Ulcitab D 40 mg/10 mg Tablet: Complete Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Irregular heartbeat or palpitations
- Severe allergic reaction (swelling of face, lips, throat, difficulty breathing)
- Unusual muscle movements or tremors
- Severe abdominal pain or blood in vomit/stool
- Signs of liver problems (yellowing of eyes or skin, dark urine)
- Severe diarrhea with dehydration
If experiencing severe symptoms, call emergency services immediately.
What is ulcitab d 40 mg/10 mg tablet used for?
This medicine is a combination of Domperidone and Pantoprazole used to treat acid reflux, heartburn, and nausea by reducing stomach acid and improving gastric emptying.
- Generic Name: Domperidone (40mg) + Pantoprazole (10mg)
- Manufacturer: Themis Medicare Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 ulcitab d 40 mg/10 mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा डोम्पेरिडोन और पैंटोप्राजोल का संयोजन है, जिसका उपयोग एसिड रिफ्लक्स, सीने में जलन, मतली और पेट की समस्याओं के इलाज के लिए किया जाता है। यह पेट में एसिड को कम करती है और पेट खाली होने की गति को बढ़ाती है।
साइड इफेक्ट्स: आम दुष्प्रभावों में सिरदर्द, दस्त, मतली, पेट दर्द और मुंह सूखना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इसमें अनियमित दिल की धड़कन, स्तन में बदलाव और एलर्जी प्रतिक्रियाएं हो सकती हैं।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। इसे खाली पेट, भोजन से 30-60 मिनट पहले लें। शराब का सेवन न करें। गाड़ी चलाने या मशीन चलाने से बचें जब तक कि आपको इसका असर पता न चल जाए। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें।
💊 ulcitab d 40 mg/10 mg tablet Uses & Benefits
[{"condition":"Gastroesophageal reflux disease (GERD)","description":"Relieves heartburn, acid regurgitation, and associated nausea by reducing acid production and improving gastric emptying.","evidence":"Well-established"},{"condition":"Functional dyspepsia","description":"Helps reduce symptoms of bloating, early satiety, and upper abdominal discomfort by enhancing gastric motility and reducing acid.","evidence":"Moderate"},{"condition":"Gastroparesis","description":"Improves gastric emptying and reduces nausea and vomiting in patients with delayed stomach emptying.","evidence":"Moderate"},{"condition":"Nausea and vomiting associated with acid-related disorders","description":"Domperidone component provides antiemetic effect while pantoprazole treats underlying acid condition.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Prevention of NSAID-induced ulcers","description":"Pantoprazole component may be used to prevent ulcers in patients on chronic NSAIDs, but combination with domperidone is not standard for this indication.","evidence":"Limited"},{"condition":"Diabetic gastroparesis","description":"Domperidone may be used off-label to improve gastric emptying in diabetic patients, but combination with pantoprazole is not specifically approved for this.","evidence":"Limited"}]
Primary treatment for: Gastroesophageal reflux disease (GERD)
Also treats: Functional dyspepsia, Gastroparesis, Nausea and vomiting
📋 Drug Information
| Generic Name(s) | Domperidone (40mg) + Pantoprazole (10mg) |
| Brand Name | ulcitab d 40 mg/10 mg tablet |
| Manufacturer | Themis Medicare Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | GASTRO INTESTINAL |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture. |
| 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 mechanisms. Domperidone is a peripheral dopamine D2 receptor antagonist that acts on the chemoreceptor trigger zone and the gastrointestinal tract. By blocking dopamine receptors, it enhances gastric motility and accelerates gastric emptying without crossing the blood-brain barrier significantly, thus reducing nausea and vomiting. Pantoprazole is a proton pump inhibitor that irreversibly inhibits the H+/K+-ATPase enzyme in the gastric parietal cells. This enzyme is responsible for the final step of acid secretion. By inhibiting this pump, pantoprazole reduces both basal and stimulated gastric acid secretion. Together, these actions provide relief from acid-related symptoms and improve gastric motility.
Mechanism Steps
💡 How to Take ulcitab d 40 mg/10 mg tablet
Strength: Tablet containing Domperidone 40 mg and Pantoprazole 10 mg.
Dosage Information
| Adult Dosage | The usual adult dose is one tablet taken orally once daily on an empty stomach, at least 30-60 minutes before breakfast. However, the dose may be adjusted by your doctor based on your condition and response. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the side effects of this medicine, especially cardiac effects and extrapyramidal symptoms. Dose adjustment may be needed. Consult your doctor. |
| Renal Impairment | Dose adjustment may be required in patients with severe renal impairment. Consult your doctor. |
| Hepatic Impairment | Contraindicated in severe hepatic impairment. Use with caution in mild to moderate impairment. Consult your doctor. |
| Maximum Daily Dose | The maximum recommended daily dose is one tablet (Domperidone 40 mg + Pantoprazole 10 mg). Do not exceed this dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of ulcitab d 40 mg/10 mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Ketoconazole | Major | |
| Clarithromycin | Major | |
| Warfarin | Major | |
| Antacids | Moderate | |
| Atazanavir | Moderate | |
| Methotrexate | Moderate | |
| Cimetidine | Minor | |
| Digoxin | Minor |
🚨 Major Interactions
- Ketoconazole
- Clarithromycin
- Warfarin
⚡ Moderate Interactions
- Antacids
- Atazanavir
- Methotrexate
🍷 Alcohol Interaction
Avoid alcohol while taking this medicine. Alcohol can increase stomach acid production, worsening your condition, and may increase the risk of drowsiness and dizziness from domperidone.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy to domperidone or pantoprazole","Severe liver disease","Gastrointestinal bleeding, obstruction, or perforation","Prolactin-releasing pituitary tumor (prolactinoma)","Concurrent use with ketoconazole, clarithromycin, or other QT-prolonging drugs","Moderate to severe heart failure"]
⚠️ Warnings & Precautions
["May cause drowsiness; avoid driving or operating machinery until you know how it affects you.","Avoid alcohol while taking this medicine.","Use with caution in patients with kidney or liver disease.","Long-term use of pantoprazole may increase risk of bone fractures, low magnesium, and vitamin B12 deficiency.","Domperidone may cause breast changes; consult doctor if you notice any.","Do not use for more than 12 weeks without medical advice."]
🤱 Lactation Safety
Domperidone is excreted in breast milk and may cause side effects in the infant. Pantoprazole may also pass into breast milk. This medicine is not recommended during breastfeeding unless clearly needed and advised by a doctor.
💊 Overdose Management
Overdose may cause severe drowsiness, irregular heartbeat, and extrapyramidal symptoms. Seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not crush, chew, or break the tablet; swallow it whole with water. It is best taken on an empty stomach, at least 30-60 minutes before a meal, to maximize its effectiveness. Avoid alcohol while taking this medicine, as it can worsen stomach irritation and increase drowsiness. Do not drive or operate heavy machinery until you know how this medicine affects you, as it may cause dizziness. Inform your doctor if you have kidney or liver problems, heart conditions, or if you are pregnant or breastfeeding. Do not share this medicine with others, even if they have similar symptoms. Keep out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at higher risk of cardiac side effects, extrapyramidal symptoms, and bone fractures. Use with caution and monitor regularly.
🤰 Pregnancy Planning (TTC)
Consult your doctor if you are planning pregnancy or are pregnant. This medicine is not recommended unless clearly needed.
🏥 Post-Surgery Considerations
Consult your doctor before taking this medicine after surgery, especially if you have had gastrointestinal surgery.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine, as it may affect bleeding risk or interact with anesthetics.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid vigorous exercise immediately after taking this medicine, especially if you experience dizziness or drowsiness. Light to moderate exercise is generally safe.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause drowsiness or dizziness in some people. Avoid driving or operating heavy machinery until you know how it affects you. It is generally safe for office work.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. If you experience severe side effects, contact your doctor immediately. Your doctor will advise on tapering or stopping based on your condition.
📅 Long-Term Use Effects
Long-term use of this medicine may increase the risk of bone fractures, low magnesium levels, vitamin B12 deficiency, and certain infections. Domperidone may cause breast changes and cardiac effects. Regular monitoring by a doctor is recommended.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Diet changes, weight loss, and avoiding trigger foods can help manage GERD symptoms.
Evidence: Well-establishedH2 blockers or other proton pump inhibitors may be alternatives.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are known. However, long-term use of pantoprazole may increase susceptibility to certain infections; ensure routine vaccinations are up to date.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging along with a copy of your prescription. Store it at room temperature and protect it from direct sunlight. If crossing time zones, continue taking it at your usual time or adjust gradually as advised by your doctor. Check customs regulations for carrying prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Domperidone starts working within 30-60 minutes, while pantoprazole takes 1-2 hours for acid suppression. Full effects may take a few days.
A: It is best taken on an empty stomach, at least 30-60 minutes before a meal.
A: Long-term use should be monitored by your doctor due to potential side effects like bone fractures and low magnesium.
🤔 Common Patient Concerns
🛑 Myths vs. Facts
- Myth: This medicine can be taken with food.
Fact: It should be taken on an empty stomach for best effect. - Myth: It is safe to take indefinitely.
Fact: Long-term use should be monitored by a doctor.
🔄 Alternative Options
Generic Alternatives
- Domperidone + Pantoprazole combination generics
Brand Alternatives
- Dompan
- Pantop-D
- Domperidone + Pantoprazole brands