OPmax 20 mg (Capsule (Enteric Coated))
Unit Price: ৳ 6.00 (10 x 10: ৳ 600.00)
Strip Price: ৳ 60.00
Medicine Details
Category | Details |
---|---|
Generic | Omeprazole |
Company | Concord pharmaceuticals ltd |
Also available as |
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
- Substituted benzimidazole
- Inhibitor of gastric acid secretion
- Blocks hydrogen-potassium-adenosine triphosphatase (H+/K+ ATPase) enzyme system
- Onset of the 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 when the drug is discontinued
Dosage
- Oral administration
- Benign gastric and duodenal ulcer: 20 mg once daily for 4 weeks in duodenal ulceration, 8 weeks in gastric ulceration
- NSAID-associated duodenal or gastric ulcer: 20 mg once daily for 4 weeks, continued for further 4 weeks if not fully healed
- Gastro-esophageal reflux disease: 20 mg once daily for 4 weeks, continued for further 4-8 weeks if not fully healed
- Long-term management of acid reflux disease: 10-20 mg daily
- Prophylaxis of acid aspiration: 40 mg on the preceding evening, then 40 mg 2-6 hours before surgery
- Zollinger-Ellison syndrome: Initially 60 mg once daily; usual range 20-120 mg daily
- IV Injection for various indications
Administration
- Direction for use of IV Injection
- Direction for use of IV Infusion
- Intravenous administration only
- IV injection should be given as a slow intravenous injection
- IV infusion should be given over a period of 20-30 minutes or more
Interaction
- Decreased intragastric acidity may reduce absorption of ketoconazole during OPmax treatment
- OPmax is metabolized in the liver through cytochrome P450
- Potential interactions with diazepam, phenytoin, warfarin, ketoconazole, clarithromycin, digoxin, methotrexate
Contraindications
- Known hypersensitivity to omeprazole
- Suspicion of gastric ulcer should exclude the possibility of malignancy before treatment is instituted
Side Effects
- Mild and reversible adverse reactions
- Skin rash, urticaria, and pruritus
- Photosensitivity, bullous eruption, erythema multiforme, angioedema, and alopecia
- Diarrhea, headache
- Constipation, nausea/vomiting, flatulence, abdominal pain
- Dry mouth, stomatitis, candidiasis
- Paraesthesia
- Dizziness, light-headedness, feeling faint
- Somnolence, insomnia, vertigo
- Reversible mental confusion, agitation, depression, hallucinations
- Arthritic and myalgic symptoms
- Blurred vision, taste disturbance, peripheral edema, increased sweating
- Hepatic and hematological effects
Pregnancy & Lactation
- No adverse effects reported on pregnancy or fetus/newborn child
- Use during pregnancy is considered safe
- No information available on the passage of omeprazole into breast milk
- Breastfeeding should be discontinued if omeprazole use 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 OPmax
- Possible association with increased risk for osteoporosis-related fractures
- Atrophic gastritis noted occasionally in long-term use
- Concomitant use 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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