4PH 40mg Tablet is used to treat conditions related to excessive stomach acid production, such as gastroesophageal reflux disease (GERD), peptic ulcer disease, and Zollinger-Ellison syndrome.

Introduction:
4PH 40mg Tablet can also be used to prevent stomach ulcers caused by certain medications such as nonsteroidal anti-inflammatory drugs (NSAIDs). Take the medicine as per your doctor's prescription. The dose will depend on what you are being treated for but it is usually the lowest dose for the shortest time that is needed to treat your condition. It is usually taken on an empty stomach preferably in the morning or at least 1 hour prior to meal. Continue taking the medicine even if your symptoms disappear until the doctor say it is okay to stop. If you are taking this medicine for a long time your doctor may carry out regular tests to check your levels of magnesium which can fall with this medicine.

Dosage Form:
Tablet

How to Use:
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. 4PH 40mg Tablet is to be taken empty stomach.

How it Works:
4PH 40mg Tablet is a proton pump inhibitor (PPI). It works by reducing the amount of acid in the stomach which helps in relief of acid related indigestion and heartburn.

Quick Tips:

• It is a well-tolerated medicine and provides relief for a long time.
• Avoid excessive intake of carbonated beverages/soft drinks
• Avoid citrus juices
• Avoid fried food
• Avoid caffeinated beverages like tea and coffee.
• Avoid alcohol and smoking.
• Avoid eating late at night or before bedtime.
• Inform your doctor if you get watery diarrhea
• Fever or stomach pain that does not go away.
• Long-term use of 4PH 40mg Tablet can cause weak bones and a deficiency of minerals such as magnesium. Take adequate dietary intake of calcium and magnesium or their supplements as prescribed by your doctor.

Interacting Drugs:

• Atazanavir
• Cilostazol
• Indinavir
• Nelfinavir

FAQs:

• What is the optimal timing for taking 4PH 40mg Tablets?
  Typically, 4PH 40mg Tablets are taken once a day, ideally in the morning. If you take them twice a day, one dose should be in the morning and the other in the evening. To ensure proper absorption, swallow the tablets whole, without chewing or crushing, at least 1 hour before meals with some water.


• Can I safely combine 4PH 40mg Tablets with domperidone?
  Yes, 4PH 40mg Tablets can be taken with domperidone without any reported harmful effects. In fact, a fixed-dose combination of these two medications is available. Domperidone enhances gut motility, while 4PH 40mg Tablets reduce stomach acid production, making this combination effective for treating reflux esophagitis associated with acidity, heartburn, intestinal, and stomach ulcers.


• Can I take antacids along with 4PH 40mg Tablets?
  Yes, you can take antacids alongside 4PH 40mg Tablets. To minimize potential interactions, take the antacids at least 2 hours before or after taking the 4PH 40mg Tablets.


• Can I use 4PH 40mg Tablets for an extended period?
  While 4PH 40mg Tablets are usually prescribed for short-term use, they may be used long-term in cases of peptic ulcer disease and Zollinger Ellison syndrome (ZES). Long-term use carries a higher risk of side effects; consult your doctor for guidance.


• What potential risks come with long-term use of 4PH 40mg Tablets?
  Prolonged use beyond three months may lead to low magnesium levels, causing symptoms like fatigue, confusion, dizziness, muscle twitches, or irregular heartbeat. Continued use for over a year increases the risk of bone fractures, stomach infections, and vitamin B12 deficiency. Vitamin B12 deficiency can cause anemia (fatigue, weakness, pale complexion), palpitations, shortness of breath, indigestion, loss of appetite, flatulence (gas), or nerve problems like numbness, tingling, or difficulty walking.


• Should I stop taking 4PH 40mg Tablets if my symptoms improve?
  If you've been using 4PH 40mg Tablets for a long time, suddenly stopping may cause your body to produce more acid, worsening your symptoms. Consult with your doctor about any dose changes or discontinuing the medication.


• Can 4PH 40mg Tablets lead to weight gain?
  Weight gain is reported in less than 1% of patients taking 4PH 40mg Tablets, but the exact cause is unknown. One possibility is increased food intake once symptoms like reflux are relieved. Maintaining a healthy diet and exercise routine can help prevent weight gain.


• Is 4PH 40mg Tablet considered safe to use?
  Yes, 4PH 40mg Tablets are generally safe for most users. It's essential to take them as directed by your doctor for optimal benefits.


• Can I take 4PH 40mg Tablets with ranitidine?
  Yes, 4PH 40mg Tablets can be taken alongside ranitidine without significant interactions. However, this combination should only be used under the guidance of a healthcare professional.


• Is it safe to consume alcohol while taking 4PH 40mg Tablets?
  No, consuming alcohol is not recommended with 4PH 40mg Tablets, as it can increase acid production and worsen symptoms.