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Why it's used

Contral Capsule is used for the short-term treatment of ulcers in the upper part of the small intestine (duodenal ulcer). It is a prescription medicine. This medicine works by preventing the amount of acid production in the stomach by blocking the organic enzyme system. This medicine helps by reducing the level of acid in the stomach. Contral is also used for the short-term treatment of stomach ulcer. It is also used to treat heartburn and indigestion caused by GERD. Contral is also used for the short-term treatment of inflammation of the food pipe. Contral Capsule is also used for the long-term treatment of overproduction of gastric acid (Zollinger-Ellison syndrome). Contral is also used for the long-term treatment of cancer of the endocrine gland. Contral Capsule is also used for the long-term treatment of increase in the number of mast cells in the body (systemic mastocytosis).
Contral Capsule may also be taken in combination with other medicines to treat certain conditions as recommended by the doctor. Contral Capsule is used together with Clarithromycin, or Amoxicillin to treat ulcers in the upper part of the small intestine called as duodenal ulcers. Contral is also used with Clarithromycin, or Metronidazole to remove Helicobacter pylori bacteria which leads to stomach ulcers.
Proton Pump Inhibitors
Contral belongs to a class of medicines called Proton Pump Inhibitors. Proton-pump inhibitors (PPIs) are a group of medicines that significantly reduce stomach acid production. Excess acid production causes diseases related to the stomach and intestines. PPIs are used to treat such disorders.

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How to use

Read the directions on the product label, patient guide, or medicine guide provided by the medicine company or your pharmacist before starting to use Contral Capsule. If you have any questions related to this medicine, ask your doctor or pharmacist. Consume this medicine as recommended by your doctor.
Contral Capsule is consumed 1 hour before food. Swallow the Contral capsules whole. Do not chew or crush the capsules. Contral Capsule is consumed usually in the morning.

Typical Dosage

The typical dose of Contral is 20-40 mg once daily for 4-8 weeks. The usual dose for children is 5-20 mg once daily (for inflammation of the food pipe (erosive esophagitis) and acid reflux (gastroesophageal reflux disease). This medicine is typically used for a period of 8 weeks for ulcers in the upper part of the small intestine (duodenal ulcer), 8 weeks for stomach ulcers, and 4 weeks for digestive disorder in which stomach acid flows back into the food pipe (gastroesophageal reflux disease). It takes 1-2 hours for this medicine to start to work. This medicine is not known to be habit-forming.
This medicine should be used on an as-needed basis. Contral may be prescribed for the long-term treatment of conditions such as excessive production of stomach acid (Zollinger-Ellison Syndrome).
If using the delayed-release form of this medicine, do not crush or chew the medicine, unless indicated on the package. Crushing or chewing of the medicine can result in unpleasant taste resulting in patients not following the medicine schedule. Crushing or chewing can also release all of the medicine at once, resulting in a decrease of effectiveness and a possible increase in side-effects.
If using the liquid form of this medicine, measure the dose using the provided measuring cup, spoon, or dropper. Before pouring the medicine into the measuring device, you should check the measurement markings carefully. Then, pour the dose amount into the device. After use, clean and store the measuring device in a safe place for your next use. You should not use a tablespoon or teaspoon as the dose measuring devices since it can result in an incorrect dose. If indicated on the product package, shake the medicine before use.

Talk to Your Doctor

Talk to your doctor if you develop new symptoms. Tell your doctor if conditions like weight loss, problems while swallowing, stomach pain, indigestion, vomiting (food or blood), black stools, severe diarrhea, severe liver problems and skin reaction occurs. If you have issues with the health of your liver, a low dose is required for the maintenance of inflammation of the food pipe (erosive esophagitis). You should consult with your doctor before stopping the use of Contral.
Older patients may see an increase in the incidence of side-effects with this medicine. As a result, a lower dose may be recommended for older patients.

Use in Children

If you are giving Contral Capsule to a child, be sure to use a product that is meant for children. Before giving this medicine to a child, use the child's weight or age to find the right dose from the product package. You can also read the dosage section of this page to know the correct dose for your child. Else, consult with your doctor and follow their recommendation.

Lab Tests

Your doctor may request that specific lab tests be performed before you start using Contral Capsule. You may need to have Magnesium test. A low level of magnesium has been reported in patients on prolonged therapy of Contral with digoxin. So, in this case, careful monitoring of magnesium levels is required before taking this medicine. Before starting this medicine, your doctor would require you to undergo medical or laboratory tests (Magnesium) to monitor for side-effects. Once the administration of the medicine starts, your doctor should monitor you for these medical and laboratory tests to make sure that the side-effects of this medicine are not impacting your health.

Storage

You should store Contral Capsule Store Contral delayed-release capsules between 15°C and 30°C (59°F and 86°F). Store Contral delayed-release oral suspension at 25°C (77°F), permitted to 15–30°C (59–86°F), away from moisture, and away from light. Store the medicine away from the reach of children and pets.
Medicines may be prescribed for uses other than those listed in the medicine guide. Do not use Contral Capsule for conditions for which it was not prescribed. Do not give Contral Capsule to other people who might have the same conditions or symptoms that you have. Self-medication may harm them.

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How to take Contral

The dose and frequency of using Contral will depend on the following factors:
  • age of the patient
  • the weight of the patient
  • patient's health
  • the health of the patient's kidneys
  • medicines recommended by the doctor
  • any other medicines being used
  • herbal supplements being used
  • response to the medicine

Contral Dosage

Dosage for ulcers in the upper part of small intestine

Adult
  • Recommended: 20 mg once per day for 2 weeks
  • Maximum: 40 mg once a day for 4 weeks

Dosage for stomach ulcer

Adult
  • Recommended: 20 mg once a day for 4 weeks
  • Maximum: 40 mg once a day for 8 weeks

Dosage for acid reflux

Adult
  • Recommended: 20 mg once a day for 4-8 weeks
Children (age 1-16 years and weight between 5-10 kg (11-22 lbs))
  • Recommended: 5 mg/day
Children (age 1-16 years and weight between 10-20 kg (22-44 lbs))
  • Recommended: 10 mg/day
Children (age 1-16 years and weight more than 20 kg (44 lbs))
  • Recommended: 20 mg/day

Dosage for inflammation of the food pipe (erosive esophagitis)

Adult
  • Recommended: 20 mg/day
Children (age 1-16 years and weight between 5-10 kg (11-22 lbs))
  • Recommended: 5 mg/day
Children (age 1-16 years and weight between 10-20 kg (22 - 44 lbs))
  • Recommended: 10 mg/day
Children (age 1-16 years and weight more than 20 kg (44 lbs))
  • Recommended: 20 mg/day

Dosage for excessive production of stomach acid

Adult (dose adjustment should be followed as per the patient needs and continue for as long as clinically required.)
  • Recommended: 60 mg once per day
  • Maximum: 120 mg thrice a day

Dosage for helicobacter pylori bacterial infection

Adult (triple therapy with clarithromycin and amoxicillin)
  • Recommended: 20 mg Contral plus 500 mg clarithromycin plus 1000 mg amoxicillin twice a day for 10 days
Children (children over 4 years and weight between 15-30 kg (33-66 lbs))
  • Recommended: Contral 10 mg, amoxicillin 25 mg/kg of body weight and clarithromycin 7.5 mg/kg of body weight twice a day for one week
Children (children over 4 years and weight between 31-40 kg (68-88 lbs))
  • Recommended: Contral 20 mg, amoxicillin 750 mg and clarithromycin 7.5 mg/kg of body weight twice a day for one week
Children (children over 4 years and weight more than 40 kg)
  • Recommended: Contral 20 mg, amoxicillin 1000 mg, and clarithromycin 500 mg twice a day for one week

Dosage for helicobacter pylori bacterial infection

Adult (dual therapy with clarithromycin)
  • Recommended: 40 mg Contral once daily plus 500 mg clarithromycin thrice a day for 14 days

Dosage calculation for children

To calculate the dosage for children please use the weight based dose calculator to calculate the appropriate dosage as per the weight of your child.

Forms

Delayed-Release Capsule
Strength: 10 mg, 20 mg, 40 mg
Delayed-Release Oral Suspension
Strength: 2.5 mg, 10 mg
Delayed-Release Tablet
Strength: 20 mg

Missed Dose

Take the missed dose as soon as you remember. However, if the time for the next dose is almost there, then skip the missed dose and follow the regular dosing schedule. Avoid taking a repeated dose to make up for a missed one.

Overdose

What to do if you overdose on Contral?
No specific antidote for an overdose of Contral is available. The treatment depends on its symptoms.
Symptoms of an overdose of Contral
If you use too much of this medicine, it could lead to dangerous levels of the medicine in your body. In such cases, symptoms of an overdose may include:
If you think you have overdosed on Contral Capsule, call a poison control center immediately. You can look up the poison control center information from the Poison Center Finder at TabletWise.com.

Precautions while using Contral

Before you use Contral, tell your doctor of your medical and health history including the following:
The chances of severe side effects increase if the patient has these problems.
Before you use Contral Capsule, discuss with your doctor if you are allergic to it or its ingredients. Your doctor may prescribe an alternative medicine and update your medical records to record this information. Tell your doctor if you are allergic any of the following substances: proton pump inhibitors (example pantoprazole, rabeprazole, lansoprazole, esomeprazole).
The use of this medicine may change magnesium. Use of this medicine may lead to decreased magnesium level. So it is advised to monitor magnesium level when using the drugs that reduce stomach acid secretions (proton pump inhibitors).

Dizziness

Contral Capsule can make you feel sleepy. Be careful when using any machinery, driving a vehicle, or doing any other activity that needs you to be fully alert. The consumption of alcohol with Contral Capsule can worsen the sleepiness.

Use in Pregnancy

The use of Contral during pregnancy should only be when required.

Use while Breastfeeding

Consult with your doctor on the use of Contral Capsule during breastfeeding. Contral may pass into breast milk and can cause serious side effects to the baby.

Use while Conceiving

Consult with your doctor on the use of Contral, if you are trying to conceive. The effect of Contral on an unborn baby is not known.

Increased Risks

This medicine can increase your risk of getting infections or worsen existing infections. Hence you should reduce your chances of getting new infections. Wash your hands regularly. Avoid people who have infectious diseases. Avoid vaccination without discussing with your doctor first. Prevent any cuts, bruises or injuries. The drugs that reduce stomach acid secretions (proton pump inhibitors) increases the risk of stomach and intestines infections caused by bacteria.

Side-effects in Children

Contral may cause an increased risk of side-effects in children. Children using this medicine may see an increased risk of respiratory system problems, and fever.

Long-term Use

Use of Contral for a long time may lead to long-term inflammation of the stomach (atrophic gastritis) and increases the risk of bone disease (osteoporosis) related fractures of the spine, hip or wrist.

Contral Side-effects

The following side-effects may commonly occur when using Contral Capsule. If any of these side-effects worsen or last for a long time, you should consult with your doctor:
The following side-effects may commonly occur in older patients on the use of Contral Capsule. Discuss with your doctor if any of these side-effects last for a long time or are severe:
The following side-effects may commonly occur in children when using Contral Capsule. Discuss with your doctor if any of these side-effects last for a long time or are severe:
  • accidental injury
  • fever
  • respiratory diseases
Rarely, the use of Contral Capsule may cause the following side-effects:
The following severe side-effects may also occur when using Contral Capsule:
  • Liver diseases such as jaundice or liver failure
    Symptoms: yellowing of skin, dark colored urine tiredness
  • Low levels of sodium in the blood
    Symptoms: weakness, vomiting uncontrolled muscle movements
  • Low white blood cells
    Symptoms: fever, pain in the neck, throat or mouth difficulty in urinating
  • Severe kidney problem (interstitial nephritis)
  • Severe diarrhea
  • Severe skin allergic reactions such as Stevens-Johnson syndrome, or erythema multiforme
    Symptoms: skin rashes, the formation of bubble under the skin due to infection (blistering of skin), removal of the outer layer of skin (skin peeling), high fever joint pain
  • Blood disorders such as reduced number of white blood cells and platelets
    Symptoms: weakness, tear of blood vessels in the skin due to injury (bruising) more likely to get an infection
  • Low levels of magnesium in the blood
    Symptoms: fatigue, uncontrolled muscle contractions, mental confusion (disorientation), convulsions, dizziness increased heartbeat
    The blood tests should be performed to monitor the levels of magnesium in the patients.
  • Tightening of the smooth muscles of the lungs (bronchospasm)
    Symptoms: sudden wheezing shortness of breath
  • Inflammation of the brain
Your doctor has prescribed Contral Capsule because they judge that the benefit is greater than the risk posed by side-effects. Many people using this medicine do not have serious side-effects. This page does not list all possible side-effects of Contral Capsule.
If you experience side-effects or notice other side-effects not listed above, contact your doctor for medical advice. You may also report side-effects to your local food and drug administration authority. You can look up the drug authority contact information from the Drug Authority Finder at TabletWise.com.

Warnings

Use of Other Proton Pump Inhibitors

Such patients are at an increased risk when using this medicine. These patients may suffer from subacute cutaneous lupus erythematosus, the disease in which the body's immune system attacks the healthy skin cells. Avoid use of this medicine after consultation with the doctor.

Low Magnesium Levels in the Blood

These patients are at increased risk when using this medicine. Such patients may suffer from severe side effects like heart palpitation, seizures and uncontrolled contractions of the muscles. Careful monitoring of magnesium levels is required before initiating the treatment.

Use of Antidepressants and Antibacterial Drugs

Patients using antidepressants and antibacterial (rifampin) drugs are at an increased risk when using this medicine. In such patients, the levels of Contral is decreased. The patients should avoid using Contral with these medicines.

False Positive Results for Neuroendocrine Tumors

Such patients are at increased risk when using this medicine. Contral causes an increase in chromogranin A (CGA) protein levels in the blood that lead to false positive results for abnormal growth of the cells of the endocrine and nervous system (neuroendocrine tumors). It is advised to stop Contral treatment temporarily before examining CGA levels and in case if initial levels of CGA are high, then the test should be repeated.

Use of Methotrexate

These patients are at increased risk when using this medicine. The use of proton pump inhibitors with methotrexate may increase the level of methotrexate in the blood. Patients should temporarily stop the use of proton pump inhibitors during intake of the high dose of methotrexate.

Long-term Use of Contral

The long-term use of this medicine may lead to a decrease in the absorption of vitamin B12.

Stomach Cancer (Gastric Malignancy)

Treatment with Contral does not prevent the presence of stomach ulcers in these patients.

Severe Inflammation of the Stomach (Atrophic Gastritis)

Such patients are at increased risk of developing stomach cancer when using this medicine.

Bacterium Associated Diarrhea

Patients using this medicine are at increased risk of developing Clostridium difficile associated diarrhea. Low dose should be given to these patients for a shorter duration.

Bone Fractures

Patients using this medicine are at increased risk for developing weak bone-related fractures of the hip, wrist, or spine. Low dose should be given to these patients for a shorter duration.

Use of Clopidogrel (Antiplatelet Medicine)

These patients are at increased risk when using this medicine. Contral prevents the antiplatelet effect of clopidogrel. These patients should not take Contral and clopidogrel together.

Interactions with Contral

When two or more medicines are taken together, it can change how the medicines work and increase the risk of side-effects. In medical terms, this is called as a Drug Interaction.
This page does not contain all the possible interactions of Contral Capsule. Share a list of all medicines that you use with your doctor and pharmacist. Do not start, stop, or change the dose of any medicines without the approval of your doctor.

Drugs Metabolized in the Liver

Contral Capsule interacts with drugs that are metabolized in the liver (such as, diazepam, warfarin, cyclosporine, disulfiram, benzodiazepines, and phenytoin). Contral can extend the duration of the removal of these medicines from the body. Use of this medicine with warfarin may result in increased blood clotting time which may be possibly fatal. When using this medicine with warfarin, prothrombin time should be monitored.

Medicines Whose Absorption Depends on Stomach pH

There may be an interaction of Contral with medicines whose absorption depends on stomach pH (such as ketoconazole, iron salts, erlotinib, ampicillin esters, and digoxin). When using Contral with these medicines, it decreases the absorption of ketoconazole, ampicillin, iron salts, esters, and erlotinib. Contral increases the absorption of digoxin. Patients may need to monitor digoxin level in blood when taken in combination with Contral.

Antiretroviral Drugs

Contral Capsule may interact with antiretroviral drugs (atazanavir, saquinavir, and nelfinavir), which are used to treat viral infections like HIV/AIDS caused by a retrovirus. Proton pump inhibitors decrease the amount of atazanavir and nelfinavir in the body which may result in a reduced therapeutic effect of the antiretroviral medicines. Contral, when used in combination with saquinavir, increases the level of saquinavir in the blood which further leads to an increase in harmful effects. The use of proton pump inhibitors with atazanavir and nelfinavir is not recommended. While in the case of saquinavir, a lower dose of saquinavir is required.

Tacrolimus

Your doctor's guidelines may need to be followed while taking this medicine along with tacrolimus, which is used to treat a skin condition called eczema and lowers the risk during organ transmission from healthy donor to recipient. The use of Contral with tacrolimus results in an increase in the level of tacrolimus in blood. Careful monitoring of the functioning of kidneys and dose adjustment is required when both the drugs are used in combination.

Clopidogrel

Special instructions need to be followed while taking this medicine along with clopidogrel, which is a medicine used to prevent blood clotting. The use of Contral with clopidogrel may result in reduced levels of clopidogrel in the body. Avoid the use of Contral and clopidogrel in combination.

Rifampin

Your doctor's guidelines may need to be followed while taking this medicine along with rifampin, which is used to treat tuberculosis infection. Use of rifampin may lead to decrease in Contral level in the blood. The combined use of rifampin with this medicine should be avoided.

Cilostazol

Special instructions need to be followed while taking this medicine along with cilostazol, which is used to prevent blood clotting. When both the drugs are used in combination, the levels of cilostazol get increased. A dose reduction of cilostazol is required from 100 mg twice daily to 50 mg twice daily.

Voriconazole

Contral Capsule interacts with voriconazole, which is used to treat fungal infections. When using this medicine with voriconazole, it may results in increased levels of Contral in the blood by decreasing its rate of metabolism. Dose adjustment is required in patients with Zollinger-Ellison syndrome.

St. John’s Wort

There may be an interaction of Contral with St. John’s Wort, a plant which is used to treat depression. St John’s Wort decreases the amount of Contral in enzyme (CYP2C19) metabolizers. Avoid the combined use of St. John’s Wort with this medicine.

Methotrexate

Contral Capsule may interact with methotrexate, which is used to treat cancer. The use of proton pump inhibitors with methotrexate may increase the level of methotrexate in blood. When a high dose of methotrexate is used, a temporary withdrawal of Contral is needed.

Antifungals

Contral Capsule may interact with antifungals (posaconazole and itraconazole), which are used to treat fungal infections. The absorption rate and clinical effectiveness of these drugs are reduced when used in combination with Contral. The combined use of posaconazole with this medicine should be avoided.

Traveling With Medication

  • Ensure that you carry enough doses of each of your prescription medicines to last the entire trip. The best place to store your medicines is in the carry on baggage. However, while flying, if carrying liquid medicines, make sure you do not go over the limits imposed for carry-on liquids.
  • While traveling overseas, make sure that you can carry each of your prescription medicines legally to your destination country. One way to ensure this is by checking with your destination country's embassy or website.
  • Make sure that you carry each of your medicines in their original packaging, which should typically include your name and address, and the details of the prescribing doctor.
  • If your travel involves crossing time zones, and you are required to take your medicine as per a fixed schedule, make sure that you adjust for the change in time.

Expired Medication

Taking a single dose of expired Contral is unlikely to cause a side-effect. However, please discuss with your doctor or pharmacist, if you feel unwell or sick. An expired medicine may become ineffective in treating your prescribed conditions. To be on the safe side, it is important not to use an expired drug. You are much safer by always keeping a fresh supply of unexpired medicines.

Safe Disposal of Medication

  • If there are disposal instructions on the package, please follow the instructions.
  • If there are medicine take-back programs in your country, you should contact the respective authority to arrange for the disposal of the medicine. For example, in the USA, the Drug Enforcement Administration regularly hosts National Prescription Drug Take-Back events.
  • If there are no take-back programs, mix the medicine with dirt and place them in a sealed plastic bag. Throw the plastic bag in your household trash. Separately, remove all personal information including the prescription label from the medicine packaging and then dispose off the container.
  • If specifically indicated on the medicine package that it needs to be flushed down the toilet when no longer needed, perform the required step.

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