Cuchel Capsule contains the active constituent Trientine hydrochloride. It is a copper chelator used to treat adult patients with stable Wilson’s disease who cannot tolerate any medicine used to treat this disease. Wilson’s disease is an inherited condition in which the body cannot transport copper around the body in normal ways or remove copper normally as a secretion from the liver into the gut. This means that the small amounts of copper from food and drink build up to excessive levels and can lead to liver damage and problems in the nervous system.

• Wilson’s disease

Cuchel Capsule is a copper chelating agent that binds excess copper in the body and assists in elimination from the body. It may also work by attaching to the copper in your stomach and stopping it from being absorbed.

Your doctor will decide the dose and duration of Cuchel Capsule based on the disease condition and other factors. Always take this medicine as prescribed by your doctor. Swallow the capsules with water on an empty stomach (at least one hour before meals or two hours after meals, and at least one hour apart from any other medicines, food, or milk.) Do not break, chew, crush, or break the tablet.

• Abdominal pain
• Change of bowel movements
• Rash
• Alopecia
• Mood swings
• Difficulty in moving
• Muscle pain 
• Iron deficiency anemia
• Hypersensitivity skin reactions

Inform your healthcare provider about all the medicines you take, including prescription medications, over-the-counter medications, nutritional and vitamin supplements, and herbal products. Certain medications may interact with Cuchel Capsule and reduce its effectiveness by causing undesirable side effects.

• Store this Cuchel Capsule at room temperature 20°C to 25°C
• Keep the medicine out of reach of children and pets
• If you forgot to take the tablet, simply take your next dose at the scheduled time. Do not take a double dose to make up for a forgotten dose.

Avoid concomitant use of mineral supplements like iron, zinc, calcium, and magnesium. Consult your physician before taking any vitamin or mineral supplements. Take this medicine at least 2 hours before or 2 hours after taking iron supplements or 1 hour before or 2 hours after taking other supplements like calcium, magnesium, or zinc. This medicine may cause copper or iron deficiency. Your doctor will do lab tests at regular visits to check on the effects of this medicine.