I-Proton 20 mg (Capsule (Enteric Coated))
Unit Price: ৳ 5.02 (10 x 10: ৳ 502.00)
Strip Price: ৳ 50.20
Medicine Details
Category | Details |
---|---|
Generic | Omeprazole |
Company | Doctor tims pharmaceuticals ltd |
Indications
- Gastric and duodenal 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 in the gastric parietal cell
- 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
- 20 mg once daily for NSAID-associated duodenal or gastric ulcer
- 20 mg once daily for 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
- 40 mg on the preceding evening, then 40 mg 2-6 hours before surgery for prophylaxis of acid aspiration
- Initially 60 mg once daily for Zollinger-Ellison syndrome
- Omeprazole is recommended at a dose of 20 mg twice daily in association with antimicrobial agents for Helicobacter pylori eradication regimen in peptic ulcer disease
Administration
- Omeprazole IV injection should be given as a slow intravenous injection
- Omeprazole IV infusion should be given as an intravenous infusion over a period of 20-30 minutes or more
- The reconstituted solution should not be mixed or co-administered in the same infusion set with any other drug
Interaction
- Decreased intragastric acidity may reduce the absorption of ketoconazole during I-Proton treatment
- I-Proton can delay the elimination of diazepam, phenytoin and warfarin
- Concomitant treatment with I-Proton can increase plasma concentrations of I-Proton and clarithromycin
- No evidence of interaction with phenacetin, theophylline, caffeine, propranolol, metoprolol, cyclosporin, lidocaine, quinidine, estradiol, amoxycillin or antacids
- I-Proton absorption is not affected by alcohol or food
- Concomitant treatment with I-Proton can lead to a 10% increase in the bioavailability of digoxin
Contraindications
- Known hypersensitivity to omeprazole
- Gastric ulcer suspected to exclude the possibility of malignancy before treatment with omeprazole is instituted
Side Effects
- Skin rash, urticaria, and pruritus
- Photosensitivity, bullous eruption, erythema multiforme, angioedema, and alopecia
- Diarrhoea and headache
- Gastrointestinal reactions including constipation, nausea/vomiting, flatulence, and abdominal pain
- Dry mouth, stomatitis, and candidiasis
- Paraesthesia, dizziness, light headedness, and feeling faint
- Somnolence, insomnia, and vertigo
- Reversible mental confusion, agitation, depression, and hallucinations
- Arthritic and myalgic symptoms
- Increased liver enzymes
Pregnancy & Lactation
- Omeprazole can be used during pregnancy
- No information available on the passage of Omeprazole into breast milk or its effects on the neonate
- Breastfeeding should be discontinued if the use of Omeprazole is considered essential
Precautions & Warnings
- Avoid concomitant use of clopidogrel and I-Proton
- PPI therapy may be associated with an increased risk for osteoporosis-related fractures
- Atrophic gastritis has been noted occasionally in gastric corpus biopsies from patients treated long-term with I-Proton
- Concomitant use of PPIs 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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