OMEPRAL®
(Omeprazole
20 mg)
What
you should know about OMEPRAL®
Each
capsule of OMEPRAL® contains pellets of omeprazole 20
mg.
OMEPRAL®
belongs to the anti ulcer drugs / the Proton Pump inhibtors.
It reduces gastric acid secretion by inhibiting the enzyme H+/K+ ATP ase, the proton pump.
After
oral once daily administration, OMEPRAL® provides rapid and effective
inhibition of daytime and nighttime gastric acid secretion with maximum effect
being achieved within 4 days of treatment.
When
to use OMEPRAL®
OMEPRAL®
is used to treat certain conditions in which there is too much acid in the
stomach. It is used to treat gastric and duodenal ulcers and gastroesophageal reflux disease, a condition in which the
acid in the stomach washes back up into the esophagus.
OMEPRAL®
is indicated in combination use with two-drug antibiotic therapy for
eradication of Helicobacter pylori bacteria in case of gastroduodenal
ulcer disease.
OMEPRAL®
is also used to treat Zollinger-Ellison disease, a
condition in which the stomach produces too much acid.
How
to take OMEPRAL®
Take
OMEPRAL® exactly as prescribed by your doctor.
The
daily dose is usually taken in the morning.
|
Indication
|
Recommended dose
|
Duration of treatment
|
|
Duodenal ulcer
|
1 capsule once daily
|
4 weeks
|
|
Gastric ulcer
|
1 capsule once daily
|
4 to 6 weeks
|
|
Gastroesophageal reflux disease
|
1 capsule once daily
|
4 to 8 weeks
|
|
Eradication of
Helicobacter pylori in the case of gastroduodenal
ulcer disease
|
1 capsule morning and 1 capsule in the evening,
+ Clarithromycin
500 mg morning and evening
+ Amoxicillin 1000 mg or Metronidazole 500 mg morning and evening
|
7 days
this 3- drug therapy will
be followed by 1 capsule of OMEPRAL® for 3 additional weeks in case of active
duodenal ulcer and 3 to 5 weeks in case of gastric ulcer
|
|
NSAID associated gastric
ulcers, duodenal ulcers, gastroduodenal erosions
|
1 capsule once daily
|
4 to 8 weeks
|
|
Zollinger Ellison disease
|
3 capsules once daily
|
Duration decided by your doctor.
|
No
dosage adjustment is necessary for patients with renal impairment, hepatic
dysfunction or for elderly.
What
to do in case of missed dose
Take
the missed dose as soon as you remember, unless the next intake is near.
Go
on taking OMEPRAL® in the dose your doctor recommended.
What
to do in case of overdose
In
case of intake of high doses of this medication, inform your doctor.
General
measures should be adopted.
When
not to use this medication
Do
not use this medication in case of hypersensitivity to any component of this
medication.
Precautions
when taking this medication
-
Tell your doctor if you have ever had any unusual
or allergic reaction to omeprazole.
-
This medication should be used only if clearly
needed during pregnancy, discuss the risks and the benefits with your doctor.
-
Because of the potential for adverse effects for
the infant, breast-feeding is not recommended while taking omeprazole.
-
Do not use for children since safety and
effectiveness have not been established.
What
kind of side effects may occur
This
drug is usually well tolerated.
Rarely
were reported the following side effects: abdominal pain, flatulence,
constipation, diarrhea, vomiting and headache. If these effects persist or
become bothersome, inform your doctor. Very rare cases of rash, urticaria, pruritis, reversible
mental confusion, agitation, depression and hallucination in elderly or in
patients with severe hepatic impairment were reported. Isolated cases of
thrombocytopenia, pancytopenia, neutropenia
and reversible changes in liver enzymes were mentioned.
What to
do if OMEPRAL® is taken with other medications
Please
notify your doctor at all events if other medicines, beside OMEPRAL®, are being
taken or have been taken recently.
Omeprazole may interfere with warfarin,
phenitoin, diazepam, ketoconazole
and digoxin.
No
interaction with propranolol, theophylline,
metoprolol, lidocaine, quinidine or cyclosporin was
found. When taken with clarithromycin, both plasmatic
concentrations are increased.
How
to store OMEPRAL®
Store
in a cool dry place (25°C) protected from sunlight and excessive heat, beyond
the reach of children.
The
expiry date is printed on the pack, don’t use this
medicine after this date.
Pack
presentation
OMEPRAL®
Omeprazole 20 mg, pack of 14
capsules.
N.B:
OMEPRAL® capsules contains Omeprazole
pellets supplied by Ethypharm – France, a leading and
innovative company in drug delivery systems.
OMEPRAL®
is manufactured under technical assistance from Ethypharm.
OMEPRAL®
(Omeprazole pellets) has the United States patent for the stable
composition of gastroprotected Omeprazole
microgranules and for the production process.
Leaflet
revised in May 2002.