Medicine for Diseases of Digestive Tract အစာလမ္း ေလနာေရာဂါေဆးမ်ား
• Duodenal ulcer အစာလမ္း အူသိမ္၏အစပိုင္းရွိ ေလနာေရာဂါ၊ =
Bismuth Salts 530 mg QID; Cimetidine (HCl) 400 mg BD Oral; Famotidine 20-40 mg
Oral; Lansoprazole 15-30 mg Daily Oral; Nizatidine 150 mg OD or BD; Omeprazole
20-40 mg Daily Oral; Pirenzepine (di HCl) 0.238-0.714 mg/kg TDS; Propantheline
(Br) 15 mg TDS; Ranitidine 150 mg TDS Oral/IV/IM
• Esophagitis, Heartburn, Gastroesophageal Reflux အစာလမ္း
အစာၿမိဳျပြန္ေရာင္ျခင္း၊ ရင္ပတ္ပူျခင္း။ အစာေျခရည္အထက္ တက္ျခင္း။ = Mild cases =
Antacids, Cemetidine 200-400 mg, Ranitidine and Nizatidine 75-150 mg,
Famotidine 10-20 mg; Moderate cases = Ranitidine and Nizatidine 150 mg,
Famotidine 20 mg or Cemetidine 400-800 mg BD; Omeprazole or Rabeprazole 20 mg,
Lansoprazole 40 mg OD; Severe cases = Omeprazole or Rabeprazole 20 mg,
Lansoprazole 30 mg OD, Pantoprazole or Esomeprazole 40 mg OD or BD
• Stress Gastritis အစာလမ္း-အစာအိမ္ေရာင္ျခင္း၊ စိတ္-အလုပ္ ရႈပ္၍
ေရာင္ျခင္း၊ = Cimetidine 900-1200 mg, Ranitidine 150 mg or Famotidine 20 mg
infusion
• Active ulcers and NSAID Gastric/Duodenal Ulcers အကိုက္ေပ်ာက္ေဆးမ်ားေၾကာင့္
ျဖစ္ေသာ အစာအိမ္ေလနာ၊ ရုတ္တရက္ ျဖစ္သည့္ ေလနာ၊ = (1) Omeprazole 20 mg or
Rabeparzole 20 mg, Lansoprazole 15-30 mg, Pantoprazole 40 mg 30 minutes before
meals BD; Clarithromycin 500 mg BD
Amoxacillin 1 Gm BD or Metronidazole 500 mg BD (2)
Omeprazole 20 mg, Rabeparzole 20 mg, Lansoprazole 30 mg, Pantoprazole 40 mg 30
minutes before meals; Bismuth subsalicylate 2 QID (3) Trtracycline 500 mg
QID/Metronidazole 250 mg QID; Ranidine Bismuth citrate 400 mg BD; Claithromycin
500 mg BD (4) Amoxacillin 1 Gm/Tretracycline 500 mg/Metronidazole 500 mg BD;
After 10-14 days course of above; Omeprazole 20 mg or Rabeparzole 20 mg,
Lansoprazole 15-30 mg, Pantoprazole 40 mg 30 minutes before meals OD (or)
Ranitidine and Nizatidine 300 mg, Famotidine 40 mg and Cimetidine 800 mg HS x
4-8 weeks
ေဒါက္တာတင့္ေဆြ
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