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    Overview

    The succinate salt form of prucalopride, an orally bioavailable dihydro-benzofuran-carboxamide and selective serotonin (5-HT4) receptor agonist, with gastrointestinal (GI) prokinetic activity. Upon oral administration, prucalopride specifically targets, binds to and stimulates the 5-HT4 receptor. This alters colonic motility patterns and stimulates colonic mass movements. This may normalize bowel movements and may relief chronic constipation. In addition, by increasing esophageal and gastric motility, prucalopride may also provide relief for aspiration-associated symptoms.

    Clinical Applications

    Prucalopride succinate is a selective serotonin 5-HT4 receptor agonist used primarily to treat chronic idiopathic constipation, stimulating gut motility without severe cardiac side effects.

    Therapeutic Class

    Gastrointestinal Prokinetic Agent / Laxative

    Pharmacological Class

    Selective 5-HT₄ Receptor Agonist

    Chemical name

    4-amino-5-chloro-N-[1-(3-methoxypropyl)piperidin-4-yl]-2,3-dihydro-1-benzofuran-7-carboxamide

    Molecular formula

    C18H26ClN3O3 · C4H6O4

    Molecular weight

    485.96 g/mol (approximately 486.0 g/mol)

    Appearance & solubility

    Prucalopride succinate as a white to off white powder that is Soluble in diethyl sulphoxide and water.

    Clinical Application

    5-hydroxytryptamine receptor 4 agonist use for Chronic Constipation

    Mode of Administration

    Prucalopride succinate is given orally as a tablet. It is usually taken with or without food; for adults: 2 mg once daily; For patients with severe renal impairment: 1 mg once daily Pharmacological Effects Prucalopride Succinate is a highly selective serotonin (5-hydroxytryptamine, 5-HT₄) receptor agonist that stimulates gastrointestinal motility by enhancing the release of acetylcholine from enteric neurons. This promotes coordinated intestinal peristalsis and accelerates colonic transit.

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