Omiloc 20 mg (Capsule (Enteric Coated))
Unit Price: ৳ 5.00 (10 x 10: ৳ 500.00)
Strip Price: ৳ 50.00
Medicine Details
Category | Details |
---|---|
Generic | Omeprazole |
Company | Kumudini pharma ltd |
Indications
- Gastric and duodenal ulcer
- NSAID-associated duodenal and gastric ulcer
- As 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 occurs within one hour
- Maximum effect occurs within two hours
- Inhibition of secretion lasts up to 72 hours
- Secretory activity returns gradually over 3 to 5 days after discontinuation
Dosage
- 20 mg once daily for benign gastric and duodenal ulcer for 4 weeks in duodenal ulceration, 8 weeks in gastric ulceration
- 40 mg daily for severe or recurrent cases of benign gastric and duodenal ulcer
- 10-20 mg daily for long-term management of acid reflux disease
- 10-20 mg once daily for acid-related dyspepsia for 2-4 weeks
- 20 mg on the preceding evening, then 40 mg 2-6 hours before surgery for prophylaxis of acid aspiration
- Initially 60 mg once daily for Zollinger-Ellison syndrome; usual range 20-120 mg daily
- 20 mg twice daily in association with antimicrobial agents for Helicobacter pylori eradication regimen in peptic ulcer disease
Administration
- Omeprazole IV injection should be given as a slow intravenous injection
- IV infusion over a period of 20-30 minutes or more
- Use freshly prepared solution
- Solution should be used within 4 hours of reconstitution for IV injection
- Solution should be used within 12 hours when dissolved in saline and within 6 hours when dissolved in 5% Dextrose for IV infusion
- Reconstituted solution should not be mixed or co-administered in the same infusion set with any other drug
Interaction
- Decreased intragastric acidity may reduce the absorption of ketoconazole
- Metabolized in the liver through cytochrome P450
- Can delay the elimination of diazepam, phenytoin, and warfarin
- Monitoring of patients receiving warfarin or phenytoin is recommended
- Plasma concentrations of Omeprazole and clarithromycin are increased during concomitant administration
Contraindications
- Known hypersensitivity to Omeprazole
- Suspected gastric ulcer, the possibility of malignancy should be excluded before treatment
Side Effects
- Skin rash, urticaria, and pruritus
- Photosensitivity, bullous eruption, erythema multiforme, angioedema, and alopecia
- Diarrhoea, headache, constipation, nausea/vomiting, flatulence, and abdominal pain
- Dry mouth, stomatitis, and candidiasis
- Paraesthesia, dizziness, light headedness, and feeling faint
- Somnolence, insomnia, and vertigo
- Reversible mental confusion, agitation, depression, and hallucinations
- Arthritic and myalgic symptoms
- Blurred vision, taste disturbance, peripheral oedema, increased sweating, and gynaecomastia
- Leucopenia, thrombocytopenia, agranulocytosis, pancytopenia, anaphylactic shock, malaise, and fever
- Bronchospasm, encephalopathy in patients with pre-existing severe liver disease, hepatitis with or without jaundice, interstitial nephritis, and hepatic failure
- Increases in liver enzymes
Pregnancy & Lactation
- Results from three prospective epidemiological studies indicate no adverse effects on pregnancy or on the health of the fetus/newborn child
- Omeprazole can be used during pregnancy
- No information available on the passage of Omeprazole into breast milk or its effects on the neonate
- Breastfeeding should be discontinued if the use of Omeprazole is considered essential
Precautions & Warnings
- Avoid concomitant use of clopidogrel and Omeprazole
- Observational studies suggest that PPI therapy may be associated with an increased risk for osteoporosis-related fractures
- Atrophic gastritis has been noted occasionally in gastric corpus biopsies from patients treated long-term with Omeprazole
- 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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