Proton Dosage/Direction for Use

Proton 20 mg capsules are administered orally and must be swallowed whole with sufficient liquid, recommended to take in the morning with food or on an empty stomach.
If the patient has difficulty in swallowing the capsules, the patient can open the capsule and swallow the contents (granules) directly with water, taking care not to chew or crush the granules.
The dose must be established. Advise patients not to alter the dose or interrupt the treatment without consultation. If the patient feels that the medication is not having the desired effect, advise the patient to contact the doctor.
For Adults: To treat symptoms of GORD such as heartburn and acid regurgitation: For patients with food pipe (gullet) that has been slightly damaged, the recommended dose is 20 mg once a day for 4-8 weeks. A dose of 40 mg may be taken for a further 8 weeks.
The recommended dose once the gullet has healed is 10 mg* once a day.
If the gullet has not been damaged, the usual dose is 10 mg* once a day.
*Other preparation(s) should be used for dose below 20 mg.
To treat ulcers in the upper part of the intestine (duodenal ulcer): The recommended dose is 20 mg once a day for 2 weeks. The same dose may be taken for a further 2 weeks if the ulcers are not yet healed.
If the ulcers do not fully heal, the dose can be increased to 40 mg once a day for 4 weeks.
To treat ulcers in the stomach (gastric ulcer): The recommended dose is 20 mg once a day for 4 weeks. The same dose may be taken for a further 4 weeks if the ulcers are not yet healed.
If the ulcers do not fully heal, the dose can be increased to 40 mg once a day for 8 weeks.
To prevent the duodenal and stomach ulcers from coming back: The recommended dose is 10 mg or 20 mg once a day. The dose may be increased to 40 mg once a day.
To treat duodenal and stomach ulcers caused by NSAIDs (Non-Steroidal Anti-Inflammatory Drugs): The recommended dose is 20 mg once a day for 48 weeks.
To prevent duodenal and stomach ulcers if the patient is taking NSAIDs: The recommended dose is 20 mg once a day.
To treat ulcers caused by Helicobacter pylori infection and to stop them coming back: The recommended dose is 20 mg of Proton twice a day for one week.
Two antibiotics would be taken among amoxicillin, clarithromycin and metronidazole.
To treat too much acid in the stomach caused by a growth in the pancreas (Zollinger-Ellison syndrome): The recommended dose is 60 mg daily.
The dose would be adjusted depending on the patient's needs and how long the patient needs to take the medicine for would be decided.
Use in children and adolescents: To treat symptoms of Gastro-Oesophageal Reflux (GORD) such as heartburn and acid regurgitation: Children over 1 year of age and with a body weight of more than 10 kg may take Proton. The dose for children is based on the child's weight and the correct dose would be decided.
To treat ulcers caused by Helicobacter pylori infection and to stop them coming back: Children aged over 4 years may take Proton. The dose for children is based on the child's weight and the correct dose would be decided.
Two antibiotics would also be prescribed called amoxicillin and clarithromycin for the child.
Forgotten intake of Proton: If the patient forgets to take a dose, it should be taken as soon as the patient remembers. However, if it is almost time for the next dose, the missed dose should be skipped. A double dose should not be taken to make up for a forgotten dose.
Stopping intake of Proton: Advise patient not to stop taking Proton without first talking to the doctor or pharmacist.