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Lansap(Lansoprazole, Amoxicillin Hydrate, Clarithromycin)
LANSAP 400
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Active ingredient:
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1. Takepron capsules 30: Lansoprazole
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2. Clarith tab. 200: Clarithromycin
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3. AMOLIN CAPSULES 250: Amoxicillin hydrate
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Dosage form:
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1. Takepron capsules 30: capsules with light orange cap and light yellow body, major diameter 15.8 mm, minor diameter 5.8 mm; 2. Clarith tab. 200: white tablets, φ8.6 mm, thickness 5.4 mm; 3. AMOLIN CAPSULES 250: capsules with white cap and white body, major diameter 18.8 mm, minor diameter 6.3 mm, thickness 5.4 mm
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Print on wrapping:
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(Face) ランサップ400 1日分（朝 夕）, (Back) ランサップ400の服用方法(Instructions on how to take LANSAP 400)
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Effects of this medicine
Takepron capsules 30 suppresses gastric acid secretion by inhibiting proton pump in the gastric mucosa, thereby enhancing the antibacterial effects of the antibiotics (Clarith tab. 200 and AMOLIN CAPSULES 250) which exert antibacterial actions against Helicobacter pylori.
Usually, used for control of Helicobacter pylori infection of the stomach in gastric ulcer, duodenal ulcer, gastric MALT lymphoma, or idiopathic thrombocytopenic purpura, or after endoscopic therapy for early-stage gastric carcinoma.
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Before using this medicine, be sure to tell your doctor and pharmacist
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If you ever experienced any allergic reaction (itch, rash etc.) to any medicine.
If you have infectious mononucleosis, renal disorder, cardiac disease, or liver disorder.
If you or your parent(s) or sibling(s) is predisposed to allergic reactions, such as bronchial asthma and rash.
If you are incapable of ingesting an adequate amount of diet.
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If you are pregnant or breastfeeding.
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If you are taking any other medicinal products. (Some medicines may interact to enhance or diminish medicinal effects. Beware of over-the-counter medicines and dietary supplements as well as other prescription medicines.)
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Dosing schedule (How to take this medicine)
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Your dosing schedule prescribed by your doctor is << to be written by a healthcare professional>>
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General dosage regimen: for adults, take 1 capsule of Takepron capsules 30 (30 mg of lansoprazole), 1 tablet of Clarith tab. 200 (200 mg [potency] of clarithromycin) and 3 capsules of AMOLIN CAPSULES 250 (750 mg [potency] of amoxicillin hydrate) at a time, twice a day for 7 days. The dosage of Clarith tab. 200 may be increased as required, up to a maximum of 2 tablets (400 mg [potency]) at a time, twice a day. This medicine is supplied in blister packs, each containing one morning and one evening (good for 1 day) doses (each dose: 1 capsule of Takepron capsules 30, 1 tablet of Clarith tab. 200 and 3 capsules of AMOLIN CAPSULES 250). Strictly follow the instructions of your doctor/pharmacist.
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If you miss a dose, take the missed dose as soon as possible. If there is less than 5 hours to the next dose, skip the missed dose and take the next dose at your regular time. DO NOT take double doses to make up for the missed dose.
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If you took too much of the medicine (more than ordered), check with your doctor/pharmacist.
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Do not stop taking the medicine without the instructions of your doctor.
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Precautions while taking this medicine
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Possible adverse reactions to this medicine
After your taking the medicine, gastrointestinal symptoms such as soft stool and diarrhea, taste abnormality, etc. may occur. If any of them occurs, follow the advice given below according to symptoms.
In case of soft stool, slight diarrhea, or taste abnormality:
Do not adjust or reduce the amount and/or frequency of dose at your discretion but continue following your regular dosing schedule until the last dose (i.e., for 7 days). If the symptoms get worse during continued medication, check with your doctor/pharmacist.
In case of diarrhea accompanied with fever and abdominal pain or diarrhea containing mucus or blood:
In such instance, stop taking the medicine at once and contact your doctor/pharmacist.
Common side effects reported besides the above are as follows. If any of them occurs, check with your doctor/pharmacist: enlarged feeling of abdomen, anemia, rash, itching, glossitis, headache, dizziness, constipation, dry mouth, sleepiness, fever, gynecomastia, nausea, vomiting, loss of appetite, discomfort in the stomach, abdominal pain, hallucination, disorientation (inability to be cognizant of time, location or name), disturbance of consciousness, deliria, mania, ear ringing, decreased hearing acuity, smell abnormality, oral erosion, tooth discoloration, tremor, numbness, palpitation, etc.
The symptoms described below are rarely seen as initial symptoms of the adverse reactions indicated in brackets. If any of these symptoms occur, stop taking this medicine and see your doctor immediately.
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ill feeling, sweating, breathlessness, rash, facial swelling, convulsion [shock, anaphylactic reaction]
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dullness, fever, shortness of breath, nasal bleeding/subcutaneous hemorrhage, red-brown urine [pancytopenia, agarnulocytosis, granulocytopenia, hemolytic anemia, decreased platelet count, anemia]
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yellowing of the skin or whites of the eyes, dullness, loss of appetite [liver dysfunction, jaundice, liver failure]
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fever, general malaise, eruptions on/reddening of the skin and eyes and eruptions/reddening in the mouth [toxic epidermal necrolysis, mucocutaneous-ocular syndrome]
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fever, dry cough, breathlessness [PIE syndrome, interstitial pneumonia]
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decreased urination output, swelling of face and hands/feet, fever [acute renal failure, serious renal disorder]
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abdominal pain, frequent diarrhea, blood in stool [serious colitis]
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chest pain, palpitation, chest discomfort [QT prolongation, ventricular tachycardia]
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lassitude, muscle pain, brown urine [rhabdomyolysis]
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convulsion [convulsion]
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purpura [allergic purpura]
The above symptoms do not describe all the adverse reactions to this medicine. Consult with your doctor or pharmacist if you notice any symptoms of concern other than those listed above.
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Storage conditions and other information
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Keep out of the reach of children. Store away from direct sunlight, heat and humidity.
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Discard the remainder. Do not store them.
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Takeda Chemical Industries, Ltd.Internal
Revised: 11/2010
The information on this sheet is based on approvals granted by the Japanese regulatory authority. Approval details may vary by country. Medicines have adverse reactions (risks) as well as efficacies (benefits). It is important to minimize adverse reactions and maximize efficacy. To obtain a better therapeutic response, patients should understand their medication and cooperate with the treatment. |
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