castor oil

Brand Name :

Emulsoil, Fleet Castor Oil

Synonyms :

castor oil

Class :

Laxatives, Other

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Actions and Spectrum: 

The action of castor Oil: The primary action of castor oil is its laxative effect. It acts as a stimulant laxative, promoting bowel movements and relieving constipation. castor oil stimulates intestinal peristalsis, which refers to the rhythmic contractions of the muscles in the intestinal walls. This stimulation helps propel the contents of the intestines forward, facilitating the passage of stool.

The active component of castor oil, ricinoleic acid, plays a crucial role in activating EP3 prostanoid receptors in the intestines, leading to increased smooth muscle contraction and fluid secretion. This action enhances intestinal motility and facilitates the elimination of waste from the body. 

Spectrum of castor Oil: castor oil has a broad spectrum of uses and applications. It is commonly used in skincare as a moisturizer and emollient. Its thick consistency helps to retain moisture in the skin, preventing dryness and promoting softness. castor oil also exhibits anti-inflammatory properties, which make it beneficial for mild skin conditions such as dermatitis, eczema, and psoriasis.

Additionally, castor oil has antimicrobial activity against bacteria, fungi, and viruses, making it helpful in addressing certain infections. In hair care, castor oil is known to nourish the scalp, accelerate hair growth, and improve the overall condition of the hair. It is a natural remedy for dry and damaged hair, helping moisturize and strengthen the hair strands. Due to its various properties, castor oil finds applications in various industries, including pharmaceuticals, cosmetics, and manufacturing. 

DRUG INTERACTION

castor oil

&

  • Pembrolizumab / Berahyaluronidase
  • Bumetanide Intranasal
  • Gemcitabine intravesical
  • Rilzabrutinib
  • Zopapogene
  • Aceclidine
  • aluminium hydroxide
  • benzralizumab (Rx)
  • Rituximab
  • Trimetrexate Glucuronate
  • Mirdametinib
  • Suzetrigine
  • Potassium acid phosphate
  • Acellular Tissue Engineered Vessel
  • crinecerfont (pending approval from FDA)
  • Revumenib
  • pembrolizumab (Rx)
  • azathioprine (Rx)
  • Gemcitabine (Rx)
  • Seladelpar
  • Atezolizumab / Hyaluronidase-tqjs
  • Axatilimab-csfr
  • Afamitresgene Autoleucel
  • Lazertinib
  • Ocrelizumab / Hyaluronidase ocsq
  • Lebrikizumab
  • naloxone intranasal
  • clomiphene
  • patisiran
  • imetelstat
  • phenylephrine ophthalmic
  • myoinositol
  • vasicinone
  • soda lime
  • fisetin
  • Reynoutria Japonica
  • Coco Monoethanolamide
  • Betadex
  • lithopone
  • cyperus rotundus
  • papaya juice
  • 1-naphthaleneacetic acid
  • Nordazepam
  • Glechoma hederacea
  • Alternanthera sessilis
  • nicofetamide
  • napthol asol
  • cocamidopropyl betaine
  • musa x paradisiaca
  • dicyclomine/mefenamic acid
  • Sorghum
  • Manganese citrate
  • tovorafenib
  • mefenamic acid/paracetamol
  • eschscholzia californica
  • canna indica root
  • tranexamic acid/mefenamic acid
  • dexverapamil
  • sitogluside
  • secalciferol
  • cefatrizine
  • Sedum Acre
  • Flurogestone
  • Fluocortin
  • Bifendate
  • piprozolin
  • aminacrine undecylate
  • ethylenediamine mandelate
  • pelubiprofen
  • hesperetin
  • butethamine
  • epitiostanol
  • androstenediol
  • Nitroxoline
  • Iocarmic acid
  • Capobenic acid
  • dordaviprone (investigational drug)
  • Vitexin
  • Friluglanstat (investigational drug)
  • scorias spongiosa
  • Luseogliflozin
  • indoxacarb
  • prademagene zamikeracel
  • fidanacogene elaparvovec-dzkt
  • albifylline
  • idanpramine
  • araneus diadematus
  • Sulfamazone
  • Lycosa tarantula
  • malotilate
  • Ethacizine
  • Namilumab
  • Latrunculin B
  • stachyose
  • platinic oxide
  • iopronic acid
  • calcium chloride / potassium chloride/lactic acid/ sodium chloride/sodium hydroxide/sodium lactate solution
  • citric acid/ sodium bicarbonate/ sodium carbonate anhydrous
  • vadadustat
  • permethrin medical grade cis/trans isomers 25/75
  • lutetium, isotope of mass 177
  • human normal immunoglobulin
  • sacrosidase
  • apadamtase alfa, recombinant
  • acetyl hexapeptide-8 amide
  • pemivibart (Investigational)
  • govorestat
  • Zanidatamab
  • sotatеrcеpt
  • MV 140 vaccine
  • leuprorelin implant
  • cinchocaine hydrochloride/fluocortolone hexanoate/fluocortolone pivalate
  • Beautyberry
  • risedronate/calcium/vitamin D3
  • rhubarb extract/senna leaf/sulphur purified/wood charcoal
  • boric acid/kaolin/methyl salicylate/peppermint oil/thymol
  • docosahexaenoic acid/eicospentaenoic acid
  • aluminium hydroxide/magnesium hydroxide/simethicone
  • gentamicin/hydrocortisone
  • succinylcholine
  • sinefungin
  • letibotulinumtoxinA
  • coal tar/coconut oil/salicylic acid
  • camphor/camphor oil white/capsicum oleoresin /menthol/methyl salicylate
  • thioglycolic acid
  • acetic acid auricular
  • roluperidone
  • hydrocortisone/crotamiton topical
  • nystatin/chlorhexidine
  • aluminium chloride hexahydrate
  • ketoprofen topical
  • Chlormethine
  • podophyllotoxin
  • urea/lactic acid
  • autologous chondrocytes implant
  • afelimomab
  • gepotidacin
  • fludroxycortide
  • fentanyl transdermal
  • erythromycin/zinc acetate
  • dibotermin alfa powder
  • desferrioxamine mesilate
  • choline salicylate/magnesium salicylate
  • castor oil/peru balsam/trypsin
  • betamethasone/dexchlorpheniramine maleate
  • benzalkonium chloride solution/cetrimide
  • barzolvolimab
  • ascorbic acid / calcium laevulinate / nicotinamide / calcium pantothenate / calcium chloride / riboflavine / pyridoxine hydrochloride / thiamine hydrochloride
  • argipressin
  • arachis oil refined/chlorobutanol hemihydrate
  • arachis oil/eucalyptol/nutmeg oil/terpineol
  • ammonium chloride/diphenhydramine hydrochloride/levomenthol
  • amino acid mixture d / calcium chloride dihydrate / glucose monohydrate / glycine / magnesium chloride hexahydrate / olive oil / potassium chloride / sodium acetate trihydrate / sodium glycerophosphate pentahydrate / soya-bean oil
  • biotin/colecalciferol/copper (ii)sulfate dried/ cyanocobalamine/ dl-alpha tocopherol acetate/dibasic calcium phosphate anhydrous/folic acid/iron (ii)sulfate dried/ lecithin/ magnesium sulfate dried/ nicotinamide/ pyridoxine hydrochloride/ riboflavin
  • ampicillin sodium / cloxacillin sodium
  • undecylenic acid, undecylenate salts, zincundecate
  • omeprazole/sodium bicarbonate
  • efgartigimod alfa/hyaluronidase
  • xylometazoline/ipratropium
  • cefepime and enmetazobactam
  • isotonic sodium chloride
  • bee venom allergen injection
  • fentanyl intranasal
  • alglucosidase alfa
  • triprolidine/pseudoephedrine
  • pegademase bovine
  • castor oil and peru balsam
  • camphor/eucalyptus oil/menthol
  • oxyquinoline/sodium lauryl sulfate
  • somatorelin
  • menotrophin injection
  • menadiol
  • hylan g-f 20
  • cefepime and taniborbactum
  • water avens
  • camphor/menthol
  • acoramidis
  • elafibranor
  • arrowroot
  • miconazole nitrate/hydrocortisone
  • vildagliptin/metformin
  • dobesilic acid
  • aroxybutynin and atomoxetine
  • hygromycin
  • linvoseltamab
  • nemolizumab
  • aceprometazine
  • limaprost
  • oxazolam
  • trimegestone
  • teceleukin
  • beauty berry
  • dinotefuran
  • imiprothrin
  • transfluthrin
  • thymalfasin
  • technetium Tc 99m tilmanocept
  • glepaglutide
  • marstacimab
  • pixantrone
  • Andiroba
  • arabinoxylan
  • arenaria rubra
  • etripamil
  • jequirity
  • jiaogulan
  • dusquetide
  • rolipram
  • tradipitant
  • sinfungin
  • diclofenac/omeprazole
  • brinzolamide and timolol maleate
  • wormseed
  • wormwood
  • wood sorrel
  • carmellose sodium
  • ibandronic acid
  • cinnarizine and dimenhydrinate
  • ursodeoxycholic acid
  • rhubarb extract/salicylic acid
  • butamirate citrate
  • fumitory
  • taheebo
  • uva ursi
  • vervain
  • coleus
  • coltsfoot
  • crampbark
  • plantain
  • potassium nitrate and silver nitrate
  • gelsemium
  • gentian
  • glucomannan
  • walnut
  • meadowsweet
  • midomafetamine
  • pennyroyal
  • periwinkle
  • betony
  • bitter orange
  • bladderwrack
  • bloodroot
  • emu oil
  • garcinia
  • yellow dock
  • burdock
  • dehydroepiandrosterone
  • aucubin
  • jasmone
  • resacetophenone
  • ecamsule ditriethanolamine
  • feclobuzone
  • fenoprop triethanolamine
  • verdyl acetate
  • caffeic acid
  • cyclamen aldehyde
  • dicetyldimonium chloride
  • wogonin
  • impacarzine
  • laurylpyridinium chloride
  • stepronin
  • matrine
  • sakuranin
  • cannabichromene
  • sandalore
  • sabinene
  • oxypaeoniflora
  • ethylhexyl pelargonate
  • acrylonitrile
  • allyl alcohol
  • dipalmitoylethyl hydroxyethylmonium methosulfate
  • butidrine
  • clothiapine
  • propanediol dicaprylate
  • buchu
  • undecanol
  • enilconazole
  • xymenynic acid
  • angelica
  • nizubaglustat
  • resomelagon
  • ulecaciclib
  • apple cider vinegar
  • bacopa
  • barley grass
  • dandelion
  • deer velvet
  • dolomite
  • bugleweed
  • bupleurum
  • glyceryltrinitrate
  • pociredir
  • asnuciclib
  • actalycabtagene autoleucel
  • butantan–dengue vaccine
  • travoprost/timolol
  • furosemide/potassium chloride
  • amylamine
  • jaborandi
  • patritumab deruxtecan
  • jackfruit
  • sterculia
  • ascorbigen
  • ashitaba
  • androstenetrione
  • andrachne
  • cosibelimab
  • racecadotril
  • neomycin/chlorhexidine
  • octocog alfa
  • cetrimide
  • ispaghula husk
  • polyhexanide
  • octenidine
  • polygeline
  • heparinoid
  • jewelweed
  • boldo
  • anizatrectinib
  • alpinia
  • henbane
  • cynanchum vincetoxicum root and sulfur
  • boditrectinib
  • izumerogant
  • zavondemstat
  • abuta
  • fadogia agrestis
  • fly agaric mushroom
  • meptazinol
  • methoxyflurane
  • tramadol/dexketoprofen
  • betaine/polyhexanide
  • filgotinib
  • inosine acedoben dimepranol
  • alverine citrate
  • hyoscine butylbromide
  • senna+ ispaghula
  • cabbage palm
  • cajeput oil
  • calanus oil
  • calamint
  • canada balsam
  • carnosine
  • alverine citrate/simeticone
  • dihydroartemisinin/piperaquine
  • mebeverine/ispaghula
  • calcipotriol
  • tacalcitol
  • triethyl citrate/ethyl linoleate
  • sodium dilauramidoglutamide lysine
  • fazamorexant
  • avibactam tomilopil and ceftibuten
  • drostanolone
  • tigilanol tiglate
  • isorhynchophylline
  • rhynchophylline
  • crisugabalin
  • epigallocatechin gallate
  • clomocycline
  • corynoxeine
  • isocorynoxeine
  • Culmerciclib
  • Neladenoson
  • ambrein
  • hexylcaine
  • phensuximide
  • resencatinib (investigational)
  • rolusafine
  • pumecitinib
  • arhalofenic acid
  • berdazimer sodium
  • benzquinamide
  • clidinium
  • sulfametopyrazine
  • fulzerasib (Investigational Drug)
  • rovadicitinib (Investigational Drug)
  • Upleganan (Investigational Drug)
  • menthyl ethylamido oxalate
  • quaternium-90 montmorillonite
  • unecritinib (investigational drug)
  • etohexadiol
  • guaiol
  • proximadiol
  • verdinexor
  • sofnobrutinib
  • talbutal
  • ethoxzolamide
  • propiomazine
  • enprofylline
  • phenmetrazine
  • merigolix
  • pralurbactam
  • neracorvir
  • vonifimod
  • apaziquone hydroquinone
  • darizmetinib
  • zandelisib
  • xininurad
  • ritivixibat
  • amiselimod phosphate (investigational drug)
  • emzeltrectinib (investigational drug)
  • ficonalkib
  • cinalukast
  • ulobetasol
  • candoxatril
  • nitrofural
  • acetyldigitoxin
  • bentiromide
  • dextrothyroxine
  • chlorotrianisene
  • remikiren
  • pipobroman
  • vidarabine
  • immune globulin intravenous, human-stwk
  • spermine
  • serine
  • N-acetyl glucosamine
  • valine
  • adenine
  • asparagine
  • citrulline
  • adinazolam
  • interferon alfacon-1
  • interferon alfa-n1
  • felypressin
  • birch triterpenes
  • pyridoxal phosphate
  • technetium Tc-99m arcitumomab
  • beta-alanine
  • dihomo-gamma-linolenic acid
  • urea/hydrocortisone
  • R21/Matrix-M vaccine
  • povidone-iodine (ophthalmic)
  • pheniramine
  • hydrocortisone rectal
  • chloroxylenol/pramoxine/zinc acetate
  • chloroxylenol/pramoxine
  • dextrose/sucrose/vitamin C/zinc sulphate
  • furazolidone/metronidazole/dicyclomine
  • ergocalciferol (vitamin D2)
  • benoxaprofen (discontinued)
  • teicoplanin
  • carbomer
  • chromic chloride / iron (ii) chloride tetrahydrate / potassium iodide / manganese chloride / sodium fluoride / sodium selenite pentahydrate / sodium molybdate dihydrate / zinc chloride/ cupric chloride
  • bufylline
  • lidocaine/prilocaine
  • opium tincture, squill oxymel
  • dibrompropamidine
  • metronidazole/tetracycline/bismuth subsalicylate
  • agnus- castus
  • velaglucerase alfa
  • alendronic acid / colecalciferol
  • bimatoprost / timolol
  • efbemalenograstim alfa
  • dried ferrous sulfate/folic acid
  • dried ferrous sulfate / sodium ascorbate
  • nirogacestat
  • soya-bean oil, medium-chain triglycerides
  • demeclocycline hydrochloride and triamcinolone acetonide
  • fusidic acid / hydrocortisone acetate
  • macrogol
  • storax, benzoin
  • nomegestrol acetate/estradiol
  • flumetasone pivalate/ clioquinol
  • berdazimer topical (Pending FDA Approval)
  • buflomedil
  • butobarbital
  • andexanet alfa
  • methoxypolyethylene glycol-epoetin beta
  • viscum abietis
  • pramoxine vaginal
  • bupivacaine implant
  • cromolyn sodium, inhaled
  • pneumococcal vaccine 20-valent
  • bimatoprost ophthalmic implant
  • tick-borne encephalitis vaccine
  • chloroprocaine ophthalmic
  • travoprost intraocular implant (Pending FDA approval)
  • typhoid polysaccharide vaccine
  • sodium phosphate
  • human papillomavirus vaccine, nonavalent
  • peanut immunotherapy epicutaneous (FDA approval pending)
  • cromolyn sodium, intranasal
  • red blood cells(Blood component)
  • oral mucoadhesive
  • clindamycin vaginal
  • whole blood (Blood Component)
  • fibrinogen/thrombin
  • levothyroxine/liothyronine
  • ipratropium intranasal
  • metronidazole vaginal
  • cyamemazine
  • brinase
  • reviparin
  • ulinastatin
  • saruplase
  • acepromazine
  • emylcamate
  • methionine
  • amino acids and electrolytes in dextrose with calcium
  • slippery elm
  • camostat
  • hemoglobin crosfumaril
  • moperone
  • chlormidazole
  • brilaroxazine
  • palopegteriparatide
  • diazepam buccal
  • benegrastim (pending for FDA approval)
  • COVID-19 vaccine, adjuvanted-Novavax
  • vestronidase alfa-vjbk
  • tebipenem (Pending FDA Approval)
  • tislelizumab (Pending FDA Approval)
  • zolbetuximab (Pending FDA Approval)
  • zoliflodacin (pending FDA approval)
  • zibotentan and dapagliflozin
  • fluorine F18 DCFPyL
  • debamestrocel
  • givinostat
  • amubarvimab and romlusevimab(Pending FDA Approval)
  • sabizabulin(Pending FDA approval)
  • fexapotide(Phase 3 Clinical trial)
  • diatrizoic acid
  • drotaverine
  • diethyl phthalate
  • enclomiphene
  • epalrestat
  • ethamsylate
  • flupirtine
  • imidurea
  • sodium glycolate
  • feracrylum
  • ethacridine
  • furazolidone/metronidazole
  • ozagrel hydrochloride
  • leptazol
  • l-glutamic acid /vitamin B complex
  • etizolam
  • etizolam/propranolol
  • ethoheptazine citrate
  • etophylline and theophylline
  • etophylline
  • finger millet
  • drotaverine/mefenamic acid
  • dichloroxylenol
  • pneumococcal 7-valent vaccine
  • diclofenac and metaxalone
  • dipivefrin ophthalmic
  • enbucrilate
  • potassium citrate and citric acid
  • potassium gluconate
  • aclarubicin
  • alfuzosin/dutasteride
  • adrenochrome monosemicarbazone
  • selenium sulfide topical
  • sertaconazole
  • amorolfine cream
  • amsacrine
  • amylmetacresol
  • sulfonated phenolics in aqueous solution
  • technetium Tc-99m sulfur colloid
  • raltitrexed
  • romiplostim
  • acediasulfone
  • azulene
  • acebrophylline
  • clonazepam/escitalopram oxalate
  • allylestrenol
  • andrographolide
  • artemotil
  • technetium Tc-99m sestamibi
  • rubidium Rb-82
  • somapacitan
  • sodium sulfate, magnesium sulfate and potassium sulfate
  • almitrine
  • gramicidin
  • nikethamide
  • technetium Tc-99m sodium pertechnetate
  • betiatide
  • prilocaine/epinephrine
  • amlexanox
  • acetaminophen/salicylamide/phenyltoloxamine
  • neomycin topical
  • zilucoplan
  • antazoline and xylometazoline
  • toripalimab
  • iron isomaltoside
  • meningococcal A C Y and W polysaccharide tetanus toxoid conjugate vaccine
  • meningococcal A C Y and W-135 diphtheria conjugate vaccine
  • tetradecyl Sulfuric Acid
  • benzoyl peroxide, clindamycin phosphate, adapalene
  • ethylephedrine
  • actarit
  • pyrantel tartrate
  • tenofovir disoproxil fumarate or tenofovir DF
  • melitracen
  • amitriptylinoxide(Phase 4 Clinical Trials)
  • threonine
  • ditiocarb zinc
  • epicriptine
  • levallorphan
  • kinetin
  • laurocapram
  • pentagastrin
  • parthenolide
  • nicoboxil
  • protionamide
  • prulifloxacin
  • proscillaridin
  • tizanidine and rofecoxib
  • tolnaftate, gentamicin, chinoform and betamethasone valerate
  • pine bark extract
  • pipenzolate methylbromide
  • bephenium hydroxynaphthoate
  • niclosamide
  • pyrvinium
  • pipenzolate methylbromide/phenobarbitone
  • piracetam/ginkgo biloba/vinpocetine
  • benzyl benzoate/disulfiram
  • benzyl benzoate
  • loperamide/simethicone
  • piroctone olamine
  • sodium fusidate
  • piroxicam topical/capsaicin/menthol/methyl salicylate
  • sodium metabisulfite
  • sodium lauryl sulfate
  • taspoglutide
  • glyclopyramide
  • tolnaftate, gentamicin, iodochlorohydroxyquinoline, chlorocresol, betamethasone valerate
  • serratiopeptidase
  • sodium antimony gluconate
  • triamterene / benzthiazide
  • tribenoside / lidocaine
  • triclocarban
  • triprolidine/dextromethorphan  
  • vitamins/minerals/omega-3 Fatty acids
  • soyabean oil
  • sucralfate/oxethazaine
  • sucralfate/tinidazole/povidone iodine
  • sodium cromoglycate
  • aloe vera/liquid paraffin/white soft paraffin
  • aloe vera/jojoba oil/vitamin E
  • allantoin/triclosan/vitamin e/zinc oxide
  • alpha-Lipoic acid/minerals/multivitamins
  • alprazolam/paracetamol
  • alprazolam/melatonin
  • azithromycin/ambroxol
  • atorvastatin/clopidogrel/aspirin
  • aceclofenac, paracetamol and serratiopeptidase
  • alfacalcidol, vitamin B-complex, minerals and antioxidants
  • alpha- lipoic acid, vitamin b complex and vitamin c
  • alpha-galactosidase and simethicone
  • alpha-galactosidase, amylase, proteases, lipase and lactase
  • amikacin and cefepime
  • aminophylline, ephedrine and phenobarbitone
  • artesunate, sulphadoxine and pyrimethamine
  • finasteride/tamsulosin
  • flavoxate/ofloxacin
  • fenofibrate/metformin
  • lignocaine, hydrocortisone topical and allantoin
  • linoleic acid and sodium lactate
  • troxerutin
  • meclizine/nicotinic acid
  • mecobalamin/ginkgo Biloba
  • spirulina
  • loperamide and furazolidone
  • ketoconazole/cetrimide
  • ketoconazole/zinc pyrithione
  • lercanidipine/atenolol
  • levocetirizine/montelukast/ambroxol
  • levarterenol
  • levocetirizine/phenylpropanolamine 
  • indapamide/amlodipine
  • itopride/methyl polysiloxane
  • mebendazole/levamisole
  • eberconazole/mometasone
  • gliclazide/metformin/pioglitazone
  • fluconazole/tinidazole
  • haemocoagulase
  • halometasone
  • hesperidin
  • imipramine/chlordiazepoxide
  • idebenone / l-arginine / zinc sulphate/selenium/proanthocyanidin
  • mecobalamin and piracetam
  • mesterolone
  • mosapride and pantoprazole
  • atorvastatin, co enzyme q10, vitamin e, zinc, and selenium
  • azithromycin and benzalkonium chloride
  • beta carotene, vitamin c, vitamin e, minerals, lutein, eicosapentaenoic acid, docosahexenoic acid and vit b12
  • alpha-galactosidase
  • aloe vera gel/vitamin e/lactic acid
  • aloe vera gel/jojoba/vitamin e/glycerine
  • famotidine and domperidone
  • faropenem medoxomil
  • nedosiran
  • fluconazole/ornidazole/azithromycin
  • ebastine/montelukast
  • eberconazole
  • dienogest/estradiol valerate
  • ambroxol/salbutamol
  • benzoic acid/salicylic acid/ichthammol/ triamcinolone acetonide
  • desloratadine/ambroxol
  • dexibuprofen/paracetamol
  • atorvastatin/ramipril
  • diastase
  • diastase and simethicone
  • diazepam and propranolol
  • dexrabeprazole / domperidone
  • dexrabeprazole
  • dexketoprofen /paracetamol
  • beta carotene/vitamin C/minerals
  • aloe vera gel/urea
  • aloe vera gel/glycerine
  • alpha-lipoic acid/benfotiamine/chromium/folic acid/mecobalamin / vit b6
  • alprazolam/propranolol
  • alprazolam /sertraline
  • ibuprofen/dextropropoxyphene
  • ambroxol/cetirizine/phenylephrine/ guaiphenesin/menthol
  • dextropropoxyphene/dexchlorpheniramine maleate/bromhexine
  • promegestone
  • batroxobin
  • bencyclane
  • benfluorex
  • acetylpheneturide
  • abarelix
  • abetimus
  • naftidrofuryl
  • nalorphine
  • oxiracetam
  • letosteine
  • lafutidine
  • leuprorelin
  • levodropropizine
  • glutaral
  • losartan/ramipril
  • gallopamil
  • lanatoside c
  • lauromacrogol
  • gestodene
  • aceclofenac/methyl salicylate/menthol/linseed oil/capsaicin
  • aceclofenac/paracetamol/tizanidine
  • alginic acid/magaldrate/simethicone
  • aceclofenac/paracetamol
  • aceclofenac/rabeprazole
  • alginic acid
  • pantoprazole and domperidone
  • urokinase
  • rimiterol
  • olanzapine/fluoxetine
  • normethadone/hydroxyephedrine
  • myrtol
  • moxonidine
  • propylhexedrine
  • sodium hypochlorite solution
  • sodium chloride/sodium citrate
  • Hepatitis B Vaccine (Recombinant [Adjuvanted])
  • Hepatitis B Vaccine (Recombinant)
  • aceclofenac and serratiopeptidase
  • levosulpiride
  • niaprazine
  • tromantadine
  • trimetazidine
  • vinburnine
  • mizoribine
  • molgramostim
  • mosapride
  • eugenol
  • tolperisone
  • etamsylate
  • etynodiol
  • mizolastine
  • metenolone
  • reproterol
  • rebamipide
  • mephenoxalone
  • metandienone
  • furosemide/spironolactone
  • hydroxycarbamide
  • tenonitrozole
  • fenoverine
  • fenquizone
  • tiapride
  • tibolone
  • furazolidone
  • furosemide & amiloride
  • fosfestrol
  • fluclorolone
  • flubendazole
  • tertatolol
  • tetracosactide
  • tetryzoline
  • tolciclate
  • trapidil
  • troxipide
  • temoporfin
  • telbivudine
  • teprenone
  • hexamidine
  • mebhydrolin
  • mepartricin
  • fencamfamin
  • medazepam
  • theodrenaline
  • thiamazole
  • thiocolchicoside
  • psilocybin
  • veralipride
  • pyritinol
  • opipramol
  • oprelvekin
  • betamethasone + gentamicin
  • betamethasone + neomycin
  • betamethasone + salicylic acid
  • oxedrine
  • bopindolol
  • orgotein (investigational)
  • oxaceprol
  • ormeloxifene
  • bevantolol
  • bifemelane
  • clebopride
  • demoxytocin
  • cicletanine
  • cefsulodin
  • chlortalidon
  • sisomicin
  • somatrem
  • carbazochrome
  • caroverine
  • cathine
  • ipriflavone
  • isepamicin
  • silymarin
  • simethicone
  • sermorelin
  • diloxanide
  • dimethindene
  • diosmin/hesperidin
  • calamine
  • canrenone
  • captodiame
  • imidapril
  • cefetamet
  • cefodizime
  • cefoperazone + sulbactam
  • ivermectin + albendazole
  • serrapeptase
  • bromisoval
  • beraprost
  • pridinol
  • proglumide
  • bamipine
  • barnidipine
  • bamifylline
  • benzbromarone
  • betamethasone/fusidic acid
  • para-chlorophenol
  • pantethine
  • nomifensine
  • pemoline
  • parnaparin
  • pentolinium
  • nialamide
  • novobiocin
  • nicergoline
  • octocrylene
  • octisalate
  • oftasceine
  • oxolamine
  • oxyphencyclimine
  • penfluridol
  • pentoxyverine
  • phenoxymethylpenicillin
  • picloxydine
  • pilsicainide hydrochloride
  • piperazine
  • pirarubicin
  • policresulen
  • prifinium bromide
  • prethcamide
  • pristinamycin
  • pirenzepine
  • piribedil
  • pimethixene
  • pargyline
  • phosphatidyl choline
  • phthalylsulfathiazole
  • phytomenadione
  • pranlukast
  • pinazepam
  • oxyphenonium
  • noxytiolin
  • periciazine
  • pethidine
  • phenindamine
  • histidine
  • isoleucine
  • proline
  • lauric acid
  • lymecycline
  • hypromellose
  • abiraterone acetate and niraparib
  • ichthammol
  • levamisole
  • naftazone
  • nefopam
  • oxprenolol
  • oxybuprocaine
  • elranatamab-bcmm
  • lapyrium
  • isoaminile
  • iotrolan
  • mazindol
  • masoprocol
  • lypressin
  • meradimate
  • molsidomine
  • monobenzone
  • mequinol/gluconolactone/ lactobionic acid/ arbutin
  • medifoxamine
  • mebutamate
  • metergoline
  • methantheline
  • methdilazine
  • metocurine
  • micronomicin
  • metaraminol
  • mephenesin
  • menadione
  • medrysone
  • metixene
  • levobetaxolol
  • guaiacol glycerol ether
  • eucalyptol
  • sodium tetradecyl sulfate
  • sugammadex
  • carbetocin
  • certoparin
  • chlorcyclizine/pseudoephedrine
  • cephapirin
  • indecainide
  • iobitridol
  • iomeprol
  • chlorphenesin
  • msud analog
  • msud maxamum
  • iceland moss
  • glutethimide
  • hexachlorophene
  • haloprogin
  • deferoxamine
  • ethchlorvynol
  • dexpanthenol topical
  • etilefrine
  • deslanoside
  • carbocromen
  • diazolidinylurea
  • dibenzepin
  • etofamide
  • guanoxan
  • halazepam
  • guanadrel sulfate
  • dapiprazole
  • soapwort
  • debrisoquine
  • l-tryptophan
  • chlormerodrin
  • chlorquinaldol
  • cetrimonium
  • carbocisteine
  • chlorcyclizine/codeine
  • technetium Tc-99m tetrofosmin
  • technetium Tc-99m disofenin
  • technetium Tc-99m gluceptate
  • technetium Tc-99m labeled red blood cells
  • amylmetacresol/dextromethorphan hydrobromide
  • anileridine phosphate
  • pyrethrins
  • pyrantel pamoate
  • quinagolide
  • spiramycin
  • standard hyperkalemic cardioplegia solution
  • technetium tc-99m mertiatide
  • technetium tc-99m medronate
  • bemotrizinol / bisoctrizole
  • benfotiamine
  • bemotrizinol + titanium dioxide + zinc oxide
  • technetium Tc-99m oxidronate
  • technetium Tc-99m pentetate
  • technetium Tc-99m pyrophosphate
  • benziodarone
  • octinoxate/bisoctrizole
  • bicisate dihydrochloride
  • technetium Tc-99m bicisate
  • norelgestromin/ethinyl estradiol
  • norgestimate/ethinyl estradiol
  • ximelagatran (investigational)
  • xamoterol
  • trioxsalen
  • poly-urea urethane
  • rilmenidine
  • pemirolast
  • oxitriptan
  • beclomethasone, intranasal
  • thimerosal
  • camphor gel
  • camphor
  • mumps virus vaccine, live
  • rubella virus vaccine, live
  • aluminum chloride (dental)
  • alum irrigation
  • framycetin, phenylephrine, and gramicidin
  • ombitasvir, paritaprevir, ritonavir, and dasabuvir
  • olipudase alfa
  • etonogestrel/ethinyl estradiol
  • mycophenolate
  • fluoroestradiol F 18
  • donor organ cardioplegia solution
  • fluciclovine F 18
  • fusidic acid (ophthalmic)
  • fusidic acid and hydrocortisone
  • framycetin, dexamethasone, and gramicidin
  • fludeoxyglucose F-18
  • fluorouracil/salicylic acid
  • indium In-111 oxyquinoline
  • indium In-111 pentetreotide
  • indium In-111 capromab pendetide
  • lusutrombopag
  • mitomycin (ophthalmic)
  • mifepristone and misoprostol
  • minoxidil (systemic)
  • methyl aminolevulinate (topical)
  • methyl folate, methylcobalamin, and acetylcysteine
  • ciclesonide/formoterol/tiotropium
  • nedocromil (Oral Inhalation)
  • batefenterol (Investigational)
  • neostigmine and glycopyrrolate
  • nepafenac ophthalmic
  • netupitant/palonosetron
  • meperidine and promethazine
  • mepivacaine and levonordefrin
  • maltodextrin
  • medical cannabis
  • medium chain triglycerides
  • mometasone/glycopyrrolate (glycopyrronium)/ indacaterol
  • moxifloxacin ophthalmic
  • neomycin/fluocinolone
  • nadroparin
  • iodine I-125 iothalamate
  • amikacin liposome (oral inhalation)
  • bupivacaine liposome
  • natamycin
  • lopinavir and ritonavir
  • lysine
  • macitentan and tadalafil
  • mitomycin pyelocalyceal
  • moclobemide
  • mometasone and indacaterol
  • efinaconazole
  • blue-green algae
  • indocyanine green
  • follitropin beta
  • lumasiran
  • glycerin/lidocaine
  • edrophonium/atropine
  • indigo carmine
  • lutropin alfa
  • instant glucose/intravenous dextrose
  • iobenguane I-123
  • ixekizumab
  • isosulfan blue dye
  • levofloxacin ophthalmic
  • levonorgestrel oral/ferrous bisglycinate/ ethinylestradiol
  • ethinyl estradiol/levonorgestrel transdermal
  • hydroquinone
  • hydroxypropyl methylcellulose
  • icodextrin
  • lipid emulsion (soybean, medium-chain triglyceride, olive, and fish oils; [SMOF])
  • iodinated I 125 albumin
  • iodinated I 131 albumin
  • lipid emulsion (plant oil-based)
  • levonorgestrel intrauterine
  • levonorgestrel/ethinyl estradiol
  • lactic acid and sodium-PCA
  • lactated Ringer solution
  • ketotifen (systemic)
  • lanolin
  • leuprolide and norethindrone
  • levodopa and benserazide
  • gonadorelin acetate
  • hemodialysis solutions
  • nirsevimab
  • gentian violet
  • gallium ga-68 dotatate
  • fusidic acid and betamethasone
  • gallium citrate Ga-67
  • gadopentetate dimeglumine
  • gadofosveset
  • follitropin delta
  • follitropin alfa and lutropin alfa
  • follitropin alfa
  • rocatinlimab
  • grass pollens allergen extract
  • flotufolastat F18
  • fluorescein ophthalmic
  • barium
  • balanced salt solution
  • air polymer type A intrauterine device
  • clodronate
  • bentoquatam
  • clobetasone
  • alfacalcidol
  • citric acid/glucono-delta-lactone/magnesium carbonate
  • benzoin
  • desirudin
  • immune globulin IV (IGIV)
  • dequalinium
  • pseudoephedrine/desloratadine
  • clofedanol
  • cyproterone and ethinyl estradiol
  • dextranomer and hyaluronic acid or derivatives
  • diatrizoate meglumine and diatrizoate sodium
  • glucosamine sulfate, chondroitin sulfate and Msm
  • squill
  • gotu kola
  • blessed thistle
  • bitter melon
  • apraclonidine
  • chlophedianol/dexbrompheniramine/pseudoephedrine
  • wild jujube
  • chitosan
  • cilazapril/hydrochlorothiazide
  • dexbrompheniramine and phenylephrine
  • diethylene triamine penta-acetic acid
  • dexchlorpheniramine and pseudoephedrine
  • lily of the valley
  • diflucortolone
  • corydalis
  • lemon balm
  • MSM
  • calcium polystyrene sulfonate
  • caprylidene
  • peppermint oil
  • efavirenz/lamivudine/tenofovir DF
  • emtricitabine/tenofovir DF /efavirenz
  • dutasteride/tamsulosin
  • milk thistle
  • centaury
  • horseweed
  • lycopus
  • agrimony
  • alfalfa
  • kava
  • cetrorelix
  • cetylpyridinium
  • chlophedianol and dexbrompheniramine
  • betahistine
  • choline C-11
  • boric acid vaginal suppository
  • aluminum acetate
  • aluminum chloride hexahydrate
  • 14-C urea breath test
  • absorbable collagen
  • valoctocogene roxaparvovec-rvox
  • amlodipine and celecoxib
  • aspirin and omeprazole
  • azilsartan and chlorthalidone
  • landiolol (Pending FDA approval)
  • isosorbide dinitrate/hydralazine
  • losartan/hydrochorothiazide
  • udenafil
  • dextromethorphan/quinidine
  • onasemnogene abeparvovec
  • orphenadrine/aspirin/caffeine
  • Trace elements
  • sodium phenylbutyrate/ taurursodiol
  • fish oil triglycerides
  • infant formula
  • glutamine
  • chloroquine phosphate
  • afatinib
  • quinidine gluconate
  • methylergonovine
  • prothrombin complex concentrate, human
  • BCG intravesical live
  • capivasertib
  • cedazuridine
  • carbonyl iron
  • iron dextran complex
  • lovotibeglogene autotemcel (FDA Approval Pending)
  • sodium benzoate/sodium phenylacetate
  • mineral oil otic
  • zolmitriptan transdermal
  • midazolam intranasal
  • fosinopril/hydrochlorothiazide
  • caplacizumab
  • arginine
  • sodium phenylbutyrate
  • meloxicam/rizatriptan
  • manganese
  • acetaminophen/pamabrom/pyridoxine
  • varicella zoster immune globulin, human
  • amitriptyline/perphenazine
  • narsoplimab (Pending FDA Approval)
  • amlodipine/perindopril
  • imiglucerase
  • canagliflozin/metformin
  • tafamidis meglumine
  • somatrogon-ghla
  • glimepiride/rosiglitazone
  • becaplermin
  • lithium
  • loxapine inhaled
  • nicotine transdermal
  • tixagevimab and cilgavimab (Investigational)
  • muromonab CD3
  • ansuvimab
  • coal tar bath products
  • fibrin sealant
  • arimoclomol (FDA Approval Pending)
  • varenicline intranasal
  • aducanumab
  • oxycodone/naloxone
  • ritlecitinib
  • sodium polystyrene sulfonate
  • calcipotriene/betamethasone
  • calcium hydroxylapatite
  • cantharidin topical
  • doxepin cream
  • clocortolone
  • formaldehyde topical
  • sodium sulfide topical
  • collagenase
  • selegiline transdermal
  • foscarbidopa/foslevodopa (FDA approval pending)
  • saxagliptin/metformin
  • linagliptin/metformin
  • linzagolix (FDA approval pending)
  • efgartigimod/hyaluronidase SC
  • Elamipretide
  • rozanolixizumab
  • diazoxide
  • glimepiride/pioglitazone
  • cipaglucosidase alfa
  • dihydroergotamine intranasal
  • delandistrogene moxeparvovec
  • beremagene geperpavec
  • hyaluronic acid and derivatives
  • hyaluronic acid, non-animal stabilized
  • eplontersen (FDA Approval Pending)
  • nitric oxide gas
  • sodium phenylbutyrate and taurursodiol
  • treprostinil SC
  • viltolarsen
  • albuterol/ipratropium
  • budesonide inhaled
  • budesonide rectal
  • palovarotene
  • sodium sulfate/potassium chloride/magnesium sulfate/polyethylene glycol
  • amino acids mixture
  • aminobenzoate potassium
  • elivaldogene autotemcel
  • naproxen and sumatriptan
  • sumatriptan intranasal
  • alglucerase
  • metformin/rosiglitazone
  • ertugliflozin/metformin
  • elosulfase alfa
  • calcium carbonate/magnesium hydroxide
  • starch suppository
  • abicipar pegol (FDA Approval Pending)
  • riboflavin 5′-phosphate ophthalmic
  • povidone ophthalmic
  • glycerin oropharyngeal
  • dimethicone topical
  • menthol topical, dimethicone topical
  • pramoxine topical, menthol topical and dimethicone topical
  • phosphorated carbohydrate
  • brilliant blue G ophthalmic
  • brolucizumab intravitreal
  • purified water, ophthalmic
  • hydroxyethyl cellulose ophthalmic
  • ranibizumab intravitreal implant
  • sodium chloride hypertonic, ophthalmic 
  • cetirizine ophthalmic
  • phentolamine ophthalmic
  • ganciclovir ophthalmic
  • triamcinolone intravitreal
  • ocriplasmin intravitreal
  • atoltivimab/maftivimab/odesivimab
  • pegcetacoplan intravitreal
  • triamcinolone acetonide extended-release injectable suspension
  • tobramycin/loteprednol ophthalmic
  • 2-octyl cyanoacrylate
  • vitamins A & D topical
  • diphenhydramine/allantoin topical
  • pyrethrins/piperonyl butoxide
  • lodoxamide ophthalmic
  • obeticholic acid
  • fluocinolone intravitreal implant
  • sincalide
  • linaclotide
  • nedocromil ophthalmic
  • cysteamine ophthalmic
  • avacincaptad pegol intravitreal
  • azelastine ophthalmic
  • bacitracin ophthalmic
  • propylene glycol ophthalmic
  • rimexolone ophthalmic
  • metoclopramide intranasal
  • mirikizumab
  • netarsudil ophthalmic
  • cenegermin
  • dexamethasone ophthalmic insert
  • prednisolone ophthalmic
  • phenylephrine and cocoa butter rectal
  • phenylephrine and witch hazel topical
  • phenylephrine, pramoxine, glycerin and petrolatum rectal
  • bisacodyl rectal
  • aluminum hydroxide/magnesium carbonate
  • aluminum hydroxide/magnesium hydroxide
  • hyoscyamine spray
  • methenamine/methylene blue/ hyoscyamine/ sodium phosphate monobasic/ phenyl salicylate
  • phenylephrine
  • chlorophyll
  • castor oil
  • cholic acid
  • phenol oropharyngeal
  • articaine/epinephrine
  • antithymocyte globulin equine
  • aluminum hydroxide/magnesium trisilicate
  • methenamine/hyoscyamine
  • hydrocortisone topical/pramoxine topical 
  • sodium fluoride topical
  • mesna
  • C1 esterase inhibitor recombinant
  • menthol and pectin
  • menthol oropharyngeal
  • pectin oropharyngeal
  • gepirone
  • Goldenseal
  • polyethylene glycol and electrolytes
  • polyethylene glycol/electrolytes/sodium ascorbate/ascorbic acid
  • brompheniramine/pseudoephedrine/dextromethorphan
  • brompheniramine phenylephrine
  • acetaminophen/doxylamine/phenylephrine
  • doxylamine/acetaminophen/pseudoephedrine/dextromethorphan
  • acetaminophen/doxylamine/dextromethorphan
  • acetaminophen/doxylamine/dextromethorphan/phenylephrine
  • eslicarbazepine
  • fluticasone and salmeterol
  • codeine, acetaminophen, butalbital and caffeine
  • codeine, chlorpheniramine and phenylephrine
  • iodine
  • povidone iodine
  • butalbital/aspirin/caffeine/codeine
  • polyethylene glycol 400/propylene glycol ophthalmic 
  • pegvaliase
  • amivantamab
  • iopamidol
  • codeine and pseudoephedrine
  • emtricitabine, rilpivirine, tenofovir DF
  • penicillin G aqueous
  • miconazole topical
  • miconazole vaginal
  • ciprofloxacin inhaled (Pending FDA approval)
  • ceftazidime/avibactam
  • ceftolozane/​tazobactam
  • aztreonam inhalation
  • amphotericin B cholesteryl sulfate
  • miconazole oral
  • elvitegravir/cobicistat/emtricitabine/tenofovir DF
  • isavuconazonium sulfate
  • dapivirine intravaginal (FDA Approval Pending)
  • lamivudine/raltegravir
  • codeine/triprolidine/pseudoephedrine
  • cadexomer iodine
  • brompheniramine/pseudoephedrine
  • codeine/acetaminophen
  • codeine/guaifenesin
  • beclomethasone inhaled
  • epoetin beta/methoxy polyethylene glycol
  • voreloxin(Orphan Drug)
  • rociletinib
  • pitcher plant
  • phosphatidylserine
  • telotristat ethyl
  • copper CU 64 dotatate
  • urea topical
  • exenatide subdermal implant
  • asenapine transdermal
  • ethiodized oil
  • urea oral
  • miglustat
  • acalisib(Investigational)
  • acetophenazine
  • guggul
  • aceneuramic acid
  • mestranol/norethindrone
  • reishi
  • lactitol
  • vonoprazan fumarate
  • motherwort
  • silver nitrate
  • salicylic acid/sulfur shampoo
  • salicylic acid topical
  • ketorolac ophthalmic
  • ketoconazole topical
  • Japanese encephalitis virus vaccine
  • dibucaine topical ointment
  • ketorolac intranasal
  • ketorolac/phenylephrine ophthalmic
  • rotavirus oral vaccine, live
  • guarana
  • hops
  • krill oil
  • salicylic acid/coal tar shampoo
  • sufentanil SL
  • pancrelipase
  • passion flower
  • pepdite one plus
  • nivolumab and relatlimab
  • relatlimab (Pending FDA Approval)
  • benzalkonium chloride/benzocaine
  • ketotifen, drug-eluting contact lens
  • calcitriol topical
  • oxymetazoline topical
  • alclometasone topical
  • capsaicin topical
  • diclofenac/misoprostol
  • diclofenac ophthalmic
  • diclofenac topical
  • pramoxine/calamine topical
  • veverimer
  • tolazoline
  • olopatadine ophthalmic
  • lutetium lu 177-dota-tate
  • lutetium lu 177 vipivotide tetraxetan
  • strontium 89 chloride
  • interferon alfa n3
  • lutetium Lu 177- Diethylenetriamine Pentaacetic acid-omburtamab (FDA Approval Pending)
  • samarium sm 153 lexidronam
  • cytomegalovirus immune globulin (CMV IG)
  • antithymocyte globulin rabbit
  • inolimomab (Pending FDA Approval)
  • olopatadine intranasal
  • olopatadine intranasal/​mometasone, intranasal
  • benzocaine/butamben/tetracaine topical
  • antipyrine/benzocaine/phenylephrine
  • dyclonine/menthol
  • surufatinib
  • fruquintinib
  • dostarlimab
  • hepatitis B immune globulin (HBIG)
  • remestemcel-L
  • benzocaine/menthol oropharyngeal
  • interferon beta 1b
  • tetracaine/oxymetazoline intranasal
  • benzocaine oropharyngeal
  • benzalkonium chloride/menthol/petrolatum topical
  • inamrinone
  • alpha 1 proteinase inhibitor
  • potassium bicarbonate/potassium citrate
  • potassium phosphate/sodium acid phosphate
  • asparaginase Erwinia chrysanthemi recombinant
  • motixafortide
  • pegloticase
  • etesevimab
  • Rho(D) immune globulin
  • tetanus immune globulin (TIG)
  • reltecimod (pending FDA approval)
  • avasopasem
  • trimethoprim/polymyxin B ophthalmic
  • naphazoline ophthalmic
  • sulfacetamide topical
  • sirolimus intravitreal (pending FDA approval)
  • sirolimus protein bound
  • sirolimus topical
  • glycopyrronium tosylate topical
  • sofpironium
  • olmesartan, amlodipine and hydrochlorothiazide
  • dovitinib (Pending FDA Approval)
  • epinephrine inhaled
  • quizartinib (Pending FDA Approval)
  • ranibizumab intravitreal injection
  • sodium hyaluronate
  • bacitracin and lidocaine topical
  • brimonidine topical
  • benzoyl peroxide and tretinoin topical
  • talquetamab
  • betrixaban
  • acetaminophen/caffeine/pyrilamine
  • fentanyl transmucosal
  • bacitracin topical
  • buprenorphine,long-acting injection
  • buprenorphine buccal
  • nalmefene intranasal
  • sulbactam/durlobactam
  • metronidazole topical 
  • daratumumab/hyaluronidase
  • glofitamab
  • rituximab-hyaluronidase
  • drospirenone/ethinyl estradiol/levomefolate
  • loncastuximab tesirine
  • ingenol mebutate topical
  • momelotinib
  • trastuzumab/deruxtecan
  • trastuzumab/hyaluronidase
  • trastuzumab duocarmazine
  • lifileucel
  • umbralisib
  • eflornithine/sulindac
  • cytarabine/daunorubicin liposomal
  • doxorubicin liposomal
  • epcoritamab
  • lanadelumab  
  • esomeprazole/naproxen 
  • terbinafine topical
  • ravulizumab
  • clotrimazole topical
  • choline magnesium trisalicylate
  • tacrolimus ointment
  • mechlorethamine topical
  • donislecel
  • pozelimab (Pending FDA Approval)
  • human rabies immune globulin (HRIG)
  • melphalan flufenamide
  • sintilimab (Pending FDA Approval)
  • oportuzumab monatox (Pending FDA Approval)
  • sotorasib
  • irinotecan liposomal
  • sulfur topical
  • silver sulfadiazine
  • capsaicin transdermal
  • sutimlimab
  • tretinoin topical
  • acetaminophen rectal
  • menthol topical
  • naftifine
  • oatmeal, colloidal topical
  • oxiconazole
  • methylsalicylate/menthol topical
  • C1 inhibitor human
  • lifitegrast ophthalmic
  • prednisolone/sulfacetamide ophthalmic
  • mannitol inhalation
  • ofloxacin otic
  • petrolatum & mineral oil topical
  • clascoterone topical
  • gefapixant (Pending FDA Approval)
  • colesevelam
  • technetium Tc 99m succimer
  • nebivolol/valsartan
  • ciprofloxacin/fluocinolone acetonide, otic
  • finafloxacin otic
  • magnesium hydroxide/mineral oil
  • phenylephrine/mineral oil/petrolatum rectal
  • carbamide peroxide oral
  • atropine ophthalmic
  • sodium sulfacetamide/sulfur
  • sulfacetamide ophthalmic
  • lucinactant
  • benzonatate
  • besifloxacin ophthalmic
  • benzhydrocodone/acetaminophen
  • beractant
  • trimagnesium citrate anhydrous
  • vitamin b2
  • carbamide peroxide otic
  • mineral oil topical
  • ethyl alcohol intranasal
  • boric acid/alcohol otic
  • absorbable gelatin compressed sponge, USP
  • absorbable gelatin sponge, USP
  • vincristine liposomal
  • technetium Tc 99m albumin aggregated injection
  • metaproterenol
  • budesonide inhaled/formoterol/glycopyrrolate inhaled
  • epinephrine racemic
  • umeclidinium bromide/vilanterol inhaled
  • indacaterol, inhaled/glycopyrrolate inhaled
  • betaine  
  • laronidase 
  • estrogens esterified/methyltestosterone            
  • cerliponase alfa
  • ertugliflozin/sitagliptin
  • hawthorn
  • shepherd’s purse
  • thiamine
  • naphazoline/glycerin ophthalmic
  • oxymetazoline ophthalmic
  • dorzolamide
  • dexamethasone intraocular
  • dexamethasone/ciprofloxacin
  • dexamethasone ophthalmic
  • metipranolol ophthalmic
  • timolol ophthalmic
  • boron
  • fezolinetant
  • pegunigalsidase alfa-iwxj
  • biotin
  • pantothenic acid
  • silicon
  • sodium acid phosphate
  • hypochlorous acid topical
  • methenamine/sodium acid phosphate
  • aviptadil 
  • bremelanotide
  • glucagon intranasal
  • metformin and repaglinide
  • bai ji
  • pau d’arco
  • juzentaihoto
  • mistletoe
  • quercetin
  • rosemary
  • sheng di huang
  • chasteberry
  • maitake
  • grapefruit
  • lentinan
  • juniper
  • nettle
  • parsley
  • rose hips
  • tongkat ali
  • horny goat weed
  • damiana
  • yohimbe
  • insulin NPH
  • aprocitentan
  • noni Juice
  • sodium iodide I-131
  • green tea
  • sea cucumber
  • wheat germ extract
  • fenofibrate micronized 
  • rogisen
  • danshen
  • lutein
  • witch hazel
  • dextroamphetamine transdermal
  • amphetamine/dextroamphetamine
  • hoodia
  • kolanut
  • boswellia
  • opuntia ficus indica
  • lavender
  • nadh
  • tea tree oil
  • metformin/sitagliptin 
  • dapagliflozin/ metformin/saxagliptin  
  • antihemophilic factor recombinant
  • inclisiran
  • bempedoic acid/ezetimibe
  • volanesorsen  
  • omega 3 carboxylic acids
  • pericyazine
  • levomepromazine (methotrimeprazine)
  • betaxolol ophthalmic
  • respiratory syncytial virus vaccine, adjuvanted
  • phenylephrine hydrochloride and tropicamide ophthalmic
  • alirocumab
  • neomycin/polymyxin B/gramicidin ophthalmic
  • factor IX
  • gentamicin topical
  • ansofaxine (Pending FDA Approval)
  • zuranolone
  • factor IX, recombinant
  • factor IX complex
  • factor XIII A-subunit, recombinant
  • factor X, human
  • mesalamine rectal
  • etrasimod
  • anti-inhibitor coagulant complex
  • factor IX, recombinant/albumin fusion protein
  • fibrinogen, human
  • aminocaproic acid
  • metyrosine
  • nonoxynol-9 vaginal
  • progesterone intravaginal gel
  • ipecac syrup
  • botulinum antitoxin, heptavalent
  • pentetate calcium trisodium
  • crotalidae polyvalent immune FAB (ovine)
  • dehydrated alcohol injection 
  • gold sodium thiomalate (Discontinued)
  • lactic acid/citric acid/potassium bitartrate vaginal
  • von Willebrand factor, recombinant
  • luspatercept
  • digoxin immune FAB (Antidote)
  • crotalidae immune FAB (equine)
  • magnesium (Antidote)
  • pyridoxine (Antidote)
  • edetate calcium disodium
  • albumin IV
  • nitroglycerin sublingual
  • obiltoxaximab
  • anthrax immune globulin
  • nitroglycerin topical
  • dextrose
  • nesiritide
  • estradiol vaginal
  • bazedoxifene/conjugated estrogens
  • botulism immune globulin iv
  • amoxicillin/omeprazole/rifabutin
  • synthetic human angiotensin II
  • nitroglycerin IV
  • nitroglycerin translingual
  • nitroprusside sodium
  • tetrahydrozoline/zinc sulfate/hypromellose ophthalmic
  • sodium citrate/citric acid
  • pemetrexate
  • Methicillin
  • plasminogen 
  • acai
  • american ginseng
  • cordyceps
  • tramadol/acetaminophen
  • belladonna alkaloids/phenobarbital
  • erythromycin topical/benzoyl peroxide
  • glucosamine sulfate
  • panax ginseng (suppl/herb)
  • tolnaftate
  • sulopenem etzadroxil/probenecid
  • sulfur hexafluoride
  • sotrovimab
  • arbaclofen
  • rifampin/isoniazid
  • clindamycin /tretinoin topical
  • benzoyl peroxide/clindamycin topical
  • apremilast
  • antivenins, centuroides (scorpion)
  • bamlanivimab and etesevimab
  • vilobelimab
  • gadobenate
  • pentosan polysulfate sodium
  • methylsalicylate/menthol/camphor topical
  • antivenin, black widow spider
  • benzoyl peroxide and hydrocortisone
  • clindamycin topical
  • isometheptene, dichloralphenazone and acetaminophen
  • acetaminophen and phenyltoloxamine
  • erythromycin topical
  • erythromycin ophthalmic
  • alpha hydroxy acids, topical
  • buprenorphine transdermal
  • butalbital/acetaminophen/caffeine
  • buprenorphine/samidorphan
  • buprenorphine subdermal implant
  • celecoxib/tramadol
  • drospirenone/ethinyl estradiol
  • resorcinol/sulfur
  • eflornithine
  • rifampin/isoniazid/pyrazinamide
  • tofersen
  • devil’s claw
  • ticarcillin/clavulanate
  • atropine/pralidoxime
  • aprepitant
  • suramin
  • phenelzine 
  • artichoke
  • american dogwood
  • attapulgite
  • atlantic cedar
  • axalimogene filolisbac
  • sodium thiosulfate & sodium nitrite
  • ataluren
  • omidubicel-onlv
  • capsicum
  • ginger
  • cryoprecipitate
  • bictegravir/emtricitabine/tenofovir DF
  • emtricitabine/tenofovir DF
  • fo-ti
  • siberian ginseng
  • granulocytes
  • zinc substituted heme C
  • zinc trihydroxide
  • ashwagandha 
  • cat’s claw
  • glandular products
  • SAMe
  • shark cartilage
  • altovis
  • feverfew
  • horse chestnut
  • magnesium aspartate
  • octacosanol
  • pleurisy root
  • star anise
  • butterbur
  • elderberry
  • licorice (Suppl/herb)
  • aconite
  • pentetate zinc trisodium
  • menthol topical/zinc oxide topical
  • corn-starch/kaolin/zinc oxide topical
  • 5-hydroxytryptophan (5-htp)
  • butcher’s broom
  • articulin
  • bearberry
  • goldenrod
  • progesterone, natural
  • black cohosh
  • wild yam
  • cranberry
  • dong quai
  • phytoestrogens
  • norethindrone
  • false Unicorn Root
  • raspberry Leaf
  • asafoetida
  • turmeric
  • dehydroepiandrosterone (DHEA)
  • hyaluronan
  • aliskiren/amlodipine
  • octreotide (Antidote)
  • tranexamic acid injection
  • duocal
  • neocate infant formula
  • pediatric Eo28
  • aloe
  • red clover
  • propolis
  • androstenedione
  • heartsease
  • comfrey
  • bilberry
  • chamomile
  • eyebright
  • calendula
  • sage
  • yucca
  • polypody
  • odevixibat
  • vinpocetine
  • olanzapine/samidorphan
  • creatine
  • yerba mate
  • spesolimab
  • azficel-T
  • tiludronate
  • estetrol and drospirenone
  • pseudoephedrine/fexofenadine
  • lincomycin
  • neomycin oral
  • fluocinolone acetonide, otic
  • tretinoin/ hydroquinone/ fluocinolone
  • halobetasol topical
  • hydrocortisone/​iodoquinol
  • penicillin G procaine /penicillin G benzathine
  • hydrocortisone probutate topical
  • colistin/neomycin/hydrocortisone/thonzonium otic
  • ebola zaire vaccine
  • hepatitis a/​b vaccine
  • vibegron
  • lindane
  • nystatin topical
  • respiratory syncytial virus (RSV) vaccine
  • chikungunya vaccine, live
  • tenecteplase
  • reteplase
  • anthrax vaccine adsorbed, adjuvanted
  • meningococcal ABCWY pentavalent vaccine
  • eculizumab
  • cholestyramine
  • tinzaparin
  • taurolidine/​citrate/​heparin
  • protein C concentrate
  • antithrombin alfa
  • antithrombin III
  • multivitamins, vision
  • ibuprofen/​chlorpheniramine/​pseudoephedrine
  • acetaminophen/ibuprofen
  • ibuprofen/pseudoephedrine
  • paclitaxel protein-bound
  • acetic acid vaginal
  • acetic acid otic
  • hydrocodone/ ibuprofen
  • methyl salicylate / isopropanol/ citronellyl acetate/ citric acid
  • ibuprofen and phenylephrine
  • acetylcysteine (Antidote)
  • iron/​folic acid/​vitamin/​mineral
  • iobenguane I-131
  • dolutegravir/rilpivirine
  • chlorhexidine topical
  • chlorhexidine oral
  • thyroid desiccated
  • proparacaine ophthalmic
  • podophyllum resin
  • phendimetrazine
  • phenoxybenzamine
  • polidocanol
  • phentermine and topiramate
  • piflufolastat F18
  • piperacillin/tazobactam
  • prednisolone and gentamicin ophthalmic
  • promethazine and codeine
  • poractant alfa
  • protamine sulfate
  • aflibercept intravitreal
  • prednicarbate
  • promethazine/dextromethorphan
  • codeine, phenylephrine, and promethazine
  • potassium phosphate
  • glatiramer acetate
  • gentamicin (Ophthalmic)
  • leniolisib
  • rezafungin
  • fluorometholone
  • dalfampridine
  • hydrocortisone topical 
  • empagliflozin and linagliptin
  • triamcinolone topical
  • minocycline topical
  • minocycline dental
  • ketotifen ophthalmic
  • darunavir and cobicistat
  • lidocaine topical
  • neomycin/polymyxin B/bacitracin/lidocaine (OTC)
  • lidocaine/ hydrocortisone
  • lidocaine anesthetic
  • lidocaine ophthalmic
  • lidocaine/tetracaine
  • desonide
  • dabigatran
  • fexofenadine
  • fluoride
  • decitabine and cedazuridine
  • dasiglucagon
  • hydroxypropyl cellulose ophthalmic
  • epoetin alfa
  • ibritumomab tiuxetan
  • trimethobenzamide
  • dexamethasone/ tobramycin
  • tafasitamab
  • valacyclovir
  • mebendazole
  • levoleucovorin
  • flaxseed
  • germanium
  • glutathione
  • lycopene
  • pygeum
  • horseradish
  • ziv-aflibercept
  • micafungin
  • trofinetide
  • taliglucerase alfa
  • tildrakizumab
  • sulopenem (Pending FDA Approval)
  • thyrotropin alfa
  • birch
  • thrombin, topical
  • tivozanib
  • tafluprost
  • methohexital
  • urea and hydrocortisone
  • unoprostone ophthalmic
  • trihexyphenidyl
  • ezetimibe
  • evolocumab
  • trifluridine and tipiracil
  • methenamine
  • misoprostol
  • miltefosine
  • rimantadine
  • maralixibat
  • coenzyme Q10
  • chlorella
  • garlic
  • forskolin
  • zavegepant
  • menotropins
  • margetuximab
  • meprobamate
  • melarsoprol
  • evening primrose oil
  • lemongrass
  • molindone
  • fenugreek
  • phytosterols
  • red yeast rice
  • uridine triacetate
  • tropicamide
  • incobotulinumtoxinA
  • Grape Seed Extract
  • carbachol ophthalmic
  • cosyntropin
  • cyclopentolate and phenylephrine
  • carteolol ophthalmic
  • pentazocine/naloxone
  • pentazocine/acetaminophen
  • casimersen
  • carisoprodol, aspirin, and codeine
  • carisoprodol
  • carboprost tromethamine
  • flurandrenolide
castor oil + 

acetazolamide 

it may enhance the severity of dehydration when combined with castor oil

ipratropium intranasal 

when used with ipratropium, castor oil's medicinal efficiency may be diminished

caroverine 

castor oil: it may decrease the therapeutic efficacy of caroverine

dipyridamole 

It may enhance toxicity when combined with cholic acid by diminishing the elimination

disulfiram 

It may enhance toxicity when combined with cholic acid by diminishing the elimination

fenofibrate 

It may enhance toxicity when combined with cholic acid by diminishing the elimination

fenofibrate micronized  

It may enhance toxicity when combined with cholic acid by diminishing the elimination

fenofibric acid 

It may enhance toxicity when combined with cholic acid by diminishing the elimination

aclidinium 

it may diminish the therapeutic efficacy when combined with castor oil

alfentanil 

it may diminish the therapeutic efficacy when combined with castor oil

amantadine 

it may diminish the therapeutic efficacy when combined with castor oil

it may enhance the severity of dehydration when combined with castor oil

amiodarone 

it may diminish the therapeutic efficacy when combined with castor oil

amitriptyline 

it may diminish the therapeutic efficacy when combined with castor oil

amlodipine 

it may diminish the therapeutic efficacy when combined with castor oil

amobarbital 

it may diminish the therapeutic efficacy when combined with castor oil

amoxapine 

it may diminish the therapeutic efficacy when combined with castor oil

aripiprazole 

it may diminish the therapeutic efficacy when combined with castor oil

atracurium 

it may diminish the therapeutic efficacy when combined with castor oil

atropine 

it may diminish the therapeutic efficacy when combined with castor oil

belladonna/opium 

it may diminish the therapeutic efficacy when combined with castor oil

benzatropine 

it may diminish the therapeutic efficacy when combined with castor oil

cyproheptadine 

it may diminish the therapeutic efficacy when combined with castor oil

darifenacin 

it may diminish the therapeutic efficacy when combined with castor oil

desipramine 

it may diminish the therapeutic efficacy when combined with castor oil

desloratadine 

it may diminish the therapeutic efficacy when combined with castor oil

dextromethorphan 

it may diminish the therapeutic efficacy when combined with castor oil

dezocine 

it may diminish the therapeutic efficacy when combined with castor oil

dicyclomine 

it may diminish the therapeutic efficacy when combined with castor oil

dihydrocodeine 

it may diminish the therapeutic efficacy when combined with castor oil

diltiazem 

it may diminish the therapeutic efficacy when combined with castor oil

flavoxate 

it may diminish the therapeutic efficacy when combined with castor oil

flunarizine 

it may diminish the therapeutic efficacy when combined with castor oil

fluoxetine 

it may diminish the therapeutic efficacy when combined with castor oil

flupentixol 

it may diminish the therapeutic efficacy when combined with castor oil

naltrexone 

it may diminish the therapeutic efficacy when combined with castor oil

naloxegol 

it may diminish the therapeutic efficacy when combined with castor oil

nicardipine 

it may diminish the therapeutic efficacy when combined with castor oil

nifedipine 

it may diminish the therapeutic efficacy when combined with castor oil

nilvadipine 

it may diminish the therapeutic efficacy when combined with castor oil

nimesulide 

it may diminish the therapeutic efficacy when combined with castor oil

nimodipine 

it may diminish the therapeutic efficacy when combined with castor oil

nisoldipine 

it may diminish the therapeutic efficacy when combined with castor oil

pinaverium 

it may diminish the therapeutic efficacy when combined with castor oil

pipecuronium 

it may diminish the therapeutic efficacy when combined with castor oil

 

Dosage Forms & Strengths 

Oral solution 

100% 

Constipation 


Indicated for Constipation
15ml-60ml orally one time a day
Colonic Evacuation
15ml-60ml orally one time a day, 16 hours prior to procedure



 

Dosage Forms & Strengths 

Oral solution 

100% 

Constipation 


Indicated for Constipation
Age >12 years
15ml-60ml orally one time a day
Age 2-12 years
5ml-15ml orally one time a day
Age <2 years
1ml-5ml orally one time a day



 

Refer to adult dosing 

Frequency not defined 

Diarrhea 

Abdominal cramps 

Dizziness 

Electrolyte disturbance 

Nausea 

Pelvic congestion 

Hypotension 

Black Box Warning: 

None 

Contraindication/Caution: 

Contraindication 

There are specific contraindications and precautions to consider: 

  • Gastrointestinal Conditions: castor oil should be avoided if you have an existing gastrointestinal condition, such as inflammatory bowel disease, appendicitis, or a blockage in the intestines. The solid laxative effect of castor oil can exacerbate these conditions and potentially cause complications. 
  • Pregnancy and Breastfeeding: Pregnant condition and breastfeeding women should use caution when considering castor oil. It is commonly believed to induce labor due to its laxative effect, but it is not recommended without proper medical supervision.  
  • Abdominal Pain or Cramping: If you experience severe abdominal pain or cramping, it is best to avoid castor oil as it can exacerbate these symptoms. 
  • Allergic Reactions: Certain individuals may be allergic to castor oil. If you are allergic to castor oil or any of its components, you should avoid using it.  
  • Children: castor oil is generally not recommended for young children, especially infants, as their digestive systems may be more sensitive. It is best to consult a pediatrician before using castor oil for children. 
  • Medication Interactions: castor oil may interact with certain medications, including oral contraceptives, anticoagulants (blood thinners), and medications used to treat heart conditions.  
  • Skin Sensitivity: While castor oil is generally safe for topical use, some individuals may experience skin irritation or allergic reactions.  

Caution 

  • Dosage and Duration: castor oil is a potent laxative, and excessive or prolonged use can lead to dependence or electrolyte imbalances. Following the recommended dosage and duration as advised by a healthcare professional or as indicated on the product label is essential. Avoid taking higher doses or using them for an extended period without medical guidance. 
  • Dehydration: castor oil’s laxative effect can cause increased bowel movements and bodily fluid loss. It is crucial to stay well-hydrated while using castor oil to prevent dehydration. Drink plenty of water or clear fluids to maintain proper hydration. 
  • Interference with Nutrient Absorption: castor oil’s laxative action can interfere with absorption of certain nutrients in the gastrointestinal tract. Prolonged or excessive use of castor oil may lead to deficiencies in fat-soluble vitamins (such as vitamins A, D, E, and K) and essential fatty acids. Maintaining a balanced diet and considering taking nutritional supplements if needed is advisable. 
  • Skin Sensitivity and Irritation: While castor oil is generally safe for topical use, some individuals may experience skin sensitivity or irritation. Before applying castor oil to a large area of the skin, perform a patch test by applying a small amount to a small patch of skin and observe for any adverse reactions like redness, itching, or swelling.  
  • Eye Contact: Avoid direct contact with the eyes when using castor oil. If it accidentally comes into contact with the eyes, clean thoroughly with water and seek medical attention if irritation persists. 
  • Allergic Reactions: Certain individuals may be allergic to castor oil or its components. If you experience any signs of an allergic reaction, like rash, itching, swelling, or difficulty breathing, discontinue use and seek immediate medical attention. 
  • Storage and Shelf Life: Proper storage is essential to maintain the quality and effectiveness of castor oil.

Pregnancy consideration:  

US FDA pregnancy category: X 

Lactation:   

Excreted into human milk: Not known. 

Pregnancy category: 

  • Category A: well-controlled and Satisfactory studies show no risk to the fetus in the first or later trimester. 
  • Category B: there was no evidence of risk to the fetus in animal studies, and there were not enough studies on pregnant women. 
  • Category C: there was evidence of risk of adverse effects in animal reproduction studies, and no adequate evidence in human studies must take care of potential risks in pregnant women.    
  • Category D: adequate data with sufficient evidence of human fetal risk from various platforms, but despite the potential risk, and used only in emergency cases for potential benefits.    
  • Category X: Drugs listed in this category outweigh the risks over benefits. Hence these categories of drugs need to be avoided by pregnant women.    
  • Category N: There is no data available for the drug under this category 

Pharmacology: 

The pharmacology of castor oil is primarily attributed to its main constituent, ricinoleic acid, which is responsible for its diverse effects. castor oil acts as a laxative stimulant by promoting peristalsis in the intestines, leading to increased bowel movements and constipation relief. Ricinoleic acid activates EP3 prostanoid receptors in the intestines, causing smooth muscle contraction and fluid secretion.

It also exhibits anti-inflammatory properties by inhibiting the production of inflammatory mediators and modulating immune responses. When applied topically, castor oil acts as an emollient, moisturizer, and anti-inflammatory agent, soothing skin conditions and promoting wound healing. castor oil’s pharmacological actions encompass laxative, anti-inflammatory, and moisturizing effects, making it a versatile compound used in various therapeutic applications. 

Pharmacodynamics: 

Mechanism of action: The action of castor oil, particularly its laxative effect, is primarily attributed to its main constituent, ricinoleic acid. The specific mechanism of action involves several processes: 

  • Activation of EP3 Prostanoid Receptors: Ricinoleic acid, when released in the small intestine, binds to EP3 prostanoid receptors on the smooth muscle cells of the intestinal walls. This binding activates the EP3 receptors, leading to events that stimulate peristalsis, coordinated contraction, and relaxation of the intestinal muscles. 
  • Increased Intestinal Smooth Muscle Contraction: Activation of EP3 receptors induces the release of calcium ions, which triggers muscle contraction in the intestinal walls. This increased muscular activity propels the contents of the intestines forward and promotes bowel movements. 
  • Enhanced Fluid Secretion: Ricinoleic acid also stimulates the secretion of fluid and electrolytes into the intestines. This additional fluid increases the bulk and lubrication of the stool, making it easier to pass through the intestines. 
  • Prostaglandin Synthesis: Ricinoleic acid is converted to prostaglandins, particularly prostaglandin E2, in the intestines. Prostaglandins are lipid compounds that regulate various physiological processes, including smooth muscle contraction and inflammation. Prostaglandin E2 is a local mediator to further enhances intestinal motility and water secretion. 

Pharmacokinetics: 

Absorption 

When taken orally, castor oil is primarily absorbed in the small intestine. The absorption rate can vary depending on dosage, formulation, and individual characteristics. The main active component of castor oil, ricinoleic acid, is absorbed through passive diffusion. 

Distribution 

Once absorbed, castor oil and its components, including ricinoleic acid, enter the bloodstream. They are then distributed throughout the body, reaching various tissues and organs. castor oil does not have a specific target organ, but its effects can be observed in the intestines, skin, and other tissues. 

Metabolism 

castor oil undergoes minimal metabolism in the body. Ricinoleic acid, the primary active component, is metabolized in the liver through beta-oxidation. This process breaks down ricinoleic acid into minor compounds, such as 12-hydroxystearic and sebacic acid. These metabolites are further metabolized and eventually eliminated from the body. 

Elimination and Excretion 

castor oil and its metabolites are primarily excreted through feces. The metabolites formed during hepatic metabolism and any unabsorbed castor oil are eliminated from the body in the fecal matter. A small portion of castor oil and its metabolites may also be excreted in the urine, although this is a minor route of elimination. 

Administration: 

Oral administration 

castor oil can be administered in various ways depending on the intended purpose.  

  • Oral Administration: Oral administration is the most common method when using castor oil as a laxative. Follow these steps for oral administration: 
  • Measure the recommended dosage of castor oil using a measuring spoon or dropper.   
  • It is often recommended to mix the castor oil with a flavored liquid, such as fruit juice or ginger ale, to mask the taste. 
  • Down the mixture, as castor oil has a strong and unpleasant taste.  
  • It is best to take castor oil on an empty stomach to enhance its effectiveness.  
  • Topical Application: castor oil can be applied directly to the skin for various purposes, such as moisturization, hair care, or addressing skin conditions. Here’s how to apply castor oil topically: 
  • Cleanse and dry the skin area where you plan to apply the castor oil.   
  • Pour a tiny amount of castor oil onto your palm or a cotton ball.  
  • Gently massage or dab the oil onto the desired area, ensuring even coverage.  
  • For hair care, apply castor oil to the scalp, massage it, and then distribute it along the hair strands.  
  • Leave the castor oil on the skin or hair for the desired duration, typically for a few hours or overnight.  
  • If necessary, rinse off the oil with warm water or shampoo. 
  • Compress or Pack: castor oil can also be used as a compress or pack for specific applications. This method involves saturating a cloth or flannel with castor oil and applying it to the desired area. Here’s how to use a castor oil compress or pack: 
  • Fold a cloth or flannel to an appropriate size to cover the treatment area.  
  • Soak the cloth or flannel in castor oil until it is fully saturated but not dripping.  
  • Place the castor oil-soaked cloth or flannel on the area to be treated.  
  • Cover the compress or pack with plastic wrap or a plastic bag to prevent staining of clothes or bedding.  
  • Apply heat, like a heating pad or hot water bottle, over the compress or pack for added benefit (optional).  
  • Leave the compress or pack in place for the recommended duration, usually 30 minutes to a few hours.  
  • After removing the compress or pack, cleanse the area if needed. 

Patient information leaflet 

Generic Name: castor oil 

Why do we use castor oil? 

castor oil has various uses due to its various beneficial properties.  

  • Laxative: castor oil is commonly used as a laxative to relieve occasional constipation. It stimulates the intestines, promoting bowel movements and facilitating waste elimination. 
  • Moisturizer and Emollient: castor oil is a thick and viscous oil that acts as a moisturizer and emollient for the skin. It helps retain moisture, preventing water loss and keeping the skin hydrated. castor oil can be used on the face, body, and lips to combat dryness and promote softness. 
  • Hair Care: Due to its nourishing properties, castor oil is often generally used in hair care products and treatments. It can help moisturize the scalp, strengthen hair follicles, and promote growth. castor oil is typically believed to be effective in reducing hair breakage and improving the overall condition of the hair. 
  • Skin Conditions: castor oil has anti-inflammatory properties, which make it beneficial for various skin conditions. It can be applied topically to soothe dry, itchy, or irritated skin, and it may help with conditions such as acne, dermatitis, eczema, and psoriasis. However, individual results may vary, and it’s best to consult a healthcare professional for specific skin concerns. 
  • Wound Healing: castor oil may aid in healing minor wounds, cuts, and scrapes. It can be applied topically near the affected area to promote healing and reduce inflammation. However, cleaning the wound properly and consulting a healthcare professional for severe or infected wounds is essential. 
  • Eyelash and Eyebrow Enhancer: Some people use castor oil to promote the growth and thickness of eyelashes and eyebrows. Applying a small amount of castor oil to the lashes or brows using a clean brush or wand can help moisturize and nourish the hair follicles. 
  • Joint and Muscle Pain: castor oil can be used as a topical treatment for relieving joint and muscle pain. Massaging castor oil onto the affected area may help reduce inflammation, soothe sore muscles, and provide temporary relief. 
  • Industrial Applications: castor oil has various industrial uses, including producing lubricants, coatings, plastics, and biofuels. Its unique chemical composition and high viscosity make it suitable for specialized aviation, cosmetics, and manufacturing applications. 
Content loading

castor oil

Brand Name :

Emulsoil, Fleet Castor Oil

Synonyms :

castor oil

Class :

Laxatives, Other

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No data available for drug.

Dosage Forms & Strengths 

Oral solution 

100% 

Constipation 


Indicated for Constipation
15ml-60ml orally one time a day
Colonic Evacuation
15ml-60ml orally one time a day, 16 hours prior to procedure



Dosage Forms & Strengths 

Oral solution 

100% 

Constipation 


Indicated for Constipation
Age >12 years
15ml-60ml orally one time a day
Age 2-12 years
5ml-15ml orally one time a day
Age <2 years
1ml-5ml orally one time a day



Refer to adult dosing 

DRUG INTERACTION

castor oil

&

castor oil + 

acetazolamide 

it may enhance the severity of dehydration when combined with castor oil

ipratropium intranasal 

when used with ipratropium, castor oil's medicinal efficiency may be diminished

caroverine 

castor oil: it may decrease the therapeutic efficacy of caroverine

dipyridamole 

It may enhance toxicity when combined with cholic acid by diminishing the elimination

disulfiram 

It may enhance toxicity when combined with cholic acid by diminishing the elimination

fenofibrate 

It may enhance toxicity when combined with cholic acid by diminishing the elimination

fenofibrate micronized  

It may enhance toxicity when combined with cholic acid by diminishing the elimination

fenofibric acid 

It may enhance toxicity when combined with cholic acid by diminishing the elimination

aclidinium 

it may diminish the therapeutic efficacy when combined with castor oil

alfentanil 

it may diminish the therapeutic efficacy when combined with castor oil

amantadine 

it may diminish the therapeutic efficacy when combined with castor oil

it may enhance the severity of dehydration when combined with castor oil

amiodarone 

it may diminish the therapeutic efficacy when combined with castor oil

amitriptyline 

it may diminish the therapeutic efficacy when combined with castor oil

amlodipine 

it may diminish the therapeutic efficacy when combined with castor oil

amobarbital 

it may diminish the therapeutic efficacy when combined with castor oil

amoxapine 

it may diminish the therapeutic efficacy when combined with castor oil

aripiprazole 

it may diminish the therapeutic efficacy when combined with castor oil

atracurium 

it may diminish the therapeutic efficacy when combined with castor oil

atropine 

it may diminish the therapeutic efficacy when combined with castor oil

belladonna/opium 

it may diminish the therapeutic efficacy when combined with castor oil

benzatropine 

it may diminish the therapeutic efficacy when combined with castor oil

cyproheptadine 

it may diminish the therapeutic efficacy when combined with castor oil

darifenacin 

it may diminish the therapeutic efficacy when combined with castor oil

desipramine 

it may diminish the therapeutic efficacy when combined with castor oil

desloratadine 

it may diminish the therapeutic efficacy when combined with castor oil

dextromethorphan 

it may diminish the therapeutic efficacy when combined with castor oil

dezocine 

it may diminish the therapeutic efficacy when combined with castor oil

dicyclomine 

it may diminish the therapeutic efficacy when combined with castor oil

dihydrocodeine 

it may diminish the therapeutic efficacy when combined with castor oil

diltiazem 

it may diminish the therapeutic efficacy when combined with castor oil

flavoxate 

it may diminish the therapeutic efficacy when combined with castor oil

flunarizine 

it may diminish the therapeutic efficacy when combined with castor oil

fluoxetine 

it may diminish the therapeutic efficacy when combined with castor oil

flupentixol 

it may diminish the therapeutic efficacy when combined with castor oil

naltrexone 

it may diminish the therapeutic efficacy when combined with castor oil

naloxegol 

it may diminish the therapeutic efficacy when combined with castor oil

nicardipine 

it may diminish the therapeutic efficacy when combined with castor oil

nifedipine 

it may diminish the therapeutic efficacy when combined with castor oil

nilvadipine 

it may diminish the therapeutic efficacy when combined with castor oil

nimesulide 

it may diminish the therapeutic efficacy when combined with castor oil

nimodipine 

it may diminish the therapeutic efficacy when combined with castor oil

nisoldipine 

it may diminish the therapeutic efficacy when combined with castor oil

pinaverium 

it may diminish the therapeutic efficacy when combined with castor oil

pipecuronium 

it may diminish the therapeutic efficacy when combined with castor oil

Actions and Spectrum: 

The action of castor Oil: The primary action of castor oil is its laxative effect. It acts as a stimulant laxative, promoting bowel movements and relieving constipation. castor oil stimulates intestinal peristalsis, which refers to the rhythmic contractions of the muscles in the intestinal walls. This stimulation helps propel the contents of the intestines forward, facilitating the passage of stool.

The active component of castor oil, ricinoleic acid, plays a crucial role in activating EP3 prostanoid receptors in the intestines, leading to increased smooth muscle contraction and fluid secretion. This action enhances intestinal motility and facilitates the elimination of waste from the body. 

Spectrum of castor Oil: castor oil has a broad spectrum of uses and applications. It is commonly used in skincare as a moisturizer and emollient. Its thick consistency helps to retain moisture in the skin, preventing dryness and promoting softness. castor oil also exhibits anti-inflammatory properties, which make it beneficial for mild skin conditions such as dermatitis, eczema, and psoriasis.

Additionally, castor oil has antimicrobial activity against bacteria, fungi, and viruses, making it helpful in addressing certain infections. In hair care, castor oil is known to nourish the scalp, accelerate hair growth, and improve the overall condition of the hair. It is a natural remedy for dry and damaged hair, helping moisturize and strengthen the hair strands. Due to its various properties, castor oil finds applications in various industries, including pharmaceuticals, cosmetics, and manufacturing. 

Frequency not defined 

Diarrhea 

Abdominal cramps 

Dizziness 

Electrolyte disturbance 

Nausea 

Pelvic congestion 

Hypotension 

Black Box Warning: 

None 

Contraindication/Caution: 

Contraindication 

There are specific contraindications and precautions to consider: 

  • Gastrointestinal Conditions: castor oil should be avoided if you have an existing gastrointestinal condition, such as inflammatory bowel disease, appendicitis, or a blockage in the intestines. The solid laxative effect of castor oil can exacerbate these conditions and potentially cause complications. 
  • Pregnancy and Breastfeeding: Pregnant condition and breastfeeding women should use caution when considering castor oil. It is commonly believed to induce labor due to its laxative effect, but it is not recommended without proper medical supervision.  
  • Abdominal Pain or Cramping: If you experience severe abdominal pain or cramping, it is best to avoid castor oil as it can exacerbate these symptoms. 
  • Allergic Reactions: Certain individuals may be allergic to castor oil. If you are allergic to castor oil or any of its components, you should avoid using it.  
  • Children: castor oil is generally not recommended for young children, especially infants, as their digestive systems may be more sensitive. It is best to consult a pediatrician before using castor oil for children. 
  • Medication Interactions: castor oil may interact with certain medications, including oral contraceptives, anticoagulants (blood thinners), and medications used to treat heart conditions.  
  • Skin Sensitivity: While castor oil is generally safe for topical use, some individuals may experience skin irritation or allergic reactions.  

Caution 

  • Dosage and Duration: castor oil is a potent laxative, and excessive or prolonged use can lead to dependence or electrolyte imbalances. Following the recommended dosage and duration as advised by a healthcare professional or as indicated on the product label is essential. Avoid taking higher doses or using them for an extended period without medical guidance. 
  • Dehydration: castor oil’s laxative effect can cause increased bowel movements and bodily fluid loss. It is crucial to stay well-hydrated while using castor oil to prevent dehydration. Drink plenty of water or clear fluids to maintain proper hydration. 
  • Interference with Nutrient Absorption: castor oil’s laxative action can interfere with absorption of certain nutrients in the gastrointestinal tract. Prolonged or excessive use of castor oil may lead to deficiencies in fat-soluble vitamins (such as vitamins A, D, E, and K) and essential fatty acids. Maintaining a balanced diet and considering taking nutritional supplements if needed is advisable. 
  • Skin Sensitivity and Irritation: While castor oil is generally safe for topical use, some individuals may experience skin sensitivity or irritation. Before applying castor oil to a large area of the skin, perform a patch test by applying a small amount to a small patch of skin and observe for any adverse reactions like redness, itching, or swelling.  
  • Eye Contact: Avoid direct contact with the eyes when using castor oil. If it accidentally comes into contact with the eyes, clean thoroughly with water and seek medical attention if irritation persists. 
  • Allergic Reactions: Certain individuals may be allergic to castor oil or its components. If you experience any signs of an allergic reaction, like rash, itching, swelling, or difficulty breathing, discontinue use and seek immediate medical attention. 
  • Storage and Shelf Life: Proper storage is essential to maintain the quality and effectiveness of castor oil.

Pregnancy consideration:  

US FDA pregnancy category: X 

Lactation:   

Excreted into human milk: Not known. 

Pregnancy category: 

  • Category A: well-controlled and Satisfactory studies show no risk to the fetus in the first or later trimester. 
  • Category B: there was no evidence of risk to the fetus in animal studies, and there were not enough studies on pregnant women. 
  • Category C: there was evidence of risk of adverse effects in animal reproduction studies, and no adequate evidence in human studies must take care of potential risks in pregnant women.    
  • Category D: adequate data with sufficient evidence of human fetal risk from various platforms, but despite the potential risk, and used only in emergency cases for potential benefits.    
  • Category X: Drugs listed in this category outweigh the risks over benefits. Hence these categories of drugs need to be avoided by pregnant women.    
  • Category N: There is no data available for the drug under this category 

Pharmacology: 

The pharmacology of castor oil is primarily attributed to its main constituent, ricinoleic acid, which is responsible for its diverse effects. castor oil acts as a laxative stimulant by promoting peristalsis in the intestines, leading to increased bowel movements and constipation relief. Ricinoleic acid activates EP3 prostanoid receptors in the intestines, causing smooth muscle contraction and fluid secretion.

It also exhibits anti-inflammatory properties by inhibiting the production of inflammatory mediators and modulating immune responses. When applied topically, castor oil acts as an emollient, moisturizer, and anti-inflammatory agent, soothing skin conditions and promoting wound healing. castor oil’s pharmacological actions encompass laxative, anti-inflammatory, and moisturizing effects, making it a versatile compound used in various therapeutic applications. 

Pharmacodynamics: 

Mechanism of action: The action of castor oil, particularly its laxative effect, is primarily attributed to its main constituent, ricinoleic acid. The specific mechanism of action involves several processes: 

  • Activation of EP3 Prostanoid Receptors: Ricinoleic acid, when released in the small intestine, binds to EP3 prostanoid receptors on the smooth muscle cells of the intestinal walls. This binding activates the EP3 receptors, leading to events that stimulate peristalsis, coordinated contraction, and relaxation of the intestinal muscles. 
  • Increased Intestinal Smooth Muscle Contraction: Activation of EP3 receptors induces the release of calcium ions, which triggers muscle contraction in the intestinal walls. This increased muscular activity propels the contents of the intestines forward and promotes bowel movements. 
  • Enhanced Fluid Secretion: Ricinoleic acid also stimulates the secretion of fluid and electrolytes into the intestines. This additional fluid increases the bulk and lubrication of the stool, making it easier to pass through the intestines. 
  • Prostaglandin Synthesis: Ricinoleic acid is converted to prostaglandins, particularly prostaglandin E2, in the intestines. Prostaglandins are lipid compounds that regulate various physiological processes, including smooth muscle contraction and inflammation. Prostaglandin E2 is a local mediator to further enhances intestinal motility and water secretion. 

Pharmacokinetics: 

Absorption 

When taken orally, castor oil is primarily absorbed in the small intestine. The absorption rate can vary depending on dosage, formulation, and individual characteristics. The main active component of castor oil, ricinoleic acid, is absorbed through passive diffusion. 

Distribution 

Once absorbed, castor oil and its components, including ricinoleic acid, enter the bloodstream. They are then distributed throughout the body, reaching various tissues and organs. castor oil does not have a specific target organ, but its effects can be observed in the intestines, skin, and other tissues. 

Metabolism 

castor oil undergoes minimal metabolism in the body. Ricinoleic acid, the primary active component, is metabolized in the liver through beta-oxidation. This process breaks down ricinoleic acid into minor compounds, such as 12-hydroxystearic and sebacic acid. These metabolites are further metabolized and eventually eliminated from the body. 

Elimination and Excretion 

castor oil and its metabolites are primarily excreted through feces. The metabolites formed during hepatic metabolism and any unabsorbed castor oil are eliminated from the body in the fecal matter. A small portion of castor oil and its metabolites may also be excreted in the urine, although this is a minor route of elimination. 

Administration: 

Oral administration 

castor oil can be administered in various ways depending on the intended purpose.  

  • Oral Administration: Oral administration is the most common method when using castor oil as a laxative. Follow these steps for oral administration: 
  • Measure the recommended dosage of castor oil using a measuring spoon or dropper.   
  • It is often recommended to mix the castor oil with a flavored liquid, such as fruit juice or ginger ale, to mask the taste. 
  • Down the mixture, as castor oil has a strong and unpleasant taste.  
  • It is best to take castor oil on an empty stomach to enhance its effectiveness.  
  • Topical Application: castor oil can be applied directly to the skin for various purposes, such as moisturization, hair care, or addressing skin conditions. Here’s how to apply castor oil topically: 
  • Cleanse and dry the skin area where you plan to apply the castor oil.   
  • Pour a tiny amount of castor oil onto your palm or a cotton ball.  
  • Gently massage or dab the oil onto the desired area, ensuring even coverage.  
  • For hair care, apply castor oil to the scalp, massage it, and then distribute it along the hair strands.  
  • Leave the castor oil on the skin or hair for the desired duration, typically for a few hours or overnight.  
  • If necessary, rinse off the oil with warm water or shampoo. 
  • Compress or Pack: castor oil can also be used as a compress or pack for specific applications. This method involves saturating a cloth or flannel with castor oil and applying it to the desired area. Here’s how to use a castor oil compress or pack: 
  • Fold a cloth or flannel to an appropriate size to cover the treatment area.  
  • Soak the cloth or flannel in castor oil until it is fully saturated but not dripping.  
  • Place the castor oil-soaked cloth or flannel on the area to be treated.  
  • Cover the compress or pack with plastic wrap or a plastic bag to prevent staining of clothes or bedding.  
  • Apply heat, like a heating pad or hot water bottle, over the compress or pack for added benefit (optional).  
  • Leave the compress or pack in place for the recommended duration, usually 30 minutes to a few hours.  
  • After removing the compress or pack, cleanse the area if needed. 

Patient information leaflet 

Generic Name: castor oil 

Why do we use castor oil? 

castor oil has various uses due to its various beneficial properties.  

  • Laxative: castor oil is commonly used as a laxative to relieve occasional constipation. It stimulates the intestines, promoting bowel movements and facilitating waste elimination. 
  • Moisturizer and Emollient: castor oil is a thick and viscous oil that acts as a moisturizer and emollient for the skin. It helps retain moisture, preventing water loss and keeping the skin hydrated. castor oil can be used on the face, body, and lips to combat dryness and promote softness. 
  • Hair Care: Due to its nourishing properties, castor oil is often generally used in hair care products and treatments. It can help moisturize the scalp, strengthen hair follicles, and promote growth. castor oil is typically believed to be effective in reducing hair breakage and improving the overall condition of the hair. 
  • Skin Conditions: castor oil has anti-inflammatory properties, which make it beneficial for various skin conditions. It can be applied topically to soothe dry, itchy, or irritated skin, and it may help with conditions such as acne, dermatitis, eczema, and psoriasis. However, individual results may vary, and it’s best to consult a healthcare professional for specific skin concerns. 
  • Wound Healing: castor oil may aid in healing minor wounds, cuts, and scrapes. It can be applied topically near the affected area to promote healing and reduce inflammation. However, cleaning the wound properly and consulting a healthcare professional for severe or infected wounds is essential. 
  • Eyelash and Eyebrow Enhancer: Some people use castor oil to promote the growth and thickness of eyelashes and eyebrows. Applying a small amount of castor oil to the lashes or brows using a clean brush or wand can help moisturize and nourish the hair follicles. 
  • Joint and Muscle Pain: castor oil can be used as a topical treatment for relieving joint and muscle pain. Massaging castor oil onto the affected area may help reduce inflammation, soothe sore muscles, and provide temporary relief. 
  • Industrial Applications: castor oil has various industrial uses, including producing lubricants, coatings, plastics, and biofuels. Its unique chemical composition and high viscosity make it suitable for specialized aviation, cosmetics, and manufacturing applications. 

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