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Dexlansoprazole Dosage

Applies to the following strength(s): 30 mg ; 60 mg

The information at Drugs.com is not a substitute for medical advice. Always consult your doctor or pharmacist.

Usual Adult Dose for:

Usual Pediatric Dose for:

Additional dosage information:

Usual Adult Dose for Erosive Esophagitis

Healing of Erosive Esophagitis (EE):
-Initial dose: 60 mg orally once a day for up to 8 weeks
-Maintenance dose: 30 mg orally once a day for up to 6 months

Relief of Heartburn: 30 mg orally once a day for up to 6 months

Uses: Healing of all grades of EE, maintenance of healed EE, and relief of heartburn

Usual Adult Dose for Gastroesophageal Reflux Disease

Symptomatic Non-Erosive Gastroesophageal Reflux Disease (GERD):
-30 mg orally once a day for 4 weeks

Usual Pediatric Dose for Erosive Esophagitis

12 and older:
Treatment:
-Recommended dose: 60 mg orally once a day
-Duration of therapy: Up to 8 weeks

Maintenance:
-Recommended dose: 30 mg orally once a day

Comment:
-Controlled studies in pediatric patients on maintenance therapy did not extend past 16 weeks.

Uses:
-Healing of erosive esophagitis (EE)
-Maintenance of healing of EE and heartburn relief

Usual Pediatric Dose for Gastroesophageal Reflux Disease

-Recommended dose: 30 mg orally once a day
-Duration of therapy: 4 weeks

Use:
-Treatment of symptomatic non-erosive gastroesophageal reflux disease

Renal Dose Adjustments

No adjustment recommended

Liver Dose Adjustments

Mild hepatic impairment (Child-Pugh A): No adjustment recommended.
Moderate hepatic impairment (Child-Pugh B): The recommended dosage is 30 mg orally once a day for up to 8 weeks.
Severe hepatic impairment (Child-Pugh C): No studies have been conducted; use is not recommended.

Precautions

Safety and efficacy have not been established in patients younger than 12 years.

Consult WARNINGS section for additional precautions.

Dialysis

Data not available

Other Comments

Administration advice:
-This drug can be taken without regard to food.
-This drug should not be chewed; it should be swallowed whole.
-For patients that have difficulty swallowing capsules, the contents of a capsule can be sprinkled on applesauce, or dissolved in 20 mL of water and withdrawn into an oral syringe. Administer immediately into the mouth. Refill the syringe with 10 mL of water, swirl gently and administer. Repeat this step one more time.

Administration with water via a nasogastric tube:
-Open the capsule and dissolve the content in 20 mL of water.
-Withdraw the entire mixture into a catheter-tip syringe, swirl the syringe gently in order to keep the granules from settling, and immediately inject the mixture through the nasogastric tube into the stomach.
-Do not save the water and granule mixture for later use.
-Refill the syringe with 10 mL of water, swirl gently, and flush the tube.
-Refill the syringe again with 10 mL of water, swirl gently, and administer.

General:
-Two, 30 mg tablets are not interchangeable with one, 60 mg tablet.

Patient advice:
-Report immediately and seek care if diarrhea does not improve. This may be a sign of Clostridium difficile associated diarrhea.
-Report immediately and seek care for any cardiovascular or neurological symptoms including palpitations, dizziness, seizures, and tetany as these may be signs of hypomagnesemia.

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