Generic Name: Amoxicil-Clarithromy-Lansopraz Brand Name(s): Generics only. No brands available. Avability: Rx Pregnancy Category: C

Uses

What is Amoxicil-Clarithromy-Lansopraz used for?

Amoxicil-Clarithromy-Lansopraz is used to treat stomach/intestinal ulcers caused by the bacteria H. pylori and to prevent the ulcers from returning. Treating an ulcer reduces the risk of serious damage to the lining of the stomach/intestines (such as bleeding, tearing, blockage).

Lansoprazole is known as a proton pump inhibitor (PPI). It works by blocking acid production in the stomach. Decreasing excess stomach acid can help the ulcer heal. Amoxicillin and clarithromycin are antibiotics used to treat a wide variety of bacterial infections (including H. pylori). Treating the infection helps reduce the risk of the ulcer returning. Amoxicillin is a penicillin-type antibiotic and clarithromycin is a macrolide-type antibiotic. They work by stopping the growth of bacteria.

The antibiotics in this product treat only bacterial infections. Antibiotics do not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections.

How should I take Amoxicil-Clarithromy-Lansopraz?

Take this medication by mouth exactly as directed by your doctor, usually 1 dose (4 pills) twice daily before a meal. Swallow the lansoprazole capsules whole. Do not crush or chew.

Each packet contains both the morning and evening doses of this medication (a 1-day supply). Consult your doctor or pharmacist for instructions on the proper use of this product. The dosage and length of treatment is based on your medical condition and response to treatment.

For the best effect, take this product at evenly spaced times. To help you remember, take this product at the same times every day. Continue to take this product until the full prescribed amount is finished, even if symptoms disappear after a few days. Stopping antibiotics too early may allow bacteria to continue to grow, which may result in a return of the infection.

Tell your doctor if your condition persists or worsens.

How do I store Amoxicil-Clarithromy-Lansopraz?

Amoxicil-Clarithromy-Lansopraz is best stored at room temperature away from direct light and moisture. To prevent drug damage, you should not store Amoxicil-Clarithromy-Lansopraz in the bathroom or the freezer. There may be different brands of Amoxicil-Clarithromy-Lansopraz that may have different storage needs. It is important to always check the product package for instructions on storage, or ask your pharmacist. For safety, you should keep all medicines away from children and pets.

You should not flush Amoxicil-Clarithromy-Lansopraz down the toilet or pour them into a drain unless instructed to do so. It is important to properly discard this product when it is expired or no longer needed. Consult your pharmacist for more details about how to safely discard your product.

Precautions & warnings

What should I know before using Amoxicil-Clarithromy-Lansopraz?

Before taking this product, tell your doctor or pharmacist if you are allergic to lansoprazole, amoxicillin, or clarithromycin; or to penicillins (such as ampicillin), cephalosporins (such as cephalexin), or macrolide antibiotics (such as erythromycin); or to dexlansoprazole; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of: liver disease (including liver problems with past clarithromycin use), kidney disease, heart disease (coronary artery disease, heart attack), a certain type of muscle disease (myasthenia gravis), a certain type of viral infection (infectious mononucleosis), lupus.

Some symptoms may actually be signs of a more serious condition. Get medical help right away if you have: heartburn with lightheadedness/sweating/dizziness, chest/jaw/arm/shoulder pain (especially with shortness of breath, unusual sweating), unexplained weight loss.

Clarithromycin may cause a condition that affects the heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and other symptoms (such as severe dizziness, fainting) that need medical attention right away.

The risk of QT prolongation may be increased if you have certain medical conditions or are taking other drugs that may cause QT prolongation. Before using this product, tell your doctor or pharmacist of all the drugs you take and if you have any of the following conditions: certain heart problems (heart failure, slow heartbeat, QT prolongation in the EKG), family history of certain heart problems (QT prolongation in the EKG, sudden cardiac death).

Low levels of potassium or magnesium in the blood may also increase your risk of QT prolongation. This risk may increase if you use certain drugs (such as diuretics/”water pills”) or if you have conditions such as severe sweating, diarrhea, or vomiting. Talk to your doctor about using this product safely.

This medication may cause live bacterial vaccines (such as typhoid vaccine) to not work as well. Do not have any immunizations/vaccinations while using this medication unless your doctor tells you to.

Before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).

Older adults may be more sensitive to the side effects of this drug, especially QT prolongation (see above).

During pregnancy, this product should be used only when clearly needed. Discuss the risks and benefits with your doctor.

Amoxicillin and clarithromycin pass into breast milk. It is unknown if lansoprazole passes into breast milk. Consult your doctor before breast-feeding.

Is it safe during pregnancy or breast-feeding?

There are no adequate studies in women for determining risk when using this Amoxicil-Clarithromy-Lansopraz during pregnancy or while breastfeeding. Please always consult with your doctor to weigh the potential benefits and risks before taking Amoxicil-Clarithromy-Lansopraz. Amoxicil-Clarithromy-Lansopraz is pregnancy risk category C according to the US Food and Drug Administration (FDA).

FDA pregnancy risk category reference below:

  • A=No risk,
  • B=No risk in some studies,
  • C=There may be some risk,
  • D=Positive evidence of risk,
  • X=Contraindicated,
  • N=Unknown

Side effects

What side effects can occur from Amoxicil-Clarithromy-Lansopraz?

Diarrhea, headache, nausea, vomiting, and abnormal taste may occur. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if you have any serious side effects, including: muscle weakness, dark urine, yellowing eyes/skin, easy bruising/bleeding, mental/mood changes (such as agitation, confusion), signs of lupus (such as rash on nose and cheeks, new or worsening joint pain).

Get medical help right away if you have any very serious side effects, including: severe dizziness, fainting, fast/irregular heartbeat.

This medication may rarely cause a severe intestinal condition (Clostridium difficile-associated diarrhea) due to a type of resistant bacteria. This condition may occur during treatment or weeks to months after treatment has stopped. Do not use anti-diarrhea products or narcotic pain medications if you have any of the following symptoms because these products may make them worse. Tell your doctor right away if you develop: persistent diarrhea, abdominal or stomach pain/cramping, blood/mucus in your stool.

Use of this medication for prolonged or repeated periods may result in oral thrush or a new yeast infection. Contact your doctor if you notice white patches in your mouth, a change in vaginal discharge, or other new symptoms.

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including: fever, swollen lymph nodes, rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing, signs of kidney problems (such as change in the amount of urine).

Amoxicillin can commonly cause a mild rash that is usually not serious. However, you may not be able to tell it apart from a rare rash that could be a sign of a severe allergic reaction. Therefore, seek immediate medical attention if you develop any rash.

Not everyone experiences these side effects. There may be some side effects not listed above. If you have any concerns about a side-effect, please consult your doctor or pharmacist.

Interactions

What drugs may interact with Amoxicil-Clarithromy-Lansopraz?

Some products that may interact with this drug include: clindamycin, colchicine, digoxin, ergot alkaloids (such as dihydroergotamine, ergotamine), methotrexate, rifamycins (such as rifabutin), saquinavir.

Many drugs besides clarithromycin may affect the heart rhythm (QT prolongation). Examples include amiodarone, cisapride, disopyramide, dofetilide, dronedarone, ibutilide, pimozide, procainamide, propafenone, quinidine, sotalol, among others. Therefore, before using this product, report all medications you are currently using to your doctor or pharmacist.

Some products need stomach acid so that the body can absorb them properly (such as atazanavir, erlotinib, nelfinavir, pazopanib, rilpivirine, certain azole antifungals including itraconazole/ketoconazole/posaconazole). Lansoprazole decreases stomach acid, so it may change how well these other products work. Before using lansoprazole, consult your doctor or pharmacist about the other medications you take and for advice on how to reduce or avoid these types of interactions.

Clarithromycin can slow down the removal of other medications from your body, which may affect how they work. Examples of affected drugs include some benzodiazepines (such as alprazolam, triazolam), carbamazepine, eletriptan, eplerenone, some drugs used to treat erectile dysfunction-ED or pulmonary hypertension (such as sildenafil, tadalafil), fentanyl, fesoterodine, ixabepilone, lurasidone, maraviroc, some drugs for organ transplant (such as tacrolimus, sirolimus), ranolazine, repaglinide, silodosin, some “statin” drugs (such as atorvastatin, lovastatin, simvastatin), temsirolimus, tolterodine, among others.

Although most antibiotics are unlikely to affect hormonal birth control such as pills, patch, or ring, a few antibiotics (such as rifampin, rifabutin) can decrease their effectiveness. This could result in pregnancy. If you use hormonal birth control, ask your doctor or pharmacist for more details.

Lansoprazole is very similar to dexlansoprazole. Do not use medications containing dexlansoprazole while using lansoprazole.

This medication may interfere with certain laboratory tests (including urine glucose test), possibly causing false test results. Make sure laboratory personnel and all your doctors know you use this drug.

Amoxicil-Clarithromy-Lansopraz may interact with other drugs that you are currently taking, which can change how your drug works or increase your risk for serious side effects. To avoid any potential drug interactions, you should keep a list of all the drugs you are using (including prescription drugs, nonprescription drugs and herbal products) and share it with your doctor and pharmacist. For your safety, do not start, stop, or change the dosage of any drugs without your doctor’s approval.

Does food or alcohol interact with Amoxicil-Clarithromy-Lansopraz?

Amoxicil-Clarithromy-Lansopraz may interact with food or alcohol by altering the way the drug works or increase the risk for serious side effects. Please discuss with your doctor or pharmacist any potential food or alcohol interactions before using this drug.

What health conditions may interact with Amoxicil-Clarithromy-Lansopraz?

Amoxicil-Clarithromy-Lansopraz may interact with your health condition. This interaction may worsen your health condition or alter the way the drug works. It is important to always let your doctor and pharmacist know all the health conditions you currently have.

Dosage

The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using this Amoxicil-Clarithromy-Lansopraz.

What is the dose of Amoxicil-Clarithromy-Lansopraz for an adult?

Usual Adult Dose for Helicobacter pylori Infection

Amoxicillin 1000 mg-clarithromycin 500 mg-lansoprazole 30 mg orally 2 times a day

-Duration of therapy: 10 to 14 days

Comment: This drug should be taken in the morning and evening.

Use: Treatment of patients with Helicobacter pylori infection and duodenal ulcer disease to eradicate H pylori

Renal Dose Adjustments

Mild to moderate renal dysfunction: No adjustment recommended.

Severe renal dysfunction (less than 30 mL/min): Not recommended.

Acute interstitial nephritis (AIN): Discontinue treatment in patients who develop AIN.

Liver Dose Adjustments

Liver dysfunction and normal renal function: No adjustment recommended.

Liver dysfunction with renal dysfunction: Decrease the dose and/or prolong the dosing interval.

Signs/symptoms of hepatitis: Discontinue clarithromycin immediately

Other Comments

Administration advice:

-Patients should take each dose before meals.

-The pills should be swallowed whole.

Storage requirements: Protect from light and moisture.

General:

-Eradication of H pylori reduces the risk of duodenal ulcer recurrence.

-This drug may be used in patients with active or a one-year history of duodenal ulcer.

Monitoring:

-Hepatic: Hepatic function tests

-Hematologic: Hematopoietic function tests

-Renal: Renal function tests

Patient advice:

-Tell patients that it is important to complete the full regimen.

-Instruct patients to seek medical attention if signs/symptoms of hypersensitivity, Clostridium difficile-associated diarrhea, hypomagnesemia, or systemic cutaneous lupus erythematosus occur.

-Inform patients that this drug may cause drowsiness, dizziness, vertigo, and/or visual disturbances. They should avoid driving or operating machinery until the full effects of the drug are seen.

-Advise patients to speak to their healthcare provider if they become pregnant, intend to become pregnant, or are breastfeeding.

What is the dose of Amoxicil-Clarithromy-Lansopraz for a child?

The dosage has not been established in pediatric patients. It may be unsafe for your child. It is always important to fully understand the safety of the drug before using. Please consult with your doctor or pharmacist for more information.

How is Amoxicil-Clarithromy-Lansopraz available?

Amoxicil-Clarithromy-Lansopraz is available in the following dosage forms and strengths:

  • Oral kit.

What should I do in case of an emergency or overdose?

In case of an emergency or an overdose, call your local emergency services or go to your nearest emergency room.

What should I do if I miss a dose?

If you miss a dose of Amoxicil-Clarithromy-Lansopraz, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and take your regular dose as scheduled. Do not take a double dose.

 

Hello Health Group does not provide medical advice, diagnosis or treatment.

Sources

Review Date: August 17, 2018 | Last Modified: August 17, 2018

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