Nolpaza pills 20 mg №56 Нольпаза Пантопрозол 56 таблеток
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: mannitol, crospovidone, anhydrous sodium carbonate, sorbitol, Calcium stearate.
The drug is taken orally.The pill should be swallowed whole, not chewed or cracked, washed down with a small amount of liquid, before eating, usually before breakfast. When taking a second dose of the drug is recommended to take before dinner.
With GERD, incl. erosive-ulcerative reflux esophagitis and associated symptoms (heartburn, acid regurgitation, pain when swallowing) mild, recommended dose - 20 mg / day, moderate and severe - 40-80 mg / day. Symptom relief usually occurs within 2–4 weeks. The course of therapy is 4-8 weeks.
For prophylaxis, as well as supporting long-term therapy, 20 mg / day is prescribed, if necessary, the dose is increased to 40-80 mg / day. It is possible to take the drug 'on demand' in the event of symptoms.
When erosive and ulcerative lesions of the stomach and duodenum, associated with the intake of NSAIDs, the recommended dose - 40-80 mg / day. The course of therapy is 4-8 weeks.
For the prevention of erosive lesions on the background of long-term use of NSAIDs - 20 mg.
For the treatment and prevention of gastric ulcer and duodenal ulcer appoint 40-80 mg / day. The course of treatment for acute exacerbation of duodenal ulcer is usually 2 weeks, and gastric ulcer is 4-8 weeks. If necessary, the duration of therapy is increased.
For eradication of Helicobacter pylori (in combination with antibiotics) the recommended dose is 40 mg 2 times a day in combination with two antibiotics, usually the course of anti-helicobacter therapy is 7-14 days.
With Zollinger-Ellison syndrome and other pathological conditions associated with increased gastric secretion, the recommended starting dose of long-term therapy with pantoprazole is 80 mg / day, divided into 2 doses. In the future, the daily dose can be titrated depending on the initial level of gastric secretion. Perhaps a temporary increase in the daily dose of pantoprazole to 160 mg in order to adequately control gastric secretion. The duration of therapy is selected individually.
In patients with severely impaired liver function, the dose of pantoprazole should not exceed 40 mg / day and it is recommended to regularly monitor the activity of hepatic enzymes, especially with long-term treatment with pantoprazole. With increasing activity of liver enzymes, it is recommended to cancel the drug.
In elderly patients and patients with kidney disease, the maximum daily dose of pantoprazole is 40 mg.
In elderly patients receiving eradication therapy with Helicobacter pylori, the duration of therapy usually does not exceed 7 days.