Gastrocid 20 mg. 14 capsules

What is Gastrocid and what it is used
Gastrocid contains the active substance omeprazole, which belongs to a group of medicines called "proton pump inhibitors". They work by reducing the amount of acid that your stomach produces.
Gastrocid use in adults for the short-term treatment of reflux symptoms (eg. Heartburn, returning acids, a chest pain) and for the prevention of gastroduodenal ulcer caused by nonsteroidal antiinflammatory drugs (NSAIDs) in patients in need of continuous treatment with them.
Reflux is a return of gastric acid from the stomach into the esophagus which may lead to inflammation, and the occurrence of pain. This may be the cause of your symptoms, such as painful burning sensation in the chest, reaching to the throat (heartburn) and a sour taste in the mouth (acid regurgitation).
You may need to take the capsules for 2-3 consecutive days to achieve improvement of symptoms.
Talk to your doctor if your condition does not improve or worsens after 14 daily administration.

2. What you need to know before taking Gastrocid
Do not take Gastrocid if:
you are allergic (hypersensitive) to omeprazole or any of the other ingredients of this medicine (listed in section. 6);
you are allergic to medicines containing other proton pump inhibitors (eg. pantoprazole, lansoprazole, rabeprazole, esomeprazole);
taking a medicine containing nelfinavir (for HIV / AIDS infection).
Warnings and Precautions
Talk to your doctor, pharmacist or nurse before taking Gastrotsid
Gastrotsid not take more than 14 days without consulting a doctor. Consult your doctor if you experience relief, or if you experience a worsening of symptoms. Gastrotsid may mask the symptoms of other diseases. Therefore, if any of the following events before you start taking Gastrotsid or while taking it, tell your doctor immediately:
You lose weight for no reason and have problems swallowing;
Do you have stomach pain or indigestion;
Begin to vomit food or blood;
In case of black stools (blood in the faeces);
If severe or persistent diarrhea (omeprazole may slightly increase the risk of infectious diarrhea);
In the past you had a stomach ulcer or gastrointestinal surgery;
You are treated continuously for 4 weeks or more in order to improve the symptoms of indigestion or heartburn;
Long time (4 weeks or more) suffer from indigestion or heartburn;
You have jaundice or severe liver disease;
You are aged over 55 and you are experiencing new symptoms or symptoms recently changed.
Other medicines and Gastrocid
Please tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. Gastrotsid may affect the way some medicines, other drugs may also have an effect on Gastrotsid.
Do not take Gastrotsid if you are taking a medicine containing nelfinavir (used to treat HIV / AIDS infection).
You should specifically tell your doctor or pharmacist if you are taking clopidogrel (used to prevent blood clots (thrombi)).

Tell your doctor or pharmacist if you are taking any of the following medications:
Ketoconazole, itraconazole or voriconazole (used to treat infections caused by fungi);
Digoxin (used to treat heart problems);
Diazepam (used to treat anxiety, relax muscles or in epilepsy);
Phenytoin (used in epilepsy). If you are taking phenytoin, your doctor will monitor you when you start and when you stop taking Gastrotsid;
If you are taking medications that are used to dilute your blood, such as warfarin and other vitamin K antagonists may be necessary for your doctor to monitor your condition when you start and stop taking Gastrocid
Rifampicin (used to treat tuberculosis);
Atazanavir (used to treat HIV infection);
Tacrolimus (for organ transplants);
St. John's wort (Hypericum perforatum) (used to treat mild depression);
Cilostazol (used to treat intermittent claudication (intermittent claudication));
Saquinavir (used to treat HIV infection);
Clopidogrel (used to prevent blood clots (thrombi)).
Gastrotsid with food and drink
The gastro-resistant capsules should be taken before meals (breakfast or dinner) or fasting.

Pregnancy and lactation
If you are pregnant or breast-feeding, you think you may be pregnant or planning to become pregnant, ask your doctor or pharmacist before taking this medicine. Your doctor will decide whether to accept Gastrotsid during this time.

Driving and using machines
Gastrotsid unlikely to affect your ability to drive or operate machinery. May cause dizziness and visual disturbances (see section 4). If you experience any of these symptoms, you should not drive or operate machinery.

Gastrotsid contains sucrose
If your doctor has told you that you have an intolerance to some sugars, contact your doctor before taking this medicine.

3. How to take Gastrocid
Always take this medicine exactly as described in this leaflet or as you have been told by your doctor. If you're not sure, ask your doctor, pharmacist or nurse.
The usual dose is one 20 mg capsule, or two capsules of 10 mg once a day for 14 days. Contact your doctor if your symptoms are not resolved after this period.
You may need to take the capsules for 2-3 consecutive days to achieve improvement of symptoms.

Adoption of this medicine
It is recommended that the capsules to be taken in the morning;
The capsules should be swallowed with a glass of liquid;
The capsules should be taken before meals or on an empty stomach;
The capsules should not be chewed or crushed.
What should you do if you have trouble swallowing the capsules
If you have trouble swallowing the capsules, they should be opened and the grains are mixed with a tablespoon of juice. The mixture should be taken immediately.

If you take more than you need Gastrocid
If you take a higher dose than prescribed, you should consult the advice of a doctor or pharmacist.

If you forget to take Gastrocid
If you forget to take a dose, take it as soon as you remember. However, if it is time for your next dose, skip not taken. Do not take a double dose to make up for a missed dose.

If you have any further questions on the use of this medicine, ask your doctor, pharmacist or nurse.

4. POSSIBLE SIDE EFFECTS
Like all medicines, this medicine can cause side effects, although not everybody gets them.

If you notice any of the following rare but serious side effects, stop taking Gastrotsid and immediately contact a doctor:
The sudden difficulty in breathing, swelling of lips, tongue and throat or body, rash, fainting or difficulties in swallowing (severe allergic reaction);
Redness of the skin with blisters or peeling. It may also occur with severe blisters and bleeding from the lips, eyes, mouth, nose and genitals. This could be "Stevens-Johnson" or "toxic epidermal necrolysis";
Yellowing of the skin, dark urine, and fatigue, which may be symptoms of liver problems.
The frequency of possible adverse reactions is shown in the table below:
Very common: Affects more than 1 in 10 patients;
Common: Affects 1 to 10 of 100 patients;
Uncommon: Affects 1 to 10 of 1000 patients;
Rare: Affects 1 to 10 in 10,000 patients;
Very rare: Affects less than 1 in 10,000 patients;
Not known: From the available data can not be estimated.
Other side effects include:
Common side effects:
headache;
Effects on your stomach or gut: diarrhea, stomach pain, constipation, gas;
Nausea or vomiting.
Uncommon side effects:
Swelling of feet and ankles;
Disturbed sleep (insomnia);
Dizziness, numbness, tingling feeling as "needles" drowsiness;
dizziness;
Changes in liver function blood tests;
Skin rash, urticaria (hives) and itchy;
A feeling of malaise and lack of energy;
Fracture of the hip, wrist or spine (Gastrotsid if taken in high doses or for prolonged periods of time).
Rare side effects
Blood problems such as a reduced number of white blood cells or platelets. This can cause weakness, bleeding or increase the risk of infections;
Allergic reactions, sometimes very severe, including swelling of the lips, tongue and throat, fever, difficulty breathing;
Low levels of sodium in the blood. This can cause weakness, vomiting and muscle cramps;
Feeling agitated, confused or depressed;
Changes in taste;
Vision problems, such as blurred vision;
Sudden onset of breathing difficulty or shortness of breath (bronchospasm);
Dry mouth;
Inflammation of the oral mucosa;
Infection called "thrush" which can affect the gut and is caused by fungi;
Liver problems, including jaundice, which is the cause of yellow skin, dark urine and fatigue;
Hair loss (alopecia);
Skin rash when exposed to the sun;
Joint pain (arthralgia) or muscle pains (myalgia);
Severe kidney problems (interstitial nephritis);
Increased sweating.
Very rare side effects
Changes in blood count including agranulocytosis (lack of white blood cells);
aggression;
Seeing, feeling or hearing things that are not there (hallucinations);
Severe liver problems leading to liver failure and inflammation of the brain;
Sudden onset of severe rash or blistering or peeling of the skin, which may be associated with fever and joint pains (Erythema multiforme, Stevens-Johnson, toxic epidermal necrolysis);
Muscle weakness;
Breast enlargement in men.
In very rare cases Gastrocid can affect the white blood cells and lead to immune deficiency. If you have an infection with symptoms such as fever with a serious deterioration of general condition, or fever with local infection symptoms such as pain in the neck, throat or mouth or difficulty urinating, you must consult your doctor as quickly as possible so that a lack of white blood cells (agranulocytosis) can be ruled out by a blood test. It is important to inform that currently taking this medicine.

Not known
If you are taking Gastrocid for more than three months is possible values of magnesium in your blood decrease. Symptoms of low levels of magnesium can be fatigue, involuntary muscle contractions, disorientation, convulsions, dizziness, increased heart rate. If you experience any of these symptoms, please inform your doctor immediately. Low values of magnesium can also lead to a decrease in the level of potassium or calcium in the blood. Your doctor may prescribe regular blood tests to monitor the values of magnesium in your blood.

Do not worry this list of possible side effects. You may not get any of them. If you get any side effects, talk to your doctor, pharmacist or nurse. This includes any side effects not listed in this leaflet.

5. How to store Gastrocid
Keep out of reach of children.
Do not use this medicine after the expiry date stated on the label, carton or blister. The expiry date refers to the last day of that month. Do not use Gastrotsid if you notice changes in the appearance of the capsules.

Packaging for capsules: Store below 30 ° C. Packages should be tightly closed to protect from moisture.
Blisters: Store below 25 ° C. Store in the original container to protect from moisture.
Do not dispose of medications in wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer use. These measures will help to protect the environment.

6. Contents of the pack and other information
What Gastrocid
The active substance is omeprazole. Each capsule contains 10 mg or 20 mg of omeprazole.
Excipients are: sugar spheres (consisting of corn starch, sucrose and water), methacrylic acid-ethyl acrylate copolymer (1: 1) dispersion, hypromellose, talc, mannitol, macrogol 6000, titanium dioxide (E171), polysorbate 80, disodium phosphate anhydrous; sodium lauryl sulphate.
Capsule shell: gelatin, water, titanium dioxide (E171), quinoline yellow (E 104)

Gastrocid looks like and contents of the pack
10 mg: opaque yellow capsule;
20 mg: opaque yellow capsules.
The capsule contains whitish (with ivory) to cream-white spherical micro.