MOVENTIG

naloxegol

MOVENTIG is indicated for the treatment of opioid-induced constipation (OIC) in adult patients who have had an inadequate response to laxative(s).¹

Adverse Events should be reported. Reporting forms and information can be found at www.mhra.gov.uk/yellowcard. Adverse Events should also be reported to Kyowa Kirin International UK NewCo Ltd, known as Grünenthal Meds on +44 (0)1896 664000, email PVUK@grunenthalmeds.com

Click here to download the MOVENTIG prescribing and adverse event reporting information.

PRESCRIBING INFORMATION (prepared August 2021)

Moventig® (naloxegol oxalate) 12.5mg and 25mg film-coated tablets

Consult Summary of Product Characteristics (SmPC) before prescribing.

Indication

Opioid-induced constipation (OIC) in adult patients who have had an inadequate response to laxative(s)

(concurrent OIC symptoms of at least moderate severity while taking at least one laxative class for a minimum of four days during the previous 2 weeks).

Dosage and administration

Recommended 25mg once daily. Take on empty stomach at least 30 minutes prior to first meal of day or 2 hours after first meal of day. Crushed tablets can be mixed with water (120ml) and drunk immediately or administered via a nasogastric tube (CH8 or greater).

Renal impairment:

Moderate or severe renal impairment starting dose 12.5mg. Discontinue if side effects impact tolerability. Increase to 25mg if well tolerated.

Hepatic impairment:

Use in severe hepatic impairment not recommended.

Moderate CYP3A4 inhibitors:

Starting dose 12.5mg, can be increased to 25mg if well tolerated.

Paediatric population (<18 years):

Safety and efficacy not yet established.

Adverse effects

Consult SmPC for full list of side effects.

Very Common: Abdominal pain, diarrhoea.
Common: Nasopharyngitis, headache, flatulence, nausea, vomiting, hyperhidrosis.
Uncommon: Opioid withdrawal syndrome.
Not known: Hypersensitivity, Gastrointestinal perforation.

Contraindications

Hypersensitivity to active substance or any of the excipients or any other opioid antagonist.
Patients with known or suspected gastrointestinal (GI) obstruction or patients at increased risk of recurrent obstruction.

Patients with underlying cancer who are at heightened risk of GI perforation, such as those with underlying malignancies of gastrointestinal tract or peritoneum, recurrent or advanced ovarian cancer or vascular endothelial growth factor (VEGF) inhibitor treatment.
Concomitant use with strong CYP3A4 inhibitors.

Warnings and precautions

Cases of gastrointestinal perforation have been reported in the post-marketing setting, including fatal cases when naloxegol was used in patients who were at an increased risk of gastrointestinal (GI) perforation. Naloxegol must not be used in patients with known or suspected gastrointestinal obstruction or in patients at increased risk of recurrent obstruction.

Use with caution in patients with any condition which might result in impaired integrity of the gastrointestinal tract wall. Advise patients to discontinue therapy and promptly report if unusually severe or persistent abdominal pain develops. Use with caution in patients with clinically important disruptions to the blood brain barrier and observe for potential CNS effects.

Discontinue if interference with opioid- mediated analgesia or opioid withdrawal syndrome occurs. Use with caution in patients taking methadone. If opioid withdrawal syndrome is suspected the patient should discontinue Moventig and contact their physician. Use with caution in patients with a recent history of myocardial infarction, symptomatic congestive heart failure, overt cardiovascular (CV) disease or with a QT interval of ≥500msec. Use with caution in OIC patients with cancer-related pain. Use of naloxegol with another opioid antagonist (e.g. naltrexone, naloxone) should be avoided.

Use in pregnancy and lactation: Not recommended.

Legal category: POM.

Marketing Authorisation numbers

Moventig 12.5mg and 25mg tablets (ROI: EU/1/14/962/001-011),(GB: PL GB 50262/004&5)

Further information available on request from the Marketing Authorisation holder:
Kyowa Kirin Holdings B.V., Bloemlaan 2, 2132NP
Hoofddorp,The Netherlands.

NHS cost

Moventig 12.5mg, 30 tablets, £55.20; Moventig 25mg, 30 tablets, £55.20.

Adverse event reporting information

For the United Kingdom

For the Republic of Ireland

Adverse Events should be reported. Reporting forms and information can be found at www.hpra.ie. Adverse Events should also be reported to Kyowa Kirin International UK NewCo Ltd, known as Grünenthal Meds on +44 (0)1896 664000, email PVUK@grunenthalmeds.com

MOVENTIG (naloxegol) is indicated for the treatment of opioid-induced constipation (OIC) in adult patients who have had an inadequate response to laxative(s). For advice on the responsible use of opioids to treat pain, please click here

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References

1. MOVENTIG Summary of Product Characteristics.

KKI/INT/MOV/0117 November 2023