Naloxegol tablets (Movantik, adults) - selected U.S. label sections
- Product / population
- Adult MOVANTIK oral tablets for opioid-induced constipation.
- Renal measure
- Creatinine clearance in mL/min
Selected renal sections only, not a complete monograph. Exact product, indication, patient population, renal method and all other contraindications/interactions remain controlling.
Second independent renal reference and clinician adjudication remain pending; no all-indication, dialysis or pediatric dose may be inferred from an omitted field.
Renal starting dose and cautious escalation
For CrCl below 60 mL/min, including severe or end-stage impairment, start 12.5 mg once daily. If well tolerated but constipation persists, the label permits increasing to 25 mg once daily after considering increased exposure and adverse-reaction risk. Mild impairment does not require adjustment.
Dialysis and other cautions
The renal starting recommendation is not replaced with a larger dose solely because the patient receives hemodialysis. Review the contraindications, CYP3A interactions and gastrointestinal warnings separately.
Source: https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=300a6474-ebcd-4404-8040-48fdcfcc1635