Rockcid-40

INTRODUCTION

ROCKCID 40 contains Pantoprazole which is a proton-pump inhibitor. It is used to treat reflux esophagitis among adults and adolescents (12 years or above). Reflux esophagitis is a condition that causes inflammation of the esophagus along with sensation of movement of acid from stomach to esophagus (acid reflux). ROCKCID 40 can also be used to treat peptic ulcer (painful sores in the gut) and Zollinger-Ellison syndrome (tumors in pancreas causing the stomach to secrete more acid) among adult patients. It is also used in combination with antibiotics to treat Helicobacter pylori infection among adult patients who have peptic ulcer.

Pantoprazole is a proton-pump inhibitor which works by lowering the amount of stomach acid and helps ulcers to heal and prevents acid reflux symptoms such as heartburn, indigestion, and regurgitation.

Take ROCKCID 40 1 hour before a meal. It should be used with caution in pregnant and breast-feeding women only after the advice of your doctor. It is not recommended for use in children below 12 years of age. Before taking ROCKCID 40 inform your doctor about your past medical conditions such as osteoporosis, low magnesium levels in the blood. The side effects include headache, diarrhea, nausea, abdominal pain and dizziness.

USES OF ROCKCID 40

It is used:

• To treat reflux esophagitis among adults and adolescents (12 years or above)
• To treat peptic ulcer and Zollinger-Ellison syndrome among adult patients
• In combination with antibiotics to treat Helicobacter pylori infection among adult patients who have peptic ulcer

HOW ROCKCID 40 WORKS

ROCKCID 40 reduces peptic ulcer and other inflammatory stomach conditions, where pantoprazole acts by reducing the stomach acid secretion by directly inhibiting the proton pump (to H+/K+ ATPase) present in the stomach cells. Blockade of the proton pump can lead to prevention of acid secretion for up to 24 hours or longer, which helps in reducing further inflammation, and healing of ulcers and other lesions present in the stomach.

DIRECTIONS FOR USE

Take ROCKCID 40 1 hour before meals. Swallow this medicine as a whole and do not crush or chew the medicine. Do not stop taking ROCKCID 40 without the advice of your doctor.

SIDE EFFECTS OF ROCKCID 40

COMMON

• Stomach polyps (abnormal tissue growth on stomach lining)

UNCOMMON

• Headache
• Diarrhea
• Nausea, vomiting
• Bloating
• Flatulence (passing of gas)
• Dry mouth
• Stomach pain and discomfort
• Skin rash, itching
• Weakness
• Constipation
• Dizziness

RARE

• Loss of taste sensation
• Blurred vision
• Joint pain
• Muscle pain
• Weight changes
• High fever, raised body temperature
• Depression
• Breast enlargement in men (gynecomastia)
• Swelling of hands or legs (edema)

Stop taking ROCKCID 40 and contact your doctor immediately if you experience any of the following side effects:

• Severe allergic reactions (such as swelling of the face, lips, tongue, and/or throat which can lead to difficulty in breathing or swallowing)
• Severe skin reactions such as stevens johnson syndrome, erythema multiforme and lyell-syndrome (skin rash, itching, blistering of skin, peeling of skin from nose, eyes, mouth, or genital areas and sensitive to natural sunlight or artificial UV rays)
• Signs of liver damage such as yellowing of skin or white of the eyes, fever, and skin rash

HOW TO MANAGE SIDE EFFECTS

Nausea and vomiting:

While taking this medicine stick to simple meal plans and do not eat oily, fried, or spicy foods.

Headache:

Rest and drink plenty of fluids. Apply a cold, wet cloth, or ice pack to your forehead. Rest in a quiet, comfortable, dark room.

Diarrhea:

Drink plenty of fluids such as water, fruit juices or electrolytes to avoid dehydration in your body.

Constipation:

Take fiber rich foods in your diet such as fresh fruits, vegetables and whole grain cereals, and drink plenty of fluids. Exercise more regularly and stay active.

Bloating:

Try to increase your physical activity during daytime. Do not drink or limit the intake of carbonated drinks. Avoid eating foods which causes bloating such as beans, lentils, and others. Always eat smaller and frequent meals and chew your food properly while eating.

WARNING & PRECAUTIONS

PREGNANCY

ROCKCID 40 should be used with caution in pregnant women only if the potential benefit outweighs the potential harm to the fetus. Consult your doctor for advice.

BREASTFEEDING

ROCKCID 40 should be used with caution in breast-feeding women only after the advice of your doctor.

DRIVING AND USING MACHINES

Do not drive or operate any tools or machines if you experience dizziness or visual disturbances while taking ROCKCID 40.

ALCOHOL

Consumption of alcohol is not recommended during treatment with ROCKCID 40.

KIDNEY

ROCKCID 40 is not recommended for use in patients with kidney disease. Consult your doctor for advice.

LIVER

ROCKCID 40 is not recommended for use in patients with moderate or severe liver disease. Consult your doctor for advice.

ALLERGY

Do not take ROCKCID 40 if you are allergic to Pantoprazole.

LUNGS

It is not known how ROCKCID 40 would react in patients with respiratory diseases. Consult your doctor for advice before taking this medicine.

HEART DISEASE

It is not known how ROCKCID 40 would react in patients with heart disease. Consult your doctor for advice before taking.

OTHERS

Before taking ROCKCID 40, inform your doctor if you have:

• Vitamin B12 deficiency
• Osteoporosis

Use in pediatrics:

ROCKCID 40 is not recommended for use in children less than 12 years of age. Consult your doctor for advice.

Use in geriatrics:

ROCKCID 40 can be used in elderly patients (aged above 65 years) and no dose adjustment is necessary. Consult your doctor for advice.

INTERACTIONS

1. Drug-Drug interactions:

Before taking ROCKCID 40 inform to your doctor, if you are taking,

• Ketoconazole, itraconazole, and posaconazole (medicines used to treat fungal infections)
• Erlotinib (used to treat certain types of cancer)
• Atazanavir, rilpivirine (used to treat HIV infection)
• Warfarin, phenprocoumon (used to prevent blood clot formation)
• Methotrexate (used to treat rheumatoid arthritis, psoriasis, and cancer)
• Fluvoxamine (used to treat depression and other psychiatric diseases)
• Rifampicin (used to treat infections)
• St. john’s wort (used to treat depression)

Overdosage:

If you or anyone else accidentally take too much of ROCKCID 40, consult your doctor immediately. Do not double the dose in case of missed doses. Always follow your dose schedule to avoid taking overdosage of medicine.

SYNOPSIS

MORE INFORMATION

• Keep ROCKCID 40 out of reach of children
• Store at room temperature

FAQs ABOUT ROCKCID 40

Is ROCKCID 40 safe to use in pregnant women?

ROCKCID 40 should be used with caution in pregnant women only the advice of your doctor. Your doctor will determine the potential benefit of the drug depending upon the condition.

How long I should take ROCKCID 40?

You should take ROCKCID 40 as per the advice of your doctor. You may start to feel better within 2 to 3 days after taking this medicine. Your doctor will decide the duration of treatment with ROCKCID 40 depending upon condition. If your symptoms do not improve after completing the course of treatment (7-14 days) consult your doctor immediately.

Does ROCKCID 40 cause liver damage?

ROCKCID 40 can increase the risk of liver damage with minor elevation of liver enzymes. ROCKCID 40 is not recommended for use in patients with moderate or severe liver disease. Consult your doctor for advice. During treatment with this medicine your doctor may perform liver function tests to assess the risk.

When should I take ROCKCID 40?

ROCKCID 40 should be taken 1 hour before a meal, preferably in the morning. You may also be advised to take two times a day depending on severity of the ulcer.

What food should I avoid while taking ROCKCID 40?

While taking ROCKCID 40 avoid taking spicy, fried or oil rich foods and limit the intake of caffeine products such as coffee or tea and avoid drinking alcohol as it can worsen your stomach ulcer.