Gastevin 30mg Treatment of peptic ulcer (2 blisters x 7 tablets)

Dosage form Box of 2 blisters x 7 tablets
Specifications Lansoprazole

Ingredient

Composition informationContent
Lansoprazole30mg

Uses

indications

Gastevin 30mg drug is indicated in the following cases:

  • Peptic ulcer.
  • Gastroesophageal reflux. Symptoms of symptoms in patients with Zollinger - Ellison syndrome such as severe abdominal pain, diarrhea. It inhibits the final stage of the formation of stomach acid by inhibiting the activity of H+/K+ ATPase of the cells in the stomach. The inhibition depends on the dose.

    At 30mg dose, Lansoprazole inhibits about 80% stimulating stimulating stomach acid by Pentagastrin. Use every day continuously within a week decreases 90%. Reducing the symptoms of duodenal ulcer and recovery within 2 weeks, for stomach ulcers and esophageal reflux within 4 weeks.

    Dynamic pharmacokinetics

    lansoprazole shows high bioavailability (80-90%) with a single dose. Peak concentration in plasma occurs within 1.5 to 2.0 hours. Food slows down the absorption speed of Lansoprazole and reduces bioavailability by about 50%. Linking with plasma proteins is 97%.

    Lansoprazole is metabolized over the liver and metabolites are excreted through kidney and biliary tract. The metabolism of Lansoprazole is mainly catalyzed by CYP2C19 enzyme. CYP3A4 enzyme also contributes to metabolism. Sell ​​waste time in plasma from 1 to 2 hours after single dose or many times in healthy people. There is no evidence of accumulation after using many doses in healthy people.

  • Before taking Gastevin 30mg Treatment of peptic ulcer (2 blisters x 7 tablets)

    How to use

    Gastevin 30mg oral medicine.

    Time of use: Take before meals.

    Take the whole tablet, do not chew, break, crush the pill. Take medicine with 1 cup of full water.

    Dosage

    adults

    Treatment of duodenal ulcer:

    Take 1 capsule 1 time/day, for 2 weeks.

    In patients who have not healed completely during this time, the drug is continued in the same dosage in two more weeks.

    Treatment of stomach ulcers:

    Take 1 capsule 1 time/day, for 4 weeks.

    ulcers often heal during this time. If not healed, you can continue taking the drug in the same dose in 4 weeks.

    Rock reflux esophagitis:

    Take 1 capsule 1 time/day, for 4 weeks.

    In patients who have not healed completely during this time, the treatment can be continued in the same dosage in 4 weeks.

    Prevention of esophagitis due to reflux:

    Take 15 mg x 1 time/day. Can increase the dose to 30 mg per day if needed.

    Eliminate Helicobacter pylori:

    Take 1 capsule/time x 2 times daily in 7 days, combined with one of the following:

  • Clarithromycin 250-500 mg x 2 times/day + Amoxicillin 1g x 2 times/day.
  • Clarithromycin 250mg x 2 times/day + Metronidazol 400-500 mg x 2 times/day.
  • Treatment of benign stomach and duodenal ulcer related to NSAID in patients who need to continue treating NSAID:

    Take 1 capsule/time/day for 4 weeks.

    Symptomatic gastroesophageal reflux disease:

    The recommended dose is 15 mg or 30 mg daily.

    Zollinger syndrome - Ellison:

    The starting dose is recommended by 2 capsules 1 time/day.

    Maintenance dose of up to 6 tablets. If the dosage is used more than 4 tablets every day, you should divide it 2 times/day.

    Patients with medium and severe liver failure

    Discount 50% compared to the usual dose.

    Note: The above dose is for reference only. Specific dosage depends on the condition and level of progression of the disease. For a suitable dose, you need to consult a doctor or medical specialist.What do

    do when overdose? If there are abnormal symptoms when using an overdose, immediately notify the doctor or go to the nearest medical center for timely treatment.

    What to do when you forget 1 dose? If close to the next dose, skip the forgotten dose. Do not drink double to compensate for the dose.

    Side Effects

    When using Gastin 30mg, you may experience unwanted effects (ADR).

    Common, ADR> 1/100

  • Dizziness headache.
  • Nausea, vomiting, stomach pain, diarrhea, bloating.
  • Increased liver enzyme level.

    urticaria, itching, rash, feeling tired.

    Uncommon, 1/1000

  • leukopenia, platelets, eosinophilia.
  • joint pain, muscle pain, edema.

    Instructions on how to handle ADR

    When experiencing side effects of the drug, it is necessary to stop using and notify the doctor or go to the nearest medical facility for timely treatment.

    Warnings

    Before using the drug you need to read the instructions carefully and refer to the information below.

    Contraindicated

    Gastin 30mg contraindicated drug in the following cases:

  • People with a history of hypersensitivity to any ingredients in the drug.
  • Malignant stomach ulcer.

    Be cautious when used

    Prisable when taking the drug for patients with medium and severe liver dysfunction.

    Lansoprazole decreased by gastric acids may increase the number of bacteria commonly in the gastrointestinal tract in the stomach. Lansoprazole treatment can lead to a slight increase in the risk of gastrointestinal infections such as Salmonella and Campylobacter.

    Do not use the drug for a long time. Should regularly review the treatment and assessment of risks and thorough benefits in these patients.

    The ability to drive and operate machinery

    The unwanted effects of the drug such as dizziness, visual disorders and drowsiness may occur. Therefore, the drug may reduce the ability to drive and operate machinery. Precautions when using.

    Pregnancy

    There is no report or data on medication on pregnant women, so consult a doctor before using the drug. The use of drugs during pregnancy is not recommended unless the maternal treatment benefits are superior to the risk of the baby.

    The period of breastfeeding. Animal studies have shown the excretion of Lansoprazole in milk. Consult your doctor or pharmacist before using the drug.

    Interactive drug

    HIV Protease inhibitors: may reduce the effects of Lansoprazole.

    Lansoprazole may cause ketoconazole and iTraconazole concentrations below treatment and should be avoided.

    Simultaneous use of Lansoprazole and Digoxin can lead to an increase in plasma digoxin levels.

    Concentrated with high doses methotrexate can increase and prolong the serum methotrexate levels that can lead to toxicity to methotrexate.

    Simultaneously use Lansoprazole 60mg and Warfarin does not affect the pharmacokinetics of Warfarin or INR. However, there has been a report on increasing Inr and prothrombin time in patients who use simultaneously PPI and Warfarin. Inranged increase and prothrombin time can lead to abnormal bleeding and even death.

    Lansoprazole may increase the plasma concentration of drug products metabolized by CYP3A4.

    Storage

    Store below 30 degrees C, avoid light.

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