Pentosan Polysulfate

Conditions Treated
Pentosan polysulfate is used to relieve bladder pain and discomfort related to interstitial cystitis, a disease that causes swelling and scarring of the bladder wall. Pentosan polysulfate is similar to a class of medications called low molecular weight heparins. It works by preventing irritation of the bladder walls.

Possible Side Effects
What Side Effects Can This Cause?
Pentosan polysulfate may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
- hair loss
- diarrhea
- upset stomach
- heartburn
- headache
- rash
- stomach pain
- difficulty falling asleep or staying asleep
- moodiness
- dizziness
Some side effects can be serious. The following symptoms are uncommon, but if you experience any of them, call your doctor immediately:
- unusual bruising or bleeding
- nosebleed
- heavy gum bleeding
- black and tarry stools
- red blood in stools
- bloody vomit
- vomiting material that looks like coffee grounds

Usage Instructions
How Should This Medication Be Used
Pentosan polysulfate comes as a capsule to take by mouth. It is usually taken with water three times a day, 1 hour before or 2 hours after meals. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take pentosan polysulfate exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.
What Dietary Instructions Should I Follow
Unless your doctor tells you otherwise, continue your normal diet.
Are There Any Special Instructions
Before taking pentosan polysulfate, tell your doctor and pharmacist if you are allergic to pentosan polysulfate, danaparoid (Orgaran), heparin, or any other medications. tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking. Be sure to mention any of the following: anticoagulants ('blood thinners') such as warfarin (Coumadin) and aspirin. Your doctor may need to change the doses of your medications or monitor you carefully for side effects. tell your doctor if you have or have ever had an aneurysm, hemophilia, ulcers, low platelet count, an intestinal blockage, or liver or spleen disease. if you are having surgery, including dental surgery, tell the doctor or dentist that you are taking pentosan polysulfate. you should know that pentosan polysulfate has a blood-thinning effect and may cause increased bleeding.

Brand Names
Common Brand Names for This Medication
- Elmiron®

Overdose
What To Do In The Case of Emergency
In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.

Forgotten Doses
What Should I Do If I Forget A Dose?
Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.

Additional Information
What Are the Storage Conditions for this Medication?
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.
What Other Information Should I Know?
Keep all appointments with your doctor. Your doctor will examine you after 3 months to see if your symptoms have improved. Do not let anyone else take your medication. Ask your pharmacist any questions you have about refilling your prescription. It is important for you to keep a written list of all of the prescription and nonprescription (over-the-counter) medicines you are taking, as well as any products such as vitamins, minerals, or other dietary supplements. You should bring this list with you each time you visit a doctor or if you are admitted to a hospital. It is also important information to carry with you in case of emergencies.

