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    Omeprazole + Sodium Bicarbonate

    Omeprazole + Sodium Bicarbonate is a combination used primarily for the treatment of gastroesophageal reflux disease (GERD), acid reflux, and peptic ulcers, similar to sucralfate, but it works differently.

    Applications:

    • Treats GERD, heartburn, and acid reflux.
    • Helps heal and prevent ulcers by reducing stomach acid production.
    • Used to manage Zollinger-Ellison syndrome, where excess acid is produced.

    Side Effects:

    • Common: headache, nausea, diarrhea, and abdominal pain.
    • Rare but serious: severe allergic reactions, kidney problems, and bone fractures with long-term use.
    • Prolonged use can lead to vitamin B12 deficiency and low magnesium levels.

    Unlike sucralfate, which forms a protective layer over ulcers, omeprazole with sodium bicarbonate works by reducing stomach acid to help heal and prevent damage.

    Br120.00
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    Omeprazole + Sodium Bicarbonate

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    Octreotide

    Applications:

    • Treats acromegaly (reduces growth hormone)

    • Manages neuroendocrine tumors (controls carcinoid/VIPoma symptoms)

    • Stops severe GI bleeding (esophageal varices, ulcers)

    • Closes pancreatic/intestinal fistulas

    Side Effects:

    • Common: Nausea, diarrhea, gallstones, blood sugar changes

    • Serious (rare): Heart rhythm issues, thyroid dysfunction

    Note: Requires monitoring for gallbladder and metabolic effects. Available in short-acting (daily) and long-acting (monthly) forms.

    Br120.00
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    Octreotide

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    Darifenacin

    Applications:

    • Overactive Bladder (OAB): Treats frequent urination, urgency, and incontinence.

    • Neurogenic Detrusor Overactivity: Manages bladder control issues in neurological conditions (e.g., MS, spinal cord injury).

    Side Effects:

    • Common: Dry mouth, constipation, blurred vision, dizziness.

    • Serious (Rare):

      • Severe allergic reactions (rash, swelling).

      • Worsening glaucoma (caution in patients with eye conditions).

      • Urinary retention (in men with prostate enlargement).

    Br120.00
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    Darifenacin

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    Aprepitant

    Applications:

    Chemotherapy-Induced Nausea/Vomiting (CINV): Prevents acute/delayed nausea from highly emetogenic chemo (e.g., cisplatin).
    Moderately Emetogenic Chemo: Used with dexamethasone + 5-HT3 blockers (e.g., ondansetron).
    Postoperative Nausea/Vomiting (PONV): Alternative for high-risk surgeries (less common).

    Side Effects:

    Common: Fatigue, hiccups, constipation, headache, loss of appetite.
    Serious (Rare):

    • Liver toxicity (elevated LFTs).

    • Hypersensitivity (rash, anaphylaxis).

    • Drug interactions (CYP3A4 inhibitor—affects warfarin, birth control, some chemo drugs).

    Note: Avoid with pimozide (QT prolongation risk). IV form (fosaprepitant) available.

    Br120.00
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    Aprepitant

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    Dexamethasone

    Dexamethasone is a corticosteroid used to reduce inflammation and suppress the immune system.

    Applications:

    • Treats inflammatory conditions like arthritis, allergies, and skin diseases.

    • Used in cancer therapy and autoimmune disorders.

    • Helps manage cerebral edema and severe COVID-19 symptoms.

    Side Effects:

    • Common: insomnia, mood changes, increased appetite, and weight gain.

    • Serious (long-term use): osteoporosis, high blood sugar, increased infection risk, and adrenal suppression.

    Brands: Decadron, DexPak, Ozurdex (eye implant), Maxidex (eye drops).

    Br120.00
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    Dexamethasone

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    Fosaprepitant

    Fosaprepitant is an antiemetic used to prevent nausea and vomiting caused by chemotherapy.

    Applications:

    • Prevents acute and delayed nausea/vomiting from highly emetogenic chemotherapy.

    • Often used in combination with other antiemetics (like dexamethasone and a 5-HT3 antagonist).

    Side Effects:

    • Common: fatigue, headache, hiccups, and constipation.

    • Serious (rare): infusion site reactions, allergic reactions, liver enzyme elevation.

    Brands: Emend (IV).

    Br120.00
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    Fosaprepitant

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