Patient Medication Information: uses, side effects, how to take - Jamp-Cholestyramine
Serious Warnings and Precautions
- Do not take JAMP-Cholestyramine in its dry form as it may cause you to choke. Always mix JAMP-Cholestyramine with a liquid or a highly liquid food before taking it.
- If you are taking any other medicines, it is important to take them at least 1 hour before JAMP-Cholestyramine or 4 to 6 hours after you have taken JAMP-Cholestyramine. This is because JAMP-Cholestyramine may change the effects of other medicines by stopping them from being absorbed by your body.
What is JAMP-Cholestyramine used for?
JAMP-Cholestyramine is used in adults to lower high cholesterol (a type of fat). It may also be used to help stop some types of diarrhea or skin itching.
For the treatment of high cholesterol, JAMP-Cholestyramine is to be used together with changes to your diet under the supervision of your healthcare professional. Your healthcare professional may also recommend an exercise and weight control program. JAMP-Cholestyramine is not a substitute for these lifestyle changes.
How does JAMP-Cholestyramine work?
JAMP-Cholestyramine works in the digestive system. It absorbs the cholesterol-containing bile acids which then pass out through the body in the stool.
What are the ingredients in JAMP-Cholestyramine?
Medicinal ingredients: cholestyramine resin
Non-medicinal ingredients:
JAMP-Cholestyramine Light Powder: Aspartame (each unit of JAMP-Cholestyramine Light Powder contains 33.68 mg phenylalanine), Citric Acid Anhydrous, Colloidal anhydrous silica,
FD&C Yellow No. 6, Orange Flavour, Lemon Flavour and Propylene Glycol Alginate.
JAMP-Cholestyramine Regular Powder: Citric Acid Anhydrous, Colloidal anhydrous silica, D&C Yellow No. 10, D&C Yellow No. 10 Lake, Sunset yellow supra, confectioner’s sugar (contains corn starch), Orange Flavour, Lemon Flavour, Propylene Glycol Alginate and Sucrose.
JAMP-Cholestyramine comes in the following dosage forms:
- Light Powder: Each one dose pouch contains 4 grams of cholestyramine resin
- Regular Powder: Each one dose pouch contains 4 grams of cholestyramine resin
Do not use JAMP-Cholestyramine if:
- you are allergic (hypersensitive) to cholestyramine or any of the ingredients of JAMP-Cholestyramine (see What are the ingredients in JAMP-Cholestyramine?).
- you have an illness which results in your bile duct being completely blocked. Check with your healthcare professional if you are not sure
To help avoid side effects and ensure proper use, talk to your healthcare professional before you take JAMP-Cholestyramine. Talk about any health conditions or problems you may have, including if you:
- have diabetes
- have kidney or liver problems
- are constipated or have had problems with constipation in the past
- have hemorrhoids
- have steatorrhea, a condition where there is too much fat in your stool
are pregnant or planning to become pregnant
- are breastfeeding
Other warnings you should know about:
- JAMP-Cholestyramine Light Powder contains aspartame in each pouch. Aspartame is a source of phenylalanine. It may be harmful if you have phenylketonuria (PKU).
- JAMP-Cholestyramine may affect how your body digests fat. This can prevent vitamins A, D and K from being absorbed. JAMP-Cholestyramine can also affect your folic acid levels. Talk to your healthcare professional about the need to supplement with these vitamins if you are taking JAMP-Cholestyramine for a long period of time.
- If you are pregnant or breastfeeding, JAMP-Cholestyramine may harm your baby because it interferes with the absorption of vitamins and nutrients.
Monitoring and blood tests: Your healthcare professional will do blood tests to monitor your cholesterol levels while you are taking JAMP-Cholestyramine. They will also check for vitamin deficiencies. Your healthcare professional will decide when to perform blood tests and will interpret the results.
Tell your healthcare professional about all the medicines you take, including any drugs, vitamins, minerals, natural supplements or alternative medicines.
The following may interact with JAMP-Cholestyramine:
- medicines used to treat thyroid problems
- warfarin, used to thin the blood and prevent blood clots
- chlorothiazide, a diuretic or “water pill” used to lower high blood pressure and treat fluid retention (edema)
- phenylbutazone
- phenobarbital, used to prevent seizures
- antibiotics used to treat bacterial infections, such as tetracycline, penicillin G
- digoxin, a medicine used to treat heart problems
- estrogen derivatives, oral birth control medicines (“The Pill”)
How to take JAMP-Cholestyramine:
- Take JAMP-Cholestyramine exactly as directed by your healthcare professional. If you do not understand the directions, ask your healthcare professional to explain them to you.
Always mix JAMP-Cholestyramine with a liquid or highly liquid food before taking it.
- With liquids (such as water or a non-carbonated beverage like milk or orange juice): add 120 - 180 mL of liquid to a glass. Place the powder on the surface of the liquid. After 1-2 minutes mix thoroughly by stirring vigorously or using a shaker. JAMP-Cholestyramine is then ready to drink.
With highly liquid food (such as soup, applesauce, yogurt, pudding): pour the powder into a bowl. Add 120- 180 mL of your chosen food and mix well before eating.
- The colour of JAMP-Cholestyramine may vary somewhat from batch to batch, but this does not affect the quality of the medicine.
- Keep taking JAMP-Cholestyramine until your healthcare professional tells you to stop.
Usual dose:
Adults:
- Take one pouch (4 grams) of JAMP-Cholestyramine, one to six times each day, as directed by your healthcare professional.
Overdose:
| If you think you, or a person you are caring for, have taken too much JAMP-Cholestyramine, contact a healthcare professional, hospital emergency department, or regional poison control centre immediately, even if there are no symptoms. |
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Missed Dose:
If you miss a dose, take another as soon as you remember. If it is almost time for your next dose, skip the missed dose. Then go on as before. Do not take a double dose to make up for a missed dose.
What are possible side effects from using JAMP-Cholestyramine?
These are not all the possible side effects you may have when taking JAMP-Cholestyramine. If you experience any side effects not listed here, tell your healthcare professional.
Side effects may include:
- constipation
- bloating
- flatulence
- nausea
- vomiting
- diarrhea
- loss of appetite
- abdominal discomfort
- heartburn
- indigestion
- rash
- irritation of skin, tongue or around the anus
Serious side effects and what to do about them
| Symptom / effect | Talk to your healthcare professional | Stop taking drug and get immediate medical help | |
|---|---|---|---|
| Only if severe | In all cases | ||
| UNCOMMON | |||
| Steatorrhea (fatty stool): grey, bulky or smelly stools | ✓ | ||
| Vitamin A, D or K deficiency: increased tendency to bleed, night blindness | ✓ | ||
| Thin or brittle bones (osteoporosis): In situations where healthy people would not normally break a bone you may have sudden pain in any location and especially in the wrist, spine or hip. This may be a broken bone. | ✓ | ||
|---|---|---|---|
| RARE | |||
| Intestinal obstruction: inability to pass stool or gas, severe abdominal pain and cramping, vomiting | ✓ | ||
If you have a troublesome symptom or side effect that is not listed here or becomes bad enough to interfere with your daily activities, tell your healthcare professional.
Reporting Side Effects
You can report any suspected side effects associated with the use of health products to Health Canada by:
NOTE: Contact your health professional if you need information about how to manage your side effects. The Canada Vigilance Program does not provide medical advice. |
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Storage:
Store at room temperature (15°-30°C). Protect from moisture.
Keep out of reach and sight of children.
If you want more information about JAMP-Cholestyramine:
- Talk to your healthcare professional
- Find the full Product Monograph that is prepared for healthcare professionals and includes this Patient Medication Information by visiting the Health Canada website (https://www.canada.ca/en/health-canada/services/drugs-health-products/drug-products/drug-product-database.html); the manufacturer's website (www.jamppharma.com), or by calling 1-866-399-9091.
JAMP Pharma Corporation
1310 rue Nobel
Boucherville, Quebec
J4B 5H3, Canada