Acotiamide is used for functional dyspepsia, but patients with severe hepatic impairment and those allergic to any component of the product are contraindicated populations and must be strictly identified.

1. Patients with severe hepatic impairment

1. Reasons for contraindication

This product is mainly metabolized by the liver. In patients with severe hepatic impairment, drug clearance is reduced, which may easily lead to increased plasma concentrations.

Accumulation may increase the burden on the liver and raise the risk of adverse reactions.

2. Assessment before use

Liver function status should be determined before use, and liver function indicators should be checked when necessary.

This product must not be used in patients with severe hepatic impairment.

3. Mild to moderate hepatic impairment

It must be used cautiously after assessment by a doctor, with dose adjustment and enhanced monitoring when necessary.

During treatment, liver function should be rechecked regularly; seek medical attention promptly if fatigue, jaundice, dark urine, etc. occur.

2. Patients allergic to any component of the product

1. Principle of contraindication

It is contraindicated in patients allergic to acotiamide or any excipient of this product.

Before use, patients should proactively inform the doctor of any previous drug allergy history.

2. Recognition of allergic manifestations

Common manifestations include skin reactions such as rash, itching, and urticaria.

Severe cases may present with facial or laryngeal edema, dyspnea, decreased blood pressure, etc.

3. Emergency management

If mild allergic reactions such as rash or itching occur, stop the drug immediately and seek medical attention.

If severe reactions such as dyspnea or laryngeal edema occur, stop the drug immediately and provide emergency treatment.

Those who have previously experienced allergy to this product must not use it again in the future.

3. Other populations requiring attention

Pregnant and breastfeeding women should avoid use or follow medical advice.

The safety of use in children has not been established, and it is not recommended.

Elderly patients and those with hepatic or renal impairment must use it after assessment by a doctor.

Those taking other medications should inform the doctor of all medications to prevent interactions.