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Gasgood 20 is a medicine prescribed by doctors to treat gastrointestinal diseases such as duodenal ulcer, benign gastric ulcer, postoperative ulcer, esophageal reflux disease, Zollinger-Ellison syndrome,... In In this article, please send readers how to use and note when using Gasgood 20.
1. Uses of Gasgood 20
Gasgood 20 medicine has the main ingredient Esomeprazole with a strength of 20mg. The drug is indicated for treatment in the following cases:
Treatment of gastroesophageal reflux disease causing inflammation, esophageal ulcers. Treatment of Zollinger Ellison syndrome acquired due to any cause of abdominal pain, heartburn, poor appetite... In combination with other antibiotics to treat gastric and duodenal ulcers infected with H spiral -pylori . Treatment and prevention for patients with peptic ulcer disease caused by prolonged use of NSAIDs. On the other hand, Gasgood 20 is contraindicated for use in the following cases:
Do not use for people who are sensitive to esomeprazole or any of its ingredients. Patients with a history of hypersensitivity to Benzimidazole group drugs.
2. Dosage and how to use Gasgood 20
2.1. Dosage Adolescents and adults:
Treatment of Zollinger Ellison syndrome:
Dosage is: 2 tablets/time x 2 times/day. The dose of Gasgood 20 should then be adjusted depending on the individual patient and clinical response. Most patients are controlled at a dose of 4-8 tablets/day. With a dose of more than 4 tablets/day, the drug should be divided into 2 doses. Gastroesophageal reflux disease
Treatment of symptoms of gastroesophageal reflux disease with a dose of: 1 tablet / time / day for patients who have been tested without esophagitis. Treatment of erosive reflux esophagitis: 2 tablets / time / day for 4 weeks. Treatment may be extended by 4 weeks if the patient has unhealed esophagitis or the symptoms have not improved. Prevention of recurrence for patients who have recovered from esophagitis: 1 tablet/time/day. Combination treatment of Hp:
Heal duodenal ulcer and prevent recurrence of peptic ulcer with Hp ulcer: [Esomeprazole 40mg (2 tablets of 20mg) + Amoxicillin 1g + Clarithromycin 500mg] x 2 times / day for 7 days . Patients being treated with NSAIDs continuously:
Healing of ulcers caused by NSAIDs: Prophylaxis of ulcers: 1 tablet/time/day. Special subjects:
Elderly: No need to adjust the dose, use the same dose as the adult dose. People with impaired renal function: No dose adjustment is required, but be careful when using the drug in this subject. Patients with impaired liver function: No dose adjustment is required in mild to moderate hepatic impairment. In case of severe liver failure: The maximum dose is 1 tablet/time/day. 2.2. Dosage Take with 1 full glass of water. Do not break, chew, or crush the tablet because it will reduce the effectiveness of the drug. For best results, take 30 minutes to 1 hour before meals.
3. What to do when overdose, forget dose of Gasgood 20?
Dosage is usually 1 tablet / day, so it is less likely to forget the dose. Schedule a time to take your medicine at a fixed time. Take a supplement as soon as you remember. The missed dose should be skipped if it is almost time for the next dose. Do not take a double dose as directed. Some common symptoms of overdose include: Tachycardia, vasodilation, confusion, drowsiness, blurred vision, abdominal pain, nausea, vomiting. When detecting the above symptoms, the patient should be taken to a medical facility for timely intervention and treatment.
4. Gasgood 20 . side effects
During the use of Gasgood 20, patients may experience some of the following side effects:
Common:
Nausea, vomiting, abdominal pain, constipation, diarrhea. Uncommon:
Peripheral edema. Insomnia. Dizziness, paresthesia, drowsiness. Tinnitus, hearing loss. Increase liver enzymes. Dermatitis, urticaria, generalized rash. Hip fractures: wrist bones, spine bones. Rare:
Leukopenia, thrombocytopenia. Angioedema, anaphylaxis Hyponatremia. Depression, epilepsy, confusion. Inflammation, Candidas fungus.
5. Gasgood 20 . drug interactions
Effects of Gasgood 20 on other specific drugs:
Changes in absorption of some drugs related to gastric acidity such as: Reduces absorption of drugs containing Ketoconazole and Itraconazole. Decreased metabolism and increased concentrations of drugs metabolised via CYP2C19 such as: Diazepam, Citalopram, Phenytoin... because Esomeprazole inhibits CYP2C19. When used in combination with high dose methotrexate (300mg) may increase the concentration of methotrexate drug. Discontinue use should be considered to avoid the above interaction. Gasgood has the ability to inhibit CYP2C19, so it reduces the effect of Clopidogrel. Effects of other drugs on Gasgood 20:
Inhibitors of CYP3A4 such as Clarithromycin (500mg twice daily) increase the AUC of Gasgood 20.
6. Note and store Gasgood 20
Inform the treating doctor of all medicines you are using, including products derived from medicinal herbs. Examination of the patient prior to administration of the drug if malignant gastric ulceration or acute drug-induced esophagitis is suspected, which may misdiagnose. Gasgood 20 should be used with caution in the following subjects: impaired liver function, kidney failure, the elderly. Gasgood should not be used in children under 12 years of age, pregnant and lactating women without any indications. any doctor. Note that the drug can cause side effects such as headache, dizziness, which will reduce the ability to drive and operate machinery. When using the drug, it is necessary to consult and guide the doctor, patients who do not arbitrarily adjust the dose should strictly follow the doctor's instructions. Concomitant use of antiviral drugs such as Atazanavir or Ritonavir is not recommended, if necessary, the dose is: 400mg of Atazanavir and 100mg of Ritonavir with 20mg/day of Gasgood 20 with monitoring clinical variable. Increased risk of hypomagnesaemia with long-term Gasgood 20 treatment for at least 3 months or 1 year with symptoms such as: delirium, convulsions, dizziness, ventricular arrhythmias, fatigue. However, symptoms should disappear when the drug or magnesium supplements are stopped. The drug should be in a dry place, at room temperature, away from direct light. If the drug is found to have signs of damage, absolutely do not use it. Above is the important information of the drug Gasgood 20, carefully reading the instructions before use and strictly following the instructions of the doctor will bring the best treatment results for the patient.
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