Men's Health » Prescription Drugs 12 » Pantoprazole Generic Protonix
Indications1. For the symptomatic improvement and healing of gastrointestinal diseases which require a reduction in acid secretion: -Duodenal ulcer -Gastric ulcer -Gastro-oesophageal reflux disease (GORD) *For the treatment of mild reflux disease and associated symptoms (e.g. heartburn acid regurgitation pain on swallowing) *Reflux oesophagitis -Zollinger-Ellison Syndrome 2. Eradication of Helicobacter pylori (hereinafter referred to as H. pylori) in combination with -clarithromycin and amoxycillin or -clarithromycin and metronidazole or -amoxycillin and metronidazole(see Dosage and Administration) in cases of duodenal ulcer and gastric ulcer with the objective of reducing the recurrence of duodenal and gastric ulcers caused by this microorganism. The NIH have recommended that regimens to eradicate H. pylori in patients with PUD should contain both anti-secretory agents and anti-microbial agents (to which H. pylori has been demonstrated to be sensitive in vivo). A trial by Bardhan in patients with gastritis florid duodenal ulcer or history of duodenal ulcer has demonstrated that pantoprazole 40 mg twice daily in the combination with tinidazole 500 mg twice daily and clarithromycin 250 mg twice daily for 10 days is effective in eradicating H. pylori in 86% of cases. Following combination therapy the DU healing rate was 100% after 1 month. 3. Prevention of gastroduodenal ulcers induced by non-selective non-steroidal anti-inflammatory drugs (NSAIDs) in patients at risk with a need for continuous NSAID treatment. Maintenance:Pantoprazole tablets are indicated for maintenance treatment of reflux oesophagitis duodenal ulcer gastric ulcer and Zollinger-Ellison syndrome. Prolonged treatment should be considered:-in patients who have recurrent peptic ulceration where the pathogenesis of the ulcer is not related to H. pylori infection; or -where repeated eradication therapy is unsuccessful; or who have a past history of perforation or bleeding from an ulcer. Dosage and AdministrationDuodenal UlcerThe recommended oral dosage is one gastro-resistant 40 mg pantoprazole tablet per day. A duodenal ulcer generally heals within 2 weeks. If a 2-week period of treatment is not sufficient healing will be achieved in almost all cases within a further 2 weeks.Gastric UlcerThe recommended oral dosage is one gastro-resistant 40 mg pantoprazole tablet per day.A 4-week period is usually required for the treatment of gastric ulcers. If this is not sufficient healing will usually be achieved within a further 4 weeks.GORDFor mild reflux disease and the associated symptoms the recommended dosage is one pantoprazole 20 mg tablet per day. Symptom relief is generally accomplished within 2-4 weeks. If symptom control has not been achieved after four weeks treatment with pantoprazole 20 mg tablets daily further investigation is recommended.For treatment of reflux oesophagitis the recommended oral dosage is one pantoprazole 40 mg tablet per day. A 4-week period is usually required for treatment of reflux oesophagitis however if this is not sufficient healing will usually be achieved within a further 4 weeks.Zollinger-Ellison SyndromeThe recommended oral dosage is one gastro-resistant pantoprazole tablet 40 mg per day.Prevention of gastroduodenal ulcers induced by non-selective non-steroidal anti-inflammatory drugs (NSAIDs) in patients at risk with a need for continuous NSAID treatment.The recommended oral dosage is one gastro-resistant pantoprazole tablet 20 mg per day.MaintenanceDuodenal and Gastric Ulcer and Zollinger-Ellison Syndrome:For long-term management a maintenance dose of one gastro-resistant pantoprazole tablet 40 mg per day is recommended.Reflux OesophagitisA maintenance dose of one pantoprazole tablet 20 mg per day is recommended increasing to 40 mg per day if relapse occurs. After healing of the relapse the dosage can be reduced again to 20 mg.Experience with long-term administration in man over several years is available in a limited number of patients. Therefore long-term treatment exceeding 1 year may be considered after careful evaluation of the risk benefit ratio. Patients should then be kept under regular surveillance.Use in childrenThere are no data currently available on the use of pantoprazole in children.Use in the elderlyThe daily dose of 20 mg or 40 mg can be given. An exception is combination therapy for eradication of H. pylori where also elderly patients should receive the usual pantoprazole dose (2 x 40 mg/day) during 1-week treatment.Impaired Renal FunctionThe daily dose of 20 mg or 40 mg can be given.Impaired Liver FunctionIn patients with severe liver impairment the dose has to be reduced to 20 mg pantoprazole per day.
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Avodart (Dutasteride) Avodart (Dutasteride) is an androgen hormone inhibitor used in men to treat benign prostatic hyperplasia (BPH) which is swelling of the prostate. This medicine works by lowering the amount of the hormone responsible for prostate growth. Dutasteride reduces urinary blockage and improves urine flow. This medicine should not be used in women and children. Buy Avodart (Dutasteride) and other Men's Health products online at Medstore. About Avodart (Dutasteride): Product Type: Men's Health Brand name: Avodart Generic name: Dutasteride What is the most important information I should know about Avodart? • Before taking Avodart tell your doctor if you have ever had an allergic reaction to this medication or to a similar medicine called finasteride (Propecia Proscar). • Avodart should never be taken by a woman or a child. Avodart can be absorbed through the skin and women or children should not be permitted to handle Avodart capsules. • Although Avodart is not for use by women this medication can cause birth defects if a woman is exposed to it during pregnancy. Avodart capsules should not be handled by a woman who is pregnant or who may become pregnant. • If a woman accidentally comes into contact with this medication from a leaking capsule wash the area with soap and water right away. • Do not donate blood while taking Avodart and for at least 6 months after your treatment ends. Avodart can be carried in the blood and could cause birth defects if a pregnant women receives a transfusion with blood that contains Avodart. What is Avodart? • Avodart prevents the conversion of testosterone to dihydrotestosterone (DHT) in the body. DHT is involved in the development of benign prostatic hyperplasia (BPH). • Avodart is used to treat benign prostatic hyperplasia (BPH) in men with an enlarged prostate. This medicine helps improve urinary flow and may also reduce your need for prostate surgery later on. • Avodart may also be used for purposes other than those listed in this medication guide. What should I discuss with my healthcare provider before taking Avodart? • Before taking Avodart tell your doctor if you have ever had an allergic reaction to this medication or to a similar medicine called finasteride (Propecia Proscar). • Avodart should never be taken by a woman or a child. Avodart can be absorbed through the skin and women or children should not be permitted to handle Avodart capsules. • Although Avodart is not for use by women this medication can cause birth defects if a woman is exposed to it during pregnancy. Avodart capsules should not be handled by a woman who is pregnant or who may become pregnant. • If a woman accidentally comes into contact with this medication from a leaking capsule wash the area with soap and water right away. How should I take Avodart? • 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. • Take each dose with a full glass of water. • Avodart can be taken with or without food. • Swallow the Avodart capsule whole. Do not chew crush or break the capsule. • It is important to take Avodart regularly to get the most benefit. • Do not stop taking Avodart without first talking to your doctor. It may take as long as 3 to 6 months of treatment with Avodart before you notice improvement in your BPH symptoms. • To be sure this medication is helping your condition your prostate will need to be checked on a regular basis. Your PSA (prostate-specific antigen) may also be tested to help detect prostate cancer. It is important that you not miss any scheduled visits to your doctor. • Store Avodart at room temperature away from moisture and heat. Avodart capsules may become soft and leaky or they may stick together if they get too hot. Do not use any capsule that is cracked or leaking. Call your pharmacist for instructions on how to safely dispose of a leaking Avodart capsule. 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 Avodart is not expected to produce life-threatening symptoms. What should I avoid while taking Avodart? • Do not donate blood while taking Avodart and for at least 6 months after your treatment ends. Avodart can be carried in the blood and could cause birth defects if a pregnant women receives a transfusion with blood that contains Avodart. What are the possible side effects of Avodart? • 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: decreased libido (sex drive); decreased amount of semen released during sex; impotence (trouble getting or keeping an erection); or breast tenderness or enlargement. • 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 Avodart? • Before taking Avodart tell your doctor if you are using any of the following drugs: HIV medicines such as indinavir (Crixivan) saquinavir (Invirase) lopinavir/ ritonavir (Kaletra) ritonavir (Norvir) or nelfinavir (Viracept). • If you are using any of these drugs you may not be able to use Avodart or you may need dosage adjustments or special tests during treatment. • There may be other drugs not listed that can affect Avodart. 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. Generic Avodart (Dutasteride) Dutas Veltride 0.5mg 120 caps 0.5mg 240 caps 0.5mg 60 caps 0.5mg 30 caps 0.5mg 90 caps Dutasteride Avodart


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