Protonix is in a group of drugs called proton pump inhibitors. It decreases the amount of acid produced in the stomach.

Protonix is used to treat erosive esophagitis (damage to the esophagus from stomach acid), and other conditions involving excess stomach acid such as Zollinger-Ellison syndrome.

Protonix may also be used for purposes other than those listed in this medication guide.

What should I discuss with my healthcare provider before taking Protonix?

Do not take this medication if you are allergic to Protonix. Before taking Protonix, tell your doctor if you are allergic to any drugs.

Some conditions must be treated long-term with Protonix. The chronic use of Protonix has caused stomach cancer in animal studies, but it is not known if this medication would have the same effects in humans. Talk with your doctor about your specific risk of developing stomach cancer.

Long-term treatment with Protonix may also make it harder for your body to absorb vitamin B-12, resulting in a deficiency of this vitamin. Symptoms of a vitamin B-12 deficiency may develop slowly and include pale skin, weakness, tired feeling, shortness of breath, and a fast heart rate. Talk with your doctor if you need long-term Protonix treatment and you have concerns about vitamin B-12 deficiency.

FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. It is not known whether Protonix passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

How should I take Protonix?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.

Take Protonix with a full glass of water.

Protonix can be taken with or without food.

Do not crush, chew, or break an enteric-coated tablet. Swallow the pill whole. The enteric-coated pill has a special coating to protect your stomach. Breaking the pill could damage this coating. Do not stop taking Protonix even if you begin to feel better. Your symptoms may improve before the condition is fully treated. Store Protonix at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. An overdose of Protonix is not expected to produce life-threatening symptoms.

What are the possible side effects of Protonix?

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Other less serious side effects are more likely to occur, such as:

• nausea, vomiting;
• gas, stomach pain;
• diarrhea; or
• headache.

Side effects other than those listed here may also occur. Talk to your doctor about any side effect that seems unusual or that is especially bothersome.

What other drugs will affect Protonix?

Before taking Protonix, tell your doctor if you are using any of the following drugs:

• a blood thinner such as warfarin (Coumadin);
• ampicillin (Omnipen, Principen);
• ketoconazole (Nizoral); or
• iron (Feosol, Mol-Iron, Fergon, Femiron, others).

If you are using any of these drugs, you may not be able to use lansoprazole, or you may need dosage adjustments or special tests during treatment.

There may be other drugs that can affect lansoprazole. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Protonix

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Rabeprazole decreases the amount of acid produced in your stomach.

Rabeprazole is used to treat ulcers, gastroesophageal reflux disease (GERD or heartburn), and other conditions involving excessive stomach acid production.

Rabeprazole may also be used for purposes other than those listed in this medication guide.

How should I take Aciphex (Rabeprazole)?

Take rabeprazole exactly as directed by your doctor. If you do not understand these instructions, ask your pharmacist, nurse, or doctor to explain them to you.

Take each dose with a full glass of water.

Do not break, chew, or split the tablets. Swallow them whole. They are specially formulated to release slowly in your body.

Do not stop taking rabeprazole even if you begin to feel better. Your symptoms may improve before your condition is fully treated.

Store rabeprazole at room temperature away from moisture and heat.

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Prilosec decreases the amount of acid produced in the stomach.

Prilosec is used to treat symptoms of gastroesophageal reflux disease (GERD) and other conditions caused by excess stomach acid. Prilosec is also used to promote healing of erosive esophagitis (damage to your esophagus caused by stomach acid).

Prilosec may also be given together with antibiotics to treat gastric ulcer caused by infection with helicobacter pylori (H. pylori).

Prilosec may also be used for purposes other than those listed in this medication guide.

What is the most important information I should know about Prilosec?

Heartburn is often confused with the first symptoms of a heart attack. Seek emergency medical attention if you have chest pain or heavy feeling, dizziness, pain spreading to the arm or shoulder, sweating, nausea or vomiting, and a general ill feeling.

Before using this medication, tell your doctor if you are allergic to any drugs, or if you have heart disease or liver disease. You may need a dose adjustment or special tests to safely take this medication.

Prilosec is not for immediate relief of heartburn symptoms.

Some conditions are treated with a combination of Prilosec and antibiotics. To best treat your condition, use all of your medications as directed by your doctor. Be sure to read the medication guide or patient instructions provided with each of your medications. Do not change your doses or medication schedule without advice from your doctor.

Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before the condition is completely treated.

Prilosec OTC (over-the-counter) should be taken only once every 24 hours for 14 days. It may take up to 4 days for full effect. Do not take more than one tablet every 24 hours.

Allow at least 4 months to pass before you start another 14-day treatment with Prilosec OTC. Call your doctor if you have additional symptoms and need treatment before the 4 months has passed.

What should I discuss with my healthcare provider before taking Prilosec?

Heartburn is often confused with the first symptoms of a heart attack. Seek emergency medical attention if you have chest pain or heavy feeling, dizziness, pain spreading to the arm or shoulder, sweating, nausea or vomiting, and a general ill feeling.

Do not use this medication if you are allergic to Prilosec.

Before using this medication, tell your doctor if you are allergic to any drugs, or if you have heart disease or liver disease. You may not be able to use Prilosec, or you may need a dosage adjustment or special tests during treatment.

Some conditions are treated with a combination of Prilosec and antibiotics. To best treat your condition, use all of your medications as directed by your doctor. Be sure to read the medication guide or patient instructions provided with each of your medications. Do not change your doses or medication schedule without advice from your doctor.

Do not use over-the-counter omeprazole (Prilosec OTC) without the advice of a doctor if you have:

• trouble or pain with swallowing;
• bloody or black stools;
• vomit that looks like blood or coffee grounds;
• heartburn that has lasted for over 3 months;
• frequent chest pain;
• heartburn with wheezing;
• unexplained weight loss;
• nausea or vomiting; or
• stomach pain.

FDA pregnancy category C. Prilosec may be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Prilosec can pass into breast milk and may harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Do not give this medication to a child without your doctor’s advice.

How should I take Prilosec?

Prilosec is not for immediate relief of heartburn symptoms.

Take this medication exactly as directed on the label, or as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on the medicine label or on your prescription label.

Take each dose of Prilosec with a full glass (8 ounces) of water.

Prilosec is usually taken before eating. Follow your doctor’s instructions.

Do not crush, break, or open a delayed-release capsule. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking or opening the pill would cause too much of the drug to be released at one time.

You may open the delayed-release capsule and sprinkle the medicine into a spoonful of applesauce to make swallowing easier. Swallow this mixture right away without chewing. Do not save the mixture for later use. Discard the empty capsule.

Prilosec OTC (over-the-counter) should be taken only once every 24 hours for 14 days. Take the medicine in the morning before you eat breakfast. It may take up to 4 days for full effect. Do not take more than one tablet every 24 hours.

Allow at least 4 months to pass before you start another 14-day treatment with Prilosec OTC. Call your doctor if you have additional symptoms and need treatment before the 4 months has passed.

Do not crush, chew, or break a Prilosec OTC tablet. Swallow the pill whole. Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before your treatment is completed. Call your doctor if your symptoms do not improve or if they get worse while you are taking this medicine. Store Prilosec at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at the next regularly scheduled time. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.

Symptoms of an Prilosec overdose include drowsiness, blurred vision, fast heartbeat, nausea, vomiting, sweating, headache, or dry mouth.

Prilosec side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Other less serious side effects are more likely to occur, such as:

• stomach pain, gas;
• nausea, vomiting, diarrhea; or
• headache.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

What other drugs will affect Prilosec?

Before taking Prilosec, tell your doctor if you are taking any of the following drugs:

• a blood thinner such as warfarin (Coumadin);
• atazanavir (Reyataz);
• disulfiram (Antabuse);
• cyclosporine (Gengraf, Neoral, Sandimmune);
• digoxin (digitalis, Lanoxin);
• tacrolimus (Prograf);
• phenytoin (Dilantin);
• theophylline (TheoBid, Theo-Dur, Theochron, Theolair, Elixophyllin, Slo-Phyllin);
• fluconazole (Diflucan), itraconazole (Sporanox), or ketoconazole (Nizoral);
• ampicillin (Omnipen, Principen);
• iron (Feosol, Mol-Iron, Fergon, Femiron, others); or
• a medicine for insomnia or anxiety such as diazepam (Valium), alprazolam (Xanax), lorazepam (Ativan), temazepam (Restoril), clorazepate (Tranxene), chlordiazepoxide (Librium), and others.

If you are using any of these drugs, you may not be able to use Prilosec, or you may need dosage adjustments or special tests during treatment.

There may be other drugs not listed that can affect Prilosec. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Prilosec

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Esomeprazole decreases the amount of acid produced in the stomach.

Lansoprazole is used to treat and prevent stomach and intestinal ulcers, erosive esophagitis (damage to the esophagus from stomach acid), and other conditions involving excessive stomach acid such as Zollinger-Ellison syndrome.

Esomeprazole is used to treat symptoms of gastroesophageal reflux disease (GERD) and other conditions involving excessive stomach acid such as Zollinger-Ellison syndrome. Esomeprazole is also used to promote healing of erosive esophagitis (damage to your esophagus caused by stomach acid),

Esomeprazole may also be given to prevent gastric ulcer caused by infection with helicobacter pylori (H. pylori), or by the use of nonsteroidal anti-inflammatory drugs (NSAIDs).

Esomeprazole may also be used for purposes other than those listed in this medication guide.

How should I take Nexium (Esomeprazole)?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.

This medicine is usually given for 4 to 8 weeks only. Your doctor may recommend a second course of treatment if you need additional healing time.

Take each dose with a full glass (8 ounces) of water.

Esomeprazole should be taken at least one hour before a meal.

Do not crush, break, or open a delayed-release capsule. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking or opening the pill would cause too much of the drug to be released at one time.

You may open the delayed-release capsule and sprinkle the medicine into a spoonful of pudding or applesauce to make swallowing easier. Swallow this mixture right away without chewing. Do not save the mixture for later use. Discard the empty capsule.

Esomeprazole can be given through a nasogastric (NG) feeding tube. Open the capsule and sprinkle the medicine into a 60-milliliter syringe. Mix in 50 milliliters of water. Place the plunger into the syringe and shake the mixture well. Make sure there are no medicine granules stuck in the tip of the syringe. Attach the syringe to the NG tube and push the plunger down to empty the syringe into the tube. Then flush the tube with more water to wash the contents down.

It is important to use esomeprazole regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before your treatment is completed.

Store esomeprazole at room temperature away from moisture and heat.

Popularity: 10% [?]

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Reglan increases muscle contractions in upper digestive tract. This speeds up the rate at which the stomach empties into the intestines.

Reglan is used short-term to treat heartburn caused by gastroesophageal reflux in people who have used other medications without relief of symptoms.

Reglan is also used to treat slow gastric emptying in people with diabetes (also called diabetic gastroparesis), which can cause nausea, vomiting, heartburn, loss of appetite, and a feeling of fullness after meals.

Reglan may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about Reglan?

You should not take Reglan if you are allergic to metoclopramide, or if you have bleeding or blockage in your stomach or intestines, epilepsy or other seizure disorder, or an adrenal gland tumor (pheochromocytoma).

Before taking Reglan, tell your doctor if you have kidney or liver disease, congestive heart failure, diabetes, or a history of depression.

Avoid drinking alcohol. It can increase some of the side effects of Reglan. There are many other medicines that can interact with Reglan. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you. Stop using Reglan and call your doctor at once if you have tremors or uncontrolled muscle movements, fever, stiff muscles, confusion, sweating, fast or uneven heartbeats, rapid breathing, depressed mood, thoughts of suicide or hurting yourself, hallucinations, anxiety, agitation, seizure, or jaundice (yellowing of your skin or eyes). After you stop taking Reglan, you may have unpleasant withdrawal symptoms such as headache, dizziness, or nervousness. Talk to your doctor about how to avoid withdrawal symptoms when stopping the medication.

What should I discuss with my healthcare provider before taking Reglan?

You should not take Reglan if you are allergic to metoclopramide, or if you have:

• bleeding or blockage in your stomach or intestines;
• a perforation (hole) in your stomach or intestines;
• epilepsy or other seizure disorder; or
• an adrenal gland tumor (pheochromocytoma).

Before taking Reglan, tell your doctor if you have

• kidney disease;
• liver disease (especially cirrhosis);
• congestive heart failure;
• diabetes (your insulin dose may need adjusting); or
• a history of depression.

If you have any of these conditions, you may need a dose adjustment or special tests to safely take Reglan.

FDA pregnancy category B. Reglan is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Reglan can pass into breast milk and may harm a nursing baby. Do not use Reglan without telling your doctor if you are breast-feeding a baby.

How should I take Reglan?

Take Reglan exactly as prescribed by your doctor. Do not take it in larger amounts or for longer than recommended. Follow the directions on your prescription label.

Take this medicine with a full glass of water.

Measure liquid medicine with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

The oral concentrate form of Reglan must be mixed with another liquid, such as water, fruit juice, soda, or a soft food like applesauce or pudding. Carefully follow mixing directions to make sure you get the correct dose.

Reglan is usually taken before meals and at bedtime. Your doctor may want you to take the medication as needed only with meals that usually cause heartburn. Follow your doctor’s instructions.

Store Reglan at room temperature away from moisture and heat.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine. Overdose symptoms may include drowsiness, confusion, tremors or uncontrolled muscle movements in face or neck, or seizure (convulsions).

Reglan side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using Reglan and call your doctor at once if you have any of these serious side effects:

• tremors, or restless muscle movements in your eyes, tongue, jaw, or neck;
• mask-like appearance of the face;
• fever, stiff muscles, confusion, sweating, fast or uneven heartbeats, rapid breathing;
• depressed mood, thoughts of suicide or hurting yourself;
• hallucinations, anxiety, agitation, jittery feeling, trouble staying still;
• swelling, fluid retention;
• jaundice (yellowing of your skin or eyes); or
• seizure (convulsions).

Less serious side effects may include:

• feeling restless, drowsy, tired, or dizzy;
• headache, sleep problems (insomnia);
• nausea, diarrhea;
• breast tenderness or swelling;
• changes in your menstrual periods; or
• urinating more than usual.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

After you stop taking Reglan, you may have unpleasant withdrawal symptoms such as headache, dizziness, or nervousness. Talk to your doctor about how to avoid withdrawal symptoms when stopping the medication.

What other drugs will affect Reglan?

Before taking Reglan, tell your doctor if you are taking any of the following medicines:

• acetaminophen (Tylenol);
• cyclosporine (Gengraf, Neoral, Sandimmune);
• digoxin (digitalis, Lanoxin);
• glycopyrrolate (Robinul);
• levodopa (Larodopa, Atamet, Parcopa, Sinemet);
• mepenzolate (Cantil);
• tetracycline (Brodspec, Panmycin, Robitet, Sumycin, Tetracap, and others);
• atropine (Donnatal, and others), benztropine (Cogentin), dimenhydrinate (Dramamine), methscopolamine (Pamine), or scopolamine (Transderm-Scop);
• bladder or urinary medications such as darifenacin (Enablex), tolterodine (Detrol), or solifenacin (Vesicare);
• bronchodilators such as ipratroprium (Atrovent) or tiotropium (Spiriva);
• irritable bowel medications such as dicyclomine (Bentyl), hyoscyamine (Anaspaz, Cystospaz, Levsin), or propantheline (Pro-Banthine); or
• an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate).

This list is not complete and there may be other drugs that can interact with Reglan. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

Reglan

Popularity: 11% [?]

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Misoprostol reduces stomach acid and replaces protective substances in the stomach that are inhibited by nonsteroidal anti-inflammatory drugs (NSAIDs) and aspirin.

Misoprostol is used to prevent the formation of ulcers in the stomach during treatment with aspirin or an NSAID such as ibuprofen (Motrin, Advil, Nuprin, others), ketoprofen (Orudis, Orudis KT, Oruvail), naproxen (Naprosyn, Aleve, Anaprox, Naprelan), oxaprozin (Daypro), indomethacin (Indocin), diclofenac (Voltaren, Cataflam), etodolac (Lodine), piroxicam (Feldene), meloxicam (Mobic), tolmetin (Tolectin), nabumetone (Relafen), and fenoprofen (Nalfon). NSAIDs and aspirin are used to treat pain, fever, arthritis, and inflammatory conditions.

Misoprostol may also be used for purposes other than those listed in this medication guide.

How should I take Cytotec (Misoprostol)?

Take misoprostol exactly as directed by your doctor. If you do not understand these directions, ask your pharmacist, nurse, or doctor to explain them to you.

Take each dose with a full glass of water.

Misoprostol is usually taken four times a day, with meals and at bedtime. Follow your doctor’s instructions.

Misoprostol may cause mild to moderate diarrhea, stomach cramps, and/or nausea. These problems usually occur during the first few weeks of treatment and stop after about a week. The occurrence of diarrhea may be minimized by taking misoprostol with food. Contact your doctor if these symptoms persist for longer than 8 days or if they are severe.

Take misoprostol for the full amount of time prescribed by your doctor. Treatment usually continues for as long as aspirin or an NSAID is taken.

Do not share this medication with anyone else. Misoprostol has been prescribed for your specific condition, may not be the correct treatment for another person, and would be dangerous if the other person were pregnant.

Store misoprostol at room temperature away from moisture and heat.

Popularity: 8% [?]

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Gasex tablets can be helpful for the symptomatic control of: dyspepsia; indigestion; gaseousness; flatulence, abdominal distension and belching; pre-radiographic bowel preparation for abdominal x-rays; relief from abdominal discomfort in the post-operative period and during prolonged immobilization.

How Taken

1 to 2 tablets before dinner or when needed. Available in 100 tab bottle. Available in 30 tab bottle.

Drug Class and Mechanism

Gasex contains two minerals from shells very well known in Medicine for their digestive properties. One is purified conch shell ashes of silicate magnesium,and the other is the shell of Cyprea moneta, a marine species whose ashes contain various salts, phosphate, carbonate and fluoride of calcium, sodium, magnesium and manganese. The various individual ingredients act synergistically to support the gastrointestinal function through a combination of mechanisms, such as defoaming action, a reduction in surface tension and as a carminative.

Missed Dose

If you miss a dose of this medicine and you are using it regularly, take it as soon as possible. Do not take 2 doses at once.

Storage

Store at the room temperature away from moisture and sunlight. Keep out of the reach of children.

Warnings Precautions

No absolute contraindications. Consult your healthcare professional if pregnant or nursing.

Possible Side Effects

Gasex is not known to have any side effects if taken as per the prescribed dosage.

More Information

Gasex gave excellent results by minimising the discomfort. This study conclusively proves that routine use of Gasex, given post-operatively helps to assure the greater comfort to the patient and eventually faster recovery.

Gasex

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Zantac is used to decrease the production of stomach acid, which may reduce irritation to the stomach lining and help heal ulcers and other gastrointestinal conditions. It’s prescribed for the following:

• Short-term treatment (4 to 8 weeks) of active ulcers, specifically duodenal ulcers or benign stomach ulcers (also called gastric ulcers).
• Maintenance therapy (at a reduced dosage) to help keep the ulcer from coming back after it has healed.
• Treatment of conditions in which the stomach produces too much acid, such as Zollinger-Ellison syndrome and systemic mastocytosis.
• Treatment of gastroesophageal reflux disease (also known as GERD, which occurs when stomach acid backs up into the esophagus).
• Treating and maintaining healing of erosive esophagitis (severe inflammation of the esophagus).

Over-the-counter versions of Zantac are also available for relieving and preventing heartburn associated with acid indigestion and sour stomach. However, the prescription version is still needed for treatment of ulcers, esophagitis, GERD, and other conditions that require monitoring by a doctor.

Most important fact about Zantac

Zantac helps to prevent the recurrence of gastric or duodenal ulcers and aids the healing of ulcers that do occur.

How should you take Zantac?

Take this medication exactly as prescribed by your doctor. Make sure you follow the diet your doctor recommends.

Dissolve “Efferdose” tablets and granules in 6 to 8 ounces of water before taking them.

You can take an antacid for pain while you are taking Zantac.

–If you miss a dose…

Take it as soon as you remember. If it is almost time for your next dose, skip the one you missed and go back to your regular schedule. Never take 2 doses at the same time.

–Storage instructions…

Store this medication at room temperature in the container it came in, tightly closed and away from moist places and direct light. Keep Zantac Syrup from freezing.

What side effects may occur?

Side effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Zantac.

• More common side effects may include:
  Headache, sometimes severe

Special information if you are pregnant or breastfeeding

The effects of Zantac in pregnancy have not been adequately studied. If you are pregnant or plan to become pregnant, inform your doctor immediately. Zantac appears in breast milk and could affect a nursing infant. If this medication is essential to your health, your doctor may advise you to discontinue breastfeeding until your treatment with this medication is finished.

Recommended dosage

ADULTS

Active Duodenal Ulcer

The usual starting dose is 150 milligrams 2 times a day or 10 milliliters (2 teaspoonfuls) 2 times a day. Your doctor also might prescribe 300 milligrams or 20 milliliters (4 teaspoonfuls) once a day, after the evening meal or at bedtime, if necessary for your convenience. The dose should be the lowest effective dose. Long-term use should be reduced to a daily total of 150 milligrams or 10 milliliters (2 teaspoonfuls), taken at bedtime.

Other Excess Acid Conditions (such as Zollinger-Ellison Syndrome)

The usual dose is 150 milligrams or 10 milliliters (2 teaspoonfuls) 2 times a day. This dose can be adjusted upwards by your doctor.

Benign Stomach Ulcer and Gastroesophageal Reflux Disease (GERD)

The usual dose is 150 milligrams or 10 milliliters (2 teaspoonfuls) 2 times a day. Once an ulcer has cleared up, a single bedtime dose is prescribed to maintain healing. Symptoms of GERD generally improve within 24 hours after the start of therapy.

Erosive Esophagitis

The usual dose is 150 milligrams or 10 milliliters (2 teaspoonfuls) 4 times a day. Maintenance dosage is 150 milligrams or 10 milliliters (2 teaspoonfuls) twice a day.

CHILDREN

Duodenal and Stomach Ulcers

For children 1 month to 16 years of age, the recommended dosage for initial treatment is 2 to 4 milligrams per 2.2 pounds of body weight per day twice daily up to a maximum of 300 milligrams per day. For long-term maintenance of healing, the recommendation is 2 to 4 milligrams per 2.2 pounds of body weight once daily up to a maximum of 150 milligrams per day.

Gastroesophageal Reflux Disease (GERD) and Erosive Esophagitis

For children 1 month to 16 years of age, the usual daily dosage is 5 to 10 milligrams per 2.2 pounds of body weight, divided into two doses.

OLDER ADULTS

People with kidney problems, such as some older adults, typically are given a lower dose. During the therapy with Zantac, the doctor is also more likely to monitor your kidney function if you’re over 65.

Overdosage

Any medication taken in excess can have serious consequences. If you suspect an overdose, seek medical attention immediately.

Information concerning Zantac overdosage is limited. However, an abnormal manner of walking, low blood pressure, and exaggerated side effect symptoms may be signs of an overdose.

If you experience any of these symptoms, notify your doctor immediately.

Zantac

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Dicyclomine relieves spasms of the muscles in the stomach and intestines by blocking the actions of certain chemicals in the body.

Dicyclomine is used to treat functional bowel or irritable bowel syndrome.

Dicyclomine may also be used for other purposes not listed in this medication guide.

What is the most important information I should know about Bentyl (dicyclomine)?

Dicyclomine can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert. Avoid drinking alcohol. It can increase some of the side effects of dicyclomine.

Avoid becoming overheated or dehydrated during exercise and in hot weather. Dicyclomine can decrease your sweating, which can lead to heat stroke in a hot environment.

Stop using dicyclomine and call your doctor right away if you have serious side effects such as confusion, hallucinations, unusual thoughts or behavior, fast or uneven heart rate, or if you urinate less than usual or not at all. There are many other medicines that can interact with dicyclomine. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor. Keep a list with you of all the medicines you use and show this list to any doctor or other healthcare provider who treats you.

What should I discuss with my healthcare provider before taking Bentyl (dicyclomine)?

Do not take this medication if you are allergic to dicyclomine, or if you have:

• problems with urination;
• a blockage in your digestive tract;
• an intestinal disorder such as ulcerative colitis;
• gastroesophageal reflux disease (GERD);
• a serious heart condition or active bleeding;
• glaucoma;
• myasthenia gravis; or
• if you are breast-feeding a baby.

Before taking this medication, tell your doctor if you are allergic to any drugs, or if you have:

• an ileostomy or colostomy;
• a nerve problem (such as numbness or tingling);
• liver disease;
• kidney disease;
• ulcerative colitis;
• thyroid disorder;
• heart disease, congestive heart failure, high blood pressure, or a heart rhythm disorder;
• hiatal hernia; or
• an enlarged prostate.

If you have any of these conditions, you may need a dose adjustments or special tests to safely take dicyclomine.

FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Dicyclomine can pass into breast milk and can cause breathing problems or death in infants younger than 6 months of age. Do not take dicyclomine if you are breast-feeding a baby.

How should I take Bentyl (dicyclomine)?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.

Take this medicine with a full glass of water.

Measure liquid medicine with a special dose-measuring spoon or cup, not a regular table spoon. If you do not have a dose-measuring device, ask your pharmacist for one.

Store dicyclomine at room temperature away from moisture, heat, and light.

What happens if I miss a dose?

Take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. Do not take extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention if you think you have used too much of this medicine.

Overdose symptoms may include numbness or tingly feeling, muscle weakness or paralysis, headache, nausea, vomiting, dry mouth, trouble swallowing, feeling restless or anxious, ringing in the ears, tremors, feeling light-headed, fainting, or seizure (convulsions).

Bentyl (dicyclomine) side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat. Stop using dicyclomine and call your doctor at once if you have a serious side effect such as:

• confusion, hallucinations, unusual thoughts or behavior;
• fast, pounding, or uneven heart rate; or
• urinating less than usual or not at all.

Less serious side effects may include:

• drowsiness, dizziness, headache;
• blurred vision;
• nausea, vomiting, constipation, bloating, stomach pain;
• loss of appetite;
• mild itching or skin rash; or
• stuffy nose, dry mouth.

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect.

What other drugs will affect Bentyl (dicyclomine)?

Before taking dicyclomine, tell your doctor if you are using any of the following drugs:

• amantadine (Symmetrel);
• quinidine (Quinaglute, Cardioquin, Quinidex);
• digoxin (digitalis, Lanoxin);
• cold or allergy medicines;
• narcotic pain medicine;
• steroids (prednisone and others);
• phenothiazines such as chlorpromazine (Thorazine), mesoridazine (Serentil), prochlorperazine (Compazine), thioridazine (Mellaril), and others
• a sedative such as Valium, Xanax, Librium, Tranxene, ProSom, Dalmane, Ativan, Versed, Restoril, or Halcion;
• an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate);
• diet pills, caffeine pills, or other stimulants (such as ADHD medications); or
• antidepressants such as amitriptyline (Elavil, Etrafon), clomipramine (Anafranil), desipramine (Norpramin), imipramine (Janimine, Tofranil), and others.

This list is not complete and there may be other drugs that can interact with dicyclomine. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Bentyl

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Lansoprazole decreases the amount of acid produced in the stomach.

Lansoprazole is used to treat and prevent stomach and intestinal ulcers, erosive esophagitis (damage to the esophagus from stomach acid), and other conditions involving excessive stomach acid such as Zollinger-Ellison syndrome.

Lansoprazole may also be used for purposes other than those listed in this medication guide.

How should I take Prevacid (Lansoprazole)?

Take this medication exactly as it was prescribed for you. Do not take the medication in larger amounts, or take it for longer than recommended by your doctor. Follow the directions on your prescription label.

Take each dose with a full glass (8 ounces) of water.

Lansoprazole should be taken before eating.

Do not crush, break, or open a delayed-release capsule. Swallow the pill whole. It is specially made to release medicine slowly in the body. Breaking or opening the pill would cause too much of the drug to be released at one time.

If you are unable to swallow a capsule whole: Open the capsule and sprinkle the medicine into a spoonful of pudding, applesauce, yogurt, cottage cheese, strained pears, or a nutritional drink such as Ensure. Swallow this mixture right away without chewing. Do not save the mixture for later use. Discard the empty capsule.

You may also dissolve the medicine from a lansoprazole capsule in 2 ounces (1/4 cup) of apple juice, orange juice, or tomato juice. Stir this mixture and drink all of it right away. To make sure you get the entire dose, add a little more juice to the same glass, swirl gently and drink right away.

Dissolve the oral granules in 2 tablespoons of water. Use only water when mixing lansoprazole oral granules. Stir this mixture and drink all of it right away. To make sure you get the entire dose, add a little more water to the same glass, swirl gently and drink right away.

To take lansoprazole orally disintegrating tablet: Use dry hands to remove the tablet and place it in your mouth. It will begin to dissolve right away. Allow the tablet to dissolve in your mouth without chewing, swallowing several times as it dissolves.

The lansoprazole orally disintegrating tablet may be taken with an oral syringe as follows: Place the dry tablet into a 15-milliliter oral syringe and draw 10 milliliters of water into the syringe. Shake until the tablet is dissolved and then empty the syringe into your mouth. Refill the syringe with water, shake gently, and empty into your mouth.

The disintegrating tablet can also be given through a nasogastric (NG) feeding tube as follows: Place a 15-milligram tablet in a syringe and draw up 4 milliliters of water (or 10 milliliters of water if using a 30-milligram tablet). Shake until the tablet is dissolved. Attach the syringe to the NG tube and push the plunger down to empty the syringe into the tube. Then flush the tube with more water to wash the contents down.

It is important to use lansoprazole regularly to get the most benefit. Get your prescription refilled before you run out of medicine completely.

Take this medication for the entire length of time prescribed by your doctor. Your symptoms may get better before your treatment is completed.

Store lansoprazole at room temperature away from moisture and heat.

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