Pen D Tablet

• If you are allergic to omeprazole, domperidone, any of the ingredients of the Pen 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 Pen 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 Pen 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.

• Pen 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 Pen D Tablet in a cool and dry place, protected from direct sunlight, moisture and heat.
• Keep it away from children and pets.

Overdose

Missed a Dose

How Does It Work?

• A pump called the proton pump in the stomach is responsible for the secretion of stomach acids. Omeprazole binds to this proton pump in stomach cells, thus blocking acid secretion.
• Domperidone increases the motility of the stomach and intestines so that acid does not reflux back into the food pipe.

Interactions with other medicines

• Some medicines can affect the way Pen D Tablet works, or this medicine itself can reduce the effectiveness of other medicines taken at the same time.
• Tell your doctor about all the medicines, supplements or herbals you are currently taking or might take to avoid any possible interaction.
• Especially if you are taking medicines to treat high blood pressure, heart failure, high/abnormal cholesterol levels, blood thinners, anti-infectives, anti-diabetics, anti-asthmatics, pain killers, immunomodulatory medicines or medicines for the brain-related disorder.