The most common adverse reaction include dose-related gastrointestinal disorders. Although its safety profile is considered acceptable and no warning signs have been observed in terms of cardiovascular safety, a slight increase of blood pressure and syncope has been observed.
Observational post-marketing studies should be performed to determine its potential cardiovascular risk, and safety profile in patients with cancer.
Its efficacy has only been proven in patients with constipation caused by opioids for non-cancer pain. No data are available on patients with cancer-related pain.
The cost per patient is higher compared to other rescue laxatives.