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Symproic: US FDA label indications

US FDA labelNot medical advice

Label details

Brand name
Symproic
Generic name
Naldemedine
Manufacturer
BioDelivery Sciences International Inc
Route
Oral
Product type
Human Prescription Drug
Substance
Naldemedine Tosylate
Application number
NDA208854

Indications and usage (label excerpt)

1 INDICATIONS AND USAGE SYMPROIC is indicated for the treatment of opioid-induced constipation (OIC) in adult patients with chronic non-cancer pain, including patients with chronic pain related to prior cancer or its treatment who do not require frequent (e.g., weekly) opioid dosage escalation. SYMPROIC is an opioid antagonist indicated for the treatment of opioid-induced constipation (OIC) in adult patients with chronic non-cancer pain, including patients with chronic pain related to prior cancer or its treatment who do not require frequent (e.g., weekly) opioid dosage escalation ( 1 )

Warnings (label excerpt)

5 WARNINGS AND PRECAUTIONS Gastrointestinal perforation : Consider the overall risk benefit in patients with known or suspected lesions of the GI tract. Monitor for severe, persistent, or worsening abdominal pain; discontinue if development of symptoms ( 5.1 ) Opioid withdrawal : Consider the overall risk benefit in patients with disruptions to the blood-brain barrier. Monitor symptoms of opioid withdrawal ( 5.2 ) 5.1 Gastrointestinal Perforation Cases of gastrointestinal (GI) perforation have been reported with use of another peripherally acting opioid antagonist, including SYMPROIC. Postmarketing cases of GI perforation, including fatal cases, were reported when SYMPROIC was used in patients at risk of GI perforation (e.g., GI cancer, past GI surgery, diverticulitis, chemotherapy/radiation). SYMPROIC is contraindicated in patients with known or suspected gastrointestinal obstruction or in patients at risk of recurrent obstruction. Take into account the overall risk-benefit profile wh…

Excerpts are shortened. Read the full label, and ask a pharmacist or prescriber about any medicine. Full label on DailyMed(opens in a new tab) For products sold in Canada, see the Health Canada Drug Product Database(opens in a new tab).

Trials whose interventions mention this drug

Canadian trials first. A match on the drug name does not mean the trial studied this specific product.

6 trials, recruiting first
PhaseCountries
Risk of Major Adverse Cardiovascular Events for Naldemedine & Other Medications for Opioid Induced Constipation
NCT03720613
RecruitingUnited StatesBioDelivery Sciences International2019-01-04
Efficacy and Safety of Naldemedine in Treating Opioid-induced Constipation
NCT01993940
CompletedPhase 3United StatesShionogi2013-11-04
Long Term Safety of Naldemedine
NCT01965652
CompletedPhase 3Australia, Austria, Canada, Czechia...Shionogi2013-09-24
Efficacy and Safety of Naldemedine in the Treatment of Opioid-induced Constipation
NCT01965158
CompletedPhase 3Austria, Czechia, Germany, Poland...Shionogi2013-08-29
A Study of Naldemedine (S-297995) for the Treatment of Opioid-Induced Constipation in Adults With Non-Malignant Chronic Pain Receiving Opioid Therapy
NCT01443403
CompletedPhase 2United StatesShionogi2011-08-17
Study to Evaluate the Safety and Efficacy of Naldemedine (S-297995) for the Treatment of Opioid-Induced Bowel Dysfunction in Subjects With Chronic Pain
NCT01122030
CompletedPhase 2United StatesShionogi2010-05-19

Source: openFDA drug label (US FDA), snapshot October 2026. Not a Health Canada Product Monograph.