SlideShare a Scribd company logo
Welcome
PRESENTATION
ON
PROTON PUMP INHIBITOR
Proton Pump Inhibitor
Welcome
Presentation member
1.yyyyyyyyyy id-xxxxxxxx
2.KAMOL KRISHNA NANDY id-xxxxxxxx
3.SHAFAYET IMAM ID-xxxxxxxx
4.Asiful Alam id-1431405672
Proton Pump Inhibitor
Amjfn Pharmaceuticals Limited
Contents
Proton Pump
Proton Pump Inhibitor
Clinically Used PPIs
Mechanism Of Action Of PPI
Pharmacokinetics Of PPI
Adverse Effects Of PPI
Medical Uses Of PPI
Therapeutic Uses Of PPI
Comparison
Reference
Proton Pump Inhibitor
What is a proton pump?
an integral membrane protein in the
parietal cells of the stomach.
“pumps" proton into the stomach.
By using ATP, an acidic hydrogen ion
replaces a non-acidic potassium ion.
Proton Pump Inhibitor
Proton-Pump Inhibitor
 They are prodrugs that activate in acid
environment.
After absorption, the active metabolite diffuses
into the parietal cells and accumulates in the acidic
secretory canaliculi.
Proton Pump Inhibitor
Proton Pump Inhibitor
Clinically Used PPIs
Omeprazole
Lansoprazole
Esomeprazole
Pantoprazole
Rabeprazole
Proton Pump Inhibitor
Mechanism Of Action
Proton Pump Inhibitor
Mechanism Of Action
Proton Pump Inhibitor
Blocking the H+/K ATPase
The consumption of food stimulates acid
secretion and acid secretion activates PPIs.
Then activated PPI is converted to a
sulfenamide in the acidic secretory canaliculi of
the parietal cell.
The sulfenamide interacts covalently with
sulfhydryl groups in the proton pump and make
complex, thereby irreversibly inhibiting its
activity.
Consider Omeprazole
Proton Pump Inhibitor
Pharmacokinetics
Pharmacokinetics
Code of Ethics : DRA VS RPS
Pharmacokinetics
 The rate of PPIs absorption is decreased by concomitant food
intake.
 The elimination half-life of PPIs ranges from 0.5 to 2.0 hr, but
the effect of a single dose on acid secretion usually persists up
to three days.
 Since an acidic pH in the parietal cell acid canaliculi is required
for drug activation, and since food stimulates acid production,
these drugs ideally should be given about 30 minutes before
meals.
 Chronic renal failure does not lead to drug accumulation with
once-a-day dosing of the proton pump inhibitors. Hepatic
disease substantially reduces the clearance of esomeprazole
and lansoprazole.
Proton Pump Inhibitor
Adverse effects
Short-term
The common adverse effects
include: nausea, diarrhea,
abdominal pain, fatigue, and
dizziness.
Because the body uses gastric
acid to release vitamin B12 from
food particles, decreased vitamin
B12 absorption may occur with
long-term use of PPIs, and may
lead to vitamin B12 deficiency.
Proton Pump Inhibitor
Adverse effects
In the specific
but common case
of the use of PPIs
as long-term
treatment for
managing GERD.
PPIs may cause
dependency by
increasing gastric
symptoms if they
are discontinued.
However, 12-
week PPI therapy
had no impact on
calcium, vitamin
D, or bone
metabolism in
healthy young
males.
Long-term PPI
therapy also
interferes with
zinc absorption
and zinc body
stores.
Long-term
Proton Pump Inhibitor
Medical Uses
 Dyspepsia
 Peptic ulcer disease
 Gastro esophageal reflux disease (GERD)
 Laryngopharyngeal reflux
 Stress gastritis prevention
 Zollinger-Ellison syndrome (often 2-3x the
regular dose is required as compared to the
other indications)
Proton Pump Inhibitor
Therapeutic Uses
Proton pump inhibitors are used principally to promote
healing of gastric and duodenal ulcers and to treat
gastroesophageal reflux disease (GERD).
Lansoprazole is FDA approved for treatment and prevention of
recurrence of nonsteroidal antiinflammatory drug (NSAID)-
associated gastric ulcers in patients who continue NSAID use.
In children, Omeprazole is safe and effective for treatment of
erosive esophagitis and. Younger patients generally have
increased metabolic capacity, which may explain the need for
higher dosages of Omeprazole per kilogram in children compared
to adults.
Any Guesses?????
Comparison
Proton Pump Inhibitor
Comparative Analysis Of
Pantoprazole With Other PPIs
Proton Pump Inhibitor
Proton Pump
Inhibitor
Bioavailabil
ity (%)
Cmax (µmol/L) Duration
of Effect
(Hrs)
Protein
Binding
(%)
Drug Interaction
Pantoprazole 77 5.73 5 (40 mg) 24-72 98 None
Omeprazole 30-40 0.70 5 (20 mg) 24-72 95 Diazepam,
Warfarin, Digoxin,
Phenytoin,
Ketoconazole
Lansoprazole 77-80 2.25 5 (30 mg) 24 97 Ketoconazol
Theophylline
Rabeprazole 52 0.48 6 (20 mg) 24 96 None
Esomeprazole 64 1.86 2 (20 mg) 24-72 97 None
Reference
 The Health Strategies Consultancy LLC (March 2005). "Follow The Pill:
Understanding the U.S. Commercial Pharmaceutical Supply Chain". The Kaiser
Family Foundation.
Sachs, G.; Shin, J. M.; Howden, C.W. (2006). "Review article: The clinical
pharmacology of proton pump inhibitors". Alimentary Pharmacology and
Therapeutics 23: 2–8. doi:10.1111/j.1365-2036.2006.02943.x. PMID 16700898.
Zajac, P; Holbrook, A; Super, ME; Vogt, M (March–April 2013). "An overview:
Current clinical guidelines for the evaluation, diagnosis, treatment, and
management of dyspepsia". Osteopathic Family Physician 5 (2): 79–85.
doi:10.1016/j.osfp.2012.10.005.
"Five Things Physicians and Patients Should Question". American
Gastroenterological Association.
Proton Pump Inhibitor
Thanking
you
Have a good
day………………. 21
Proton Pump Inhibitor

More Related Content

Similar to protonpumpinhibitor-150826105023-lva1-app6891.pdf

Drugs used-in-peptic-ulcer
Drugs used-in-peptic-ulcerDrugs used-in-peptic-ulcer
Drugs used-in-peptic-ulcer
esam muhsen
 
Pantoprazole
PantoprazolePantoprazole
DRUGS USED IN GI SYSTEM.pptx
DRUGS USED IN GI SYSTEM.pptxDRUGS USED IN GI SYSTEM.pptx
DRUGS USED IN GI SYSTEM.pptx
RamshijaAboobacker
 
GIT drugs
GIT drugsGIT drugs
GIT drugs
qalinsame
 
Peptic ulcer disease and acid suppression therapy
Peptic ulcer disease and acid suppression therapyPeptic ulcer disease and acid suppression therapy
Peptic ulcer disease and acid suppression therapy
Omer Khan
 
Presentation On Proton Pump Inhibitor
Presentation On Proton Pump InhibitorPresentation On Proton Pump Inhibitor
Presentation On Proton Pump Inhibitor
soumayan88
 
Pharmacology of GI drugs-1 2.pptgggggggg
Pharmacology of GI drugs-1 2.pptggggggggPharmacology of GI drugs-1 2.pptgggggggg
Pharmacology of GI drugs-1 2.pptgggggggg
SriRam071
 
P cab
P cabP cab
Management of peptic ulcer
Management of  peptic ulcerManagement of  peptic ulcer
Management of peptic ulcer
SMS MEDICAL COLLEGE
 
Peptic ulcer treatment
Peptic ulcer treatmentPeptic ulcer treatment
Peptic ulcer treatment
Naser Tadvi
 
Gastrointestinal drugs - Pharmacology
Gastrointestinal  drugs - PharmacologyGastrointestinal  drugs - Pharmacology
Gastrointestinal drugs - Pharmacology
Areej Abu Hanieh
 
L8 DRUGS EFFECTING GIT.pptx
L8 DRUGS EFFECTING GIT.pptxL8 DRUGS EFFECTING GIT.pptx
L8 DRUGS EFFECTING GIT.pptx
Saad49687
 
Rabeprazole Sodium 10mg/20mg/40mg Tablets Taj Pharma SmPC
Rabeprazole Sodium 10mg/20mg/40mg Tablets Taj Pharma SmPCRabeprazole Sodium 10mg/20mg/40mg Tablets Taj Pharma SmPC
Rabeprazole Sodium 10mg/20mg/40mg Tablets Taj Pharma SmPC
TajPharmaQC
 
Rabeprazole Sodium 10mg/20mg/40mg Tablets Taj Pharma SmPC
Rabeprazole Sodium 10mg/20mg/40mg Tablets Taj Pharma SmPCRabeprazole Sodium 10mg/20mg/40mg Tablets Taj Pharma SmPC
Rabeprazole Sodium 10mg/20mg/40mg Tablets Taj Pharma SmPC
TajPharmaQC
 
Proton pump inhibitors (ppi)
Proton pump inhibitors (ppi)Proton pump inhibitors (ppi)
Proton pump inhibitors (ppi)
Domina Petric
 
Treatment of peptic ulcer
Treatment of peptic ulcerTreatment of peptic ulcer
Treatment of peptic ulcerpctebpharm
 
GIT (I) PUD Drugs.pptx
GIT (I) PUD Drugs.pptxGIT (I) PUD Drugs.pptx
GIT (I) PUD Drugs.pptx
AziBulusSamuel1
 
Pantoprazole
PantoprazolePantoprazole
Pantoprazole
AbirHasan81
 
Pharmacology Git Drugs
Pharmacology   Git DrugsPharmacology   Git Drugs
Pharmacology Git Drugs
pinoy nurze
 

Similar to protonpumpinhibitor-150826105023-lva1-app6891.pdf (20)

Drugs used-in-peptic-ulcer
Drugs used-in-peptic-ulcerDrugs used-in-peptic-ulcer
Drugs used-in-peptic-ulcer
 
Pantoprazole
PantoprazolePantoprazole
Pantoprazole
 
DRUGS USED IN GI SYSTEM.pptx
DRUGS USED IN GI SYSTEM.pptxDRUGS USED IN GI SYSTEM.pptx
DRUGS USED IN GI SYSTEM.pptx
 
GIT drugs
GIT drugsGIT drugs
GIT drugs
 
Peptic ulcer disease and acid suppression therapy
Peptic ulcer disease and acid suppression therapyPeptic ulcer disease and acid suppression therapy
Peptic ulcer disease and acid suppression therapy
 
Presentation On Proton Pump Inhibitor
Presentation On Proton Pump InhibitorPresentation On Proton Pump Inhibitor
Presentation On Proton Pump Inhibitor
 
Pharmacology of GI drugs-1 2.pptgggggggg
Pharmacology of GI drugs-1 2.pptggggggggPharmacology of GI drugs-1 2.pptgggggggg
Pharmacology of GI drugs-1 2.pptgggggggg
 
P cab
P cabP cab
P cab
 
Management of peptic ulcer
Management of  peptic ulcerManagement of  peptic ulcer
Management of peptic ulcer
 
Peptic ulcer treatment
Peptic ulcer treatmentPeptic ulcer treatment
Peptic ulcer treatment
 
Gastrointestinal drugs - Pharmacology
Gastrointestinal  drugs - PharmacologyGastrointestinal  drugs - Pharmacology
Gastrointestinal drugs - Pharmacology
 
L8 DRUGS EFFECTING GIT.pptx
L8 DRUGS EFFECTING GIT.pptxL8 DRUGS EFFECTING GIT.pptx
L8 DRUGS EFFECTING GIT.pptx
 
Gerd1
Gerd1Gerd1
Gerd1
 
Rabeprazole Sodium 10mg/20mg/40mg Tablets Taj Pharma SmPC
Rabeprazole Sodium 10mg/20mg/40mg Tablets Taj Pharma SmPCRabeprazole Sodium 10mg/20mg/40mg Tablets Taj Pharma SmPC
Rabeprazole Sodium 10mg/20mg/40mg Tablets Taj Pharma SmPC
 
Rabeprazole Sodium 10mg/20mg/40mg Tablets Taj Pharma SmPC
Rabeprazole Sodium 10mg/20mg/40mg Tablets Taj Pharma SmPCRabeprazole Sodium 10mg/20mg/40mg Tablets Taj Pharma SmPC
Rabeprazole Sodium 10mg/20mg/40mg Tablets Taj Pharma SmPC
 
Proton pump inhibitors (ppi)
Proton pump inhibitors (ppi)Proton pump inhibitors (ppi)
Proton pump inhibitors (ppi)
 
Treatment of peptic ulcer
Treatment of peptic ulcerTreatment of peptic ulcer
Treatment of peptic ulcer
 
GIT (I) PUD Drugs.pptx
GIT (I) PUD Drugs.pptxGIT (I) PUD Drugs.pptx
GIT (I) PUD Drugs.pptx
 
Pantoprazole
PantoprazolePantoprazole
Pantoprazole
 
Pharmacology Git Drugs
Pharmacology   Git DrugsPharmacology   Git Drugs
Pharmacology Git Drugs
 

More from SanthoshNS8

diabetescinsipidus causes effects and diagnosis
diabetescinsipidus causes effects and diagnosisdiabetescinsipidus causes effects and diagnosis
diabetescinsipidus causes effects and diagnosis
SanthoshNS8
 
Acromegaly description causes treatment.
Acromegaly description causes treatment.Acromegaly description causes treatment.
Acromegaly description causes treatment.
SanthoshNS8
 
Kchenashvili University hospital presentation
Kchenashvili University hospital presentationKchenashvili University hospital presentation
Kchenashvili University hospital presentation
SanthoshNS8
 
Gudushauri National medical university ppt
Gudushauri National medical university pptGudushauri National medical university ppt
Gudushauri National medical university ppt
SanthoshNS8
 
Chronic Obstructive Pulmonary Disease.pptx
Chronic Obstructive Pulmonary Disease.pptxChronic Obstructive Pulmonary Disease.pptx
Chronic Obstructive Pulmonary Disease.pptx
SanthoshNS8
 
RADIOLOGY OF LUNG CANCER.pptx
RADIOLOGY OF LUNG CANCER.pptxRADIOLOGY OF LUNG CANCER.pptx
RADIOLOGY OF LUNG CANCER.pptx
SanthoshNS8
 
pre-analytical phase (1).pptx
pre-analytical phase (1).pptxpre-analytical phase (1).pptx
pre-analytical phase (1).pptx
SanthoshNS8
 
Pneumonia.pptx
Pneumonia.pptxPneumonia.pptx
Pneumonia.pptx
SanthoshNS8
 
Pulmonary edema
Pulmonary edemaPulmonary edema
Pulmonary edema
SanthoshNS8
 
IMMUNOSUPREESSIVE DRUGS
IMMUNOSUPREESSIVE DRUGSIMMUNOSUPREESSIVE DRUGS
IMMUNOSUPREESSIVE DRUGS
SanthoshNS8
 

More from SanthoshNS8 (10)

diabetescinsipidus causes effects and diagnosis
diabetescinsipidus causes effects and diagnosisdiabetescinsipidus causes effects and diagnosis
diabetescinsipidus causes effects and diagnosis
 
Acromegaly description causes treatment.
Acromegaly description causes treatment.Acromegaly description causes treatment.
Acromegaly description causes treatment.
 
Kchenashvili University hospital presentation
Kchenashvili University hospital presentationKchenashvili University hospital presentation
Kchenashvili University hospital presentation
 
Gudushauri National medical university ppt
Gudushauri National medical university pptGudushauri National medical university ppt
Gudushauri National medical university ppt
 
Chronic Obstructive Pulmonary Disease.pptx
Chronic Obstructive Pulmonary Disease.pptxChronic Obstructive Pulmonary Disease.pptx
Chronic Obstructive Pulmonary Disease.pptx
 
RADIOLOGY OF LUNG CANCER.pptx
RADIOLOGY OF LUNG CANCER.pptxRADIOLOGY OF LUNG CANCER.pptx
RADIOLOGY OF LUNG CANCER.pptx
 
pre-analytical phase (1).pptx
pre-analytical phase (1).pptxpre-analytical phase (1).pptx
pre-analytical phase (1).pptx
 
Pneumonia.pptx
Pneumonia.pptxPneumonia.pptx
Pneumonia.pptx
 
Pulmonary edema
Pulmonary edemaPulmonary edema
Pulmonary edema
 
IMMUNOSUPREESSIVE DRUGS
IMMUNOSUPREESSIVE DRUGSIMMUNOSUPREESSIVE DRUGS
IMMUNOSUPREESSIVE DRUGS
 

Recently uploaded

Predicting property prices with machine learning algorithms.pdf
Predicting property prices with machine learning algorithms.pdfPredicting property prices with machine learning algorithms.pdf
Predicting property prices with machine learning algorithms.pdf
binhminhvu04
 
The ASGCT Annual Meeting was packed with exciting progress in the field advan...
The ASGCT Annual Meeting was packed with exciting progress in the field advan...The ASGCT Annual Meeting was packed with exciting progress in the field advan...
The ASGCT Annual Meeting was packed with exciting progress in the field advan...
Health Advances
 
GBSN - Biochemistry (Unit 5) Chemistry of Lipids
GBSN - Biochemistry (Unit 5) Chemistry of LipidsGBSN - Biochemistry (Unit 5) Chemistry of Lipids
GBSN - Biochemistry (Unit 5) Chemistry of Lipids
Areesha Ahmad
 
EY - Supply Chain Services 2018_template.pptx
EY - Supply Chain Services 2018_template.pptxEY - Supply Chain Services 2018_template.pptx
EY - Supply Chain Services 2018_template.pptx
AlguinaldoKong
 
PRESENTATION ABOUT PRINCIPLE OF COSMATIC EVALUATION
PRESENTATION ABOUT PRINCIPLE OF COSMATIC EVALUATIONPRESENTATION ABOUT PRINCIPLE OF COSMATIC EVALUATION
PRESENTATION ABOUT PRINCIPLE OF COSMATIC EVALUATION
ChetanK57
 
Comparative structure of adrenal gland in vertebrates
Comparative structure of adrenal gland in vertebratesComparative structure of adrenal gland in vertebrates
Comparative structure of adrenal gland in vertebrates
sachin783648
 
general properties of oerganologametal.ppt
general properties of oerganologametal.pptgeneral properties of oerganologametal.ppt
general properties of oerganologametal.ppt
IqrimaNabilatulhusni
 
Circulatory system_ Laplace law. Ohms law.reynaults law,baro-chemo-receptors-...
Circulatory system_ Laplace law. Ohms law.reynaults law,baro-chemo-receptors-...Circulatory system_ Laplace law. Ohms law.reynaults law,baro-chemo-receptors-...
Circulatory system_ Laplace law. Ohms law.reynaults law,baro-chemo-receptors-...
muralinath2
 
platelets- lifespan -Clot retraction-disorders.pptx
platelets- lifespan -Clot retraction-disorders.pptxplatelets- lifespan -Clot retraction-disorders.pptx
platelets- lifespan -Clot retraction-disorders.pptx
muralinath2
 
platelets_clotting_biogenesis.clot retractionpptx
platelets_clotting_biogenesis.clot retractionpptxplatelets_clotting_biogenesis.clot retractionpptx
platelets_clotting_biogenesis.clot retractionpptx
muralinath2
 
Large scale production of streptomycin.pptx
Large scale production of streptomycin.pptxLarge scale production of streptomycin.pptx
Large scale production of streptomycin.pptx
Cherry
 
Citrus Greening Disease and its Management
Citrus Greening Disease and its ManagementCitrus Greening Disease and its Management
Citrus Greening Disease and its Management
subedisuryaofficial
 
plant biotechnology Lecture note ppt.pptx
plant biotechnology Lecture note ppt.pptxplant biotechnology Lecture note ppt.pptx
plant biotechnology Lecture note ppt.pptx
yusufzako14
 
extra-chromosomal-inheritance[1].pptx.pdfpdf
extra-chromosomal-inheritance[1].pptx.pdfpdfextra-chromosomal-inheritance[1].pptx.pdfpdf
extra-chromosomal-inheritance[1].pptx.pdfpdf
DiyaBiswas10
 
Nutraceutical market, scope and growth: Herbal drug technology
Nutraceutical market, scope and growth: Herbal drug technologyNutraceutical market, scope and growth: Herbal drug technology
Nutraceutical market, scope and growth: Herbal drug technology
Lokesh Patil
 
FAIR & AI Ready KGs for Explainable Predictions
FAIR & AI Ready KGs for Explainable PredictionsFAIR & AI Ready KGs for Explainable Predictions
FAIR & AI Ready KGs for Explainable Predictions
Michel Dumontier
 
Orion Air Quality Monitoring Systems - CWS
Orion Air Quality Monitoring Systems - CWSOrion Air Quality Monitoring Systems - CWS
Orion Air Quality Monitoring Systems - CWS
Columbia Weather Systems
 
insect morphology and physiology of insect
insect morphology and physiology of insectinsect morphology and physiology of insect
insect morphology and physiology of insect
anitaento25
 
Richard's entangled aventures in wonderland
Richard's entangled aventures in wonderlandRichard's entangled aventures in wonderland
Richard's entangled aventures in wonderland
Richard Gill
 
Anemia_ different types_causes_ conditions
Anemia_ different types_causes_ conditionsAnemia_ different types_causes_ conditions
Anemia_ different types_causes_ conditions
muralinath2
 

Recently uploaded (20)

Predicting property prices with machine learning algorithms.pdf
Predicting property prices with machine learning algorithms.pdfPredicting property prices with machine learning algorithms.pdf
Predicting property prices with machine learning algorithms.pdf
 
The ASGCT Annual Meeting was packed with exciting progress in the field advan...
The ASGCT Annual Meeting was packed with exciting progress in the field advan...The ASGCT Annual Meeting was packed with exciting progress in the field advan...
The ASGCT Annual Meeting was packed with exciting progress in the field advan...
 
GBSN - Biochemistry (Unit 5) Chemistry of Lipids
GBSN - Biochemistry (Unit 5) Chemistry of LipidsGBSN - Biochemistry (Unit 5) Chemistry of Lipids
GBSN - Biochemistry (Unit 5) Chemistry of Lipids
 
EY - Supply Chain Services 2018_template.pptx
EY - Supply Chain Services 2018_template.pptxEY - Supply Chain Services 2018_template.pptx
EY - Supply Chain Services 2018_template.pptx
 
PRESENTATION ABOUT PRINCIPLE OF COSMATIC EVALUATION
PRESENTATION ABOUT PRINCIPLE OF COSMATIC EVALUATIONPRESENTATION ABOUT PRINCIPLE OF COSMATIC EVALUATION
PRESENTATION ABOUT PRINCIPLE OF COSMATIC EVALUATION
 
Comparative structure of adrenal gland in vertebrates
Comparative structure of adrenal gland in vertebratesComparative structure of adrenal gland in vertebrates
Comparative structure of adrenal gland in vertebrates
 
general properties of oerganologametal.ppt
general properties of oerganologametal.pptgeneral properties of oerganologametal.ppt
general properties of oerganologametal.ppt
 
Circulatory system_ Laplace law. Ohms law.reynaults law,baro-chemo-receptors-...
Circulatory system_ Laplace law. Ohms law.reynaults law,baro-chemo-receptors-...Circulatory system_ Laplace law. Ohms law.reynaults law,baro-chemo-receptors-...
Circulatory system_ Laplace law. Ohms law.reynaults law,baro-chemo-receptors-...
 
platelets- lifespan -Clot retraction-disorders.pptx
platelets- lifespan -Clot retraction-disorders.pptxplatelets- lifespan -Clot retraction-disorders.pptx
platelets- lifespan -Clot retraction-disorders.pptx
 
platelets_clotting_biogenesis.clot retractionpptx
platelets_clotting_biogenesis.clot retractionpptxplatelets_clotting_biogenesis.clot retractionpptx
platelets_clotting_biogenesis.clot retractionpptx
 
Large scale production of streptomycin.pptx
Large scale production of streptomycin.pptxLarge scale production of streptomycin.pptx
Large scale production of streptomycin.pptx
 
Citrus Greening Disease and its Management
Citrus Greening Disease and its ManagementCitrus Greening Disease and its Management
Citrus Greening Disease and its Management
 
plant biotechnology Lecture note ppt.pptx
plant biotechnology Lecture note ppt.pptxplant biotechnology Lecture note ppt.pptx
plant biotechnology Lecture note ppt.pptx
 
extra-chromosomal-inheritance[1].pptx.pdfpdf
extra-chromosomal-inheritance[1].pptx.pdfpdfextra-chromosomal-inheritance[1].pptx.pdfpdf
extra-chromosomal-inheritance[1].pptx.pdfpdf
 
Nutraceutical market, scope and growth: Herbal drug technology
Nutraceutical market, scope and growth: Herbal drug technologyNutraceutical market, scope and growth: Herbal drug technology
Nutraceutical market, scope and growth: Herbal drug technology
 
FAIR & AI Ready KGs for Explainable Predictions
FAIR & AI Ready KGs for Explainable PredictionsFAIR & AI Ready KGs for Explainable Predictions
FAIR & AI Ready KGs for Explainable Predictions
 
Orion Air Quality Monitoring Systems - CWS
Orion Air Quality Monitoring Systems - CWSOrion Air Quality Monitoring Systems - CWS
Orion Air Quality Monitoring Systems - CWS
 
insect morphology and physiology of insect
insect morphology and physiology of insectinsect morphology and physiology of insect
insect morphology and physiology of insect
 
Richard's entangled aventures in wonderland
Richard's entangled aventures in wonderlandRichard's entangled aventures in wonderland
Richard's entangled aventures in wonderland
 
Anemia_ different types_causes_ conditions
Anemia_ different types_causes_ conditionsAnemia_ different types_causes_ conditions
Anemia_ different types_causes_ conditions
 

protonpumpinhibitor-150826105023-lva1-app6891.pdf

  • 1.
  • 3. Welcome Presentation member 1.yyyyyyyyyy id-xxxxxxxx 2.KAMOL KRISHNA NANDY id-xxxxxxxx 3.SHAFAYET IMAM ID-xxxxxxxx 4.Asiful Alam id-1431405672 Proton Pump Inhibitor
  • 4. Amjfn Pharmaceuticals Limited Contents Proton Pump Proton Pump Inhibitor Clinically Used PPIs Mechanism Of Action Of PPI Pharmacokinetics Of PPI Adverse Effects Of PPI Medical Uses Of PPI Therapeutic Uses Of PPI Comparison Reference Proton Pump Inhibitor
  • 5. What is a proton pump? an integral membrane protein in the parietal cells of the stomach. “pumps" proton into the stomach. By using ATP, an acidic hydrogen ion replaces a non-acidic potassium ion.
  • 6. Proton Pump Inhibitor Proton-Pump Inhibitor  They are prodrugs that activate in acid environment. After absorption, the active metabolite diffuses into the parietal cells and accumulates in the acidic secretory canaliculi. Proton Pump Inhibitor
  • 7. Proton Pump Inhibitor Clinically Used PPIs Omeprazole Lansoprazole Esomeprazole Pantoprazole Rabeprazole
  • 10. Proton Pump Inhibitor Blocking the H+/K ATPase The consumption of food stimulates acid secretion and acid secretion activates PPIs. Then activated PPI is converted to a sulfenamide in the acidic secretory canaliculi of the parietal cell. The sulfenamide interacts covalently with sulfhydryl groups in the proton pump and make complex, thereby irreversibly inhibiting its activity.
  • 13. Code of Ethics : DRA VS RPS Pharmacokinetics  The rate of PPIs absorption is decreased by concomitant food intake.  The elimination half-life of PPIs ranges from 0.5 to 2.0 hr, but the effect of a single dose on acid secretion usually persists up to three days.  Since an acidic pH in the parietal cell acid canaliculi is required for drug activation, and since food stimulates acid production, these drugs ideally should be given about 30 minutes before meals.  Chronic renal failure does not lead to drug accumulation with once-a-day dosing of the proton pump inhibitors. Hepatic disease substantially reduces the clearance of esomeprazole and lansoprazole.
  • 14. Proton Pump Inhibitor Adverse effects Short-term The common adverse effects include: nausea, diarrhea, abdominal pain, fatigue, and dizziness. Because the body uses gastric acid to release vitamin B12 from food particles, decreased vitamin B12 absorption may occur with long-term use of PPIs, and may lead to vitamin B12 deficiency.
  • 15. Proton Pump Inhibitor Adverse effects In the specific but common case of the use of PPIs as long-term treatment for managing GERD. PPIs may cause dependency by increasing gastric symptoms if they are discontinued. However, 12- week PPI therapy had no impact on calcium, vitamin D, or bone metabolism in healthy young males. Long-term PPI therapy also interferes with zinc absorption and zinc body stores. Long-term
  • 16. Proton Pump Inhibitor Medical Uses  Dyspepsia  Peptic ulcer disease  Gastro esophageal reflux disease (GERD)  Laryngopharyngeal reflux  Stress gastritis prevention  Zollinger-Ellison syndrome (often 2-3x the regular dose is required as compared to the other indications)
  • 17. Proton Pump Inhibitor Therapeutic Uses Proton pump inhibitors are used principally to promote healing of gastric and duodenal ulcers and to treat gastroesophageal reflux disease (GERD). Lansoprazole is FDA approved for treatment and prevention of recurrence of nonsteroidal antiinflammatory drug (NSAID)- associated gastric ulcers in patients who continue NSAID use. In children, Omeprazole is safe and effective for treatment of erosive esophagitis and. Younger patients generally have increased metabolic capacity, which may explain the need for higher dosages of Omeprazole per kilogram in children compared to adults.
  • 19. Comparative Analysis Of Pantoprazole With Other PPIs Proton Pump Inhibitor Proton Pump Inhibitor Bioavailabil ity (%) Cmax (µmol/L) Duration of Effect (Hrs) Protein Binding (%) Drug Interaction Pantoprazole 77 5.73 5 (40 mg) 24-72 98 None Omeprazole 30-40 0.70 5 (20 mg) 24-72 95 Diazepam, Warfarin, Digoxin, Phenytoin, Ketoconazole Lansoprazole 77-80 2.25 5 (30 mg) 24 97 Ketoconazol Theophylline Rabeprazole 52 0.48 6 (20 mg) 24 96 None Esomeprazole 64 1.86 2 (20 mg) 24-72 97 None
  • 20. Reference  The Health Strategies Consultancy LLC (March 2005). "Follow The Pill: Understanding the U.S. Commercial Pharmaceutical Supply Chain". The Kaiser Family Foundation. Sachs, G.; Shin, J. M.; Howden, C.W. (2006). "Review article: The clinical pharmacology of proton pump inhibitors". Alimentary Pharmacology and Therapeutics 23: 2–8. doi:10.1111/j.1365-2036.2006.02943.x. PMID 16700898. Zajac, P; Holbrook, A; Super, ME; Vogt, M (March–April 2013). "An overview: Current clinical guidelines for the evaluation, diagnosis, treatment, and management of dyspepsia". Osteopathic Family Physician 5 (2): 79–85. doi:10.1016/j.osfp.2012.10.005. "Five Things Physicians and Patients Should Question". American Gastroenterological Association. Proton Pump Inhibitor