Section :
O.M. Strip
COMPOSITION :
Each capsule contains : Omeprazole 20 mg (As enteric coated pellets) .
DESCRIPTION :
O.M. Strip is a proton pump inhibitor. It inhibits the secretion of gastric acid by irreversibly blocking the enzyme
system of H+ / K+- ATPase (the proton pump) in the parietal cells . It inhibits both basal and stimulated acid
secretion irrespective of the stimulus. Omeprazole is rapidly absorbed and its absorption is not affected by food.
It is almost completely metabolized in the liver and rapidly eliminated mostly in the urine .The elimination half life
is about 0.5 to 3 hrs. Omeprazole is highly bound by 95% to plasma proteins.
INDICATIONS :
O.M. Strip is indicated in the treatment of :
- Gastro-oesophageal reflux disease.
- Gastric ulcer .
- Duodenal ulcer.
- Zollinger Ellison syndrome.
- Reflux oesophagitis.
DOSAGE & ADMINISTRATION :
- Gastro-oesophageal reflux disease : 20 to 40 mg once daily for 4 to 12 weeks.
Maintenance therapy : 20 mg once daily .
- Gastric ulcer : 20 mg once daily for 8 weeks.
For the prevention of relapse a maintenance dose of 10 - 20 mg once daily is recommended .
- Duodenal ulcer : 20 mg once daily for 4 weeks.
For the prevention of relapse a maintenance dose of 10 - 20 mg once daily is recommended.
- Zollinger-Ellison syndrome : Long term management requires administration of 60 mg up to 120 mg daily of
O.M. Strip in divided doses. In some cases it may require more than 120 mg daily given in 2 or 3 divided doses.
- Reflux oesophagitis : 20 mg once daily for 4 - 8 weeks.
- Helicobacter Pylori associated with peptic ulcer disease : 40 - 80 mg daily with Amoxicillin 1.5 gm daily in
divided doses for 2 weeks .
RESTRICTIONS ON USE :
Contraindications
Hypersensitivity to Omeprazole .
Use in pregnancy and lactation
It is not recommended unless prescribed by the physician.
Precautions
Treatment with Omeprazole may mask symptoms of malignancy and therefore delay diagnosis .
DRUG INTERACTIONS :
- Omeprazole can prolong the elimination of Diazepam , Warfarin and Phenytoin.
- It may increase absorption of Digoxin and decrease the effectiveness of Prednisone.
- Omeprazole inhibits the activity of some hepatic cytochrome P- 450 enzymes.
ADVERSE EFFECTS :
O.M. Strip is well tolerated.The most common adverse effects are diarrhoea, skin rash and headache which are
mild and transient. The rare adverse effects include arthralgia, myalgia and blood disturbances.
STORAGE INSTRUCTIONS :
- Store below 30°C, protect from light and humidity .
PRESENTATION :
O.M. Strip : Pack of 10×10 capsules .