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Cuchel Capsule is used to treat Wilson’s disease in patients who cannot take penicillamine because of side effects. It contains Trientine, which is usually given when patients cannot tolerate other treatments and must be taken under regular medical supervision.

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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
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More about the Product

Manufacturer/Marketer :

Msn Laboratories Pvt Ltd

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Cuchel Capsule

Cuchel Capsule is indicated for the treatment of Wilson’s disease and also as an alternative in patients who cannot take penicillamine because of side effects. Wilson's disease is a genetic metabolic disorder that causes excess copper to accumulate in the body.

Cuchel Capsule contains Trientine hydrochloride, a copper-chelating agent, which works by attaching to the copper and removing excess copper from the body via urine.

In some cases, Cuchel Capsule may cause nausea, stomach upset, loss of appetite, and iron deficiency anaemia, causing weakness or fatigue. Most of the side effects may not require medical attention and will resolve gradually over time. However, talk to the doctor if any of the side effects persist or worsen.

Let the doctor know if you are allergic to any of the components in Cuchel Capsule . Consult the doctor if you are pregnant or breastfeeding. Keep the doctor informed about your health condition and medications to rule out any side effects/interactions. It is advised to avoid taking high copper-containing foods.

Uses of Cuchel Capsule

Cuchel Capsule is used in the treatment of Wilson’s disease. The detailed uses of Cuchel Capsule are as follows:

  • Treat Wilson’s disease: Cuchel Capsule contains Trientine Hydrochloride, a copper-chelating agent. It binds to excess copper stored in tissues and helps remove it through the urine, thereby reducing copper toxicity.
  • Alternative for penicillamine-intolerant patients: Cuchel Capsule is often prescribed to patients who cannot tolerate penicillamine, another common treatment for Wilson’s disease.

Key Benefits

  • Helps remove excess copper from the body through urine.
  • Protects organs like the liver and brain from copper damage.
  • Improves symptoms such as tremors, liver problems, and speech issues.
  • Alternative treatment for patients who cannot tolerate penicillamine.
  • Helps in long-term control of copper levels with regular use.

Directions for Use

  • Cuchel Capsule should be taken on an empty stomach, at least 1 hour before or 2 hours after meals, and at least 1 hour apart from any other food or milk.
  • Follow your doctor's instructions on the dosage and timing of this medication, to ensure the safety.
  • Swallow the medicine as a whole with a glass of water.
  • Do not crush, break, or chew it.

How Cuchel Capsule Works

Cuchel Capsule contains Trientine, a copper-chelating agent, which works by attaching to the copper and removing excess copper from the body via urine.
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Alcohol

Consult your doctor

It is not known if alcohol affects Cuchel Capsule . Please consult your doctor.

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Pregnancy

Consult your doctor

Consult the doctor if you are pregnant, think you may be pregnant or are planning to have a baby. Your doctor will prescribe the medicine if the benefits outweigh the risks.

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Breast Feeding

Consult your doctor

Consult the doctor if you are breastfeeding. Your doctor will prescribe the medicine if the benefits outweigh the risks.

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Driving

Safe if prescribed

Cuchel Capsule is unlikely to affect your ability to drive. However, drive or operate heavy machinery only if you are alert.

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Liver

Consult your doctor

If you have a pre-existing or a history of liver disease, inform your doctor before taking Cuchel Capsule .

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Kidney

Consult your doctor

If you have a pre-existing or a history of kidney disease, inform your doctor before taking Cuchel Capsule .

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Children

Safe if prescribed

Cuchel Capsule is safe for use in children above five years if prescribed by the doctor. The doctor may adjust the dose based on the body weight and age of the child.

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Heart

Safe if prescribed

Cuchel Capsule is safe to be used in heart conditions. This medicine shows potential benefits in patients with hypertrophic cardiomyopathy. However, please consult your doctor before using Cuchel Capsule .

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Geriatrics

Consult your doctor

Please consult your doctor before using Cuchel Capsule in elderly people. Your doctor will prescribe Cuchel Capsule if the benefits outweigh the risk.

What if I have taken an overdose of Cuchel Capsule

Please do not exceed the recommended dose, as it might cause an overdose. Signs and symptoms of an overdose of Cuchel Capsule may include hallucinations, seizures, confusion, unusually fast/slow heartbeat, unconsciousness, loss of coordination, slow/shallow breathing, fever, hot/dry/flushed skin, widened pupils, change in vision and change in the amount of urine. Seek immediate medical attention if you observe these symptoms or think you might have taken too much. Do this even if there are no signs of discomfort or poisoning.

Diet & Lifestyle Advise

Diet

  • Avoid high-copper foods like shellfish, liver, nuts, chocolate, and mushrooms (important in Wilson’s disease)
  • Avoid mineral supplements containing iron or zinc close to the dose (keep a gap of a few hours)
  • Drink clean, low-copper water and maintain a balanced, healthy diet

Lifestyle changes

  • Avoid alcohol to protect your liver and maintain overall health
  • Maintain a healthy routine with balanced diet, good sleep, and avoid self-medicating without doctor advice

Safety tips

  • Watch for side effects like anemia, weakness, or stomach upset and inform your doctor
  • Avoid taking it with iron or mineral supplements at the same time (keep a gap of a few hours)

Have a query?

How Soon It Starts Working

The time required for Cuchel Capsule to start to work: The time required for Cuchel Capsule to show its action is unknown. 

The time for which the effects of Cuchel Capsule last: The duration of action for Cuchel Capsule is unknown.

What if you forget to take Cuchel Capsule

If you miss a dose of Cuchel Capsule , take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.

Storage

• Store in a cool and dry place away from sunlight.• Keep Cuchel Capsule out of reach and sight of children. • Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.
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Keep Refrigerated. Do not freeze.Prepaid payment required.

Drug Warnings

  • Do not take Cuchel Capsule if you are allergic to any of its components.
  • Consult the doctor if you are pregnant or breastfeeding.
  • Inform the doctor if you have anaemia (low red blood cells), biliary cirrhosis (liver disease), or low iron levels.
  • Seek medical attention if you notice symptoms of nervous system problems (shaking, lack of coordination, slurred speech, muscle stiffness and worsening of muscle spasms) or lupus-like reaction (persistent rash, fever, joint pain, and tiredness).
  • Let the doctor know if you are taking any other medicines, including supplements and herbal products.

Drug-Drug Interactions

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Drug-Drug Interaction: Inform your doctor if you are taking any of these medicines, as there may be an interaction.

  • Iron supplements (ferrous sulphate)
    Potential effect: May reduce the absorption of both medicines
  • Zinc Supplements (Zinc sulphate)
    Potential effect: May interfere withe the absorption of Cuchel Capsule . Hence, should be avoided.
  • Antacids (Aluminium hydroxide)
    • Potential effect: May reduce the absorption of both medicines
  • Other copper chelating agents
    • Potential effect: May intefere withe the treatment of Cuchel Capsule .

Drug-Food Interaction: Avoid taking high copper containing foods like nuts, mushrooms, chocolate and shellfish.

Drug-Disease Interaction: Inform your doctor if you have any of these conditions.

  • Anaemia (low red blood cells)
  • Biliary cirrhosis (liver disease)
  • Low iron levels.
  • Nervous system problems (shaking, lack of coordination, slurred speech, muscle stiffness and worsening of muscle spasms)
  • Lupus-like reaction (persistent rash, fever, joint pain, and tiredness).
No Drug - Drug interactions found in our data. We may lack specific data on this medicine and are actively working to update our database. Consult your doctor for personalized advice

Drug-Drug Interactions

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Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Habit Forming

No

Therapeutic Class

[MISCELLANEOUS]

FAQs

Cuchel Capsule is used to treat Wilson’s disease.

Cuchel Capsule works by attaching to the copper and removing excess copper from the body via urine.

It is recommended to take Cuchel Capsule at least 1 hour apart from other medicinal products. If you take iron preparations or antacids, maintain a gap of at least 2 hours before and after taking Cuchel Capsule . If you are taking mineral supplements, take Cuchel Capsule at least 1 hour before or 2 hours after taking mineral supplements.

If you forget a dose, take the next dose at the scheduled time. Avoid taking a double dose to make up for the missed dose.

Even if you feel well, do not stop or change your treatment without talking to the doctor. Consult the doctor if you experience any difficulty while taking Cuchel Capsule .

Cuchel Capsule starts to lower copper levels in a matter of weeks, but as body copper levels progressively decline, it may take several months of consistent treatment to see notable clinical changes.

Disclaimer

While we strive to provide complete, accurate, and expert-reviewed content on our 'Platform', we make no warranties or representations and disclaim all responsibility and liability for the completeness, accuracy, or reliability of the aforementioned content. The content on our platform is for informative purposes only, and may not cover all clinical/non-clinical aspects. Reliance on any information and subsequent action or inaction is solely at the user's risk, and we do not assume any responsibility for the same. The content on the Platform should not be considered or used as a substitute for professional and qualified medical advice. Please consult your doctor for any query pertaining to medicines, tests and/or diseases, as we support, and do not replace the doctor-patient relationship.

Country of origin

India

Manufacturer/Marketer address

Msn Laboratories Pvt.Ltd., Msn House, Plot No: C-24, Industrial Estate, Sanathnagar, Hyderabad - 18 Telangana, India
Other Info - CUC0016
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