Helicid 20 1×14 cps, heartburn medicine

Description: Helicid 20 1×14 cps, heartburn medicine

The drug contains the drug omeprazole. It belongs to a group of drugs called "proton pump inhibitors". They work by reducing the amount of acid produced by the stomach.

The medicine is used in adults for the short-term treatment of reflux symptoms (e.g. heartburn and the return of acidic stomach contents to the mouth (regurgitation)).

Reflux is caused by acid returning from the stomach back into the oesophagus, which can become inflamed and painful because of this. This can cause symptoms such as a painful burning sensation in the chest rising up to the mouth (heartburn) and a sour taste in the mouth (acid regurgitation).

Method of use

Dosage and dosage schedules

In the case of using a dose of 10 mg of omeprazole, it is necessary to choose another drug with a lower strength.

Without consulting a doctor:

Symptomatic treatment of reflux in adults

The recommended dose is 1 tablet (20 mg) once daily for 14 days. It may be necessary to take the tablets for the next 2 - 3 days to achieve an improvement in symptoms.

Most patients experience complete resolution of pyrosis symptoms within 7 days. If the symptoms disappear completely, the treatment should be stopped. If the patient does not feel better or feels worse within 14 days, he must contact the doctor.

Only on the advice and under the supervision of a physician:

Adults
Treatment of duodenal ulcers
The recommended daily dose is 1 capsule (20 mg) once a day. In most patients, healing occurs within 2 weeks. In those patients where complete healing does not occur after the initial treatment, ulcer healing usually occurs within the next 2 weeks of treatment. In case of insufficient response to treatment, it is recommended to administer 2 capsules (40 mg) once a day.

Prevention of relapse of duodenal ulcers
1 capsule (20 mg) 1x daily is recommended. For some patients, a daily dose of 10 mg may be sufficient.
In case of treatment failure, the dose may be increased to 2 capsules (40 mg) once daily.

Treatment of stomach ulcers
The recommended daily dose is 1 capsule (20 mg) once a day. In most patients, healing occurs within 4 weeks. In those patients where complete healing does not occur after the initial treatment, ulcer healing usually occurs within the next 4 weeks of treatment. In case of treatment failure, the dose can be increased to 2 capsules (40 mg) once daily.

Prevention of stomach ulcer relapse
The recommended daily dose is 1 capsule (20 mg) once a day.
If necessary, the daily dose can be increased to 2 capsules (40 mg) once a day.

Eradication of H. pylori in peptic ulcer disease
Omeprazole is used in combination with antibiotics - with clarithromycin and amoxicillin (or with clarithromycin and metronidazole or tinidazole), 1 capsule (20 mg) of omeprazole is given 2 times a day for 1 week. With amoxicillin and metronidazole or tinidazole, 2 capsules (40 mg) of omeprazole are given once daily.
If the patient is still positive for H. pylori, treatment in either regimen can be repeated.

Treatment of stomach ulcers, duodenal ulcers related to NSAID use
The recommended daily dose is 1 capsule (20 mg) once a day. In most patients, healing occurs within 4 weeks. In those patients where complete healing does not occur after the initial treatment, ulcer healing usually occurs within the next 4 weeks of treatment.

Prevention of gastric, duodenal ulcers occurring in association with NSAID use in at-risk patients
The recommended daily dose is 1 capsule (20 mg) once daily. (At risk patient = age >60 years, with gastric and/or duodenal ulcers, history of upper GIT bleeding)

Treatment of reflux esophagitis
The recommended daily dose is 1 capsule (20 mg) once a day. In most patients, healing occurs within 4 weeks. In those patients where complete healing does not occur after the initial treatment, ulcer healing usually occurs within the next 4 weeks of treatment.
If necessary, the daily dose can be increased to 2 capsules (40 mg) once daily and healing is usually achieved within 8 weeks.

Long-term treatment of patients with bulging reflux esophagitis
The recommended daily dose is 10 mg omeprazole once daily.
If necessary, the daily dose can be increased to 1-2 capsules (20-40 mg) once a day.

Treatment of symptomatic gastroesophageal reflux disease
The recommended daily dose is 1 capsule (20 mg) once a day. For some patients, a daily dose of 10 mg may be sufficient. If symptom control is not achieved after 4 weeks of treatment, further investigation is recommended.

Treatment of Zollinger-Ellison syndrome
Treatment needs to be individually tailored.
The recommended initial dose is 3 capsules (60 mg) of omeprazole once daily. If necessary, the daily dose can be increased up to 6 capsules (120 mg). A daily dose greater than 4 capsules (80 mg) should be divided into 2 individual doses.

Children older than 1 year and weighing ≥ 10 kg
Treatment of reflux esophagitis
Symptomatic treatment of pyrosis and gastric acid regurgitation in gastroesophageal reflux disease

Recommended daily dose:
- in children older than 1 year weighing 10-20 kg is 10 mg. The dose can be increased to 1 capsule (20 mg) once daily.
- in children over 2 years of age weighing 21 kg or more is 1 capsule (20 mg). The dose can be increased to 2 capsules (40 mg) once a day.

Duration of treatment unless otherwise directed by the physician:
- reflux esophagitis: 4-8 weeks.
- symptomatic treatment of pyrosis and gastric acid regurgitation in gastroesophageal reflux disease: 2-4 weeks.

Children over 4 years of age
Treatment of duodenal ulcer caused by H. pylori:
Omeprazole is used in combination with antibiotics, with clarithromycin and amoxicillin. Children weighing 15-30 kg are given 10 mg omeprazole 2x daily for 1 week, from a weight of 31 kg and above are given 1 capsule (20 mg) 2x daily for 1 week. Duration of treatment is 7-14 days

Patients with impaired liver function
For patients, a daily dose of 10-20 mg of omeprazole may be sufficient.

The length of treatment is decided by the doctor.

Method of use

The capsules are recommended to be taken in the morning, preferably on an empty stomach, swallowed whole and washed down with half a glass of water. Capsules must not be crushed or bitten.

In patients with swallowing difficulties and in children who can drink or swallow semi-solid food
The capsule can be opened and the contents swallowed with half a glass of water or mixed into a slightly acidic liquid, such as fruit juice or applesauce, or non-carbonated water. The resulting dispersion should be taken immediately (or within 30 minutes) and always stirred and rinsed with half a glass of water immediately before drinking.

Alternatively, patients can suck the capsule, swallow the pellets and wash it down with half a glass of water. Gastro-resistant pellets must not be chewed.

Notice

During pregnancy, the drug can be taken.
The drug is excreted in breast milk, however, it is not likely to affect the baby if given in therapeutic doses.
Patients with liver impairment should consult a doctor before taking the drug
For unexpected weight loss, anemia, gastrointestinal bleeding, dysphagia, persistent vomiting, vomiting of blood, or if a gastric ulcer is suspected/confirmed, the physician must rule out malignancy.
The drug may reduce the absorption of vitamin _B12 (cyanocobalamin). With long-term therapy, it may cause a decrease in magnesium levels and an increase in the risk of fractures and cutaneous lupus erythematosus.
The drug may affect scans for neuroendocrine tumors. Treatment should be stopped for at least 5 days before CgA (chromogranin A) measurements are taken.
Rarely, photosensitivity may occur during treatment.
Adverse reactions such as dizziness and visual disturbances may occur. If they manifest, the patient should not drive vehicles or operate machinery.
The drug contains sucrose and lactose.
Store in original packaging to protect from moisture.
Further special warnings are given in the SPC (section 4.4).

Active ingredients

omeprazole