Gastrointestinal

Uses   Dosage Warnings and Precautions

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Uses Lactulose is used to treat constipation. It helps increase the number of bowel movements per day and the number of days on which bowel movements occur in patients with a history of chronic (long-lasting) constipation. Dosage The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. For constipation:For oral dosage form (powder for solution):Adults—10 to 20 grams (g) per day. Your doctor may increase your dose to 40 g per day if needed.Children—Use and dose must be determined by your doctor.For oral dosage form (solution):Adults—15 to 30 milliliters (mL) or 1 to 2 tablespoons per day. Your doctor may increase your dose to 60 mL per day if needed.Children—Use and dose must be determined by your doctor. Warnings and Precautions In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered: AllergiesTell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully. PediatricAppropriate studies have not been performed on the relationship of age to the effects of lactulose in the pediatric population. Safety and efficacy have not been established. GeriatricNo information is available on the relationship of age to the effects of lactulose in geriatric patients. BreastfeedingThere are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.It is very important that your doctor check your progress after taking this medicine. This will allow your doctor to see if the medicine is working properly. Call your doctor right away if you have severe diarrhea. Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

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Uses Enterogermina is used to effectively manage diarrhoea and for treating the alterations of the intestinal bacterial flora. Enterogermina restores the equilibrium of the intestinal flora changed during diarrhoea or in the course of therapies with antibiotics or chemotherapy, contributing to correct the consequent dysvitaminosis (that is the imbalance of production and assimilation of the vitamins). Dosage For infants, 1-2 mini bottles per day to be given at regular intervals.For children, 1-2 mini bottles or 1-2 capsules a day to be administered at regular intervals.For adults, 2-3 mini bottles or 2-3 capsules a day. Exclusive oral use. Follow the above instructions as directed by your physician. Warnings and Precautions A person who has hypersensitivity towards the components of the medicine or other closely related substances should not use Enterogermina. 

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Uses Famotidine is used to treat stomach ulcers (gastric and duodenal), erosive esophagitis (heartburn or acid indigestion), and gastroesophageal reflux disease (GERD). GERD is a condition where the acid in the stomach washes back up into the esophagus. It is also used to treat certain conditions where there is too much acid in the stomach (eg, Zollinger-Ellison syndrome, multiple endocrine neoplasia). Dosage The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. For oral dosage forms (suspension, tablets):To prevent an ulcer from coming back:Adults—20 milligrams (mg) once a day.Children—Use and dose must be determined by your doctor.To treat erosive esophagitis (heartburn):Adults and children weighing 40 kilograms (kg) or more—20 milligrams (mg) 1 or 2 times per day, at the morning and at bedtime, or 40 mg once a day at bedtime for up to 12 weeks.Children weighing less than 40 kg—Use and dose be determined by your doctor.To treat gastroesophageal reflux disease (GERD):Adults and children weighing 40 kilograms (kg) or more—20 milligrams (mg) 2 times per day, in the morning and at bedtime for up to 6 weeks.Children weighing less than 40 kg—Use and dose be determined by your doctor.To treat stomach ulcers:Adults and children weighing 40 kilograms (kg) or more—20 milligrams (mg) 2 times per day, at the morning and at bedtime, or 40 mg once a day at bedtime for up to 8 weeks.Children weighing less than 40 kg—Use and dose be determined by your doctor.To treat too much stomach acid (Zollinger-Ellison syndrome):Adults—20 milligrams (mg) every 6 hours. Your doctor may adjust your dose as needed.Children—Use and dose must be determined by your doctor. Warnings and Precautions In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered: AllergiesTell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully. PediatricAppropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of famotidine in children weighing 40 kilograms (kg) or more. Safety and efficacy have not been established in children to treat conditions causing too much stomach acid and to prevent an ulcer from coming back. GeriatricAppropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of famotidine in the elderly. However, elderly patients are more likely to have age-related kidney problems, which may require an adjustment in the dose for patients receiving famotidine. BreastfeedingThere are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.It is very important that your doctor check your or your child's progress at regular visits to make sure this medicine is working properly. Blood and urine tests may be needed to check for unwanted effects. If your condition does not improve, or if it become worse, check with your doctor. Check with your doctor right away if you have the following symptoms: confusion, delirium, hallucinations, disorientation, agitation, seizures, or unusual drowsiness, dullness, tiredness, weakness, or feeling of sluggishness. These are more likely to occur if you are older or if you have a kidney disease. Contact your doctor right away if you have any changes to your or your child's heart rhythm. You or your child might feel dizzy or faint, or you or your child might have a fast, pounding, or uneven heartbeat. Make sure your doctor knows if you had a heart rhythm problem, such as QT prolongation. Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.

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Uses Domperidone is a medicine that increases the movements or contractions of the stomach and bowel. Domperidone is also used to treat nausea and vomiting caused by other drugs used to treat Parkinson's Disease. Dosage The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine. Warnings and Precautions In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered: AllergiesTell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully. PediatricChildren—Studies on this medicine have been done only in adult patients, and there is no specific information comparing use of domperidone in children with use in other age groups. GeriatricMany medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults or if they cause different side effects or problems in older people. There is no specific information comparing the use of domperidone in the elderly with use in other age groups. BreastfeedingThere are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.It is very important that your doctor check your progress at regular visits. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to take it. If your symptoms do not improve within a few days or if they become worse, check with your doctor.

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Uses Dosage Warnings and Precautions

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Uses Sodium bicarbonate , also known as baking soda, is used to relieve heartburn, sour stomach, or acid indigestion by neutralizing excess stomach acid. When used for this purpose, it is said to belong to the group of medicines called antacids. It may be used to treat the symptoms of stomach or duodenal ulcers. Sodium bicarbonate is also used to make the blood and urine more alkaline in certain conditions. Dosage The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so. The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.or sodium bicarbonate tablets:To relieve heartburn or sour stomach:Adults and teenagers—325 milligrams (mg) to 2 grams one to four times a day.Children up to 6 years of age—Dose must be determined by your doctor.Children 6 to 12 years of age—The dose is 520 mg. The dose may be repeated in thirty minutes.To make the urine more alkaline (less acidic):Adults and teenagers—At first, four grams, then 1 to 2 grams every four hours. However, the dose is usually not more than 16 grams a day.Children—The dose is based on body weight and must be determined by your doctor. The usual dose is 23 to 230 mg per kilogram (kg) (10.5 to 105 mg per pound) of body weight a day. Your doctor may change the dose if needed. Warnings and Precautions In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered: AllergiesTell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully. PediatricAntacids should not be given to young children (up to 6 years of age) unless prescribed by a physician. This medicine may not help and may even worsen some conditions, so make sure that your child's problem should be treated with this medicine before you use it. GeriatricMany medicines have not been studied specifically in older people. Therefore, it may not be known whether they work exactly the same way they do in younger adults or if they cause different side effects or problems in older people. There is no specific information comparing use of sodium bicarbonate in the elderly with use in other age groups. BreastfeedingStudies in women suggest that this medication poses minimal risk to the infant when used during breastfeeding.If this medicine has been ordered by your doctor and if you will be taking it regularly for a long time, your doctor should check your progress at regular visits. This is to make sure the medicine does not cause unwanted effects. Do not take sodium bicarbonate: Within 1 to 2 hours of taking other medicine by mouth. To do so may keep the other medicine from working properly.For a long period of time. To do so may increase the chance of side effects.For patients on a sodium-restricted diet: This medicine contains a large amount of sodium. If you have any questions about this, check with your health care professional.For patients taking this medicine as an antacid: Do not take this medicine if you have any signs of appendicitis (such as stomach or lower abdominal pain, cramping, bloating, soreness, nausea, or vomiting). Instead, check with your doctor as soon as possible.Do not take this medicine with large amounts of milk or milk products. To do so may increase the chance of side effects.Do not take sodium bicarbonate for more than 2 weeks or if the problem comes back often. Instead, check with your doctor. Antacids should be used only for occasional relief, unless otherwise directed by your doctor.

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