NOLPAZA gastro resistant. 40 mg. 14 tablets
NOLPAZA gastro - resistant. 40 mg. 14 tablets
NOLPAZA WHAT IS AND WHAT IT IS USED
Nolpaza selective " proton pump inhibitor " drug that reduces the amount of acid in your stomach. It is used for the treatment of diseases of the stomach and intestines caused by increased production of acid in the stomach.
Nolpaza be used for:
Adults and adolescents 12 years and older:
Reflux oesophagitis . Inflammation of the esophagus (the tube that connects your throat to your stomach ) , accompanied by the return of stomach acid.
Infection with bacteria called Helicobacter Pylori in patients with duodenal ulcer and gastric ulcer in combination with two antibiotics ( eradication therapy ) . The aim is to remove the bacteria and thereby reduce the likelihood of recurrence of sores ;
Gastric and duodenal ulcers ;
Zollinger-Ellison syndrome and other diseases that produce too much acid in the stomach.
2 . BEFORE YOU TAKE NOLPAZA
Do not take NOLPAZA
If you are allergic (hypersensitive) to pantoprazole , sorbitol or any other component of Nolpaza (see section 6) ;
If you are allergic to medicines containing other proton pump inhibitors .
Take special care when taking Nolpaza
If you have severe liver problems. Please tell your doctor if you have ever had liver problems . He will check your liver enzymes more frequently , especially if you are taking Nolpaza long time. In case of increase in liver enzymes , treatment should be stopped ;
If you have reduced body stores or risk factors for reduced vitamin B12 and receive long-term treatment with pantoprazole. As other acid reducing agents, pantoprazole can lead to reduced absorption of vitamin B12 ;
If you are taking a medicine containing atazanavir ( for HIV ) , pantoprazole, ask your doctor.
Tell your doctor immediately if you notice any of the following symptoms:
unwanted weight loss;
repeated vomiting ;
difficulty swallowing ;
vomiting of blood;
look pale and feel weak (anemia) ;
notice blood in your stools ;
severe and / or persistent diarrhea, because Nolpaza associated with a small increase in infectious diarrhea.
Your doctor may decide that you need some tests to rule out malignancy because pantoprazole relieves the symptoms of cancer and can delay diagnosis . If your symptoms persist despite treatment , should be considered for further research .
If you take Nolpaza a long-term (more than 1 year) , your doctor will probably keep you under observation. You should tell your doctor about any new or unusual symptoms and conditions.
Taking other medicines
Nolpaza can affect the effectiveness of other medications , so tell your doctor if you take:
Drugs such as ketoconazole, itraconazole and posaconazole (used to treat fungal infections) or erlotinib (used to treat certain types of cancer) because Nolpaza can prevent these medicines from working properly ;
Warfarin and phenprocoumon to thicken or thin the blood . You may need to perform additional studies ;
Atazanavir (used for the treatment of AIDS ) .
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.
Pregnancy and lactation
There are no adequate data from the use of pantoprazole in pregnant women. There have been released into the breast milk. If you are pregnant or think you are pregnant or breast-feeding , you should take this medicine only if your doctor considers that the benefit to you is greater than the potential risks to your unborn child or baby. Ask your doctor or pharmacist for advice before taking any medicine .
Driving and using machines
If you experience side effects such as dizziness or disturbed vision, you should not drive or operate machinery.
Important information about some of the ingredients of Nolpaza
Nolpaza contains sorbitol. If your doctor has told you that you have an intolerance to some sugars should consult with your doctor before taking this medicine .
3 . HOW TO TAKE NOLPAZA
Always take Nolpaza exactly as your doctor tells you . Consult your doctor or pharmacist if you are not sure.
When and how should you take Nolpaza ?
Take the tablets one hour before a meal not chew or crush and swallow them whole with water.
If your doctor advises otherwise , the usual dose is:
Adults and adolescents 12 years and older:
Treatment of reflux oesophagitis
The usual dose is one tablet per day. Your doctor may tell you to increase the dose to 2 tablets daily. The period for the treatment of reflux oesophagitis is generally between 4 and 8 weeks. Your doctor will tell you how long to take the medicine .
For the treatment of infection by bacteria called Helicobacter Pylori in patients with duodenal ulcer and gastric ulcer in combination with two antibiotics ( Eridikatsionna therapy ) .
One tablet twice a day plus two antibiotic tablets or amoxicillin , clarithromycin and metronidazole ( or tinidazole ) , each of which is taken twice daily with pantoprazole tablet . Take the first tablet pantoprazole 1 hour before breakfast and the second pantoprazole tablet 1 hour before dinner. Follow your doctor's instructions and make sure you read the package leaflets of these antibiotics. The usual treatment period is one to two weeks.
For the treatment of gastric and duodenal ulcers .
The usual dose is one tablet per day. After consulting your doctor , the dose may be doubled. Your doctor will tell you how long to take your medicine. The period of treatment for gastric ulcer is generally between 4 and 8 weeks. The treatment period for duodenal ulcers is usually between 2 and 4 weeks.
For long-term treatment of Zollinger-Ellison syndrome and other conditions in which too much separated gastric acid.
The recommended starting dose is usually in two tablets per day .
Take two tablets 1 hour before meals . Your doctor may subsequently adjust the dose in line with the amount of gastric acid which is separated . If you are prescribed more than two tablets per day , the tablets should be taken twice daily.
If your doctor prescribes a daily dose of more than four tablets a day, he will have to tell you exactly when to stop taking the drug.
If you have kidney problems, moderate or severe liver problems should not take Nolpaza for the eradication of Helicobacter pylori;
If you have severe liver problems should not take more than one tablet of 20 mg pantoprazole per day (for this purpose are available tablets containing 20 mg of pantoprazole ) ;
Children under 12 years. These tablets are not recommended for use in children under 12 years.
If you take more dose Nolpaza
Consult your doctor or pharmacist. There are no known symptoms of overdose.
If you forget to take Nolpaza
Do not take a double dose to make up for a missed dose. Take the next dose at the usual time.
If you stop taking Nolpaza
Do not stop taking Nolpaza not you tell your doctor or pharmacist. If you have any questions about using this medicine, ask your doctor or pharmacist.
4 . SIDE EFFECTS
Like all medicines , Nolpaza can cause side effects , although not everybody gets them .
The frequency of possible adverse reactions mentioned below and can be defined as follows :
very common ( affects more than 1 user in 10);
common ( affects 1 to 10 users in 100) ;
uncommon ( affects 1 to 10 users in 1000 ) ;
rare ( affects 1 to 10 users in 10,000 ) ;
very rare ( affects less than 1 user in 10,000 ) ;
not known ( frequency can not be estimated from available data).
If you experience any of these side effects , stop taking the medicine and tell your doctor immediately or contact your nearest hospital :
Serious allergic reactions (incidence : rare ): swelling of the tongue and / or throat , difficulty in swallowing , urticaria ( hives) , difficulty breathing, allergic facial swelling ( Quincke's edema / angioedema ) , severe dizziness with very fast heartbeat and heavy sweating ;
Serious skin reactions (frequency not known ): blistering and rapid deterioration of general condition , ulcers (including minor bleeding ) of eyes, nose , mouth / lips or vulva ( syndrome Stevens-Johnson, syndrome Lyell, erythema multiforme ) and sensitivity to light.
Other serious conditions (frequency not known ): yellowing of the skin or eyes ( severe damage to liver cells , jaundice ) or fever , rash , enlarged kidneys , sometimes with painful urination and lower back pain ( severe inflammation of the kidneys) .
Other side effects are:
Uncommon ( affects 1 to 10 of 1000 users) : Headache ; fatigue ; diarrhea ; malaise, vomiting ; bloating and flatulence ; constipation ; dry mouth ; abdominal pain and discomfort ; skin rash ; flushing, bumpy rash ; itching; feeling weak , feeling exhausted or generally unwell; sleep disorder .
Rare ( affects 1 to 10 of 10,000 users) : disturbances in vision , such as double vision ; hives ; joint pain ; muscle pain ; changes in body weight ; fever ; swelling of the extremities (peripheral edema); allergic reactions; depression, breast enlargement men.
Very rare ( affects less than 1 in 10,000 users) : Disorientation .
Not known (frequency can not be estimated from the available data): hallucinations, confusion (especially in patients with a history of these symptoms) ; reduced level of sodium in the blood .
Adverse reactions identified through blood tests :
Uncommon ( affects 1 to 10 of 1000 users) : Elevations of liver enzymes;
Rare ( affects 1 to 10 of 10,000 users) : Increase of bilirubin ; increased fats in the blood ;
Very rare ( affects less than 1 in 10,000 users) : Reducing the number of platelets that can lead to you to bleed or bruise more than normal; decrease the number of white blood cells which can lead to more frequent infections .
If any of the side effects gets serious or if you notice side effects not listed in this leaflet, please tell your doctor or pharmacist.
5 . STORAGE NOLPAZA
Keep out of reach of children.
Blister pack : Store in the original package to protect from moisture.
Container : Keep container tightly closed to protect from moisture.
Nolpaza not use after the expiry date stated on the packaging. The expiry date refers to the last day of that month.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required . These measures will help to protect the environment.
6 . ADDITIONAL INFORMATION
What does Nolpaza
Each gastro -resistant tablet contains 40 mg pantoprazole ( pantoprazole sodium sesquihydrate ) .
The other ingredients are mannitol , crospovidone (Type B) , sodium carbonate anhydrous, sorbitol ( E420), calcium stearate in the tablet core and hypromellose, povidone ( K25 ), titanium dioxide ( E 171 ) , yellow iron oxide (E172 ) , propylene glycol , a copolymer of methacrylic acid , methyl acrylate , sodium lauryl sulfate , polysorbate 80 , macrogol 6000 and talc in the film coating .
Nolpaza looks like and contents of pack
40 mg gastro-resistant tablets are light brownish -yellow, oval, slightly biconvex tablets.
Boxes with 7, 14 , 15, 28, 30 , 56, 60, 84 , 100, 100 × 1 , 112 and 140 tablets are sold in blister packs .
Plastic container with 250 gastro-resistant tablets .
Not all pack sizes may be marketed.