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4PH 40 mg Tablet

Hetero Drugs Ltd

Composition for 4PH 40 mg Tablet

Prescription Required

Primary uses of 4PH 40 mg Tablet

Acidity, Peptic ulcer disease, Gastroesophageal reflux disease (Acid reflux)
Potentiallyunsafewith
Alcohol
MRP
99
₹6.6/Tablet
15 tablets in 1 strip
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Medicine Overview of 4PH Tablet

Uses of 4PH Tablet

4PH 40 mg Tablet is used in the treatment of acidity, peptic ulcer disease and gastroesophageal reflux disease (acid reflux).

4PH Tablet side effects

Common

Side Effects of 4PH are Headache, Nausea, Abdominal pain, Constipation, Flatulence, Diarrhoea.

How to use 4PH Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. 4PH 40 mg Tablet is to be taken empty stomach.
https://www.azpicentral.com/nexium/nexium.pdf#page=1

How 4PH Tablet works

4PH 40 mg Tablet is a proton pump inhibitor (PPI). It works by reducing the amount of acid in the stomach which helps in relief of acid related indigestion and heartburn.

In Depth Information on 4PH Tablet

Expert advice for 4PH Tablet

  • Inform your doctor if you do not feel better after taking it for 14 days as you may be suffering from some other problem that needs attention.
  • 4PH 40 mg Tablet can decrease magnesium levels in blood. Get your magnesium levels checked regularly. You may need a magnesium supplement or need to discontinue your medicine. 
  • Inform your doctor if you are suffering from osteoporosis as 4PH 40 mg Tablet can weaken your bones by decreasing calcium levels in blood. You may need a calcium supplement, preferably calcium citrate.
  • 4PH 40 mg Tablet is a well-tolerated medicine and provides relief for a long time.
  • It may take a few days to show its effect. You can take an antacid for a quick relief during this time unless your doctor has asked you not to use them.
  • Once you start feeling better, do not stop taking your medicine. Take it for the duration as advised by your doctor
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4PH Tablet related warnings
Special precautions for 4PH Tablet
Alcohol
CAUTION
Pregnancy
WEIGH RISKS VS BENEFITS
4PH 40 mg Tablet may be unsafe to use during pregnancy.
Animal studies have shown adverse effects on the foetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor.
Lactation
SAFE
4PH 40 mg Tablet is safe to use during lactation. Human studies have shown that either the drug does not pass into the breastmilk in significant amount or is not expected to cause toxicity to the baby.
Driving
SAFE
4PH 40 mg Tablet does not usually affect your ability to drive.
Kidney
SAFE
4PH 40 mg Tablet is safe to use in patients with kidney disease. No dose adjustment of 4PH 40 mg Tablet is recommended.
However, inform your doctor if you have any kidney disease.
Liver
4PH 40 mg Tablet should be used with caution in patients with severe liver disease. Dose adjustment of 4PH 40 mg Tablet may be needed. Please consult your doctor.

What if you miss a dose of 4PH Tablet?uses

If you miss a dose of 4PH 40 mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

Patient Concerns

Frequently asked questions about 4PH Tablet

Frequently asked questions about Esomeprazole

Q. Is 4ph available over the counter?
No, 4ph is not available as an over-the-counter product. It is a prescription medicine and is available only when prescribed by a physician.
Q. Can I take 4ph with aluminum hydroxide and magnesium carbonate or other antacids?
4ph can be taken with antacids like aluminum hydroxide and magnesium carbonate. But antacids should be taken two hours before or one hour after taking 4ph. This is because 4ph requires a lower pH for its action and antacids can increase the pH of the stomach and hence decrease the action of 4ph.
Q. Is 4ph a controlled substance?
4ph is not a controlled substance. It is available when prescribed by a doctor.
Q. Is 4ph safe to use?
Yes, 4ph is safe if taken for prescribed duration in prescribed doses as advised by your doctor. However, its use is associated with some common side effects like nausea, abdominal pain, constipation, diarrhea, and flatulence.
Q. Can I take 4ph with paracetamol (acetaminophen)?
4ph can be taken with paracetamol. No drug-drug interactions or harmful effects have been seen when they are used together.
Q. Does 4ph cause weight loss?
4ph is not known to lower weight. However, it may cause damage to your stomach lining on a long term use and weight loss could be an indication of the same or it can be due to an underlying condition which requires immediate attention.
Q. Does 4ph cause hair loss?
Hair loss has been reported as a rare side effect of 4ph. Talk to your doctor in case you experience excessive hair fall while you are taking 4ph.
Q. Why is 4ph better than omeprazole?
4ph and Omeprazole both belong to the same class of drugs and are used in disease conditions with excess acid production like heartburn, acidity, stomach ulcers and intestinal ulcers. 4ph is an S-isomer of omeprazole and is seen to provide more effective and rapid acid control than omeprazole, without any increase in side effects and fewer variations in response between different patients.
Q. Does 4ph cause palpitations (feeling of rapid, strong heart beat)?
4ph can lower the magnesium levels in your body and this can cause palpitations. You must get your magnesium levels checked regularly if you have to use this medicine for more than three months.
Q. Can a patient undergoing dialysis take 4ph?
4ph can be taken by a patient undergoing dialysis in a manner as prescribed by the doctor. This is extensively bound to proteins in the body, so, it is not expected to be removed by dialysis.
Q. Is 4ph better than rabeprazole?
Both 4ph and rabeprazole are similar in efficacy and safety. One study mentions rabeprazole as a better choice for mild-to-moderate gastroesophageal reflux disease (GERD) compared to 4ph while another study mentions 4ph provides a more effective and faster acid-inhibitory effect.
Q. Is 4ph better than ranitidine?
Both 4ph and ranitidine lower acid production in your stomach and treat heartburn and heal stomach and intestine ulcers. There are not many studies which compare 4ph with ranitidine. However, one study mentions that 4ph once daily is more effective and well-tolerated compared ranitidine twice daily for healing gastric ulcers.
Q. Can I take 4ph with domperidone?
4ph can be taken with domperidone. 4ph decreases the acid secretion and domperidone increases the gut motility and helps in nausea and vomiting. It is safe to use the two medicines together and these are also available as a fixed-dose combination and help in the treatment of heartburn, stomach and duodenal ulcers and gastritis.
Q. Can I take 4ph with clopidogrel?
4ph decreases the activation of clopidogrel and hence reduces its effectivity. Avoid using both drugs together or use an alternate drug. Patients who are taking these medicines together needs to be monitored closely by a doctor.
Q. Can I take 4ph with levosulpiride?
4ph can be taken with levosulpiride. 4ph decreases the acid secretion and levosulpiride increases the intestinal motility. It is safe to use the two medicines together. 4ph is also available as a fixed-dose combination with levosulpiride. This combination helps in the treatment of heartburn, stomach and duodenal ulcers and gastritis.
Q. Is dexlansoprazole better than 4ph?
Dexlansoprazole and 4ph belong to the same class of medicines and works the same way. Some studies mention that dexlansoprazole helps in better control of symptoms like heartburn as compared to 4ph, however, there is no definitive evidence for this and different patients may find that one works better for them than the other.
Q. Is 4ph an antacid?
4ph belongs to the class of proton pump inhibitors (PPIs) which decrease the amount of acid produced in the stomach. While antacids only neutralize the stomach acid by coating the stomach.
Q. Does 4ph cause tinnitus?
Tinnitus has been reported as a rare side effect with 4ph (<1% patients taking this drug). Please consult your doctor if you experience tinnitus while taking 4ph.
Q. Does 4ph has an expiry date?
Yes, 4ph does expire. Please check the expiry date written on the pack and it refers to the last day of that month. Do not use 4ph after the expiry date.
Q. Is 4ph an antibiotic?
No, 4ph is not an antibiotic. It is a proton pump inhibitor used for the treatment of acidity, heartburn, intestinal ulcers and stomach ulcers.
Q. Can I take 4ph with nitrofurantoin?
4ph can be taken with nitrofurantoin. No drug-drug interactions or any harmful effects have been reported when they are used together.
Q. Can I take 4ph with ranitidine?
Yes, 4ph can be taken with ranitidine. No drug-drug interactions or any harmful effects have been reported when they are used together. As 4ph do take some days to show its action, so, ranitidine is given to the patients to immediate relief.
Q. Can I take 4ph with ibuprofen?
4ph can be taken with ibuprofen. No drug-drug interactions or any harmful effects have been reported when they are used together.
Q. Can I take 4ph with hyoscine?
4ph can be taken with hyoscine. No drug-drug interactions or any harmful effects have been reported when they are used together.
Q. Does 4ph cause tiredness?
Tiredness is a rare side effect seen with 4ph. Talk to your doctor if you experience excessive tiredness as this may be due to some liver abnormalities as 4ph breaks down in the liver or due to an underlying condition that needs attention.
Q. Can the use of 4ph cause weight gain?
Weight gain has not be reported to occur with 4ph. However, its use is associated with some common side effects like nausea, abdominal pain, constipation, diarrhea, and flatulence.
Q. Can the use of 4ph affect birth control?
4ph does not seem to affect birth control, as no drug interactions have been reported between 4ph and oral birth control pills. It is safe to take the two medications together.
Q. Can a patient with underlying cardiac disease take 4ph?
Patients with the underlying cardiac disease can take 4ph. However, 4ph can interact with certain drugs (e.g clopidogrel, digoxin) which might be used by these patients. They may need to be monitored for digoxin toxicity. 4ph decreases the activation of clopidogrel, thus reducing its effects, so the patients taking these medicines together should also be monitored regularly.
Q. Can 4ph be given in cancer patients?
4ph is seen to increase the antitumor effect of the medicines with no added side effects. Since cancer patients may also take many medicines for the primary cancer treatment or for other symptoms and infections, there are chances of drug-drug interactions with 4ph. So, it should be used only as advised by your doctor.
Q. How is 4ph different from pantoprazole?
4ph and pantoprazole both belong to the same class of drugs and are seen to be equally effective in the treatment of disease conditions with excess acid production like heartburn, acidity, stomach ulcers and intestinal ulcers. However, as per some research studies, pantoprazole provides significantly faster first-time relief from daytime and night-time GERD-related symptoms than 4ph.
Q. Is 4ph more effective than lansoprazole?
Yes, 4ph is seen to achieve a better acid control and is more effective in relief of heartburn symptoms and acid reflux symptoms as compared to lansoprazole in many research studies. Also, healing rates were consistently high with 4ph.
Q. Can I take 4ph with sodium bicarbonate as a buffer?
Sodium bicarbonate buffer can protect against acid degradation of 4ph in addition to immediate antacid action. 4ph can be taken with sodium bicarbonate as a buffer only in a manner as prescribed by the doctor.
Q. Can I take 4ph with naproxen?
Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) which works by reducing inflammation and pain in the body. 4ph and naproxen can be taken together. There are no reported drug interactions or harmful effects of using 4ph with naproxen.
Q. Is 4ph a narcotic?
4ph is not a narcotic. It is a proton pump inhibitor used for the treatment of acidity, heartburn, intestinal ulcers and stomach ulcers.
Q. CAn the use of 4ph cause constipation?
Constipation has been reported as a common side effect of 4ph. Other common side effects associated with its use are nausea, abdominal pain, diarrhea, and flatulence.
Q. What is the difference between 4ph and famotidine ?
4ph is a proton pump inhibitor whereas Famotidine is an H2 histamine receptor blocker. 4ph is more potent at inhibiting gastric acid production compared to famotidine and also its effect lasts for a long time.
Q. Is 4ph a steroid?
4ph is not a steroid. It is a proton pump inhibitor used for the treatment of acidity, heartburn, intestinal ulcers and stomach ulcers.

Severely interacts with other drugs like

Taking 4PH with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
4PH with Cilostazol
LIFE-THREATENING
Medicines with composition Cilostazol: Pencil, Zilast, Stozic, Preclaud, Pletoz
4PH with Indinavir
LIFE-THREATENING
Medicines with composition Indinavir: Indivan
4PH with Ritonavir
LIFE-THREATENING
Medicines with composition Ritonavir: Viriton, Ritomune, Ritomax
4PH with Diazepam
SERIOUS
Medicines with composition Diazepam: Dizapam, Zeopse, Karpam, Osopose, Peptica, Placidox, Anxol, D P M
4PH with Midazolam
SERIOUS
Medicines with composition Midazolam: Medzol, Mezolam, Midfast, Fulsed, Midosed, Midzee, Benzosed
SERIOUS
Medicines with composition Sodium Bicarbonate: Sodamax, Sobinix, Sobimed, Soda Bicarb Glycerin
4PH with Clobazam
SERIOUS
4PH with Nitrazepam
SERIOUS
Medicines with composition Nitrazepam: Konit, Zipam, Enzed, Nitrosh, Nap, Nitraz, Nzm, Sopor, N Tra, Nira, Hypnoril, Nitab, Hypnocent
4PH with Etizolam
SERIOUS
4PH with Flurazepam
SERIOUS
Medicines with composition Flurazepam: Nindral
SERIOUS
Medicines with composition Magnesium Hydroxide: Mgmax
4PH with Lorazepam
SERIOUS
SERIOUS
Medicines with composition Chlordiazepoxide: Equblam, Zepox, Raipox, Equiliser, Anxibrium, Poxid, Peaceoxide, Anxon H, Equilibrium, Cloxide, Librel
4PH with Methotrexate
MODERATE
Medicines with composition Methotrexate: Methosis, Metrex, Rhutrex, Meditrex, Mext, Trex, Vibzi, Meth
4PH with Dipyridamole
MODERATE
Medicines with composition Dipyridamole: Cardiwell, Thrombonil
4PH with Phenytoin
MODERATE
Medicines with composition Phenytoin: Stoin, Marantin, Notian, Phenytoin Sodium, Phenozed, Episol, Neptoin, C-Toin, Protoin, Pna, Seztin, Atoin, Phenos
4PH with Digoxin
MINOR
Medicines with composition Digoxin: Digon, Cardioxin
4PH with Spiramycin
MINOR
Medicines with composition Spiramycin: Spiramycin, Macromycin, Spiratox
One of the following vendor pharmacies will deliver 4PH 40mg Tablet: 1MH, SDM, BAP, SNG, TNH, NDP, RPP, RUS, PVP, AXM, HIP, WAD, TAT, IAD, HMP, MPC, KMC, NEO, GPT, JHC, RDR, SJP, DPP, APS, EQN, AMH, LMS, QTM, RHL, SVS, MDH, ANT, WPL, THP, OHM, SRG, LCC, JSL, PPR, KHH, QLF, IPL, SNH, STS, MMS, PMA, HPC, PTP, DPL, TFP, ALY, VOP, PHN, MAK, BNA, UVD, USF, MKT, SSA, SCH, HSM, AMR, KHD, CHP, RSA, GEO, BJP, MBP, ABP, HSP, ZPR, DYL, IMC, PRL, ARD, PRT, ADT, ASP, AYN, UHP, SDE, GTC, LHA, RKS, CMC, SMS, TOM, STA, DYG, RGH, GLM, DFP, SGC, XMX, HTS, SWP, GBL, BAL, PHC, BHA, RDH, UMP, BDI, RAC, JVO, MAX, AAR, OLT, AGT, RHW, HPP, FRM, NTB, CLT, BIO, PTI, PNT, HZF, PRN, SSI, NVY, SWT, VJS, PRC, RPI, MKS, YMI, KNH, HCP, CRN, DHR, RSS, ATL, NVL, BLS, KIS, AVB, EAN, BHM, AVL, NSL, EMB, MAP, MAM, GLD, OBS, GDA, AAY, HLT, PLT, BGS, KLC, DZY, ZVP, GHR, BDN, NNP, AYU, BRC, NNH, BMJ, GMA, CPK, AYM, ESY, NXG, FGH, RWP, BSN, SPD, MSD, INC, SHD, HAT, WSI, BBS, EPS, TRP, GTK, VDH, VHP, VRS, SBL, ANP, BLE, AWS, ATP, BHP, HNP, DRA, HBV, TSS, ALC, SAF, SBA, GNC, DVH, NAS, DGN, KHC, JIV, KAL, DLP, BNT, BBN, NTL, VNS, JJE, LHP, GPP, WHL, JBT, JVN, VTR, SVH, SLN, DAO, DHP, SYN, AVS, SGH, MLC, 4IT, AFT, MDO, VSL, OIP, SWA, BTM, SHC, ENP, SMN, HEX, HGI, BLP, ZEL, OWP, PWN, SCP, EEC, BHS, 9MM

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