Omep 40 mg/vial (IV Injection)

40 mg vial: ৳ 80.00

Medicine Details

Indications

  • Gastric and duodenal ulcer
  • NSAID-associated duodenal and gastric ulcer
  • Prophylaxis in patients with a history of NSAID-associated duodenal and gastric ulcer
  • Gastro-esophageal reflux disease
  • Long-term management of acid reflux disease
  • Acid-related dyspepsia
  • Severe ulcerating reflux esophagitis
  • Prophylaxis of acid aspiration during general anesthesia
  • Zollinger-Ellison syndrome
  • Helicobacter pylori-induced peptic ulcer

Pharmacology

  • Inhibitor of gastric acid secretion
  • Blocks hydrogen-potassium-adenosine triphosphatase (H+/K+ ATPase) enzyme system
  • Onset of antisecretory effect within one hour
  • Maximum effect occurring within two hours
  • Inhibition of secretion lasts up to 72 hours
  • Return of secretory activity gradually over 3 to 5 days after discontinuation

Dosage

  • 20 mg once daily for benign gastric and duodenal ulcer
  • 40 mg daily for severe or recurrent cases
  • 10-20 mg daily for duodenal ulcer prevention
  • 20 mg once daily for NSAID-associated duodenal or gastric ulcer for 4 weeks
  • 20 mg once daily for 4 weeks for GERD
  • 40 mg once daily for refractory GERD for 8 weeks
  • 10-20 mg daily for long-term management of acid reflux disease
  • 10-20 mg once daily for acid-related dyspepsia
  • 40 mg prophylaxis of acid aspiration before surgery
  • 60 mg once daily for Zollinger-Ellison syndrome
  • 20 mg twice daily with antimicrobial agents for H.pylori eradication regimen
  • 10-40 mg once daily for severe ulcerating reflux esophagitis
  • 40 mg slowly as IV injection for prophylaxis of acid aspiration
  • 40 mg Omeprazole IV once daily for duodenal ulcer, gastric ulcer or reflux esophagitis where oral medication is inappropriate
  • Initial 60 mg daily dose for Zollinger-Ellison syndrome given intravenously
  • Omeprazole IV infusion over 20-30 minutes or more
  • Pediatric use: 10-40 mg once daily based on body-weight

Administration

  • IV Injection for intravenous administration only
  • IV infusion over 20-30 minutes or more
  • Reconstitution required with specific volumes of saline or dextrose for infusion
  • Solution for IV injection should be used within 4 hours of reconstitution
  • Solution for IV infusion should be used within 12 hours when dissolved in saline and within 6 hours when dissolved in 5% Dextrose

Interaction

  • Reduction in absorption of ketoconazole during treatment
  • Metabolism via cytochrome P450 leading to delay in elimination of diazepam, phenytoin, and warfarin
  • Plasma concentration increase during concomitant administration with clarithromycin
  • No evidence of interaction with various drugs such as phenacetin, theophylline, caffeine, propranolol, etc.
  • Increased bioavailability of digoxin due to increased intragastric pH during simultaneous treatment with Omeprazole
  • No effect on absorption by alcohol or food
  • Useful interactions during H.pylori eradication and continuation of certain treatments

Contraindications

  • Known hypersensitivity to Omeprazole
  • Need to exclude possibility of malignancy before treatment if gastric ulcer is suspected

Side Effects

  • Mild and reversible adverse reactions
  • Skin rash, urticaria, and pruritus
  • Photosensitivity, bullous eruption, erythema multiforme, angioedema, and alopecia reported in isolated cases
  • Diarrhea, headache, constipation, nausea/vomiting, and abdominal pain
  • Dry mouth, stomatitis, and candidiasis reported in isolated cases
  • Paraesthesia, dizziness, and light-headedness
  • Mental confusion, agitation, depression, and hallucinations predominantly in severely ill patients
  • Arthritic and myalgic symptoms, blurred vision, taste disturbance, gynaecomastia, and changes in liver enzymes observed in isolated cases

Pregnancy & Lactation

  • No adverse effects reported on pregnancy or the health of the fetus/newborn child
  • Use during pregnancy indicated
  • No information available on passage into breast milk or effects on the neonate
  • Breastfeeding discontinuation recommended if essential use of Omeprazole
  • Safety and effectiveness not established in pediatric patients less than 18 years of age

Precautions & Warnings

  • Avoid concomitant use of clopidogrel and Omeprazole
  • Increased risk for osteoporosis-related fractures with PPI therapy
  • Atrophic gastritis noted in patients treated long-term
  • Concomitant use with methotrexate may lead to toxicities

Therapeutic Class

  • Proton Pump Inhibitor

Storage Conditions

  • Keep in a dry place away from light and heat
  • Keep out of the reach of children

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