Product image of Moventig (Naloxegol) supplied by GNH India

Moventig

Active Ingredient:
Naloxegol
Origin:
EU

Moventig (Naloxegol)

Naloxegol, the active ingredient in Moventig, is a peripherally acting mu‑opioid receptor antagonist (PAMORA) presented as an oral dosage form for oral use. It treats opioid‑induced constipation in patients receiving opioid therapy, helping to restore normal bowel function without affecting analgesia. GNH India supplies Moventig as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company ensures quality compliance with EU standards and provides reliable distribution across multiple regions.

Manufacturer / TM Owner

Grünenthal Gmbh

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Indications & Clinical Uses

Naloxegol is indicated for opioid‑induced constipation, a condition resulting from opioid therapy that impairs gastrointestinal motility.

  • Opioid‑induced constipation in chronic non‑cancer pain: improves bowel movements and reduces the need for laxatives.
  • Opioid‑induced constipation in cancer pain: alleviates constipation while maintaining analgesic effect.
  • Opioid‑induced constipation in postoperative pain management: restores normal intestinal transit in patients receiving opioids after surgery.

How It Works

  • Naloxegol selectively antagonizes peripheral μ‑opioid receptors in the gastrointestinal tract, blocking the inhibitory action of opioids on enteric neurons. By preventing opioid binding to these receptors, it restores normal peristalsis and fluid secretion without crossing the blood‑brain barrier, thereby preserving central analgesia while alleviating constipation. The compound is a PEGylated derivative of naloxone, which enhances its oral bioavailability and limits central nervous system penetration.

Side Effects

Commonly reported adverse reactions with naloxegol are generally mild and transient, while rare events may be serious.

Common Side Effects

  • Abdominal pain
  • Diarrhea
  • Nausea
  • Flatulence
  • Headache
  • Vomiting

Serious or Rare Side Effects

  • Intestinal obstruction or severe abdominal pain
  • Allergic reactions including rash, pruritus, or anaphylaxis
  • Pancreatitis
  • Severe hepatic injury
  • Ischemic colitis

Precautions & Warnings

When prescribing naloxegol, clinicians should consider several safety precautions to minimize risk.

  • Renal function assessment: evaluate creatinine clearance before initiating therapy.
  • Hepatic impairment: avoid use in patients with severe liver disease (Child‑Pugh C).
  • Gastrointestinal obstruction risk: do not use in patients with known or suspected bowel obstruction.
  • Concomitant strong CYP3A4 inhibitors: avoid co‑administration as it may increase drug exposure.
  • Monitoring for abdominal symptoms: advise patients to report persistent or worsening abdominal pain.
  • Store below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Naloxegol may interact with other medicines that affect its metabolism or gastrointestinal motility.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin, ritonavir): may markedly increase naloxegol plasma levels.
  • Concomitant use with other PAMORAs: can lead to additive effects and increased adverse events.

Moderate Interactions (Monitor Closely)

  • Moderate CYP3A4 inhibitors (e.g., diltiazem, erythromycin): may require dose adjustment or close monitoring.
  • CYP3A4 inducers (e.g., rifampin, carbamazepine): may reduce naloxegol efficacy.
  • Antidiarrheal agents (e.g., loperamide): may mask symptoms of constipation improvement.

Frequently Asked Questions

Moventig contains naloxegol and is used to treat opioid‑induced constipation in adult patients who are receiving opioid therapy. It works by counteracting the constipating effects of opioids on the gastrointestinal tract while preserving the analgesic benefits of the opioid medication.

Naloxegol selectively blocks peripheral μ‑opioid receptors located in the gut. By preventing opioids from binding to these receptors, it restores normal intestinal motility and fluid secretion, thereby relieving constipation without affecting the central pain‑relieving actions of the opioid.

The appropriate dose of Moventig is determined by the prescribing healthcare professional based on the individual’s clinical condition, renal and hepatic function, and concomitant medications. Dosing is typically once daily, and the prescriber may adjust the regimen as needed.

Limited clinical data are available for naloxegol use during pregnancy or lactation. It should only be used if the potential benefit to the mother outweighs any possible risk to the fetus or infant. Women who are pregnant, planning to become pregnant, or breastfeeding should discuss alternatives with their healthcare provider.

To order Moventig, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, and will request verification of trade or institutional credentials. After confirmation, the team provides pricing, availability, shipping details (including any cold‑chain requirements) and assists with import documentation.

Moventig (naloxegol) belongs to the PAMORA class, which directly antagonizes peripheral opioid receptors. An alternative PAMORA, methylnaltrexone, is administered by injection and also blocks peripheral receptors. Non‑PAMORA options such as lubiprostone or linaclotide work via different mechanisms (chloride channel activation or guanylate cyclase‑C activation) and may be less effective in patients on high‑dose opioids.

Moventig should be stored below 25 °C in its original packaging, protected from moisture and direct sunlight. Keep the product out of reach of children and do not use after the expiry date printed on the label.

Moventig is taken orally, usually with a full glass of water. It can be taken with or without food, but patients should follow the specific instructions provided by their prescriber. Swallow the tablet whole; do not crush, chew, or split it unless directed by a healthcare professional.

The most serious risks include intestinal obstruction or severe abdominal pain, which may indicate a serious gastrointestinal event, and hypersensitivity reactions such as rash, pruritus, or anaphylaxis. Patients should seek immediate medical attention if they experience persistent severe abdominal discomfort, vomiting, or signs of an allergic reaction.

Moventig should not be used in patients with known or suspected gastrointestinal obstruction, severe hepatic impairment (Child‑Pugh class C), or in those taking strong CYP3A4 inhibitors such as ketoconazole or clarithromycin. It is also contraindicated in individuals with a history of hypersensitivity to naloxegol or any of its excipients.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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