OMEPRAZID 20 mg. 14 capsules

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OMEPRAZID 20 mg. 14 capsules
€ 15.00
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WHAT OMEPRAZID AND WHAT IT IS USED
OMEPRAZID contains the active substance omeprazole. OMEPRAZID belongs to a group of medicines called "proton pump inhibitors". They work by reducing the amount of acid your stomach produces. Its effect is fast.

OMEPRAZID used to treat the following conditions:
Gastroesophageal reflux disease (GERD). This is a condition in which acid from the stomach enters the esophagus and cause pain, inflammation and heartburn;
Ulcers in the upper small intestine (duodenal ulcer) or gastric ulcer;
Ulcers due to infection by bacteria called "Helicobacter pylori". In this case, your doctor may prescribe antibiotics to treat the infection and allow the ulcer to heal;
Ulcers caused by medicines called non-steroidal anti-inflammatory drugs (NSAIDs). If taking NSAIDs intake OMEPRAZID may also be used to prevent the development of ulcers;
Devoting too much acid in the stomach caused by a growth in the pancreas (syndrome Zollinger - Ellison).
In children aged 1 year and weighing> = 10 kg
Gastroesophageal reflux disease (GERD). This is a condition in which acid from the stomach enters the esophagus and cause pain, inflammation and heartburn. In children, symptoms of this condition can include the return of stomach contents into the mouth (regurgitation), nausea and poor weight gain.

In children and adolescents over 4 years
Ulcers due to bacteria called "Helicobacter pylori". If your child has this condition, your doctor may prescribe antibiotics to treat the infection and allow the ulcer to heal.

2. WHAT YOU SHOULD KNOW BEFORE YOU TAKE OMEPRAZID
Do not take OMEPRAZID:
if you are allergic (hypersensitive) to omeprazole or any of the other ingredients of this medicine (listed in section 6);
if you are allergic to medicines containing other proton pump inhibitors (eg. pantoprazole, lansoprazole, rabeprazole, esomeprazole);
if you are taking a medicine containing nelfinavir (used to treat infection with HIV).
Warnings and Precautions
Talk to your doctor or pharmacist before taking OMEPRAZID.

Take special care with OMEPRAZID
OMEPRAZID may hide the symptoms of other diseases. Therefore, if any of the following conditions happened to you before you start taking OMEPRAZID or while taking him, immediately contact your doctor:
If you lose a lot of weight for no apparent reason, or have difficulty swallowing;
If you have abdominal pain or indigestion;
Vomiting food or blood;
Black (bloody) stools;
If you develop severe or persistent diarrhea, as omeprazole has been associated with a slight increase in the incidence of infectious diarrhea;
If you have severe liver problems.
In OMEPRAZID intake over a period of one year, your doctor will regularly monitor your condition.
Taking a proton pump inhibitor, which is OMEPRAZID for a period longer than one year can increase the risk of fracture of the hip, wrist or spine. Tell your doctor if you have osteoporosis or if you are taking corticosteroids (which can increase the risk of osteoporosis).

Other medicines and OMEPRAZID
Tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription.
The reason for this is that OMEPRAZID may affect the way some medicines, and some medicines can affect the way OMEPRAZID.
Do not take OMEPRAZID if you are taking a medicine containing nelfinavir (used to treat infection with HIV).

Tell your doctor if you are taking any of the following medications:
Ketoconazole, itraconazole or voriconazole (used to treat fungal infections);
Digoxin (used to treat diseases of the heart);
Diazepam (used for the treatment of anxiety, in increased muscle tone or for the treatment of epilepsy);
Phenytoin (used to treat epilepsy);
Drugs that are used to reduce blood clotting - such as warfarin and other vitamin K blockers;
Rifampicin (used to treat tuberculosis);
Atazanavir (used in the treatment of infection by HIV);
Tacrolimus (used in organ transplants);
St. John's Wort (used to treat mild depression);
Cilostazol (intermittent claudication);
Saquinavir (used in the treatment of infection by HIV);
Clopidogrel (used to reduce the risk of developing blood clots - thrombi).
If your doctor has prescribed at the same time OMEPRAZID to take antibiotics amoxicillin and clarithromycin, used to treat infection with Helicobacter pylori, it is important to know if you are taking any other medicines.

OMEPRAZID food, beverages and alcohol
It can take OMEPRAZID capsules with food and fasting.

Pregnancy, lactation and fertility
If you are pregnant or breast-feeding, you think you may be pregnant or planning to become pregnant, ask your doctor or pharmacist before taking this medicine.

Driving and using machines
No data OMEPRAZID to affect your ability to drive or operate any tools or machinery. May develop side effects such as dizziness and visual disturbances (see section 4). In these cases, you should not drive or operate machinery.

OMEPRAZID contains the excipient sucrose.
If your doctor has told you that you have an intolerance to some sugars, contact your doctor before taking this medicine.

3. HOW TO TAKE OMEPRAZID
Always take this medicine exactly as described in this leaflet or as you have been told your doctor or pharmacist. If you're not sure, ask your doctor or pharmacist.

The recommended doses are:
Adults:
To treat symptoms of GERD such as heartburn and acid regurgitation:
If your doctor has determined that your esophagus is affected slightly, the usual dose is 20 mg once daily for 4-8 weeks. Your doctor may extend intake OMEPRAZID for another 8 weeks at a dose of 40 mg daily, if your esophagus is not fully healed.
To treat symptoms of ulcers in the upper small intestine (duodenal ulcer):
The recommended dose is 20 mg once daily OMEPRAZID for 2 weeks. If during this period no improvement, please contact your doctor. He may tell you to take the same dose for another 2 weeks;
If the ulcer do not fully heal, the dose can be increased to 40 mg once daily for 4 weeks.
For the treatment of symptoms of gastric ulcers (stomach ulcer):
The recommended dose is 20 mg once daily OMEPRAZID for 4 weeks. If during this period no improvement, please contact your doctor. He may tell you to take the same dose for another 4 weeks;
If the ulcer not be completely cured, the dosage may be increased to 40 mg once a day for 8 weeks.
To prevent recurrence of duodenal ulcers and stomach:
The recommended dose is 10 mg or 20 mg once daily. Your doctor can increase the dosage to 40 mg once daily.
For the treatment of duodenal ulcers and stomach caused by NSAIDs (nonsteroidal anti-inflammatory drugs):
The recommended dose is 20 mg once daily OMEPRAZID for 4-8 weeks.
To prevent the development of duodenal ulcers and stomach, if taking NSAIDs (nonsteroidal anti-inflammatory drugs):
The recommended dose is 20 mg once daily OMEPRAZID.
For the treatment of ulcers caused by Helicobacter pylori infection and prevent their re-development:
The recommended dose is 20 mg OMEPRAZID twice daily for 1 week;
Moreover, your doctor will prescribe you to take two of the following antibiotics: amoxicillin, clarithromycin and metronidazole.
Removal of too much acid in the stomach due to the growth in the pancreas (syndrome Zollinger-Ellison):
The recommended dose is 60 mg per day;
Your doctor will adjust the dose depending on your needs and will also decide how long to take the drug.
Use in children
To treat symptoms of GERD such as heartburn and acid regurgitation:
OMEPRAZID can accept children over the age of 1 year and weighing over 10 kg. The dosage for children depends on their body weight, so your doctor will determine the appropriate dose.
For the treatment of ulcers caused by Helicobacter pylori infection and prevent their re-development:
OMEPRAZID can accept children over 4 years. The dosage for children depends on their body weight, so your doctor will determine the appropriate dose;
Moreover, your doctor will prescribe your child's intake of two of the following antibiotics: amoxicillin, clarithromycin and metronidazole.
How to take this medicine
It is recommended to take the capsules in the morning;
You can take the capsules with food or on an empty stomach;
Swallow the capsules whole with half a glass of water. Do not chew or crush the capsules because capsules is coated pellets that prevent stomach acids to break down the drug and for their integrity should not be violated.
If you or your child have trouble swallowing the capsules
Open the capsule and swallow the contents directly with half a glass of water or pour the contents of the capsule in half a glass of water (non-carbonated), any acidic fruit juice (eg. Apple, orange or pineapple) or applesauce;
Always stir the mixture just before drinking (the mixture will not be clear). Take the solution immediately or within 30 minutes;
To make sure that you take all of the medicine, add half a cup of water and drink it. The solids contain the active substance - not to crush, chew them.
If you take more dose OMEPRAZID
If you take more dose OMEPRAZID, immediately contact your doctor.

If you forget to take OMEPRAZID
If you forget to take OMEPRAZID, take the capsule as soon as you remember unless it is very close to the next dose. If this happens, skip the missed. Do not take a double dose to make up for a forgotten capsule.

If you stop taking OMEPRAZID
Do not stop the treatment before you have completed the full course of treatment even though you feel better. You may not have cured completely and some of the symptoms to recur.

If you have any further questions on the use of this product, ask your doctor or pharmacist.

4. POSSIBLE SIDE EFFECTS
Like all medicines, this medicine can cause side effects, although not everybody gets them.
If you notice any of the following rare but serious side effects, stop taking OMEPRAZID and immediately contact a doctor:
Sudden wheezing, swelling of the lips, tongue, throat, or your entire body, rash, fainting or difficulties in swallowing (severe allergic reaction);
Redness of the skin with blisters or peeling. Can be blistering and bleeding from the lips, eyes, mouth, nose and genitals;
Yellow skin, dark urine and tiredness which can be symptoms of liver problems.
Side effects may occur with certain frequencies, which are defined as follows:
Very common: affects more than 1 in 10 patients;
Common: affects more than 1 in every 100 patients but less than 1 in 10 patients;
Uncommon: affects more than 1 in 1000 patients but less than 1 in every 100 patients;
Rare: affects more than 1 in every 10,000 patients, but less than 1 in 1000 patients;
Very rare: affects less than 1 in 10,000 patients;
Not known: from the available data can not be estimated frequency.
Common side effects:
Headache;
Diarrhea, abdominal pain, constipation, gas;
Nausea and vomiting.
Uncommon side effects:
Swelling of feet and ankles;
Sleep disorders (insomnia);
Dizziness, numbness, "pins and needles", feeling sleepy;
Dizziness (vertigo);
Changes in blood tests that check how the liver;
Skin rash, lumpy rash (hives) and itchy skin;
Malaise and lack of energy.
Rare side effects:
Blood problems such as low white blood cells or platelets. This can cause weakness, bruising or increased risk of infection;
Allergic reactions, sometimes very severe, including swelling of the lips, tongue and throat, fever, wheezing;
Lowering sodium in the blood. This can cause weakness, vomiting and cramps;
Anxiety, confusion or depression;
Dysgeusia;
Vision problems - such as blurred vision;
Sudden onset of shortness of breath or wheezing (bronchospasm);
Dry mouth;
Inflammation in the mouth;
Infection called "candidiasis" which may affect the gut and is caused by a fungus;
Liver problems, including jaundice - yellowing of the skin, dark urine and fatigue;
Hair loss (alopecia);
Skin rashes when exposed to sunlight;
Joint pain (arthralgia) or muscles (myalgia);
Severe kidney problems (interstitial nephritis);
Increased sweating.
Very rare side effects
Changes in blood count including agranulocytosis (lack of white blood cells);
Aggressive behavior;
Seeing, feeling or hearing things (hallucinations);
Serious liver problems leading to liver failure and inflammation of the brain;
Suddenly developing severe rash or peeling skin. This may be associated with fever and arthralgia (erythema multiforme, Stevens-syndrome Johnson, toxic epidermal necrolysis);
Muscle weakness;
Breast enlargement in men;
Hypomagnesemia (low magnesium values in the blood).
Not known
It is possible that the values of magnesium in your blood go down if you have taken OMEPRAZID more than three months. Low levels of magnesium are expressed in fatigue, involuntary muscle contractions, disorientation, convulsions, dizziness, rapid pulse. If you experience any of these symptoms, please contact your doctor immediately. The low magnesium levels can lead to a lowering of the level of sodium and calcium in the blood. Your doctor may do regular blood tests to monitor the values of magnesium.
In very rare cases OMEPRAZID may affect the white blood cells which cause immune deficiency. If you have an infection with symptoms such as fever with a severely reduced general condition or fever with local infection symptoms such as pain in the neck, throat or mouth, or difficulty urinating, as quickly as you should consult a doctor to allow blood tests to preclude the number of white blood cells (agranulocytosis).
Do not be alarmed by this list of possible side effects, because you can not get any of them.

5. HOW TO STORE OMEPRAZID
Keep out of reach of children.
Do not use this medicine after the expiry date stated on the carton. The expiry date refers to the last day of that month.
Store in the original package to protect from moisture.
Do not store above 25 ° C
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