Q. Can I take CD OM with domperidone?
CD OM can be safely taken with domperidone as no harmful effects have been reported clinically. A fixed-dose combination of these two medicines is also available. Domperidone works by increasing the gut motility and CD OM decreases the acid production in the stomach. So, this combination is very effective in the treatment of reflux esophagitis associated with acidity, heartburn, intestinal and stomach ulcers.
Q. What are the various conditions in which the use of CD OM is contraindicated?
Use of CD OM is contraindicated if you are allergic to this medicine or any other medicine belonging to the same class of drugs. Also, do not take CD OM if you are already taking a medicine containing nelfinavir (used for the treatment of HIV infection).
Q. What if I miss my dose of CD OM?
If you miss a dose of CD OM, take it as soon as you remember and the next dose as scheduled. However, if it is almost the time for your next dose, skip the missed dose and take your next dose and then follow the regular schedule. Do not take double the dose.
Q. Can I take CD OM along with oral contraceptive pills (birth control pills)?
CD OM can be safely taken with oral contraceptive pills (birth control). They do not affect each other's action and no harmful effects have been seen when they are used together.
Q. Can CD OM be used in cancer patients?
CD OM can be taken by cancer patients as prescribed by a doctor. Since cancer patients may also take many other medicines for the primary cancer treatment or for other symptoms and infections, there are chances of drug interactions with CD OM.
Q. For how long can CD OM be taken?
Take CD OM for as long as advised by your doctor. The duration of taking CD OM would vary depending on your condition. Do not stop taking this medicine without talking to your doctor.
Q. Can CD OM cause calcium deficiency and osteoporosis?
CD OM can cause osteoporosis (thinning of bones) as it decreases the calcium absorption leading to calcium deficiency. This leads to an increased risk of bone fractures on long-term use, like hip, wrist or spine fractures. Inform your doctor if you have osteoporosis or if you are taking corticosteroids (these can increase the risk of osteoporosis) before starting your therapy. Take enough calcium and vitamin D to reduce the risk.
Q. Does CD OM cause hepatitis B and can a patient of hepatitis take CD OM?
CD OM can rarely cause hepatitis B and very rarely it can lead to hepatic failure and encephalopathy in patients with the underlying liver disease. However, there are studies showing an increased occurrence of hepatic encephalopathy in hepatitis B patients using CD OM. These medicines should be used with caution in patients with the underlying liver disease.
Q. Does CD OM cause dementia?
Use of proton pump inhibitors like CD OM has been recently linked with the development of dementia in elderly patients. As this risk of developing dementia is not confirmed, talk to your doctor for more information on this effect.
Q. Does CD OM cause vitamin deficiencies?
CD OM may cause vitamin B12 and vitamin C deficiency. When taken orally, vitamin B12 requires an acidic environment for its absorption from the stomach while CD OM causes a decrease in the gastric acid secretion. You may need to take vitamin B12 supplements along with it. The clinical significance of the decrease in vitamin C levels is not known, so vitamin C supplementation is not recommended.
Q. What is the role of CD OM before endoscopy in patients with gastrointestinal bleeding?
CD OM before endoscopy in patients with gastrointestinal bleeding reduces the need for endoscopic therapy, the rate of post-endoscopy bleeding, and shortens hospital stays. Hence CD OM is given before endoscopy in patients with gastrointestinal bleeding.
Q. Is CD OM habit-forming?
CD OM does not get you high and does not cause any addiction while taking it. Moreover, there are no withdrawal symptoms seen when patients stop using CD OM as it has no habit forming tendencies.
Q. Can CD OM be used in cardiac patients?
Patients with cardiac disease can take CD OM as prescribed by the doctor. However, CD OM can interact with certain drugs (e.g clopidogrel, digoxin) which might be used by a patient with an underlying cardiac disease. Patients taking CD OM and digoxin may need to be monitored for digoxin toxicity. CD OM decreases the activation of clopidogrel, thus reducing its effects. Patients taking these medicines together need to be monitored closely by a doctor.