Heli Cure 14 tablets
Composition:
Each tablet contains:
Omeprazole — 20 mg.
Clarithromycin — 250 mg.
Tinidazole — 500 mg.
Excipients: mannitol, povidone, sodium croscarmellose, sodium lauryl sulfate, talc, magnesium stearate.
Product Description:
- Combined preparation for eradication therapy of Helicobacter pylori.
- Omeprazole — proton pump inhibitor, reduces gastric acid secretion by blocking H+/K+‑ATPase enzyme.
- Clarithromycin — macrolide antibiotic, inhibits protein synthesis in microbial cells, active against Helicobacter pylori.
- Tinidazole — antimicrobial agent, damages bacterial DNA, effective against anaerobes, protozoa, and Helicobacter pylori.
Indications for Use:
Eradication therapy of Helicobacter pylori in gastric and duodenal ulcer disease.
Method of Administration and Dosage:
Optimal dosing regimen determined by physician.
Typically taken twice daily (morning and evening) with meals.
Average treatment course: 2 weeks.
Contraindications:
- Hypersensitivity to omeprazole, clarithromycin, tinidazole, or macrolides.
- Concomitant use with cisapride, pimozide, astemizole, terfenadine, ethanol.
- Pregnancy and breastfeeding.
- Organic CNS diseases, porphyria.
- Bone marrow suppression.
- Pediatric use.
- Renal and/or hepatic insufficiency.
Precautions:
- Exclude malignancy before therapy, as treatment may mask symptoms.
- Use cautiously with drugs metabolized by the liver.
- Monitor prothrombin time if combined with warfarin or other anticoagulants.
- Avoid combination with terfenadine, cisapride, astemizole in patients with cardiac disease.
- Tinidazole may cause dark urine.
- Exercise caution when driving or operating machinery during therapy.
Adverse Reactions / Side Effects:
- Gastrointestinal: dysbiosis, diarrhea or constipation, nausea, vomiting, flatulence, abdominal pain, dry mouth, taste disturbance, metallic taste, reduced appetite, stomatitis, elevated liver enzymes, hepatic dysfunction, hepatitis, rarely pseudomembranous colitis.
- CNS: headache, dizziness, agitation, fatigue, drowsiness, insomnia, paresthesia, depression, hallucinations, seizures, psychosis, tinnitus.
- Musculoskeletal: muscle weakness, myalgia, arthralgia.
- Hematologic: leukopenia, neutropenia, thrombocytopenia, anemia.
- Skin: itching, rash, photosensitivity, erythema multiforme, alopecia.
- Allergic: urticaria, angioedema, bronchospasm, anaphylactic shock.
- Other: tachycardia, interstitial nephritis, vision disturbances, peripheral edema, sweating, fever, gynecomastia.
Pregnancy and Lactation:
Contraindicated.
Storage Conditions:
Store at temperatures not exceeding 30 °C.
Packaging:
Carton box containing 7 blisters of 2 tablets each, with leaflet.