ZELMAC ® 6 mg tabletsPresentation: Tegaserod. Tablets: 6 mg tegaserod as hydrogen maleate. Indications/Potential uses: Symptomatic treatment of female patients with abdominal painand constipation associated with irritable bowel syndrome. An organic origin of such symptoms must be ruled out by means of appropriate investigations. Dosage: 6 mgtwice daily prior to a meal for a maximum of 12 weeks. Contraindications: Hypersensitivity to tegaserod hydrogen maleate and/or to any of the excipients. Precautions:Diarrhoea and/or patients with recurrent diarrhoea associated with IBS. Caution is required in patients in whom increased gastrointestinal motility could have negativeeffects. Use of Zelmac cannot be recommended in patients with severe hepatic impairment or severe renal failure. Caution is required in patients with mild to moderate-ly severe renal or hepatic failure. Interactions: No drug interactions of clinical relevance. Adverse reactions: The overall incidence of adverse events in clinical trialswas comparable with that of placebo, with exception of diarrhoea. Packs and prices: Country-specific. Note: Before prescribing, please read full product information.

References:1. Drossman DA, Corazziari E, Talley NJ, Thompson WG, Whitehead WE, eds. Rome II: The functional Gastrointestinal Disorders. 2nd ed. McLean, VA: DegnonAssociates, 2000:360-361. 2. American College of Gastroenterology Functional Gastrointestinal Disorders Task Force. Evidence-based position statement on the man-agement of irritable bowel syndrome. Am J Gastroenterol. 2002;97 (suppl):S1-S27. 3. Serra J, et al. Impaired transit and tolerance of intestinal gas in the irritable bowelsyndrome. Gut 2001;48:14–19. 4. Zar S, et al. Review article: bloating in functional bowel disorders. Aliment Pharmacol Ther 2002;16:1867–76. 5. Krumholz S, et al.The5HT4 partial agonist, tegaserod, improves abdominal bloating and altered stool consistency in Irritable bowel syndrome (IBS). Gut 1999;45 (Suppl V):A260. 6. BeglingerC. Tegaserod: A novel , selective 5-HT4 receptor partial agonist for irritable bowel syndrome. IJCP 2002;56:47-51

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