Omeben 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 Benham 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

  • Inhibitor of gastric acid secretion
  • Blocks hydrogen-potassium-adenosine triphosphatase (H+/K+ ATPase) enzyme system
  • Onset of antisecretory effect within one hour
  • Maximum effect occurring within two hours
  • Inhibition of secretion lasts up to 72 hours
  • Gradual return of secretory activity over 3 to 5 days upon discontinuation

Dosage

  • 20 mg once daily for benign gastric and duodenal ulcer for 4 weeks in duodenal ulceration
  • 40 mg daily for severe or recurrent cases of benign gastric and duodenal ulcer
  • 20 mg once daily for NSAID-associated duodenal or gastric ulcer for 4 weeks
  • 20 mg once daily for prophylaxis in patients with a history of NSAID-associated duodenal and gastric ulcer
  • 20 mg once daily for gastro-esophageal reflux disease for 4 weeks
  • 40 mg once daily for refractory cases of gastro-esophageal reflux disease
  • 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
  • 40 mg for prophylaxis of acid aspiration before surgery
  • 60 mg once daily for Zollinger-Ellison syndrome, with a usual range of 20-120 mg daily
  • 20 mg twice daily in H. pylori eradication regimen in peptic ulcer disease
  • 10-20 mg once daily for severe ulcerating reflux esophagitis in children >1 year
  • 40 mg intravenous injection for prophylaxis of acid aspiration before surgery
  • 40 mg intravenous injection for duodenal ulcer, gastric ulcer, or reflux esophagitis in patients for whom oral medication is inappropriate
  • 60 mg daily intravenously for Zollinger-Ellison syndrome, with higher daily doses if required

Administration

  • Must only be given by intravenous administration
  • Careful preparation and slow injection for intravenous administration
  • Intravenous infusion over 20-30 minutes or more for IV infusion
  • Dissolution in saline or 5% Dextrose for infusion
  • Avoid mixing with other drugs in the same infusion set

Interaction

  • Decreased intragastric acidity may reduce absorption of ketoconazole
  • Metabolized in the liver through cytochrome P450
  • May delay the elimination of diazepam, phenytoin, and warfarin
  • Monitoring and potential dose reduction for warfarin or phenytoin
  • Absorption and plasma concentrations increased during concomitant administration with clarithromycin
  • No evidence of interaction with phenacetin, theophylline, caffeine, propranolol, metoprolol, cyclosporin, lidocaine, quinidine, estradiol, amoxycillin, or antacids
  • No affected absorption by alcohol or food
  • No evidence of interaction with piroxicam, diclofenac, or naproxen
  • Simultaneous treatment with digoxin may lead to a 10% increase in the bioavailability of digoxin

Contraindications

  • Known hypersensitivity to omeprazole
  • Suspected gastric ulcer with possibility of malignancy

Side Effects

  • Mild and reversible adverse reactions
  • Skin rash, urticaria, pruritus, photosensitivity, bullous eruption, erythema multiforme, angioedema, alopecia
  • Diarrhoea and headache, with severe cases necessitating therapy discontinuation
  • Gastrointestinal reactions including 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 oedema, increased sweating, gynaecomastia
  • Leucopenia, thrombocytopenia, agranulocytosis, pancytopenia, anaphylactic shock
  • Malaise, fever, bronchospasm, encephalopathy in patients with pre-existing severe liver disease
  • Hepatitis with or without jaundice, interstitial nephritis, hepatic failure
  • Increases in liver enzymes

Pregnancy & Lactation

  • No adverse effects on pregnancy or fetus/newborn child based on prospective epidemiological studies
  • Considered safe to use during pregnancy
  • No available information on the passage of omeprazole into breast milk or its effects on the neonate
  • Breast-feeding should be discontinued if essential use of omeprazole is considered
  • Safety and effectiveness not established in pediatric patients less than 18 years of age

Precautions & Warnings

  • Avoid concomitant use with clopidogrel
  • Observational association with increased risk for osteoporosis-related fractures
  • Atrophic gastritis noted occasionally in patients treated long-term with omeprazole
  • 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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