Ometac 40 mg (Capsule (Enteric Coated))

Unit Price: ৳ 7.00 (6 x 4: ৳ 168.00)
Strip Price: ৳ 28.00

Medicine Details

Category Details
Generic Omeprazole
Company Navana pharmaceuticals ltd
Also available as

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 the antisecretory effect within one hour
  • Maximum effect occurring within two hours
  • Inhibition of secretion lasting up to 72 hours

Dosage

  • 20 mg once daily for 4 weeks in duodenal ulceration
  • 8 weeks in gastric ulceration
  • 40 mg daily in severe or recurrent cases
  • Prevention of duodenal ulcer relapse with 10-20 mg daily
  • 20 mg once daily for 4 weeks in NSAID-associated duodenal or gastric ulcer
  • Gastro-esophageal reflux disease treatment with 20 mg once daily for 4-8 weeks
  • Long-term management of acid reflux disease with 10-20 mg daily
  • Maintenance dose for acid-related dyspepsia is 10-20 mg once daily for 2-4 weeks
  • Prophylaxis of acid aspiration with 40 mg on the preceding evening and 2-6 hours before surgery
  • Zollinger-Ellison syndrome treatment starting with 60 mg once daily, usual range 20-120 mg daily
  • Paediatric use in severe ulcerating reflux esophagitis with 10-40 mg once daily for 4-12 weeks

Administration

  • IV Injection for prophylaxis of acid aspiration with 40 mg given slowly over a period of 5 minutes
  • IV Infusion as an intravenous infusion over a period of 20-30 minutes or more

Interaction

  • Reduced absorption of ketoconazole during Ometac treatment
  • Metabolized in the liver through cytochrome P450
  • Possible delay in the elimination of diazepam, phenytoin and warfarin
  • Increased plasma concentrations of Ometac and clarithromycin during concomitant administration
  • No evidence of interaction with phenacetin, theophylline, caffeine, propranolol, metoprolol, cyclosporin, lidocaine, quinidine, estradiol, amoxycillin or antacids
  • Increased bioavailability of digoxin during simultaneous treatment with Ometac

Contraindications

  • Known hypersensitivity to omeprazole
  • Suspicion of gastric ulcer malignancy

Side Effects

  • Skin rash, urticaria and pruritus
  • Photosensitivity, bullous eruption, erythema multiforme, angioedema and alopecia
  • Diarrhoea and headache
  • Gastrointestinal reactions including constipation, nausea/vomiting, flatulence, and abdominal pain
  • Dry mouth, stomatitis and candidiasis
  • Paraesthesia, dizziness, and lightheadedness
  • Somnolence, insomnia, and vertigo
  • Reversible mental confusion, agitation, depression, and hallucinations
  • Arthritic and myalgic symptoms
  • Blurred vision, taste disturbance, peripheral oedema, and increased sweating
  • Gynaecomastia, leucopenia, thrombocytopenia, agranulocytosis, and pancytopenia
  • Anaphylactic shock, malaise, fever, bronchospasm, and encephalopathy
  • Hepatitis with or without jaundice, interstitial nephritis, and hepatic failure
  • Increases in liver enzymes

Pregnancy & Lactation

  • No adverse effects of Omeprazole on pregnancy or the fetus/newborn child from prospective epidemiological studies
  • Omeprazole can be used during pregnancy
  • No information available on the passage of Omeprazole into breast milk or its effects on the neonate
  • Discontinuation of breastfeeding if essential use of Omeprazole

Precautions & Warnings

  • Avoid concomitant use of clopidogrel and Ometac
  • Possible association of PPI therapy with an increased risk for osteoporosis-related fractures
  • Atrophic gastritis occasionally noted in patients treated long-term with Ometac
  • Concomitant use of PPIs with methotrexate may lead to methotrexate 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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