{"product_id":"ruling-capsules-20mg","title":"Ruling Capsules 20mg","description":"\u003cp\u003eRuling Capsules – Product Specification\u003cbr\u003e🔹 Requires Prescription:\u003cbr\u003eYes\u003cbr\u003e🔹 Generic Name:\u003cbr\u003eOmeprazole\u003cbr\u003e🔹 Used For:\u003cbr\u003e Treatment of Gastroesophageal Reflux Disease (GERD)\u003cbr\u003e🔹 How It Works:\u003cbr\u003eOmeprazole inhibits gastric acid secretion by irreversibly blocking the hydrogen\/potassium\u003cbr\u003eATPase enzyme (proton pump) in gastric parietal cells. This reduces both basal and stimulated\u003cbr\u003eacid secretion regardless of the stimulus.\u003cbr\u003e🔹 Dosage:\u003cbr\u003eOmeprazole (as prescribed by a healthcare professional)\u003cbr\u003e🔹 Side Effects:\u003cbr\u003e✅ Common:\u003cbr\u003e Headache\u003cbr\u003e Diarrhea, constipation, abdominal pain, nausea\/vomiting, flatulence\u003cbr\u003e✅ Uncommon:\u003cbr\u003e Dizziness, paraesthesia, somnolence, insomnia, vertigo\u003cbr\u003e Increased liver enzymes\u003cbr\u003e Rash, pruritis, urticaria\u003cbr\u003e Malaise\u003cbr\u003e✅ Rare:\u003cbr\u003e Reversible mental confusion, agitation, aggression, depression, hallucinations (mostly in\u003cbr\u003eseverely ill patients)\u003cbr\u003e Gynecomastia\u003cbr\u003e🔹 Drug Interactions:\u003cbr\u003eMay interact with:\u003cbr\u003e Ketoconazole, itraconazole\u003cbr\u003e Diazepam, citalopram, imipramine, clomipramine, phenytoin\u003cbr\u003e Atazanavir, Digoxin, Clopidogrel\u003cbr\u003e Posaconazole, erlotinib, Saquinavir, Tacrolimus\u003cbr\u003e Methotrexate, clarithromycin\u003cbr\u003e CYP2C19 and CYP3A4 substrates (e.g., rifampicin, St John's wort)\u003c\/p\u003e\n\u003cp\u003e🔹 Indications:\u003cbr\u003eOmeprazole is indicated for:\u003cbr\u003e Treatment of erosive reflux esophagitis\u003cbr\u003e Long-term management of healed esophagitis to prevent relapse\u003cbr\u003e Symptomatic treatment of GERD\u003cbr\u003e🔹 When Not to Use (Contraindications):\u003cbr\u003e Known hypersensitivity to omeprazole or substituted benzimidazoles\u003cbr\u003e Concomitant use with nelfinavir\u003cbr\u003e🔹 Precautions:\u003cbr\u003e May reduce vitamin B12 absorption due to reduced stomach acid, especially with longterm use or in patients with low B12 stores\u003cbr\u003e🔹 Warnings:\u003cbr\u003e Suspected gastric ulcers should be evaluated to rule out malignancy, as symptom relief\u003cbr\u003emay delay diagnosis\u003cbr\u003e Long-term or high-dose use (\u0026gt;1 year) may increase risk of fractures (hip, wrist, spine),\u003cbr\u003eespecially in elderly or at-risk patients\u003cbr\u003e Dose adjustment may be needed in patients with impaired liver function due to increased\u003cbr\u003ebioavailability and half-life\u003cbr\u003e🔹 Pregnancy Category:\u003cbr\u003eAlways consult your physician before use.\u003cbr\u003e🔹 Storage:\u003cbr\u003e✅ Store at room temperature, away from direct light and heat.\u003c\/p\u003e","brand":"The Wellness Hospital","offers":[{"title":"Default Title","offer_id":53294846247243,"sku":null,"price":190.0,"currency_code":"PKR","in_stock":false}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0954\/5711\/6491\/files\/JA1_7231.jpg?v=1756786216","url":"https:\/\/wellnesspharmacy.pk\/products\/ruling-capsules-20mg","provider":"The Wellness Hospital","version":"1.0","type":"link"}