Exium 40 mg (Capsule (Enteric Coated))

Unit Price: ৳ 12.00 (6 x 10: ৳ 720.00)
Strip Price: ৳ 120.00

Medicine Details

Title

  • Exium 40 mg Capsule

Categories

  • Medicine
  • Gastrointestinal Health
  • Pharmaceutical

Description

  • Exium 40 mg Capsule is a proton pump inhibitor (PPI) used to treat gastroesophageal reflux disease (GERD), ulcers, and symptoms associated with excessive stomach acid.

Indications

  • Relief from chronic heartburn symptoms
  • Healing of erosive esophagitis
  • Maintenance of healing of erosive esophagitis
  • Eradication of Helicobacter pylori infection
  • Treatment of Zollinger-Ellison Syndrome
  • Management of acid related Dyspepsia
  • Treatment of Duodenal & Gastric ulcers

Mode of Action

  • Suppression of gastric acid secretion by inhibition of the H+/K+-ATPase
  • First single optical isomer of proton pump inhibitor
  • Better acid control than racemic proton pump inhibitors
  • Absorption peak plasma levels occur at approximately 1.5 hours after oral administration

Dosage Forms

  • Oral capsules
  • IV Injection or IV infusion

Dosage Instructions

  • 20 mg or 40 mg Once Daily for 4-8 Weeks for healing of erosive esophagitis
  • 20 mg Once Daily for maintenance of healing of erosive esophagitis
  • 20 mg Once Daily for symptomatic GERD for 4 Weeks
  • 40 mg Once Daily for Helicobacter pylori eradication in combination therapy
  • 20-80 mg Once Daily for Zollinger-Ellison Syndrome
  • 20-40 mg Once Daily for acid-related Dyspepsia
  • 20 mg Once Daily for Duodenal ulcer, 20-40 mg Once Daily for Gastric ulcer
  • Dosage for IV Injection and IV infusion based on age and condition

Administration

  • Tablet or capsule should be swallowed whole and taken one hour before a meal
  • Oral suspension should be taken with water and administered through a nasogastric or gastric tube if necessary
  • IV Injection should be administered intravenously over at least 3 minutes

Interaction

  • Metabolized in the liver by CYP2C19 and CYP3A4
  • No clinically relevant interactions with certain CYP enzymes
  • Potential interference with CYP2C19 metabolism
  • Minimal interaction with other drugs like phenytoin, warfarin, clarithromycin, and amoxicillin

Contraindications

  • Known hypersensitivity to any of the formulation

Side Effects

  • Headache
  • Diarrhoea
  • Nausea
  • Flatulence
  • Abdominal pain
  • Constipation
  • Dry mouth

Pregnancy & Lactation

  • No adequate and well-controlled studies in pregnant women
  • No data on excretion in milk
  • Breast-feeding should be discontinued if essential

Precautions & Warnings

  • Symptomatic response to therapy does not rule out presence of gastric malignancy
  • Specific instructions for patients with swallowing difficulties
  • Use of antacids alongside Exium

Use in Special Populations

  • Safety and effectiveness in paediatric patients not established
  • No overall differences in safety and efficacy between elderly and younger individuals
  • No dosage adjustment recommended for patients with mild to moderate hepatic insufficiency
  • No alteration in pharmacokinetics expected in patients with renal impairment

Overdose Effects

  • Acute toxicity observed in animal studies at high doses
  • No specific antidote known
  • Symptomatic and supportive treatment recommended in case of overdose

Storage Conditions

  • Store at a temperature not exceeding 30°C in a dry place
  • Protect from light and moisture
  • Keep out of reach of children

Chemical Structure

  • Molecular Formula: C17H19N3O3S

Commonly Asked Questions

  • Multiple uses including treating GERD, ulcers, and preventing erosive esophagitis recurrence
  • Common side effects like headaches, diarrhea, and nausea
  • Pregnant or breastfeeding women should consult a doctor before use
  • Fast onset of action usually within a few hours of ingestion
  • Quick tips for taking Exium 40 mg Capsule

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