ULCERAN Film-coated tablet Ref.[28255] Active ingredients: Famotidine

Source: Υπουργείο Υγείας (CY)  Revision Year: 2018  Publisher: MEDOCHEMIE LTD, 1-10 Constantinoupoleos street, 3011 Limassol, Cyprus

4.1. Therapeutic indications

Ulceran tablets are indicated for the treatment of the following conditions:

  • Benign gastric ulcer.
  • Duodenal ulcer and prevention of duodenal ulcer relapses.
  • Treatment of gastro-oesophageal reflux disease and prevention of relapse of symptoms and ulceration associated with gastro-oesophageal reflux disease.
  • Treatment of Zollinger-Ellison syndrome and other hypersecretory conditions.

4.2. Posology and method of administration

Method of administration

Ulceran tablets are for oral administration only. They should be swallowed whole with a little water.

Posology

Adults

Benign gastric ulcer: One 40mg tablet at night. Treatment should last four to eight weeks, unless endoscopy reveals complete healing earlier.

Duodenal ulcer: One 40mg tablet at night. Treatment should last four to eight weeks. Most patients experience healing within four weeks. If complete healing is not achieved at four weeks, a further four weeks of therapy is advised.

Prevention of recurrence of duodenal ulcer (maintenance therapy): One 20mg tablet at night.

Gastro-oesophageal reflux disease: One 20mg tablet twice a day, for six to twelve weeks. If associated with oesophageal erosion or ulceration, one 40mg tablet twice a day for six to twelve weeks.

Prevention of recurrence of gastro-oesophageal reflux disease (maintenance therapy): One 20mg tablet twice a day.

Zollinger-Ellison syndrome: Therapy-naive patients should be initiated on one 20mg tablet every six hours. The dosage should then be adjusted to the individual patient’s response. Daily doses of up to 800mg have been used without significant adverse effects or tachyphylaxis.

Patients transferring from another H2 antagonist may be initiated at a higher starting dose, dependent upon the severity of the syndrome and the dose of the previously used H2 antagonist.

Elderly

As previously recommended, but elderly patients are more likely to suffer from impaired renal function.

Impaired renal function

Famotidine is primarily excreted by the kidney, therefore caution should be observed in patients with impaired renal function. In those with severe renal impairment, creatinine clearance below 10ml/minute, dosage should be reduced to one 20mg tablet at night.

Paediatric population

Not recommended.

4.9. Overdose

There has not been any report of over dosage. The procedure in such case is to remove unabsorbed material from the gastro-intestinal tract, clinically monitor the patient and therapy should be symptomatic and supportive.

Patients suffering from Zollinger-Ellison syndrome have tolerated a dosage of 800 mg daily for more than a year without the development of significant adverse effects.

6.3. Shelf life

5 years.

6.4. Special precautions for storage

Store below 25°C in the original package, in order to protect from light.

6.5. Nature and contents of container

Polyvinylchloride-aluminium blisters with a patient information leaflet in a carton and securitainers are available.

20 mg: 20, 30, 100 packs are available and securitainers of 250 and 500 tablets are also available.

40 mg: 10, 50,100 packs are available and securitainers of 250 and 500 tablets are also available.

Not all pack sizes may be marketed.

6.6. Special precautions for disposal and other handling

None.

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