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Dimenhydrinate
Dimenhydrinate is an antihistamine primarily used to prevent and treat motion sickness and nausea.
Applications:
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Prevents and relieves nausea, vomiting, and dizziness from motion sickness.
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Used for vertigo and inner ear disturbances like Ménière’s disease.
Side Effects:
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Common: drowsiness, dry mouth, dizziness, and blurred vision.
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Serious (rare): confusion (especially in elderly), fast heartbeat, and urinary retention.
Br120.00Dimenhydrinate
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Br120.00
Dexamethasone
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Chlorpromazine Hydrochloride
Applications:
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Psychosis (schizophrenia, mania)
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Severe nausea/vomiting
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Intractable hiccups
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Acute agitation/sedation
Side Effects:
Common: Drowsiness, dry mouth, constipation, low BP
Serious:-
Muscle spasms (EPS), tardive dyskinesia
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Neuroleptic malignant syndrome (NMS)
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QT prolongation → heart rhythm risk
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Seizures, confusion (elderly)
Avoid in: Glaucoma, Parkinson’s, heart rhythm issues.
Br120.00Chlorpromazine Hydrochloride
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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).
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Hypersensitivity (rash, anaphylaxis).
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Drug interactions (CYP3A4 inhibitor—affects warfarin, birth control, some chemo drugs).
Note: Avoid with pimozide (QT prolongation risk). IV form (fosaprepitant) available.
Br120.00Aprepitant
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Tolterodine
Applications:
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Overactive Bladder (OAB): Treats urinary frequency, urgency, and incontinence.
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Neurogenic Detrusor Overactivity: Manages bladder spasms in neurological conditions (e.g., MS, spinal injury).
Side Effects:
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Common: Dry mouth (35% of users), constipation, blurred vision, headache.
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Serious (Rare):
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QT prolongation (caution in heart disease).
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Angioedema (swelling of face/throat).
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Urinary retention (risk in prostate enlargement).
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Br120.00Tolterodine
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Simethicone + Algerines citrate
Applications:
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Bloating & Gas Relief:
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Simethicone: Breaks down gas bubbles in the gut (anti-foaming agent).
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Alverine Citrate: Relieves intestinal spasms (smooth muscle relaxant).
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Irritable Bowel Syndrome (IBS): Reduces cramping, distension, and discomfort.
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Functional GI Disorders: Eases symptoms of dyspepsia or diverticular disease.
Side Effects:
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Simethicone: Generally side-effect-free (not absorbed systemically).
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Alverine Citrate:
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Mild: Dizziness, nausea, headache.
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Rare: Allergic reactions (rash, itching).
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Br120.00Simethicone + Algerines citrate
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Propantheline Bromide
Applications:
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Peptic Ulcers: Reduces gastric acid secretion (adjunct therapy).
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Hyperhidrosis: Controls excessive sweating (off-label).
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GI Spasms: Manages irritable bowel syndrome (IBS) and diverticulitis.
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Urinary Incontinence: Treats overactive bladder (less common now).
Side Effects:
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Common: Dry mouth, blurred vision, constipation, drowsiness.
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Serious (Rare):
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Urinary retention (risk in prostate enlargement).
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Tachycardia (fast heart rate).
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Glaucoma exacerbation (avoid in narrow-angle glaucoma).
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Br120.00Propantheline Bromide
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Oxybutynin
Applications:
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Overactive Bladder (OAB): Reduces urgency, frequency, and incontinence.
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Neurogenic Bladder: Manages urinary leakage in spinal cord injury/MS.
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Pediatric Enuresis: Treats bedwetting (off-label in children ≥5 yrs).
Side Effects:
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Common: Dry mouth (70% of users), constipation, blurred vision, drowsiness.
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Serious (Rare):
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Urinary retention (risk in prostate enlargement).
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Heatstroke (reduced sweating in high temperatures).
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CNS effects (confusion in elderly).
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Br120.00Oxybutynin
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Mebeverine
Applications:
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Irritable Bowel Syndrome (IBS): Relieves abdominal pain, bloating, and cramps.
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Functional GI Disorders: Manages spasms in conditions like diverticulitis.
Side Effects:
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Common: Mild dizziness, headache, nausea.
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Rare:
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Allergic reactions (rash, itching).
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Constipation or diarrhea.
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Br120.00Mebeverine
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Hyoscine/Scopolamine Butyl bromide
Applications:
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GI Spasms: Treats irritable bowel syndrome (IBS), diverticulitis, and abdominal cramps.
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Biliary/Urinary Colic: Relieves pain from gallstones or kidney stones.
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Endoscopic Procedures: Reduces intestinal motility during colonoscopy.
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Menstrual Cramps: Eases dysmenorrhea (off-label use).
Side Effects:
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Common: Dry mouth, dizziness, blurred vision (mild anticholinergic effects).
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Serious (Rare):
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Tachycardia (fast heart rate).
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Urinary retention (especially in elderly men with prostate issues).
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Allergic reactions (rash, anaphylaxis).
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Br120.00Hyoscine/Scopolamine Butyl bromide
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Drotaverine
Applications:
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Abdominal Pain: Relieves cramps in IBS, gastritis, or menstrual discomfort.
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Biliary Colic: Eases spasms in gallbladder/bile duct disorders.
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Urinary Tract Spasms: Treats discomfort from kidney stones or UTIs.
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Gynecological Use: Reduces labor pains (off-label) and dysmenorrhea.
Side Effects:
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Common: Dizziness, nausea, mild headache.
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Rare:
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Allergic reactions (rash, itching).
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Low blood pressure (with high doses).
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Rapid heartbeat (tachycardia).
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Br120.00Drotaverine
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Darifenacin
Applications:
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Overactive Bladder (OAB): Treats frequent urination, urgency, and incontinence.
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Neurogenic Detrusor Overactivity: Manages bladder control issues in neurological conditions (e.g., MS, spinal cord injury).
Side Effects:
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Common: Dry mouth, constipation, blurred vision, dizziness.
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Serious (Rare):
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Severe allergic reactions (rash, swelling).
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Worsening glaucoma (caution in patients with eye conditions).
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Urinary retention (in men with prostate enlargement).
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Br120.00Darifenacin
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Atropine Sulphate
Applications:
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Pre-Anesthesia: Reduces saliva and respiratory secretions before surgery.
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Bradycardia: Emergency treatment for abnormally slow heart rate.
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Poison Antidote: Countacts organophosphate or nerve agent poisoning.
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Ophthalmic Use: Dilates pupils for eye exams or inflammation treatment.
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GI Disorders: Relieves spasms in irritable bowel (rarely used today).
Side Effects:
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Common: Dry mouth, blurred vision, rapid heartbeat, dizziness.
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Serious:
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Hallucinations/confusion (high doses)
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Urinary retention
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Glaucoma attacks (with eye drops)
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Dangerous tachycardia (overdose)
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Note:
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IV/IM use only in emergencies (hospital/EMS).
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Reverses life-threatening cholinergic toxicity (e.g., pesticide poisoning).
Br120.00Atropine Sulphate
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Propranolol
Applications:
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Heart: Treats high BP, angina, arrhythmias, prevents heart attacks
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Migraines: Reduces frequency
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Anxiety: Controls physical symptoms (shaking, fast heartbeat)
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Hyperthyroidism: Manages symptoms like rapid pulse
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Essential tremor: Decreases shaking
Side Effects:
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Common: Fatigue, dizziness, cold hands/feet, sleep issues
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Serious (rare):
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Slow heart rate, wheezing (caution in asthma patients)
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Worsening heart failure, depression
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Note:
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Avoid sudden stoppage (taper gradually).
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Brands: Inderal®, Hemangeol®, generics.
Monitor heart rate & BP. Not for asthma/COPD patients.
Br120.00Propranolol
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Pantoprazole
Applications:
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Treats GERD & erosive esophagitis
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Manages peptic ulcers (including NSAID-induced)
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Controls Zollinger-Ellison syndrome acid hypersecretion
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Prevents stress ulcers in critical care patients
Side Effects:
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Common: Headache, diarrhea, nausea, abdominal pain
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Serious (rare):
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Kidney inflammation (interstitial nephritis)
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Low magnesium (with prolonged use)
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Vitamin B12 deficiency (long-term therapy)
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Note:
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IV form is preferred for acute bleeding ulcers (80mg bolus, then infusion).
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Requires monitoring: Mg²⁺ levels if used >1 year.
Br120.00Pantoprazole
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Omeprazole
Applications:
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Treats severe GERD/ulcers (when oral therapy fails)
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Manages Zollinger-Ellison syndrome (acid hypersecretion)
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Prevents acid aspiration during surgery
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Reduces rebleeding risk after endoscopic treatment
Side Effects:
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Common: Headache, nausea, injection-site pain
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Serious (rare): Kidney injury, low magnesium, bone fractures (long-term use)
Note: Requires kidney/magnesium monitoring with prolonged IV use. Administered once daily (40mg). Brands include Losec® IV and generics.
Br120.00Omeprazole
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Octreotide
Applications:
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Treats acromegaly (reduces growth hormone)
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Manages neuroendocrine tumors (controls carcinoid/VIPoma symptoms)
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Stops severe GI bleeding (esophageal varices, ulcers)
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Closes pancreatic/intestinal fistulas
Side Effects:
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Common: Nausea, diarrhea, gallstones, blood sugar changes
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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.
Br120.00Octreotide
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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.
Br120.00Omeprazole + Sodium Bicarbonate
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