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Formulas

Lansoprazole 6 mg/ml Gastric Tube Liquid

The Lansoprazole 6 mg/ml Gastric Tube Liquid is a specially compounded medication intended for administration through a gastric tube. This formulation is designed to provide accurate dosing and safe delivery of lansoprazole, a proton pump inhibitor, for patients who are unable to swallow oral medications. It is particularly suitable for use in hospital settings or for individuals with swallowing difficulties.

This liquid formulation is indicated for the treatment of various acid-related gastrointestinal conditions. It is effective in managing gastroesophageal reflux disease (GERD), reducing the risk of gastric ulcers associated with continuous non-steroidal anti-inflammatory drug (NSAID) therapy, and treating conditions that cause excessive stomach acid production such as Zollinger-Ellison syndrome. Additionally, it is used in the eradication of Helicobacter pylori to decrease the risk of duodenal ulcer recurrence.

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Lansoprazole
G-Tube Liquid
65b08252ca9d75e670427ac2
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Formula Information

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Lansoprazole 6 mg/ml Gastric Tube Liquid is a specially compounded medication designed for ease of administration through a gastric tube, providing an essential solution for patients who are unable to swallow oral medications. This formulation is particularly beneficial in hospital settings or for home-based patients with conditions that impair their ability to swallow, such as neurological disorders, esophageal strictures, or severe gastroesophageal reflux disease (GERD) that requires direct gastric administration of medication.

Lansoprazole, the active ingredient in this formulation, is a proton pump inhibitor (PPI) that works by reducing the amount of acid produced in the stomach. By inhibiting the enzyme system known as the hydrogen/potassium ATPase in the gastric parietal cells, lansoprazole effectively decreases gastric acid secretion. This action makes it an effective treatment for various acid-related gastrointestinal conditions, including peptic ulcers, Zollinger-Ellison syndrome, and particularly GERD, where acid reduction is crucial for healing of erosive esophagitis and relief of symptoms.

The 6 mg/ml concentration allows for flexible dosing tailored to the specific needs of the patient, ensuring that the precise therapeutic dose is delivered directly to the stomach, bypassing the need for oral ingestion. This is especially important for maintaining consistent therapeutic levels of the medication in patients who may have erratic absorption or are at risk of aspiration. The liquid form is also advantageous for patients with enteral feeding tubes, as it can be easily integrated into their existing feeding regimen.

For prescribers considering this formulation, it is important to note that the efficacy and safety profile of lansoprazole as a PPI is well-established, with the liquid formulation providing an alternative route of administration without compromising the drug's therapeutic action. Prescribers should monitor the patient's response to therapy and adjust the dose as necessary. Additionally, as with all PPIs, the potential for long-term adverse effects such as vitamin B12 deficiency, hypomagnesemia, and increased risk of bone fractures should be considered, especially in patients on prolonged therapy.

Patients and caregivers should be instructed on the proper administration technique to ensure the medication is delivered safely and effectively through the gastric tube. It is also important to maintain the patency of the feeding tube and to be aware of potential drug interactions with other medications the patient may be taking. Regular monitoring and follow-up with the healthcare provider are essential to assess the effectiveness of the treatment and to make any necessary adjustments.

Bayview Pharmacy is committed to providing high-quality, patient-specific formulations to meet the unique needs of each patient. Our team of knowledgeable compounding pharmacists is available to answer any questions and provide support to both patients and prescribers. If you have any questions or require further information about the Lansoprazole 6 mg/ml Gastric Tube Liquid formulation, please do not hesitate to reach out to us.

Drug Interactions

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Lansoprazole is a proton pump inhibitor (PPI) that works by reducing the amount of acid produced in the stomach. It is used to treat conditions such as gastroesophageal reflux disease (GERD), ulcers, and other conditions involving excessive stomach acid production. When administered as a 6 mg/ml gastric tube liquid, it is particularly useful for patients who are unable to swallow oral medications. This formulation allows for direct delivery to the stomach, bypassing the need for oral ingestion.

When considering the use of lansoprazole gastric tube liquid, it is important to be aware of potential drug interactions that may affect the efficacy of the medication or the health of the patient. Lansoprazole can interact with certain drugs by altering their absorption, metabolism, or elimination. For example, lansoprazole may decrease the absorption of drugs that require an acidic environment for proper absorption, such as ketoconazole, itraconazole, and atazanavir. Therefore, co-administration of these drugs with lansoprazole may lead to decreased effectiveness of the affected medication.

Lansoprazole may also increase the risk of bleeding when taken with anticoagulants such as warfarin, as it can affect the metabolism of these drugs. Patients on warfarin should have their INR monitored closely when starting or stopping lansoprazole therapy. Additionally, lansoprazole can interact with clopidogrel, an antiplatelet drug. It may reduce the effectiveness of clopidogrel by inhibiting the enzyme that converts clopidogrel to its active form. Patients taking clopidogrel should consult their healthcare provider before starting lansoprazole.

Concomitant use of lansoprazole with methotrexate, especially at high doses, may increase serum levels of methotrexate and/or its metabolite, potentially leading to methotrexate toxicities. In such cases, a temporary withdrawal of lansoprazole may be considered by the healthcare provider. Additionally, lansoprazole may increase serum levels of digoxin, thereby necessitating monitoring of digoxin levels and possible dose adjustment.

It is also important to note that lansoprazole may interact with other PPIs, H2-receptor antagonists, and antacids. While these medications have similar mechanisms of action or therapeutic uses, their concurrent use with lansoprazole should be approached with caution to avoid excessive acid suppression.

Patients should be advised to inform their healthcare providers of all medications they are currently taking, including over-the-counter drugs, herbal supplements, and vitamins, to avoid potential drug interactions. Healthcare providers should review the patient's medication regimen to assess for possible interactions before prescribing lansoprazole gastric tube liquid.

If you have any questions or require further information regarding the drug interactions associated with lansoprazole gastric tube liquid, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is committed to ensuring the safe and effective use of medications for all our patients.

How Does it Work

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The Lansoprazole 6 mg/ml Gastric Tube Liquid is a specially compounded formulation designed to facilitate the administration of lansoprazole, a proton pump inhibitor (PPI), through a gastric tube. This liquid medication is particularly beneficial for patients who are unable to swallow oral medications due to various medical conditions, such as dysphagia, esophageal strictures, or neurological disorders that impair swallowing reflexes. The formulation is also commonly used in hospital settings where patients may be intubated or otherwise unable to take medications orally.

Lansoprazole works by inhibiting the H+/K+ ATPase enzyme system, commonly known as the gastric proton pump, in the parietal cells of the stomach lining. This enzyme is responsible for the secretion of hydrochloric acid (HCl) into the gastric lumen. By blocking this pump, lansoprazole effectively reduces the production of stomach acid. This decrease in stomach acidity can help in the treatment and management of gastroesophageal reflux disease (GERD), peptic ulcers, and other conditions associated with excessive stomach acid production such as Zollinger-Ellison syndrome.

In the case of GERD, the reduction of stomach acid prevents the backflow, or reflux, of acid into the esophagus, which can cause inflammation and damage to the esophageal lining. For peptic ulcers, lowering stomach acid allows the ulcer site to heal and reduces the risk of further ulceration. Additionally, by controlling stomach acid, lansoprazole can aid in the eradication of Helicobacter pylori, bacteria that can contribute to the development of ulcers and are often treated with a combination of antibiotics and acid-reducing medications like PPIs.

The liquid formulation ensures that the medication can be accurately measured and administered in a form that is easily delivered through a gastric tube, bypassing the need for swallowing. This is particularly important for maintaining consistent therapeutic levels of the medication, which is crucial for effective treatment. The 6 mg/ml concentration allows for flexibility in dosing, which can be adjusted according to the specific needs and conditions of the patient.

It is important for both patients and prescribers to understand that while this formulation provides a convenient and effective way to administer lansoprazole, monitoring for potential side effects and interactions with other medications is still necessary. As with all medications, adherence to prescribed dosing schedules and consultation with healthcare professionals regarding any concerns or changes in condition is essential for optimal treatment outcomes.

If you have any questions about the Lansoprazole 6 mg/ml Gastric Tube Liquid or its administration, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide support and guidance to ensure the safe and effective use of this medication.

Other Uses

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The Lansoprazole 6 mg/ml Gastric Tube Liquid formulation, while specifically designed for patients with difficulty swallowing or those who require medication via a gastric tube, may also have additional applications. Importantly, the liquid formulation provides an alternative for patients with gastroesophageal reflux disease (GERD), erosive esophagitis, Zollinger-Ellison syndrome, and other conditions causing excess stomach acid who may not be able to tolerate solid dosage forms. It can facilitate the administration of the medication in a controlled manner, which is particularly beneficial for those with strict dosing requirements, such as the elderly or in pediatric care, where swallowing tablets or capsules might be challenging.

In addition to its main indications, this liquid formulation can be useful for patients with certain gastrointestinal motility disorders where delayed gastric emptying could affect the absorption of orally administered medications. By using a gastric tube, the medication can be delivered directly to the site of action without relying on gastric motility. Furthermore, in a critical care setting, patients who are intubated or have compromised consciousness levels and require acid suppression therapy would benefit from this mode of administration.

It is worth noting that while this liquid formulation is advantageous in specific patient populations, it should be used with caution in individuals with certain conditions such as severe liver impairment or those known to have hypersensitivity to lansoprazole or other proton pump inhibitors. Careful consideration is recommended when prescribing this formulation to ensure it meets the particular needs of the patient. In all cases, the benefits and potential risks must be weighed, and monitoring for therapeutic effectiveness and side effects is advised.

For patients and prescribers considering this Lansoprazole liquid formulation for uses beyond its typical indications or administration routes, it is recommended to consult with a pharmacist or a healthcare professional with expertise in compound medications. Our team at Bayview Pharmacy is available to provide guidance on the appropriate use of this medication, potential off-label applications, and to address any concerns related to compounding and administration. Should you have any questions about the Lansoprazole 6 mg/ml Gastric Tube Liquid or its potential uses, please do not hesitate to reach out to us for personalized assistance.

Frequently Asked Questions

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What is Lansoprazole 6 mg/ml Gastric Tube Liquid?

Lansoprazole 6 mg/ml Gastric Tube Liquid is a specially formulated medication designed to be administered through a gastric tube. It provides a precise dose of Lansoprazole, which is a proton pump inhibitor that helps reduce the amount of acid produced in the stomach. This formulation is primarily used for patients who cannot take oral medications, either due to swallowing difficulties or other medical conditions.

How should this medication be administered?

This liquid formulation is intended for administration via a gastric tube. The exact dosage and instructions on how often to administer the medication should be provided by a healthcare professional, based on the individual needs of the patient.

Who typically uses Lansoprazole Gastric Tube Liquid?

This medication is commonly used in hospital settings or by patients at home with swallowing difficulties, such as those with neurological conditions, severe esophagitis, or patients who are on ventilators.

Can Lansoprazole Gastric Tube Liquid be taken orally?

No, this formulation of Lansoprazole is not intended for oral consumption. It is designed specifically for administration through a gastric tube to ensure accurate dosing and effectiveness.

What are the possible side effects of Lansoprazole Gastric Tube Liquid?

Side effects can include headache, diarrhea, constipation, abdominal pain, nausea, and in some cases, more severe reactions. It's important to monitor the patient and report any adverse reactions to a health professional as soon as possible.

How should this medication be stored?

Lansoprazole Gastric Tube Liquid should be stored in a cool, dry place away from direct sunlight. It should also be kept out of reach of children and pets. Always check the expiration date and consult with a pharmacist on proper disposal of expired or unused medication.

Is there any risk of drug interactions with Lansoprazole Gastric Tube Liquid?

Yes, Lansoprazole can interact with other medications, which could reduce its effectiveness or lead to adverse effects. Always inform your healthcare provider about any other medications you are taking, including over-the-counter drugs and dietary supplements.

Can Lansoprazole Gastric Tube Liquid be used for pediatric patients?

The use of Lansoprazole in pediatric patients should be closely supervised by a healthcare provider. The prescribing physician will determine its suitability and the appropriate dosage for each individual case.

What if a dose of Lansoprazole Gastric Tube Liquid is missed?

If a dose is missed, administer it as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and continue with the regular dosing schedule. Do not double up doses to make up for the missed one.

How is Lansoprazole Gastric Tube Liquid different from over-the-counter Lansoprazole?

Lansoprazole Gastric Tube Liquid is a prescription medication that is custom compounded for administration via a gastric tube at a specific dosage and concentration. Over-the-counter Lansoprazole is typically available in capsule or tablet form and is not suitable for patients who require tube feeding or have difficulty swallowing solid forms of medication.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.