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food interaction for HELIGO

alcohol interaction for HELIGO

pregnancy interaction for HELIGO

lactation interaction for HELIGO

food
alcohol
pregnancy
lactation
Avoid Heligo 500mg/250mg/30mg kit with tyramine-rich food such as cheese, smoked fish, meats and some types of beer.
UNSAFE
Heligo 500mg/250mg/30mg kit may cause symptoms such as flushing, increased heartbeat, nausea, thirst, chest pain and low blood pressure with alcohol (Disulfiram reactions).
Taking a large amount of alcohol can increase acidity and cause acid reflux in the food pipe causing heartburn. This would decrease the effect of this drug and can aggravate your underlying condition.
UNSAFE
Heligo 500mg/250mg/30mg kit 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.
WEIGH RISKS VS. BENEFITS
Heligo 500mg/250mg/30mg kit is probably unsafe to use during breastfeeding. Please consult your doctor.
UNSAFE

SALT INFORMATION FOR HELIGO

Tinidazole(500 mg)

Uses

Tinidazole is used in the treatment of bacterial infections
It is used in infections of the brain, reproductive system, gastrointestinal tract, skin, vagina, and other areas of the body.

How it works

Tinidazole is an antibiotic. It kills the bacteria and other microorganisms that cause infections by damaging the DNA.

Common side effects

Nausea, Headache, Dry mouth, Metallic taste
Clarithromycin(250 mg)

Uses

Clarithromycin is used in the treatment of bacterial infections and bacterial skin infections.

How it works

Clarithromycin is an antibiotic. It stops the bacterial growth by inhibiting synthesis of essential proteins, which are required by bacteria to carry out vital functions.

Common side effects

Vomiting, Nausea, Abdominal pain, Diarrhoea, Jaundice, Abnormal liver function tests, Blisters on skin, Altered taste, Shortness of breath, Flatulence, Headache, Heartburn, Hoarseness of voice, Yellow discoloration of skin, Yellow discoloration of eye, Chills, Fever
Lansoprazole(30 mg)

Uses

Lansoprazole is used in the treatment of acidity, heartburn, intestinal ulcers and stomach ulcers.

How it works

Lansoprazole lowers the acid production in the stomach.

Common side effects

Nausea, Abdominal pain, Constipation, Diarrhoea, Flatulence

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Expert advice FOR HELIGO

  • Do not drive or operate heavy machinery if you feel dizzy or numb after taking tinidazole.
  • Do not drink alcohol while you are taking this medication and for 3 days afterwards. Alcohol may cause an upset stomach, vomiting, stomach cramps, headaches, sweating, and flushing (redness of the face).
Do not take the medicine:
  • If you are allergic to it or to any other content in the medicine.
  • If you have blood disorders at present or in the past.
  • If you have brain diseases such as epilepsy (fits).
  • If you are pregnant or planning to become pregnant or breast-feeding a baby.
Consult your doctor if you are taking any prescription drugs, especially drugs used for thinning of blood such as warfarin.

Frequently asked questions FOR HELIGO

Tinidazole

Q.

Is tinidazole or Fasigyn an antibiotic/sulfa drug?
Tinidazole is an antibiotic/anti-protozoal/anti-amoebic drug. It is not a sulfa drug

Q.

Is tinidazole available or sold over the counter?
No. Tinidazole is a prescription drug. It is not available or sold over the counter

Q.

Is tinidazole the same as metronidazole/Flagyl?
Tinidazole is different from metronidazole (also called as Flagyl). However, both of them belong to the same class of drugs

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Q.

Is tinidazole/Fasigyn safe?
Yes. Tinidazole is relatively safe if used as recommended. In case of any side-effects, consult your doctor

Q.

What are Tiniba and Fasigyn used for?
Tiniba and Fasigyn are brand names of tinidazole available in the market. They are used for the same indications as tinidazole

Q.

Can I take tinidazole with fluconazole/Tylenol/ibuprofen?
Tinidazole can be taken with fluconazole/Tylenol (paracetamol)/ibuprofen only if prescribed by your doctor

Q.

Does tinidazole cure bacterial vaginosis and UTI?
Tinidazole is effective in the treatment of bacterial vaginosis. But it is not used for treatment of UTI

Q.

Does tinidazole cause yeast infections/diarrhea/cancer?
Prolonged use of tinidazole may cause candida or yeast infections. There is no evidence of tinidazole causing cancer. If you experience any such symptoms, please consult your doctor

Q.

Does tinidazole treat Chlamydial or urinary tract infections?
Yes. Tinidazole is used to treat Chlamydial infections, but is not effective for treating a urinary tract infection

Q.

Does tinidazole affect birth control?
There is no evidence of tinidazole affecting birth control. Please consult your doctor to confirm whether you require a secondary birth control measure while taking tinidazole.

Clarithromycin

Q.

Is clarithromycin a penicillin, antibiotic, or a fluoroquinolone?
Clarithromycin is a macrolide antibiotic, not a penicillin or fluoroquinolone

Q.

Is clarithromycin safe?
Clarithromycin is safe if used at prescribed doses for the prescribed duration as advised by your doctor

Q.

Can I take clarithromycin for bacterial vaginosis, tooth infection, bladder infection, acne and cystitis?
Clarithromycin can be used to treat bacterial vaginosis unless resistance has not been developed against clindamycin or any macrolide antibiotic (clarithromycin, azithromycin, etc.)

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Q.

Is clarithromycin gluten free or contain sulfa?
Clarithromycin is gluten free. However, please refer to package insert of the prescribed brand before use. Clarithromycin is not a sulfa drug/does not contain sulpha

Q.

Can I take clarithromycin with amoxicillin, paracetamol, ibuprofen, omeprazole, metronidazole or Nyquil?
Yes clarithromycin can be taken with amoxicillin, paracetamol, ibuprofen, omeprazole, metronidazole or Nyquil. Always consult your physician before use

Q.

Does clarithromycin cause drowsiness, insomnia, or thrush?
Clarithromycin does not cause drowsiness when taken as prescribed. But, it may cause insomnia (sleeplessness) and thrush (infection of mouth caused by candida fungus)

Q.

Does clarithromycin affect birth control?
When taken with birth control pills, clarithromycin does not affect birth control.

Lansoprazole

Q.

Is lansoprazole an antibiotic?
Lansoprazole is not an antibiotic. It belongs to the pharmacological class of proton pump inhibitors.

Q.

When should we take lansoprazole with naproxen?
Lansoprazole is taken along with naproxen to overcome the risk of narpoxen-induced gastric ulcers in condtions such as rheumatoid arthritis, osteoarthritis and ankylosing spondylitis. However, the copackaging of lansoprazole with naproxen is no longer done.

Q.

How is lansoprazole given through the nasogastric tube?
Open the lansoprazole capsule and empty the granules into a syringe. Mix the contents with 40 mL of apple juice. Attach the syringe with the medicine to the nasogastric (NG) tube and give through the NG tube into the stomach. After giving the granules, flush the NG tube with more apple juice to clear the tube.

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Q.

Which is a safer medicine for babies lansoprazole or omeprazole?
Lansoprazole was not found to be effective in children less than 1 year of age. Similarly, efficacy and safety data are insufficient for the usage of omeprazole in children less than 1 year of age. Having said so, both the drugs are equally safe in children between 1 to 16 years of age.

Q.

Why should lansoprazole be taken at night?
It is not suggested to take lansoprazole at night. Lansoprazole should be taken before breakfast once daily.

Q.

Can you take lansoprazole for IBS?
Lansoprazole may be one of the medicines given for symptomatic relief of IBS (irritable bowel syndrome).

Q.

Can I take lansoprazole forever/ how long can I take lansoprazole for/ can you take lansoprazole for life?
If you take lansoprazole for longer duration (more than a year) your doctor will probably keep you under regular surveillance, as long term use can cause thinning, weakening and fracture of bones. Take lansopraxole only at the dose and for duration advised by your doctor and report any new and exceptional symptoms and circumstances.

Q.

Why does lansoprazole cause diarrhea?
Diarrhoea is seen more frequently in patients taking lansoprazole at a higher dose (60 mg) and for a longer duration (> 1 month). Diarrhoea due to lansoprazole can be because of both infectious (Cl. difficile) and non-infectious (secretory diarrhoea) reasons.

Q.

Which is a better medicine lansoprazole or omeprazole for treating the H.pylori infection?
Both lansoprazole and omeprazole are equally effective drugs for the treatment of H. pylori infection. However, some studies report that lansoprazole provides earlier and better symptomatic relief compared to omeprazole.

Q.

What is the advantage of lansoprazole delayed-release tablets?
Lansoprazole escapes the breakdown in the stomach due to the presence of acid if given as a delayed release formulation.

Q.

Does lansoprazole make you burp?
No, lansoprazole does not make you burp.

Q.

Is lansoprazole a CYP3A4 inhibitor?
No, lansoprazole does not inhibit CYP3A4, it inhibits other subtypes of CYP enzymes namely, CYP2C19 and CYP2C9. However, there are no significant drug-drug interactions because of this property.

Q.

Is lansoprazole available over the counter?
Yes, lansoprazole available over the counter

Q.

Is lansoprazole dangerous?
Lansoprazole is a safe drug when taken at doses and for a duration prescribed by your doctor. It has certain side-effects, the commonest one being headache, dizziness, nausea, diarrhea, stomach ache, constipation, vomiting, gas, dry mouth or throat, liver toxicity, rash due to allergy, itching, rash, unusual tiredness. Long term use can cause weakness and fracture of bones

Q.

Why does lansoprazole cause a sore throat?
A sore throat occurs in less than 1% of the patients who take lansoprazole. So, it is an uncommon side effect of lansoprazole and reason for which is unknown.

Q.

Can I take lansoprazole twice a day?
No, lansoprazole is to be taken once daily. It is preferable to take before breakfast, empty stomach.

Q.

Does lansoprazole cause cancer?
No, lansoprazole does not cause cancer.

Q.

Can I use lansoprazole with antacids?
No, lansoprazole should not be taken along with any of the antacids. As lansoprazole requires an acidic environment to get activated and the antacids tend to neutralize the acidic pH.

Q.

How is lansoprazole different from omeprazole?
Lansoprazole is as effective as omeprazole on a dose to dose basis. However, lansoprazole has been found to exhibit a faster onset of acid suppression compared to omeprazole.

Q.

Why are lansoprazole capsules made gastro-resistant?
Lansoprazole is made gastro-resistant to avoid its break down in the acid secreted from the stomach and to help in its absorption from the small intestine.

Q.

Why do lansoprazole cause vitamin D deficiency and osteoporosis?
Many studies have revealed that PPI (including lansoprazole) therapy may be associated with an increased risk for osteoporosis-related fractures of the hip, wrist or spine. PPIs (including lansoprazole) reduce resorption of calcium from bone, as osteoclasts also possess proton pumps, thus their activity is thought to be directly affected by PPIs.

Q.

Can I take lansoprazole with amoxicillin/ naproxen/ citalopram/ sertraline/ ciprofloxacin/ doxycycline/ ramipril/ gabapentin/ Gaviscon?
Lansoprazole may interfere with the absorption of amoxicillin/ naproxen/ citalopram/sertraline/ ciprofloxacin/ doxycycline/ ramipril/ gabapentin from the gut. Maintain sufficient gap if these medicines are to be taken together. Gaviscon and lansoprazole are not to be taken together, as Gaviscon interferes with the action of lansoprazole. Please consult your doctor before taking other medicines along with lansoprazole.

Q.

Does lansoprazole make you hungry?
No, lansoprazole does not make you hungry.

Q.

What is the role of lansoprazole in the treatment of H. pylori?
Lansoprazole helps in the eradication of H. pylori infection as a combination with one, two, or three antibiotics.

Q.

How is lansoprazole different from esomeprazole?
Esomeprazole is seen to be more effective than lansoprazole. Esomeprazole increases the gastric pH (makes the gastric secretion more alkaline) better than lansoprazole. And also esomeprazole is longer acting than lansoprazole.

Q.

When should we use lansoprazole suspension?
Lansoprazole suspension is used in patients who have difficulty in swallowing and in those patients who are unable to swallow lansoprazole capsules. Its use is preferred in children.

Q.

Can I take lansoprazole for heartburn?
Yes lansoprazole is used for heartburn.

Q.

Is lansoprazole a vesicant?
Lansoprazole is not a vesicant. It belongs to the pharmacological class of proton pump inhibitors.

Q.

Why does lansoprazole cause weight gain?
Both weight gain or weight loss occurs in less than 1 % of the patients taking lansoprazole. So, they are uncommon side effects of lansoprazole and possible reasons are unknown.

Q.

Is lansoprazole gluten free?
Yes, lansoprazole is gluten free. However, please refer to the information available on the tablet strip for contents of individual brands.

Q.

When should I take lansoprazole empty stomach or before food?
Food is seen to interfere with the absorption of lansoprazole. So, it should be taken empty stomach as to increase its absorption. Also, lansoprazole exerts its maximum activity when the proton pumps (acid-secreting pumps) are most active which happens once the food is taken. Hence, lansoprazole, when given 30 minutes before food, reaches the proton pumps when they are most active.

Q.

Can I take lansoprazole with vitamin c?
Yes, you can take lansoprazole along with vitamin C. There are no confirmed drug interactions reported when the two medicines are used together.

Q.

How is lansoprazole different from ranitidine?
Lansoprazole blocks the final pathway of acid production, unlike ranitidine which acts more proximally. Hence, chances of acid secretion are still possible with the usage of ranitidine through other means. Whereas, lansoprazole shuts the final door causing complete acid suppression.

Q.

Is lansoprazole/ prevacid the same as omeprazole or pantoprazole?
Prevacid is the brand name of lansoprazole. Lansoprazole, omeprazole and pantoprazole belong to a group of drugs called proton pump inhibitors and are used to reduce acid content of the stomach. They treat the same kind of diseases, but are used in different doses and dosage forms. Please consult your doctor for the most appropriate medicine for you

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Content on this page was last updated on 08 March, 2017, by Dr. Varun Gupta (MD Pharmacology)