Indication
This is indicated for the eradication of H. pylori in active chronic gastric, duodenal and gastric ulcers.
Pharmacology
Lansoprazole is a proton-pump inhibitor which inhibits the stomach's production of gastric acids.Amoxicillin is a penicillin antibiotic. It acts by inhibiting the synthesis of bacterial cell walls.lt inhibits cross-linkage between the linear peptidoglycan polymer chains that make up a major component of the cell walls of both Gram-positive and Gram-negative bacteria.Clarithromycin is a macrolide antibiotic.It prevents bacteria from growing by interfering with their protein synthesis. It binds to the subunit 50S of the bacterial ribosome and thus inhibits the translation of peptides
Dosage
One strip twice daily for 7-14 days or as per the physician's advice.
Interaction
Lansoprazole is metabolized through the cytochrome P450 system,specially through the CYP3A and CYP2C19 isozymes.Studies in healthy subjects have shown that Lansoprazole does not have clinically significant interactions with other drugs metabolized by the cytochrome P450 system, such as warfarin, antipyrine, indomethacin, ibuprofen, phenytoin, propranolol, prednisolone, diazepam, clarithromycin or terfenadine.Clarithromycin use in patients who are receiving theophylline may be associated with increase of serum theophylline concentrations. There have been reports of interactions of erythromycin and/or clarithromycin with carbamazepine, cyclosporine, tacrolimus, hexobarbital, phenytoin, alfetanil, disopyramide, lovastatin, bromocriptine, valproate, terfenadine, cisapride, pimozide & astemizole.
Contradiction
This is contraindicated in patients with known hypersensitivity to any of its component.
Side Effect
Adverse reactions which were reported as possibly or probably related to treatment (>3%) in clinical trials when all three components of this therapy were given concomitantly are listed below and devided by body systems.Digestive system: Nausea, vomitng, diarrhoea, dark stools, dry mouth, glossitis, oral moniliasis, stomatitis, tongue discoloration Musculoskeletal System: myalgiaNervous System: confusion,headache,dizziness;Skin: skin reactionsUrogenital System: vaginitis,vaginal moniliasis.
Pregnancy
There were no adequate and well-controlled studies?ÿ in pregnant women. This should be used during pregnancy only if the potential benefit justifies the potential risk of the mother. Amoxicillin is excreted in human milk in very small amounts. Because of the potential for serious adverse reactions in nursing infants. A decision should be made whether to discontinue nursing or to discontinue the drug therapy, taking into account the importance of the therapy to the mother.
Precaution
Serious and occasionally fatal hypersensitivity (anaphylactoid) reactions have been reported in patients on Amoxicillin therapy. These reactions are more appropriate to occur in individuals with a history of penicillin hypersensitivity. Clarithromycin should not be used in pregnant women except in clinical circumstances where no alternative therapy is appropriate.
Overdose
Storage
Store in a cool and dry place, protected from light.