Cosy
Cosy Uses, Dosage, Side Effects, Food Interaction and all others data.
Cosy is dopamine receptor (D2) antagonist which selectively inhibits dopamine at the D2 receptor. It acts principally at receptors in the chemoreceptor trigger zone (CTZ) and also at receptors in the stomach.
Cosy is a specific blocker of dopamine receptors. It speeds gastrointestinal peristalsis, causes prolactin release, and is used as antiemetic and tool in the study of dopaminergic mechanisms.
| Trade Name | Cosy |
| Generic | Domperidone |
| Domperidone Other Names | Domperidona, Domperidone, Domperidonum |
| Weight | 10mg, 5mg/ 5ml |
| Type | Tablet, Oral Suspension |
| Formula | C22H24ClN5O2 |
| Weight | Average: 425.911 Monoisotopic: 425.161852744 |
| Protein binding | 91%-93% |
| Groups | Approved, Investigational, Vet approved |
| Therapeutic Class | Motility Stimulants, Motility stimulants/Dopamine antagonist, Prokinetic drugs |
| Manufacturer | Orion Pharma Ltd |
| Available Country | Bangladesh |
| Last Updated: | September 19, 2023 at 7:00 am |
Uses
Stimulation of gut motility in-
- Non-ulcer dyspepsia
- Oesophageal reflux, reflux oesophagitis and gastritis
- Diabetic gastroparesis
- Functional dyspepsia
- Speeding barium transit in follow through radiological studies
Prevention and symptomatic relief of acute nausea and vomiting from any cause including cytotoxic therapy, radiotherapy and antiparkinsonism therapy.
In the prophylactic treatment of migraine.
Cosy is also used to associated treatment for these conditions: Diabetic Gastroparesis, Dyspepsia, Erosive Esophagitis, Gastrointestinal Symptoms, Non-erosive Reflux Esophagitis Disease (NERD), Upper gastrointestinal motility disorders
How Cosy works
Cosy acts as a gastrointestinal emptying (delayed) adjunct and peristaltic stimulant. The gastroprokinetic properties of domperidone are related to its peripheral dopamine receptor blocking properties. Cosy facilitates gastric emptying and decreases small bowel transit time by increasing esophageal and gastric peristalsis and by lowering esophageal sphincter pressure. Antiemetic: The antiemetic properties of domperidone are related to its dopamine receptor blocking activity at both the chemoreceptor trigger zone and at the gastric level. It has strong affinities for the D2 and D3 dopamine receptors, which are found in the chemoreceptor trigger zone, located just outside the blood brain barrier, which - among others - regulates nausea and vomiting
Dosage
Cosy dosage
Adults: 10 - 20 mg every 4 - 8 hours daily
Children: 0.2 - 0.4 mg/kg every 4 - 8 hours daily.
Cosy tablet and suspension should be taken 15 - 30 minutes before a meal. For acute nausea and vomiting, maximum period of treatment is 12 weeks.
Side Effects
Cosy may produce hyperprolactinemia which may cause galactorrhea & breast enlargement, soreness and reduced libido. It may rarely cause dry mouth, thirst, headache, nervousness, drowsiness, diarrhea, skin rash and itching.
Toxicity
Side effects include galactorrhea, gynecomastia, or menstrual irregularities.
Precaution
Cosy should be used with absolute caution in case of children because there may be an increased risk of extra-pyramidal reactions in young children because of an incompletely developed blood brain barrier.
Interaction
Cosy may reduce the hypoprolactinaemic effect of bromocriptine. Anti-muscarinics and opioid analgesics may antagonize the action of Cosy on gastrointestinal function.
Food Interaction
- Take before a meal. Take 15-30 minutes before meals.
Half Life
7 hours
Pregnancy & Breastfeeding use
Use in pregnancy: The safety of this drug has not been established for pregnant women. So it is not recommended during pregnancy.
Use in lactation: Cosy may precipitate galactorrhea and improve postnatal lactation, which is secreted in breast milk but in very small quantities insufficient to be considered harmful.
Contraindication
Cosy is contraindicated to the patients who have hypersensitivity to this drug and in case of neonates.
Acute Overdose
Overdose has been reported primarily in infants and children. Symptoms of overdosage may include disorientation, somnolence and extrapyramidal reactions. There is no specific antidote to domperidone, but in the event of overdose, the administration of activated charcoal may be useful. Anticholinergics, antiparkinson drugs may be useful in controlling extrapyramidal reactions. The patient should be observed closely and supportive measures employed.
Storage Condition
Store in a cool dry place protected from light. Keep out of reach of children.
Innovators Monograph
You find simplified version here Cosy
Cosy contains Domperidone see full prescribing information from innovator Cosy Monograph, Cosy MSDS, Cosy FDA label
FAQ
What is Cosy used for?
Cosy help to stop feeling or being sick like as nausea or vomiting.It can also be used to treat stomach pain if you're having end of life care. Cosy is sometimes used to increase milk supply.
Is Cosy safe to take?
For most people, taking Cosy is safe.If you have heart problems or are taking other medicines, you should first check with your healthcare professional that this medicine is appropriate.
What are the side effects of Cosy?
Common side effects of Cosy are include:
- swelling of the ankles/feet.
- unusual tiredness.
- mental/mood changes (e.g., nervousness, irritability)
- hot flashes.
- breast swelling/pain.
- unusual leakage of milk from the breast.
- changes in menstrual periods.
- decreased sexual ability.
Is Cosysafe during pregnancy?
Cosy is not usually recommended in pregnancy.
Why Cosy is not safe in pregnancy?
Cosy is contraindicated for use in pregnant women and in women suspected of being pregnant, due to teratogenicity observed in reproductive toxicity studies.
Is Cosy safe during breastfeeding?
A very small amount of the Cosy you take can pass into your breast milk, but there is no record of harmful side effects in the baby from the mother taking Cosy.
Can I drink alcohol with Cosy?
It is best to avoid alcohol when taking Cosy. Drinking alcohol can make side effects worse, such as sleepiness or an irregular heartbeat.
How long does Cosy take to work?
Cosy often takes at least three or four days before you notice any effect. It usually takes about two weeks to get a maximum effect, but some find it takes even longer.
Can I take Cosy before bed?
Cosy is best taken 15 to 30 minutes before meals and id necessary at bedtime.
Is Cosy good for acid reflux?
It decreases postprandial reflux time and is therefore used to treat regurgitation and vomiting.
Can I take Cosy after eating?
Cosy is best taken about 15 to 30 minutes before meals, with a glass of water. If you take Cosy after a meal, it will still work, but it may take longer to have an effect.
Is Cosy good for gastritis?
Cosy has a good advantage in the treatment of reflux gastritis and is more effective than conventional treatment.Cosy is a kind of drug to strengthen gastric motility.
What does Cosy do to your body?
Cosy is a medicine that increases the movements or contractions of the stomach and bowel. Cosy is also used to treat nausea and vomiting caused by other drugs used to treat Parkinson's Disease.
Is Cosy safe for kidneys?
Cosy are not significantly renally cleared and can be used in CKD.
Does Cosy help anxiety?
Cosy is used to treat severe anxiety like as emotional state where you may sweat, tremble, feel anxious and have a fast heartbeat or agitation.
Does Cosy raise blood pressure?
Cosy increases blood pressure and heart rate without inducing nocturnal hypertension in apomorphine treated patients with idiopathic Parkinson's disease.
Is Cosy a narcotic?
Cosy is not a controlled substance e.g. sleeping pills, valium, narcotics.
Does Cosy cause depression?
Cosy can cause central nervous system side effects such as fatigue, irritability, or depression.
Can I take Cosy for a long time?
You should usually take Cosy for up to a week.Because Cosy can cause an irregular heartbeat if you take it for longer or at a high dose.
What happens when I stop taking Cosy?
Most women do not experience discomfort when stopping the medication, gradual weaning from the medication will help the mother's milk supply to adjust without frustrating the baby or causing her discomfort. It is very important to stop the Cosy slowly.
