Omehil 40 mg (Capsule (Enteric Coated))
Unit Price: ৳ 7.00 (3 x 10: ৳ 210.00)
Strip Price: ৳ 70.00
Medicine Details
Category | Details |
---|---|
Generic | Omeprazole |
Company | Goodman pharmaceuticals ltd |
Also available as |
Indications
- Gastric and duodenal ulcer
- NSAID-associated duodenal and gastric 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
- Blocker of 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 lasting up to 72 hours
- Gradual return of secretory activity over 3 to 5 days after discontinuation
Dosage
- 20 mg once daily for 4 weeks in duodenal ulceration
- 40 mg daily in severe or recurrent cases of gastric ulceration
- Maintenance dose for recurrent duodenal ulcer, 20 mg once daily
- 40 mg once daily for 4 weeks in gastro-esophageal reflux disease
- 10-20 mg daily for long-term management of acid reflux disease
- 10-20 mg once daily for 2-4 weeks in acid-related dyspepsia
- 40 mg on the preceding evening and 2-6 hours before surgery for prophylaxis of acid aspiration
- Initially 60 mg once daily for Zollinger-Ellison syndrome
- Omeprazole recommended at a dose of 20 mg twice daily for Helicobacter pylori eradication regimen in peptic ulcer disease
- Pediatric use: 10-20 mg once daily for 4-12 weeks (if body-weight 10-20 kg), 20-40 mg once daily for 4-12 weeks (if body-weight over 20 kg)
Administration
- 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
- Reconstituted solution should be used within 4 hours (IV injection) or 12 hours (IV infusion)
- Reconstituted solution should not be mixed or co-administered with any other drug
Interaction
- Reduced absorption of ketoconazole during treatment
- Metabolized in the liver through cytochrome P450
- Possible delay in the elimination of diazepam, phenytoin, and warfarin
- Monitoring of patients receiving warfarin or phenytoin recommended
- Increased plasma concentrations of Omeprazole and clarithromycin during concomitant administration
Contraindications
- Known hypersensitivity to omeprazole
- Suspected gastric ulcer with possibility of malignancy
Side Effects
- Skin rash, urticaria, and pruritus
- Photosensitivity, bullous eruption, and erythema multiforme
- Diarrhoea
- Headache
- Constipation
- Nausea/vomiting
- Dry mouth
- Paraesthesia
- Dizziness
- Somnolence
- Reversible mental confusion, agitation, depression, and hallucinations
- Arthritic and myalgic symptoms
- Blurred vision
- Taste disturbance
- Peripheral edema
- Increased sweating
- Agranulocytosis
- Pancytopenia
- Hepatic failure
Pregnancy & Lactation
- No adverse effects on pregnancy or on the health of the fetus/newborn child based on epidemiological studies
- No information available on the passage of omeprazole into breast milk or its effects on the neonate
- Discontinuation of breastfeeding if the use of omeprazole is considered essential
Precautions & Warnings
- Avoid concomitant use of clopidogrel and omeprazole
- Possible association of PPI therapy with increased risk for osteoporosis-related fractures
- Atrophic gastritis noted occasionally in patients treated long-term with omeprazole
- 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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