Omirex 40 mg (Capsule (Enteric Coated))

Unit Price: ৳ 8.02 (5 x 4: ৳ 160.40)
Strip Price: ৳ 32.08

Medicine Details

Category Details
Generic Omeprazole
Company Jayson 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 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
  • 40 mg daily for severe or recurrent cases of ulcer
  • 10-20 mg daily for prevention of relapse in duodenal ulcer
  • 20 mg once daily for 4-8 weeks for Gastro-esophageal reflux disease
  • 10-20 mg daily for long-term management of acid reflux disease
  • 40 mg on the preceding evening and 2-6 hours before surgery for prophylaxis of acid aspiration
  • Initially 60 mg once daily for Zollinger-Ellison syndrome
  • 20 mg twice daily in association with antimicrobial agents for Helicobacter pylori eradication
  • 10-40 mg once daily for 4-12 weeks in pediatric use for severe ulcerating reflux esophagitis

Administration

  • Omeprazole IV injection for intravenous administration only
  • IV injection given slowly over a period of 5 minutes
  • IV infusion given over a period of 20-30 minutes or more
  • Reconstituted solution used within 4 hours for IV injection and 12 hours for IV infusion
  • Solution not mixed or co-administered in the same infusion set with any other drug

Interaction

  • Decreased intragastric acidity may reduce absorption of ketoconazole during treatment
  • Metabolized in the liver through cytochrome P450
  • Can delay the elimination of diazepam, phenytoin and warfarin
  • Plasma concentrations of Omeprazole and clarithromycin are increased during concomitant administration
  • No evidence of interaction with phenacetin, theophylline, caffeine, propranolol, metoprolol, cyclosporin, lidocaine, quinidine, estradiol, amoxycillin or antacids
  • No evidence of interaction with piroxicam, diclofenac or naproxen
  • Simultaneous treatment with Omeprazole and digoxin in healthy subjects lead to a 10% increase in the bioavailability of digoxin

Contraindications

  • Known hypersensitivity to Omeprazole
  • Presence of suspected gastric ulcer without excluding the possibility of malignancy

Side Effects

  • Skin rash, urticaria, and pruritus
  • Photosensitivity, bullous eruption, and erythema multiforme in isolated cases
  • Diarrhoea and headache, severe enough to require discontinuation of therapy in a small number of patients
  • Constipation, nausea/vomiting, flatulence, and abdominal pain
  • Dry mouth, stomatitis, and candidiasis in isolated cases
  • Paraesthesia
  • Dizziness, light-headedness, and faint feeling
  • Somnolence, insomnia, and vertigo
  • Reversible mental confusion, agitation, depression, and hallucinations in severely ill patients
  • Arthritic and myalgic symptoms, resolved when therapy is stopped
  • Blurred vision, taste disturbance, peripheral oedema, increased sweating, gynaecomastia, and more

Pregnancy & Lactation

  • No adverse effects of Omeprazole 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
  • Breast-feeding should be discontinued if the use of Omeprazole is considered essential
  • Safety and effectiveness not established in pediatric patients less than 18 years of age

Precautions & Warnings

  • Avoid concomitant use of clopidogrel and Omeprazole
  • Observational studies suggest an increased risk for osteoporosis-related fractures with PPI therapy

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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