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Formulas

Glutamine 1.25 g Rectal Suppository

FDA-approved generic
Dose form
Suppository
Active ingredients
Glutamine

The Glutamine 1.25 g Rectal Suppository is a solid dosage form designed for insertion into the rectum. Upon administration, the suppository dissolves or melts, facilitating the release of the active ingredient, glutamine, for local absorption. This formulation is utilized in the management of conditions such as inflammatory bowel disease, including ulcerative colitis and Crohn's disease, and to support the intestinal mucosa in patients undergoing chemotherapy or radiation therapy. It may also be used in the treatment of short bowel syndrome and to promote healing in patients with acute intestinal injury or postoperative complications.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Glutamine
Suppository
65ad7f47f0d0271061c37b01
Service area

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Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Glutamine 1.25 g Rectal Suppository is a solid dosage form designed for insertion into the rectum, where it dissolves or melts to release the active ingredient, glutamine, for local or systemic absorption. Glutamine is an amino acid that serves as a building block for proteins and plays a crucial role in intestinal health and immune function. This particular formulation is intended to deliver a specific dose of glutamine directly to the site of action or into the systemic circulation through the rich vascular supply of the rectal area.

Rectal suppositories like this one are often used when oral administration is not feasible, such as in cases of nausea, vomiting, or difficulty swallowing. The use of glutamine in this form can be beneficial in various disease states. For instance, it is sometimes used in patients with conditions that lead to a compromised gut barrier, such as inflammatory bowel disease (IBD) or in the context of chemotherapy-induced mucositis. By providing direct local exposure to glutamine, it may help in the repair and regeneration of the intestinal mucosa and reduce the severity of intestinal damage.

Additionally, glutamine suppositories may be used in patients with critical illnesses or trauma, where the body's demand for glutamine increases. In such cases, glutamine can support the immune system, maintain the integrity of the gut mucosa, and potentially reduce the risk of infection. It is important to note that while glutamine has shown promise in these areas, its use should be based on individual patient needs and in accordance with current medical guidance and evidence.

For patients and prescribers considering the use of Glutamine 1.25 g Rectal Suppository, it is essential to understand the proper method of administration, potential side effects, and contraindications. As with any medication, monitoring for efficacy and safety is crucial. If you have any questions or require further information about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing comprehensive support and guidance to ensure the best possible outcomes for our patients.

Drug Interactions

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Glutamine is an amino acid that serves as a building block for proteins and plays a crucial role in intestinal health and immune function. When administered as a rectal suppository, glutamine is primarily intended for local action, although some systemic absorption may occur. The use of glutamine in this form can be beneficial in treating conditions such as inflammatory bowel disease, where it may help in repairing and maintaining the gut mucosa, or in instances of short bowel syndrome, where it can aid in intestinal absorption.

As for drug interactions, glutamine as a single agent in a rectal suppository form is not known to have significant interactions with other medications. However, it is important to consider the overall health status of the patient and their current medication regimen. For instance, patients taking anticonvulsants or other medications that affect neurotransmitter levels should use glutamine with caution, as it may influence the production of the neurotransmitter glutamate, potentially affecting the efficacy of their medication.

Additionally, patients undergoing cancer treatment should consult with their healthcare provider before using glutamine suppositories. While there is some evidence suggesting that glutamine might help reduce the side effects of chemotherapy, such as mucositis, there is also concern that it could potentially interact with certain cancer medications or affect tumor growth.

Patients with renal or liver disease should also use glutamine with caution, as these conditions can affect the metabolism and excretion of amino acids. In such cases, monitoring of amino acid levels may be necessary to avoid potential complications.

It is always recommended to inform healthcare providers of all medications, supplements, and herbal products you are currently using before starting any new treatment, including glutamine suppositories. This will help to identify any potential interactions and ensure the safe and appropriate use of glutamine.

If you have any questions or require further information regarding the use of glutamine rectal suppositories and potential drug interactions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the support and information you need to make informed decisions about your health care.

How Does it Work

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Glutamine is an amino acid that serves as a building block for proteins and plays a crucial role in intestinal health and immune function. When formulated as a 1.25 g rectal suppository, glutamine is designed to be inserted into the rectum, where it can dissolve or melt at body temperature. The rectal route is particularly useful for patients who may have difficulties with oral administration, such as nausea or vomiting, or for those who require a rapid onset of action.

Upon insertion, the suppository base, typically made from substances like cocoa butter or a glycerinated gelatin, begins to melt or dissolve, allowing the glutamine to be released. The rectal mucosa has a rich blood supply and can absorb medications directly into the bloodstream, bypassing the first-pass metabolism in the liver that oral medications undergo. This can result in a more efficient delivery of the active ingredient to the systemic circulation.

Glutamine is thought to exert its therapeutic effects by serving as a fuel source for the cells lining the intestines, promoting healing and potentially improving the integrity of the gut barrier. This can be particularly beneficial in conditions where the intestinal lining is compromised, such as in inflammatory bowel diseases like ulcerative colitis and Crohn's disease. Additionally, glutamine plays a role in supporting the immune system, which can be advantageous in various disease states where immune function is critical.

While glutamine suppositories are primarily used for their local effect on the gut lining, the systemic absorption also allows for the potential treatment of conditions associated with glutamine deficiency or where supplemental glutamine is beneficial, such as in critical illness or after surgery. It is important to note that the use of glutamine in these conditions should be based on a thorough evaluation by a healthcare provider.

For patients and prescribers considering the use of glutamine 1.25 g rectal suppositories, it is essential to understand the specific indications, potential benefits, and any risks associated with this formulation. As compounding pharmacists at Bayview Pharmacy, we are committed to providing high-quality, individualized care. If you have any questions about this formulation or its appropriateness for a particular patient or condition, please reach out to us for more information and guidance.

Other Uses

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While the primary indication of a Glutamine 1.25 g Rectal Suppository is often for gastrointestinal conditions where enhanced mucosal healing is desired, such as inflammatory bowel diseases, it's important to note that the formulation may have additional uses. Glutamine is a conditionally essential amino acid that plays a pivotal role in nitrogen transport and maintaining the integrity of the intestinal mucosa. Therefore, Glutamine suppositories may also be considered for use in patients with conditions leading to glutamine deficiency or increased catabolic states that may foster a deficiency, such as critical illness, extensive burns, trauma, or after major surgery, particularly when enteral supplementation is not possible or insufficient.

Glutamine may also have a role in enhancing recovery post abdominal surgeries by potentially reducing the risk of infection and improving wound healing. In the context of cancer therapies, particularly those affecting the gastrointestinal tract like chemotherapy or radiation, Glutamine suppositories might be explored to mitigate mucositis—a painful inflammation and ulceration of the mucous membranes lining the digestive tract. Furthermore, in patients with HIV/AIDS or those undergoing bone marrow transplantation, Glutamine's immune-modulatory properties could be of therapeutic interest.

It should be emphasized that Glutamine suppositories must be used under the guidance of a healthcare professional and are contraindicated in individuals with a known hypersensitivity to glutamine or any of the components in the suppository base. Safety and efficacy for uses other than the primary indication have not been established; therefore, such decisions should be made on a case-by-case basis. Additionally, as formulation and concentration can be critical, customization by a compounding pharmacy may also be required for specific patient needs.

If you have any questions or require more personalized information about the potential other uses of Glutamine 1.25 g Rectal Suppositories, or if you're considering prescribing this compound for an off-label application, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is available to provide the necessary support and guidance to both patients and prescribers.

Frequently Asked Questions

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What is a Glutamine 1.25 g Rectal Suppository used for?

Glutamine 1.25 g Rectal Suppository is used to deliver the amino acid glutamine directly to the lower gastrointestinal tract. It is beneficial for patients who require glutamine supplementation and may be used for various medical conditions, including those affecting the gastrointestinal system where enteral administration is not possible.

How does a Rectal Suppository work?

A Rectal Suppository is a solid dosage form that is inserted into the rectum where it dissolves or melts, releasing medication for local absorption into the rectal tissue or systemic absorption into the bloodstream.

How do I use a Glutamine Rectal Suppository?

To use a Glutamine Rectal Suppository, wash your hands thoroughly, unwrap the suppository, and insert it gently into the rectum, pointed end first. It is usually recommended to remain lying down for a few minutes to ensure the suppository stays in place and to aid absorption.

How often should I use the Glutamine Rectal Suppository?

The frequency of use for Glutamine Rectal Suppositories should be directed by your healthcare provider. It is important to follow their instructions precisely to ensure proper treatment and to avoid potential side effects.

Can I use the Glutamine Rectal Suppository if I am pregnant or breastfeeding?

Consult your healthcare provider before using the Glutamine Rectal Suppository if you are pregnant or breastfeeding. They will be able to determine if this medication is safe for you and will not have adverse effects on the fetus or infant.

What are the potential side effects of using a Glutamine Rectal Suppository?

Side effects may include local irritation, burning sensation, discomfort, or a laxative effect. Systemic side effects are rare because the medication is typically not absorbed in significant amounts into the bloodstream. If you experience any unusual symptoms, contact your healthcare provider.

Can I use Glutamine Rectal Suppository if I have a history of bowel surgery or rectal problems?

Prior to using glutamine rectal suppositories, you should discuss your full medical history with your healthcare provider, particularly if you have had bowel surgery or have existing rectal problems. They will determine if this form of medication is appropriate for you.

Should I store the Glutamine Rectal Suppositories in a refrigerator?

Storage requirements can vary. Typically, suppositories should be stored in a cool, dry place below room temperature; some may require refrigeration. Check the storage instructions provided by the manufacturer or consult with your pharmacist for proper storage conditions.

What should I do if I miss a dose of the Glutamine Rectal Suppository?

If you miss a dose of your Glutamine Rectal Suppository, insert the missed dose as soon as you remember, unless it is almost time for your next dose. In that case, skip the missed dose and resume your regular dosing schedule. Do not double the dose to make up for the missed one.

Can I use other medications while using the Glutamine Rectal Suppository?

Always inform your healthcare provider about all the medications you are currently taking, including over-the-counter drugs and herbal supplements. They will advise whether it is safe to use the Glutamine Rectal Suppository in conjunction with your other medications.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Glutamine 1.25 g Rectal Suppository
Suppository
30 suppositories
controlled

Insert 1 unwrapped suppository

Once daily