To eliminate gastroesophageal reflux, adolescents over 12 years of age and adults are prescribed 40 mg of medication (1 tablet) once a day. Sometimes it is allowed to double the dosage (for a day to drink 2 tablets with a volume of 40 mg), especially if the use of other drugs does not bring the desired result.
The treatment of this disease often takes 1 month. If there is no result after this period, you can expect the problem to be fixed in the next 4 weeks.
People with a gastric ulcer or ulcer in the 12-colon area developing against the background of the presence of the Helicobacter pylori bacterium in the body are required to destroy the pathogenic microbe using combined treatment. Taking into account the sensitivity of bacteria, the following medicinal combinations can be prescribed for adults to kill Helicobacter pylori:
- 40 mg of a drug (1 tablet) + amoxyllicin at a rate of 1000 mg + clarithromycin at a rate of 500 mg; all medicines are taken twice a day;
- 40 mg of the drug (1 tablet) + metronidazole (400-500 mg) or tinidazole (500 mg) + clarithromycin (250-500 mg); all medicines should be consumed twice a day;
- 40 mg of Panocid 40 (1 tablet) + amoxyllicin (1000 mg) + metronidazole (400-500 mg) or tinidazole (500 mg); take each medicine twice a day.
If combined treatment is used to kill the H. Pylori microbe, a second dose of Panocid 40 should be consumed in the evening, before dinner (about 1 hour). The duration of the course is equal to the first week and can, if necessary, be extended for the same period, but its total duration should not exceed 2 weeks.
If, in the treatment of ulcers, subsequent therapy with pantoprazole is required, it is necessary to study the recommendations regarding the dosages proposed for the treatment of ulcerative duodenal pathologies, as well as the stomach.
In cases when combined therapy can not be used (for example, people who did not have Helicobacter pylori), it is required to take the medicine in a dosage of 1 tablet once a day (monotherapy of stomach pathologies of the duodenum or stomach). If necessary, this dose is doubled (2 tablets per day) - this method is usually used if the use of other drugs has not produced a result.
With prolonged treatment of gastrinoma and other diseases associated with an increase in secretory function, the initial daily dosage is equal to 2 tablets (80 mg). Further, this dose can be adjusted (reduced or increased), given the level of secreted stomach acid. Daily dosages of more than 80 mg should be divided into 2 uses. It is permissible for a while to increase the dose to a level of more than 160 mg, but the period of such treatment should be limited solely to the time interval required to adequately monitor the release of acid.
The duration of treatment of gastrinoma and other pathologies associated with hypersecretion does not have a clear timeline and is dependent on clinical results.
Persons suffering from functional liver disorder in severe form are prohibited from exceeding the daily dose limit of 20 mg.
Treatment of duodenal ulcers usually takes 0.5 months. If the period of 2 weeks for treatment is not enough, it is required to extend the course for another 2 weeks.
Elimination of gastroesophageal reflux, as well as gastric ulcers usually occurs within 1 month. If there is no required result in the specified period, the therapy is prolonged for another month.