Amalzol-IT Capsule SR: Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Swelling of the face, lips, tongue, or throat, or difficulty breathing
- Severe, watery diarrhea that does not improve, especially with fever or abdominal cramps
- Blood in vomit or black, tarry stools
- Yellowing of the skin or eyes, dark urine, or severe abdominal pain
- Unusual muscle stiffness, tremors, or abnormal body movements
- Decreased urine output or swelling in the legs
- Chest pain, palpitations, or irregular heartbeat
- Severe headache with visual changes
If experiencing severe symptoms, call emergency services immediately.
What is captiva it 40mg/150mg capsule sr used for?
This medicine is a prescription capsule containing Pantoprazole 40 mg and Itopride 150 mg. It is used to treat acid reflux, gastritis, and functional dyspepsia, especially when symptoms of slow stomach emptying such as bloating and early fullness are present. It works by reducing stomach acid and improving stomach movement. It should be taken once daily before a meal, exactly as prescribed by a doctor.
- Generic Name: Pantoprazole + Itopride
- Manufacturer: Ridhima Biocare
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 captiva it 40mg/150mg capsule sr के बारे में (Hindi Summary)
उपयोग: यह दवा पैंटोप्राज़ोल 40 मिलीग्राम और आइटोप्राइड 150 मिलीग्राम का संयोजन है। यह एसिड रिफ्लक्स, गैस्ट्रिटिस और अपच जैसी समस्याओं के इलाज में इस्तेमाल की जाती है, खासकर जब पेट भरा-भरा लगे, जल्दी पेट भर जाए या खट्टी डकार आए। यह पेट में एसिड बनने को कम करती है और पेट की गति को सुधारती है, जिससे खाना जल्दी आगे बढ़ता है और आराम मिलता है। यह दवा डॉक्टर के पर्चे के बिना नहीं लेनी चाहिए और खाने से पहले लेनी चाहिए।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में सिरदर्द, जी मिचलाना, दस्त, पेट दर्द, कब्ज, मुँह सूखना और चक्कर आना शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ दिनों में ठीक हो जाते हैं। कभी-कभी गंभीर एलर्जी, लंबे समय तक उपयोग से मैग्नीशियम और विटामिन बी12 की कमी, हड्डियों के फ्रैक्चर का खतरा, और आइटोप्राइड से मांसपेशियों में अकड़न या असामान्य हरकतें हो सकती हैं। अगर ऐसे लक्षण दिखें तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें, आमतौर पर दिन में एक बार खाने से पहले। कैप्सूल को पानी के साथ पूरा निगलें, चबाएं या तोड़ें नहीं। शराब न पिएं क्योंकि इससे पेट में जलन और चक्कर बढ़ सकते हैं। अगर आप गर्भवती हैं, स्तनपान करा रही हैं या गर्भधारण की योजना बना रही हैं तो डॉक्टर को बताएं। अपनी सभी दवाओं की जानकारी डॉक्टर को दें, खासकर खून पतला करने वाली दवाएं, एंटीफंगल और पार्किंसन की दवाएं। चक्कर या नींद आने पर वाहन न चलाएं। नियमित जांच के लिए डॉक्टर के पास जाते रहें।
💊 captiva it 40mg/150mg capsule sr Uses & Benefits
[{"condition":"Gastroesophageal reflux disease with delayed gastric emptying","description":"This medicine reduces stomach acid and improves stomach movement, which helps relieve heartburn, regurgitation, and bloating associated with reflux.","evidence":"Well-established for the individual ingredients; combination use is common in clinical practice."},{"condition":"Functional dyspepsia","description":"It helps relieve upper abdominal discomfort, early fullness, and bloating by reducing acid and improving gastric motility.","evidence":"Moderate evidence for the combination in functional dyspepsia."},{"condition":"Gastritis with dyspeptic symptoms","description":"Pantoprazole reduces acid irritation of the stomach lining while Itopride helps clear the stomach and reduce nausea and fullness.","evidence":"Commonly used in clinical practice; evidence is supportive but not definitive."},{"condition":"Acid-related disorders with symptoms of slow stomach emptying","description":"This medicine is prescribed when acid suppression alone is not enough and symptoms such as post-meal heaviness, nausea, and bloating are prominent.","evidence":"Limited to moderate evidence for the combination."}]
Off-label uses: [{"condition":"Diabetic gastroparesis","description":"Sometimes prescribed off-label to improve stomach emptying and reduce nausea in people with diabetes-related slow stomach emptying.","evidence":"Limited"},{"condition":"Refractory nausea and vomiting","description":"Occasionally used off-label when nausea is thought to be related to slow stomach emptying, but this is not a standard approved use.","evidence":"Limited"}]
Primary treatment for: Gastroesophageal reflux disease with delayed gastric emptying
Also treats: Functional dyspepsia, Gastritis with dyspeptic symptoms, Acid-related disorders with slow stomach emptying
📋 Drug Information
| Generic Name(s) | Pantoprazole + Itopride |
| Brand Name | Amalzol-IT Capsule SR |
| Manufacturer | Ridhima Biocare |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | GASTRO INTESTINAL |
| Action Class | Proton Pump Inhibitor + Prokinetic Agent |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C in a dry place. Keep the capsules in their original container, tightly closed, and protect them from direct sunlight and moisture. Do not refrigerate unless specifically instructed. |
| Shelf Life | The shelf life of this medicine is typically 24 months from the date of manufacture. Always check the expiry date on the pack before use. Do not use the medicine after the expiry date. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine combines two active ingredients with complementary actions. Pantoprazole is a proton pump inhibitor that irreversibly blocks the hydrogen-potassium ATPase enzyme in the parietal cells of the stomach, which is the final step in acid production. This leads to a strong and long-lasting reduction in both basal and stimulated gastric acid secretion. Itopride is a prokinetic agent that blocks dopamine D2 receptors and inhibits acetylcholinesterase, which increases acetylcholine levels in the gut. This enhances gastric motility, speeds up stomach emptying, and improves coordination between the stomach and the small intestine. Together, these actions reduce acid exposure and improve the movement of food through the upper digestive tract, which helps relieve symptoms such as heartburn, bloating, nausea, and early fullness.
Mechanism Steps
💡 How to Take captiva it 40mg/150mg capsule sr
Strength: Capsule containing Pantoprazole 40 mg and Itopride 150 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one capsule taken once daily before a meal, preferably in the morning. The exact dose and duration depend on the condition being treated, the severity of symptoms, and your response to therapy. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-adjust the dose. If you have liver or kidney problems, your doctor may adjust the dose or recommend a different medicine. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Older adults may be more sensitive to the side effects of this medicine, especially dizziness, drowsiness, and movement-related effects from Itopride. The dose may need to be adjusted based on kidney and liver function. Elderly patients should be monitored closely for falls, confusion, and heart rhythm changes. Dose must be individualized by a qualified clinician. |
| Renal Impairment | The safety and dosing of this medicine in patients with kidney disease are not fully established from the available information. Itopride is excreted by the kidneys, so dose adjustment may be needed in moderate to severe kidney impairment. Consult your doctor for individualized dosing. |
| Hepatic Impairment | This medicine should be used with caution in patients with liver disease. Pantoprazole and Itopride are both metabolized in the liver, and severe liver disease may require dose reduction or avoidance of this combination. Dose must be individualized by a qualified clinician based on liver function tests. |
| Maximum Daily Dose | The maximum recommended daily dose of this medicine is one capsule containing Pantoprazole 40 mg and Itopride 150 mg. Do not exceed this dose unless specifically instructed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of captiva it 40mg/150mg capsule sr
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Atazanavir | Major | |
| Ketoconazole | Major | |
| Methotrexate | Major | |
| Levodopa | Major | |
| Clopidogrel | Moderate | |
| Digoxin | Moderate | |
| Anticholinergics | Moderate | |
| Fluconazole | Moderate | |
| Iron supplements | Minor |
🚨 Major Interactions
- Warfarin
- Atazanavir, Nelfinavir, and other HIV protease inhibitors
- Ketoconazole, Itraconazole, and other azole antifungals
- Methotrexate
- Levodopa and other dopamine agonists
⚡ Moderate Interactions
- Clopidogrel
- Digoxin
- Anticholinergic drugs (e.g., Atropine, Oxybutynin)
- Calcium carbonate and other antacids
- Fluconazole
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine. Alcohol increases stomach acid production and can irritate the stomach lining, which works against the acid-suppressing effect of Pantoprazole. It can also worsen dizziness, drowsiness, and nausea caused by Itopride. If you drink alcohol regularly, discuss this with your doctor before starting this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy or hypersensitivity to Pantoprazole, Itopride, or any component of this medicine","Parkinson's disease or other conditions with dopamine-related movement disorders","Gastrointestinal obstruction, perforation, or bleeding","Severe liver disease","Concurrent use with Levodopa or other dopamine agonists","Children and adolescents below 18 years of age"]
⚠️ Warnings & Precautions
["Do not use this medicine for immediate relief of acute heartburn; it is not a fast-acting antacid.","Long-term use of Pantoprazole may increase the risk of bone fractures, low magnesium, and vitamin B12 deficiency.","Itopride may cause drowsiness or dizziness; avoid driving or operating machinery until you know how it affects you.","Tell your doctor if you have Parkinson's disease, liver disease, kidney disease, or heart disease before taking this medicine.","Do not stop or change the dose without consulting your doctor, especially if you have been on long-term therapy.","This medicine may mask symptoms of stomach cancer; your doctor may investigate if symptoms do not improve.","Avoid alcohol and limit caffeine while taking this medicine."]
🤱 Lactation Safety
It is not known whether Pantoprazole and Itopride pass into breast milk in amounts that could affect a nursing infant. The safety of this combination during breastfeeding is not established from the available information. Consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
Overdose with this medicine is not well established from the available information. If you suspect an overdose, seek immediate medical attention or contact a poison control center. Treatment is supportive and based on the symptoms that develop. Do not try to induce vomiting unless instructed by a healthcare professional.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember if it is still close to the scheduled time. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.
Additional Safety Advice
Take this medicine exactly as your doctor prescribes, usually once daily before a meal. Swallow the capsule whole with a glass of water; do not crush, chew, or open it. Do not take more than the prescribed dose, and do not use it for longer than your doctor advises without a review. Avoid alcohol while taking this medicine because it can worsen stomach irritation and may increase dizziness. Tell your doctor if you are pregnant, planning to become pregnant, or breastfeeding, because the safety of this combination in these situations is not fully established. Inform your doctor about all other medicines you take, especially blood thinners, antifungals, HIV medicines, and drugs for Parkinson's disease, as interactions can occur. Do not drive or operate heavy machinery if you feel dizzy or sleepy after taking this medicine. Keep all follow-up appointments so your doctor can monitor your symptoms and adjust treatment if needed.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Older adults may be more sensitive to the side effects of this medicine, especially dizziness, drowsiness, and movement-related effects from Itopride. The risk of bone fractures, low magnesium, and vitamin B12 deficiency increases with long-term use. Elderly patients should be monitored closely for falls, confusion, and heart rhythm changes. Dose adjustment may be needed based on kidney and liver function.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, discuss this medicine with your doctor before conception. The safety of this combination in pregnancy is not fully established. Your doctor may consider alternative treatments that are better studied in pregnancy.
🏥 Post-Surgery Considerations
If you have recently had surgery, especially stomach or intestinal surgery, inform your surgeon and anesthesiologist about this medicine. Itopride may affect gut motility and could interact with other medicines used during surgery. Do not restart this medicine after surgery without your doctor's advice.
🦷 Dental Procedures
Inform your dentist about this medicine before any dental procedure. There is no direct interaction with dental anesthetics, but if you have a history of acid reflux, lying flat during dental work may worsen symptoms. Take your medicine as usual unless your doctor advises otherwise.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Moderate exercise is generally safe while taking this medicine. However, avoid vigorous exercise immediately after meals, as it can worsen reflux and bloating. If you feel dizzy or drowsy, avoid activities that require balance or coordination. Consult your doctor before starting any new exercise routine.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or drowsiness in some people, which can affect driving or operating heavy machinery. Avoid these activities until you know how the medicine affects you. Most people can continue their normal work routine, but if your job involves shift work or irregular meals, discuss with your doctor about the best timing for your dose.
🛑 When to Stop This Medicine
Do not stop this medicine without consulting your doctor. If you experience serious side effects such as severe allergic reactions, abnormal movements, or severe diarrhea, stop the medicine and seek medical help immediately. Your doctor will decide when it is safe to stop based on your condition and response to treatment.
📅 Long-Term Use Effects
Long-term use of this medicine may lead to low magnesium levels, vitamin B12 deficiency, and an increased risk of bone fractures, especially in older adults. Itopride may rarely cause movement-related side effects with prolonged use. Regular monitoring of magnesium, vitamin B12, and bone health is advised for people on long-term therapy. Your doctor may also periodically review whether you still need this medicine.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Eating smaller meals, avoiding trigger foods, and not lying down after meals can reduce reflux and dyspepsia symptoms.
Evidence: Well-establishedLosing excess weight reduces abdominal pressure and can improve reflux symptoms.
Evidence: Well-establishedYoga, meditation, and relaxation exercises may help reduce stress-related stomach symptoms.
Evidence: ModerateOther proton pump inhibitors or H2 blockers may be used if this combination is not suitable.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you are due for any vaccination, inform your healthcare provider about all medicines you are taking. No specific timing adjustments are required.
📦 Storage Guide
✅ DO
Store at room temperature between 15°C and 30°C
❌ DON'T
Do not refrigerate unless specifically instructed
✅ DO
Keep in the original container, tightly closed
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight and moisture
❌ DON'T
Do not store in the bathroom cabinet
✅ DO
Check the expiry date before use
❌ DON'T
Do not use after the expiry date
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with the prescription label clearly visible. Bring a copy of your prescription or a doctor's letter, especially for international travel, as some countries have strict rules about prescription medicines. Store the capsules in a cool, dry place away from direct sunlight and moisture. If you are crossing time zones, take your dose at the usual local time for your first day and then adjust gradually. Do not pack this medicine in checked luggage; keep it in your carry-on bag. Check customs regulations for your destination before you travel.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Pantoprazole starts reducing acid within 1 to 2 hours, but full effects may take a few days. Itopride starts improving stomach movement within 30 to 60 minutes. You may notice symptom relief within the first day, but it may take up to a week for consistent benefit.
A: Take this medicine before a meal, preferably breakfast, with a glass of water. This helps both ingredients work effectively.
A: If you remember within a few hours of the scheduled time, take it as soon as you can. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.
A: The safety of this combination in pregnancy is not fully established. Consult your doctor before taking this medicine if you are pregnant or planning to become pregnant.
A: Do not stop this medicine without consulting your doctor, especially if you have been on it for a long time. Stopping suddenly may cause your symptoms to return.
🤔 Common Patient Concerns
🔄 Substitutes for captiva it 40mg/150mg capsule sr
View AllAlternative brands with exact same active ingredient:
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pantagon it 40 mg/150 mg capsule srAbbott ₹49.45 70.2% CHEAPER
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panpra it 40mg/150mg capsule srAstonea Labs Private Limited ₹64.69 61% CHEAPER
-
tap it 40mg/150mg capsule srTNT Lifesciences ₹64.69 61% CHEAPER
-
pantabit i 40mg/150mg capsule srCubit Healthcare ₹84.38 49.2% CHEAPER
-
pantoseal-ir 40mg/150mg tabletOrganic Laboratories ₹90.70 45.4% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be taken for immediate relief of heartburn.
Fact: This medicine is not a fast-acting antacid. It works by reducing acid production over time and should be taken regularly as prescribed. - Myth: It is safe to take this medicine indefinitely without monitoring.
Fact: Long-term use requires periodic monitoring for low magnesium, vitamin B12 deficiency, and bone health, especially in older adults. - Myth: This medicine can be taken with alcohol without any problems.
Fact: Alcohol can worsen stomach irritation and increase dizziness or drowsiness. It should be avoided. - Myth: This medicine can be used in children.
Fact: This medicine is not recommended for children and adolescents below 18 years of age.
🔄 Alternative Options
Generic Alternatives
- Pantoprazole 40 mg + Itopride 150 mg capsule (generic)
Brand Alternatives
- Amalzol-IT Capsule SR