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The usual schedule is one dose every other day, as needed, but no more frequently than one dose in a 24-hour period.1

RECOMMENDED DOSE1

Patients whose weight falls outside of these ranges should be dosed at 0.15 mg/kg. The injection volume for these patients should be calculated using one of the following:

  • Multiply the patient weight in pounds by 0.0034 and round up the volume to the nearest 0.1 mL
  • Multiply the patient weight in kilograms by 0.0075 and round up the volume to the nearest 0.1 mL
  • RELISTOR is available in single-use vials for subcutaneous injection1
  • No dose adjustment required in elderly patients1
  • No dose adjustment required in patients with mild or moderate renal or hepatic impairment1
  • Dose reduction by one half is recommended in patients with severe renal impairment (creatinine clearance less than 30 mL/min)1
  • The effect of severe hepatic impairment or end-stage renal impairment requiring dialysis on the pharmacokinetics of methylnaltrexone has not been studied1

RELISTOR eDetail

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Indication

RELISTOR is indicated for the treatment of opioid-induced constipation in patients with advanced illness who are receiving palliative care, when response to laxative therapy has not been sufficient. Use of RELISTOR
beyond 4 months has not been studied.

Important Safety Information for RELISTOR

  • RELISTOR is contraindicated in patients with known or suspected mechanical gastrointestinal obstruction
  • If severe or persistent diarrhea occurs during treatment, advise patients to discontinue therapy with RELISTOR and consult their physician
  • Rare cases of gastrointestinal (GI) perforation have been reported in advanced illness patients. Use RELISTOR with caution in patients with known or suspected lesions of the GI tract
  • Use of RELISTOR has not been studied in patients with peritoneal catheters
  • The most common adverse reactions reported with RELISTOR compared with placebo in clinical trials were abdominal pain (28.5% vs 9.8%), flatulence (13.3% vs 5.7%), nausea (11.5% vs 4.9%), dizziness (7.3% vs 2.4%), diarrhea (5.5% vs 2.4%), and hyperhidrosis (6.7% vs 6.5%)
  • Safety and efficacy of RELISTOR have not been established in pediatric patients

Please see the full Prescribing Information.