Description
What is DEXILANT (dexlansoprazole)?
Dexilant is an oral medication called a proton pump inhibitor (PPI), which reduces the amount of acid in your stomach. It is prescribed for the management of heartburn and other symptomscaused by gastroesophageal reflux disease (GERD).
This medication is effective in promoting the healing of erosive esophagitis, a condition characterized by damage to the esophagus due to the corrosive effects of stomach acid.
By reducing the production of stomach acid and neutralizing any excess acid present in the digestive tract, Dexilant helps to alleviate the discomfort and irritation associated with these conditions and promotes healing of the damaged tissue.
DEXILANT (dexlansoprazole) Indications and Uses
- Healing of Erosive Esophagitis Treatment
- DEXILANT is indicated for healing all grades of erosive esophagitis (EE) for up to 8 weeks.
- Maintenance of Healed Erosive Esophagitis
- Dexilant is indicated to maintain healing of EE and relief of heartburn for up to 6 months.
- Symptomatic Non-Erosive Gastroesophageal Reflux Disease
- Dexilant is indicated for the treatment of heartburn associated with symptomatic non-erosive GERDfor 4 weeks.
DEXILANT (dexlansoprazole) Dosing
- Healing of EE
- 60 mg once daily up to 8 weeks
- Maintenance of Healed EE and Relief of Heartburn
30 mg once daily (controlled studies did not extend beyond 6 months in adults and 16 weeks in patients 12 to 17 years of age)
- Symptomatic Non-Erosive GERD
- One 30 mg once dailyfor 4 weeks
Side Effects of DEXILANT (dexlansoprazole)
The most commonly reported side effects of Dexilantwere:
- Diarrhea
- Abdominal pain
- Nausea
- Upper respiratory tract infection
- Vomiting
- Flatulence
This is not a complete list of side effects of Dexilant. Consult your doctor if you experienced any uncommon side effects.
SERIOUS SIDE EFFECTS
If you develop any of the following, contact your doctor right away:
- Symptoms of low magnesium blood level (such as muscle spasms, irregular heartbeat, seizures)
- Signs of lupus (such as rash on nose and cheeks, new or worsening joint pain)
- Persistent diarrhea, abdominal or stomach pain/cramping, blood/mucus in your stool
ALLERGIC REACTIONS
Get immediate medical attention if you experience allergic reactions like:
- Hives
- Trouble breathing
- Swelling of your face, lips, tongue, or neck
DEXILANT (dexlansoprazole) Warnings and Precautions
- Gastric malignancy
Symptomatic response with Dexilant does not eliminate the presence of gastric malignancy. - Clostridium Difficile Associated Diarrhea
Dexilant may increase your risk of getting severe diarrhea, which may be caused by an infection (Clostridium difficile) in your intestines. Patients should use the lowest dose and shortest duration of PPI therapy appropriate for the condition being treated. - Bone fracture
People who take multiple daily doses of proton pump inhibitor medicines for a long period of time (a year or longer) may have an increased risk of fractures of the hip, wrist or spine. You should take Dexilant exactly as prescribed, at the lowest dose possible for your treatment and for the shortest time needed. - Hypomagnesemia (lower than normal amount of magnesium in the blood)
This has been reported rarely, in most cases after a year of PPI therapy. In most patients, treatment of hypomagnesemia required magnesium replacement and discontinuation of the medication. - Concomitant use with methotrexate
Use of a PPI with methotrexate (primarily at high dose) may elevate and prolong serum levels of methotrexate and/or its metabolite, possible leading to toxicities.
Inform your physician or pharmacist of any known allergies prior to initiating treatment with dexlansoprazole, including those to similar medications such as lansoprazole and omeprazole. Disclose any pre-existing medical conditions, specifically those related to the liver and lupus.
DEXILANT (dexlansoprazole) Form and Strengths
You can order Dexilant (dexlansoprazole) medication in the following forms and strengths:
- Dexilant delayed-released capsule:
- 30mg
- 60mg
- Dexlansoprazole modified-release capsule:
- 30mg
- 60mg
Frequently Asked Questions
How should I take Dexilant?
- Take Dexilant exactly as prescribed by your doctor
- Do not change your dose or stop taking Dexilant without consulting your doctor first
- Dexilant may be taken with or without food
- Dexilant capsules should be swallowed whole, not chewed; if you have trouble swallowing capsules whole, open the capsule and sprinkle the contents on a tablespoon of applesauce
Are there any drug interactions I should be aware of while taking Dexilant?
Dexilant has the potential to interact with the following drugs:
- Atazanavir
- Drugs with pH-dependent absorption (eg, digoxin, ketoconazole)
- Warfarin
- Tacrolimus
- Methotrexate
It is important to let your doctor know if you are taking any of these medications prior to starting Dexilant.
REFERENCE
https://www.accessdata.fda.gov/drugsatfda_docs/label/2012/022287s014lbl.pdf
https://www.drugs.com/mtm/dexilant.html
https://www.webmd.com/drugs/2/drug-153875/dexilant-oral/details