Tricholine Citrate

Dosage Forms Available

• Tricholine Citrate is available in oral tablets, oral syrup, and as an injectable solution.

• The tablets and syrup are meant for oral administration. The injectable form of Tricholine Citrate is administered intravenously.

Age and Dose Restrictions

• This medicine is meant for use by adults.

Contraindications

• This medicine is contraindicated in patients with known hypersensitivity to choline or any components of the formulation.

• It is also contraindicated in patients with renal impairment due to the primary route of choline metabolite excretion being through the kidneys.

Other Medications to Avoid

• This medicine may interact with anticholinergic agents (such as atropine and scopolamine), betaine supplements (like trimethylglycine), and chemotherapeutic agents (such as methotrexate).

Overdose and Missed Dose

• An overdose of Tricholine Citrate may result in excessive sweating, salivation, gastrointestinal distress, and muscle weakness. In severe cases, symptomatic and supportive treatment should be sought; hemodialysis may be effective in removing excess choline from the body.

• If you miss a dose of Tricholine Citrate, take it as soon as you remember unless it is almost time for your next dose. In that case, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.

Management of Side Effects

Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

• If experiencing minor gastrointestinal disturbances such as nausea or diarrhoea after taking Tricholine Citrate, try taking the medicine with food or a glass of water.

• Should a fishy body odour occur due to metabolite trimethylamine, increasing water intake may help reduce the odour.

Use in Driving and Operating Machinery

• Tricholine Citrate may cause dizziness or headache in some individuals. It is advisable to avoid driving or operating heavy machinery if you experience these side effects.

Use in Pregnancy and Lactation

• The safety of Tricholine Citrate during pregnancy and lactation has not been well-established. It should be used only if clearly needed and under medical supervision during these periods.

Caution in Other Conditions

• Patients with existing renal disease should use Tricholine Citrate with caution as it may worsen renal function.

• Individuals with trimethylaminuria need to be cautious as they may experience a more pronounced fishy body odour when using this medicine.

Special Dietary and Lifestyle Recommendations

• Patients using Tricholine Citrate for liver disorders should follow a low-fat, low-cholesterol diet to support overall liver health.

• Avoiding alcohol is crucial as its consumption can exacerbate liver conditions.

• Regular hydration is recommended to help manage potential side effects such as fishy body odour associated with choline metabolites.

• Engaging in light to moderate physical activities can aid general liver health and wellness unless otherwise contraindicated by your doctor.