PARIET TABLET 20 mg

EISAI (SINGAPORE) PTE. LTD.

EISAI (SINGAPORE) PTE. LTD.

Therapeutic

Prescription Only

ENTERIC COATED TABLET

**4.2 Posology and Method of Administration** Adults/elderly: _Prevention of gastric and duodenal ulcer recurrences associated with low-dose aspirin therapy:_ The usual dosage for adults is 5mg rabeprazole sodium administered orally once daily. The dosage may be increased to 10mg administered orally once a day in the event of insufficient effect. _Active Duodenal Ulcer, Active Benign Gastric Ulcer and Erosive or Ulcerative Gastro-Esophageal Reflux Disease (GERD):_ The usual adult dose is 10mg rabeprazole sodium administered orally once daily. However, the dosage may be increased up to 20mg orally once a day depending on severity of symptoms. For the treatment of active benign gastric ulcer and symptomatic erosive or ulcerative GERD, the usual administration should be restricted to up to 8 weeks, and for active duodenal ulcer, 6 weeks. A dose of 10mg twice daily for a further 8 weeks may be administered orally to reflux esophagitis patients who do not respond to usual doses of proton pump inhibitor treatment. However, dose of 20mg twice daily may be administered to patients with severe mucosa injury. _Gastro-Esophageal Reflux Disease Long-term Management (GERD Maintenance):_ For long-term management, a maintenance dose of PARIET® 20 mg or 10 mg once daily can be used depending upon patient response. For the maintenance therapy of reflux esophagitis when proton pump inhibitor treatment is ineffective, dose of 10 mg twice daily may be administered orally. _Symptomatic treatment of moderate to very severe gastro-esophageal reflux disease (symptomatic GERD):_ 10mg once daily in patients without esophagitis. If symptom control has not been achieved during four weeks, the patient should be further investigated. Once symptoms have resolved, subsequent symptom control can be achieved using an on-demand regimen taking 10mg once daily when needed. _Eradication of H. pylori:_ Patients with _H. pylori_ infection should be treated with eradication therapy. The following combination given for 7 days is recommended. PARIET® 20mg twice daily + clarithromycin 500mg twice daily and amoxicillin 1g twice daily. For indications requiring once daily treatment PARIET® tablets should be taken in the morning, before eating; and although neither the time of day nor food intake was shown to have any effect on rabeprazole sodium activity, this regimen will facilitate treatment compliance. Patients should be cautioned that the PARIET® tablets should not be chewed or crushed, but should be swallowed whole. Renal and hepatic impairment: No dosage adjustment is necessary for patients with renal or hepatic impairment. See section 4.4 Special Warnings and Precautions for Use of PARIET® in the treatment of patients with severe hepatic impairment – _please refer to the Product Insert/Patient Information Leaflet published on HSA for the full drug information_. Children: PARIET® is not recommended for use in children, as there is no experience of its use in this group.