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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