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Short answer What to do about a missed alvimopan dose Common questions Related questions Sources**Alvimopan is a hospital-only medicine handed to you by nursing staff, so a missed or late dose is something your care team manages, not something you correct on your own.**
It is dispensed under a restricted FDA program to inpatients recovering from bowel surgery, and it is not sent home with you. The usual pattern is one capsule before surgery, then one capsule twice a day starting the day after, with a hard cap of 15 total doses and no more than 7 days. If a dose is late, staff give it when they can and continue the regular schedule instead of doubling up. A single skipped dose does not cause withdrawal and does not undo the earlier doses, though the return of normal bowel function may take slightly longer. Speak up if a scheduled dose never arrives, since the count and the calendar both matter here.
What to do about a missed alvimopan dose
Common questions
What happens if you miss a dose of Alvimopan?
Alvimopan (Entereg) is dispensed only inside hospitals under a restricted FDA program, so you do not manage the schedule at home. If a dose is late, nursing staff give it when they can and keep the twice daily pattern going. Doses are never doubled to catch up. The course is capped at 15 doses over no more than 7 days and ends at discharge, so a skipped dose is not made up later. Missing one dose does not cause withdrawal, and it may only slow the return of normal bowel function a little. Tell your nurse if a scheduled dose was not given, and ask your surgical team where you are in the course.