can cause a decrease in the absorption of Tenoxicam resulting in a reduced serum concentration and potentially a decrease in efficacy.
Celecoxib Colestipol can cause a decrease in the absorption of Celecoxib resulting in a reduced serum concentration and potentially a decrease in efficacy.
Tolmetin Colestipol can cause a decrease in the absorption of Tolmetin resulting in a reduced serum concentration and potentially a decrease in efficacy.
Rofecoxib Colestipol can cause a decrease in the absorption of Rofecoxib resulting in a reduced serum concentration and potentially a decrease in efficacy.
Piroxicam Colestipol can cause a decrease in the absorption of Piroxicam resulting in a reduced serum concentration and potentially a decrease in efficacy.
Fenoprofen Colestipol can cause a decrease in the absorption of Fenoprofen resulting in a reduced serum concentration and potentially a decrease in efficacy.
Valdecoxib Colestipol can cause a decrease in the absorption of Valdecoxib resulting in a reduced serum concentration and potentially a decrease in efficacy.
Diclofenac Colestipol can cause a decrease in the absorption of Diclofenac resulting in a reduced serum concentration and potentially a decrease in efficacy.
Sulindac Colestipol can cause a decrease in the absorption of Sulindac resulting in a reduced serum concentration and potentially a decrease in efficacy.
Flurbiprofen Colestipol can cause a decrease in the absorption of Flurbiprofen resulting in a reduced serum concentration and potentially a decrease in efficacy.
Etodolac Colestipol can cause a decrease in the absorption of Etodolac resulting in a reduced serum concentration and potentially a decrease in efficacy.
Mefenamic acid Colestipol can cause a decrease in the absorption of Mefenamic acid resulting in a reduced serum concentration and potentially a decrease in efficacy.
Naproxen Colestipol can cause a decrease in the absorption of Naproxen resulting in a reduced serum concentration and potentially a decrease in efficacy.

Target Protein

Bile acids

Contoh Produk & Brand

Produk: 25 • International brands: 2
Produk
  • Colestid
    Granule, for suspension • 5 g/5g • Oral • US • Approved
  • Colestid
    Granule, for suspension • 5 g/5g • Oral • US • Approved
  • Colestid
    Tablet • 1 g/1 • Oral • US • Approved
  • Colestid Granules
    Granule • 5 g / sachet • Oral • Canada • Approved
  • Colestid Orange Granules
    Granule • 5 g / sachet • Oral • Canada • Approved
  • Colestid Tablets
    Tablet • 1 g • Oral • Canada • Approved
  • Colestipol Hydrochloride
    Tablet • 1 g/1 • Oral • US • Generic • Approved
  • Colestipol Hydrochloride
    Tablet • 1 g/1 • Oral • US • Generic • Approved
Menampilkan 8 dari 25 produk.
International Brands
  • Cholestabyl
  • Lestid — Pfizer

Sekuens Gen/Protein (FASTA)

Sekuens dimuat saat dibutuhkan agar halaman tetap ringan.
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