Pramax 40mg (Tablet)
Manufactured by: Concord Pharmaceuticals Ltd.
Pantoprazole Sodium Sesquihydrate Similar medicine
Pramax is indicated for
- Peptic ulcer disease
- H. pylori infection
- Gastro-oesophageal reflux disease
- Zollinger-Ellison syndrome
- Oesophagitis
- Acid-related dyspepsia
- NSAID-associated ulceration
- ulcer resistant to H2 receptor antagonists
- Gastrointestinal (GI) bleeding from stress
- Prophylaxis for acid aspiration syndrome during induction of anaesthesia
Precautions and warnings
Conte ao seu médico sobre seu histórico médico, especialmente se você tiver doença hepática ou lúpus, antes de usar este medicamento.
Alguns sintomas podem estar alertando as indicações de uma doença mais séria. Se você tem azia com tontura, sudorese ou tontura, dor no peito ou no ombro ou na perda de peso inexplicável, procure atendimento médico imediatamente.
Os inibidores da bomba de prótons podem aumentar sua chance de fraturas ósseas, especialmente se você as usar por um longo tempo, em doses maiores ou se for mais velho. Discuta estratégias para evitar fraturas ósseas com seu médico ou farmacêutico, como tomar suplementos de cálcio e vitamina D.
Side-effects
- Diarréia
- tontura
- prurido
- erupções cutâneas
- infecções do trato gastrointestinal
- dor no peito
- dor de cabeça
- náusea
- dor
- ansiedade
- hiperglicemia; mal -estar ou lassitude; mialgia; edema; insônia; hiperlipidemia; flatulência
- dor abdominal
- constipação
- eructação
- dispepsia
- transtorno retal; Frequência urinária
- UTI; anormalidades na função hepática; reação local do local; hipertonia
- dor no pescoço
- fraqueza; Bronquite
- tosse
- dispneia
- faringite
- rinite
- sinusite
- infecção do trato respiratório superior
- síndrome da gripe.
Drug Interactions
O metotrexato é um produto que pode interagir com este medicamento.
Alguns produtos exigem que o ácido estomacal seja absorvido adequadamente pelo corpo. O pantoprazol reduz o ácido estomacal, portanto, pode afetar a eficácia desses medicamentos. Ampicilina, atazanavir, erlotinibe, nelfinavir, pazopanibe, rilpivirina, alguns antifúngicos do azole, itraconazol, cetoconazol e posaconazol estão entre os produtos afetados.
Contraindications
Uma mãe que alimenta o leite materno recém -nascido. Os comprimidos de liberação atrasada não são recomendados para pacientes que têm uma hipersensibilidade conhecida para nenhum dos ingredientes na formulação.
Mode of actions
O pantoprazol, geralmente conhecido como PPI, é um benzimidazol substituído que bloqueia a fase final da secreção ácida, bloqueando o sistema enzimático H+/K+ ATPase na célula parietal do estômago. O ácido é bloqueado nos níveis basal e estimulado.
Dosage & Administration
Adulto: PO A dose oral de adulto recomendada usual é 40 mg dada uma vez ao dia, antes do café da manhã. A duração da terapia varia de 2 a 8 semanas.
Úlcera péptica: 40 mg/dia da manhã. Duração: ulceração duodenal: 2-4 semanas; Ulceração gástrica benigna: 4-8 semanas.
DRGE: 40 mg de comprimido, uma vez ao dia de manhã por 4 a 8 semanas. Em úlceras resistentes: 40 mg de comprimido, uma vez ao dia por 8 semanas. As úlceras induzidas pelos AINEs: 40 mg de comprimido uma vez ao dia, em pacientes que recebem tratamento contínuo com AINEs.
O sangramento gastrointestinal por causa do estresse ou doenças pépticas ácidas: dosagem oral de adultos usuais, se necessário, a dosagem pode ser aumentada. H. infecção por pylori: 40 mg duas vezes ao dia com claritromicina e amoxicilina ou metronidazol.
Síndrome de Zollinger-Ellison: 160 mg de comprimidos por dia. Uma vez alcançado o controle da secreção ácida, a dose deve ser gradualmente reduzida.
Profilaxia para síndrome de aspiração ácida durante a indução de anestesia: 40-80 mg comprimido deve receber a noite antes da cirurgia e repetir novamente a manhã da cirurgia.
IV A síndrome de Zollinger-Ellison e outros estados hipersecretórios como sal de Na: 80 mg/dia. Máxico: 240 mg/dia em doses divididas se o controle rápido necessário. Gerd; Úlcera péptica como sal na: 40 mg/dia até que o PO possa ser retomado.
Terapia de manutenção
O tratamento de manutenção deve envolver a dose mais baixa do medicamento. Doses de 20 e 40 mg de pantoprazol são seguras e eficazes na manutenção de pacientes com esofagite de refluxo curado e pudim em remissão.
Paciente mais velho: Nenhum problema com pantoprazol foi encontrado em uso clínico neste grupo de pacientes.
Pregnancy & Lactation
Embora os estudos de reprodução de animais tenham mostrado um efeito adverso, mesmo às vezes incapaz de demonstrar o risco no feto e não há estudos adequados e bem controlados em mulheres grávidas, mas durante a gravidez, este medicamento pode ser usado exatamente quando definitivamente necessário.
Discuta com seus médicos e conte feedback sobre este medicamento.
Não há informações específicas sobre se este medicamento é repassado ao bebê através do leite materno. Discuta com seu médico antes de amamentar.
Pack Size & Price
30's pack Price : ৳180
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