Dexlansoprazole

Dexlansoprazole Uses, Dosage, Side Effects, Mechanism of Action, How Long Does it Take to Work? Dexlansoprazole is a brand name. Its generic name is Dexlansoprazole.

Introduction

Dexlansoprazole (DLP) is a proton pump inhibitor and is used to treat gastric and duodenal ulcers. It is a combination of lansoprazole and dexrabeprazole, two different proton pump inhibitors. DLP works by blocking the production of acid in the stomach.

Uses

DLP is used to treat gastroesophageal reflux disease (GERD), peptic ulcers, erosive esophagitis, Zollinger-Ellison Syndrome, and other conditions caused by excessive acid production in the stomach. It is sometimes prescribed off-label to prevent recurring heartburn or to prevent duodenal ulcers caused by long-term use of NSAIDs.

Mechanism of Action

DLP works by inhibiting H+/K+-ATPase (the acid pump in gastric parietal cells), thereby reducing gastric acid secretion. By reducing the amount of acid in the stomach, DLP helps to both treat and prevent the occurrence of gastric and duodenal ulcers.

How Long Does it Take to Work?

The effects of DLP are usually seen within 1 hour after taking a dose, and the maximum effect is usually seen within 3-4 hours.

Absorption

The lansoprazole component of DLP is rapidly absorbed, reaching peak serum concentrations within 1-2 hours. The dexrabeprazole component is delayed-release and is not absorbed until it reaches the small intestine. This substantially increases the bioavailability of dexrabeprazole and provides longer lasting effects.

Route of Elimination

DLP is eliminated primarily in the urine, with up to 99% of a dose eliminated within 72 hours.

Dosage

DLP is available as 15 mg, 30 mg, and 60 mg delayed-release capsules. The recommended dosage for adults with GERD is 30 mg once daily for 4-8 weeks. For erosive esophagitis, the recommended dosage is 30 mg once daily for up to 8 weeks. The minimum effective dosage is 15 mg once daily.

Administration

DLP should be taken on an empty stomach at least 30 minutes before a meal. It should be swallowed whole with a glass of water. Chewing, crushing, or splitting the capsules can damage the delayed-release coating.

Side Effect

The most common side effects of DLP include nausea, diarrhea, headaches, and abdominal pain. Less common side effects include gastrointestinal bleeding, rash, and dizziness.

Toxicity

The maximum recommended daily dose of DLP is 60 mg per day. Doses greater than 60 mg/day have been associated with increased toxicity. An overdose of DLP can cause serious side effects, including rapid heart rate, confusion, seizures, and low blood pressure.

Precautions

DLP should not be used in patients with active peptic ulcers, or any condition involving obstruction of the duodenum, as it can cause gastrointestinal obstruction. It should also not be used in patients with hypersensitivity to any of its components.

Interaction

DLP may interact with other medications. It is important to take at least one hour before or two hours after other medications.

Disease Interaction

DLP should be used with caution in patients with hepatic impairment or congestive heart failure due to its effects on electrolytes, especially magnesium. Patients with hepatic impairment should not take doses greater than 30 mg per day.

Drug Interactions

DLP may interact with other medications such as antacids, benzodiazepines, digoxin, warfarin, iron supplements, and antidepressants, among others. It is important to tell your doctor about all medications you are taking before starting DLP.

Food Interactions

DLP should be taken with food for optimal absorption. Taking DLP with food may reduce the risk of gastroesophageal reflux and increase the effectiveness of the medication.

Pregnancy Use

DLP is not recommended for pregnant women, as the safety of the medication has not been established in pregnant women.

Lactation Use

DLP is not recommended for use in breastfeeding mothers, as the drug is excreted in breastmilk.

Acute Overdose

DLP overdose may cause serious side effects, including rapid heart rate, confusion, seizures, and low blood pressure. If an overdose occurs, contact your doctor or nearest poison control center immediately.

Contraindication

DLP is contraindicated in patients with hepatic impairment, congestive heart failure, and any condition involving obstruction of the duodenum, as it can cause gastrointestinal obstruction.

Use Direction

DLP should be taken 30 minutes before meals, on an empty stomach, with a full glass of water. The capsule should be swallowed whole and should not be chewed, crushed, or split.

Storage Condition

DLP should be stored at room temperature, away from light and moisture. Keep out of reach of children.

Volume of Distribution

The volume of distribution for DLP is 32–39 L.

Half Life

The half-life of DLP is 1.3–2.5 hours.

Clearance

The renal clearance of DLP is 0.8–1.0 L/h.

Here you find in details version of Dexlansoprazole

Some Frequently Asked Questions About Dexlansoprazole

What is Dexlansoprazole?

Dexlansoprazole is a prescription medication that belongs to a class of drugs called proton pump inhibitors (PPIs). It works by blocking the production of stomach acid. It is used to treat gastroesophageal reflux disease (GERD), heartburn, and certain ulcers.

What is the difference between Dexlansoprazole and Lansoprazole?

Dexlansoprazole is the active ingredient in lansoprazole. Dexlansoprazole is an extended-release form that is absorbed more slowly in the intestines than lansoprazole, allowing for lower doses and fewer doses needed to be taken.

Is Dexlansoprazole used for ulcers?

Yes, Dexlansoprazole is used to treat duodenal and gastric ulcers.

What are the possible side effects of Dexlansoprazole?

Common side effects of Dexlansoprazole include nausea, headache, diarrhea, abdominal pain, constipation, and dry mouth. More serious side effects may include increased heart rate, chest pain, seizure, and vision changes. Tell your doctor if you experience any of these side effects.

Can I take Dexlansoprazole with food?

Yes, you can take Dexlansoprazole with food, but it may be best to take it on an empty stomach as it is more effective. Ask your doctor for the best way to take the medication.

What are the common dosages of Dexlansoprazole?

The common dosage for adults is 30 mg, taken once a day. Your doctor may adjust your dosage based on your condition and other medical factors.

How long does it take for Dexlansoprazole to work?

It takes at least a few days for Dexlansoprazole to reach maximum effectiveness. It is important to remain consistent with taking the medication and to keep follow up appointments with your doctor.

What should I avoid while taking Dexlansoprazole?

Grapefruit and grapefruit juice should be avoided while taking Dexlansoprazole as it may increase the amount of the drug in the body, resulting in side effects. Certain medications may also interact negatively with Dexlansoprazole, so it is important to tell your doctor about all medications and supplements you are taking.

What should I do if I miss a dose of Dexlansoprazole?

If you miss a dose of Dexlansoprazole, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take your next dose as scheduled.

What if I overdose on Dexlansoprazole?

If you think you have overdosed on Dexlansoprazole, seek emergency medical attention right away. Overdoses may cause serious side effects such as confusion, restlessness, wheezing, or nausea.

Does Dexlansoprazole interact with other medications?

Yes, Dexlansoprazole can interact with other medications. Tell your doctor about any medications and supplements you are taking, so they can adjust your dosage and help prevent interactions. Some common medications that interact with Dexlansoprazole are warfarin, diazepam, and citalopram.

Is Dexlansoprazole safe to take during pregnancy?

Dexlansoprazole is generally safe to take during pregnancy. However, it is important to speak to your doctor about all the risks and benefits of taking the medication while pregnant.

Does Dexlansoprazole cause weight gain?

No, Dexlansoprazole does not typically cause weight gain, but can cause other minor side effects.

Is Dexlansoprazole available over the counter?

No, Dexlansoprazole is only available by prescription.

Does Dexlansoprazole treat complications from GERD?

Yes, Dexlansoprazole can be used to treat complications from gastroesophageal reflux disease (GERD).

Can Dexlansoprazole be used to treat a sore throat caused by acid reflux?

Yes, Dexlansoprazole can be used to treat a sore throat caused by acid reflux. It works by reducing the amount of acid in the stomach, which can help relieve the pain associated with a sore throat caused by acid reflux.

What is the maximum dose of Dexlansoprazole?

The maximum dose of Dexlansoprazole is 60 mg per day. It is important to follow your doctor's instructions when taking the medication.

Can I take Dexlansoprazole with ibuprofen?

It is generally safe to take Dexlansoprazole with ibuprofen, but it is important to speak to your doctor about all the medications and supplements you are taking, as some can interact with the medicine.

Can I take antacids while taking Dexlansoprazole?

It is not recommended to take antacids while taking Dexlansoprazole, as antacids can reduce the effectiveness of Dexlansoprazole.

What forms of Dexlansoprazole are available?

Dexlansoprazole is available as an oral capsule, an oral disintegrating tablet (ODT), and an oral suspension (liquid).

Does Dexlansoprazole cause fatigue?

Fatigue is not a common side effect of Dexlansoprazole, but it is possible. If you experience extreme fatigue, check with your doctor.

Can Dexlansoprazole cause headaches?

Yes, headaches can be a common side effect of Dexlansoprazole. Talk to your doctor if you experience any side effects from taking the medication.

Can Dexlansoprazole be used to treat an ulcer caused by NSAIDs?

Yes, Dexlansoprazole can be used to treat an ulcer caused by nonsteroidal anti-inflammatory drugs (NSAIDs). It works by reducing the amount of acid in the stomach, which can help heal the ulcer.

What should I do if I experience abdominal pain while taking Dexlansoprazole?

If you experience abdominal pain while taking Dexlansoprazole, contact your doctor right away. Abdominal pain may indicate an allergic reaction, so it is important to seek medical attention right away.

Can Dexlansoprazole be used to treat gastroesophageal reflux in infants?

Yes, Dexlansoprazole can be used to treat gastroesophageal reflux in infants. The medication can help reduce the amount of acid produced in the stomach, which can help ease discomfort.

Can Dexlansoprazole be taken with other medications treating stomach issues?

Yes, Dexlansoprazole can be taken with other medications treating stomach issues. However, it is important to let your doctor know of any other medications and supplements you are taking, as certain combinations may not be safe.

Should Dexlansoprazole be taken on an empty stomach?

It may be best to take Dexlansoprazole on an empty stomach as it is more effective. However, talk to your doctor about the best way to take the medication.

Can Dexlansoprazole cause depression?

Depression is not a common side effect of Dexlansoprazole but it is possible. Talk to your doctor if you experience any emotional changes while taking the medication.

Can I take Dexlansoprazole with vitamins?

Yes, it is generally safe to take Dexlansoprazole with vitamins, although certain combinations may not be safe. Talk to your doctor about all the medications and supplements you are taking.

Is it okay to take Dexlansoprazole long-term?

Yes, it is generally safe to take Dexlansoprazole long-term, though it is important to speak to your doctor about any risks associated with taking the medication for an extended period of time.

What should I do if I experience adverse reactions while taking Dexlansoprazole?

If you experience any adverse reactions while taking Dexlansoprazole, contact your doctor right away. Adverse reactions may include difficulty breathing, chest pain, or changes in vision. It is important to seek medical attention immediately if any of these side effects occur.

Can I stop taking Dexlansoprazole without consulting my doctor?

No, it is important to speak to your doctor before stopping or changing your dosage of Dexlansoprazole. Stopping the medication suddenly or abruptly may cause more stomach acid to be produced too quickly, leading to increased symptoms.

Is Dexlansoprazole habit-forming?

No, Dexlansoprazole is not habit-forming. However, it is important to only take the amount of Dexlansoprazole prescribed by your doctor, as taking too much of the medication may cause side effects.