Chempep D Strip Of 10 Tablets

• If you are allergic to omeprazole, domperidone, any of the ingredients of the Chempep D tablet.
• If you are taking an anti-HIV medicine called nelfinavir.
• If you have or ever had bleeding or obstruction in the stomach or intestine.
• If you have any liver disorder or impairment.
• If you have prolactin pituitary tumours (tumours of the pituitary gland).
• If you have any heart conditions such as heart failure, heart rhythm problems, electrolyte or salt imbalance.
• Medicines known to alter heart rhythm should not be taken along. If you are not sure which are these medicines ask your doctor.

• Dry mouth
• Headache
• Dizziness
• Stomach pain
• Diarrhoea
• Flatulence
• Nausea
• Vomiting

Other General Warnings

• You have problems with your liver or kidney.
• You are suffering from an HIV infection.
• You have a stomach tumour or cancer.
• You are taking medicines to treat an infection.
• You develop skin lesions after taking the Chempep D tablet.
• You have a history of fractures, osteoporosis or are taking any medicines.
• You have serious heart problems like heart failure, heart rhythm problems or electrolyte imbalance.
• You have been taking the Chempep D tablet for more than three months. Your doctor may perform regular tests for monitoring your blood magnesium levels.
• Taking this Tablet for more than a year may weaken bones, on prolonged treatment consult with your doctor regularly.
• You are on long term treatment with this medicine, then your doctor may start you on calcium or vitamin B12 supplements.

• Chempep D tablet should be taken as directed by your doctor. Swallow it as a whole with a glass of water. Do not cut, break or chew the medicine.
• It should preferably be taken in the morning before food. It would be best if you took it at a fixed time for optimal results. Do not consume it more than that prescribed by your doctor.

• Store the Chempep D tablet in a cool and dry place, protected from direct sunlight, moisture and heat.
• Keep it away from children and pets.

• Take Chempep D tablet before food, as both ingredients work better that way.
• Use it for no longer than your doctor advises, as the domperidone component is intended for short-term use.
• Report palpitations, an irregular or fast heartbeat, fainting or unexplained dizziness to your doctor immediately.
• Seek prompt medical advice for difficulty swallowing, unexplained weight loss, vomiting blood or black tarry stools.
• Eat smaller meals, avoid eating close to bedtime, and raise the head of your bed if night-time reflux is a problem.
• Cut down on alcohol, smoking, caffeine and spicy or fatty foods, as these all worsen reflux.
• Tell your doctor if you need this medicine long term, as prolonged acid suppression can affect magnesium and vitamin B12 levels.

Overdose

Missed a Dose

Interactions with other medicines

• Tell your doctor about all the medicines, supplements and herbal products you use before starting Chempep D tablet.
• Medicines that can affect the heart's rhythm, including some antibiotics such as erythromycin and clarithromycin, certain antifungals, some antipsychotics and some antimalarials, should not be combined with the domperidone component, as together they increase the risk of a dangerous heart rhythm.
• Ketoconazole, itraconazole, ritonavir and similar medicines raise the level of domperidone and must generally be avoided with it.
• The omeprazole component can reduce the effect of clopidogrel, a blood thinner used after heart problems, so tell your doctor if you take it.
• Omeprazole can reduce the absorption of medicines that need stomach acid, such as ketoconazole, itraconazole and some HIV medicines, and can increase the levels of others such as methotrexate, digoxin and warfarin.
• Long-term use of omeprazole can lower magnesium and vitamin B12 levels, which your doctor may check.

Interactions with food items