Evaluation Of Safety And Efficacy Of Pantoprazole And Domperidone Combination In Patients With Gastroesophageal Reflux Disease

Background: Gastro-esophageal reflux disease (GERD) and non ulcer dyspepsia (NUD) are overlapping disorders with common symptomatology. The combination is synergistic by decreasing acid production as well as increasing lower esophageal tone & esophageal clearance thus producing a better therapeutic response. Objective: To evaluate the safety and efficacy of the combination Methods: In patients satisfying the inclusion and exclusion criteria for GERD (Group A, n=105) and Non Erosive GERD (Group B, n=19) baseline symptomatology, endoscopy & laboratory investigations were done followed by test medication once daily for 28 days & monitored for symptom improvement at week 1, 2, & 4 and endoscopy and laboratory investigations at week 4. Results: Of Group A patients having erosive GERD 68/94 (72.34%) were completely cured, 19/94 (20.21%) partially cured, 7/94 (7.44%) not cured. All patients having Non-Erosive GERD had significant improvement in symptoms at 4 week from baseline. Conclusion: Combination of pantoprazole and domperidone is a effective & safe combination with high symptom improvement rates.

[1]  K. Madan,et al.  Comparison of efficacy of pantoprazole alone versus pantoprazole plus mosapride in therapy of gastroesophageal reflux disease: a randomized trial. , 2004, Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus.

[2]  P. Moayyedi,et al.  The methodological quality of trials affects estimates of treatment efficacy in functional (non‐ulcer) dyspepsia , 2004, Alimentary pharmacology & therapeutics.

[3]  M. Yuen,et al.  Double blind, randomised, placebo controlled study of four weeks of lansoprazole for the treatment of functional dyspepsia in Chinese patients , 2002, Gut.

[4]  P. Sawant,et al.  Ranitidine alone and in combination with domperidone in reflux-type dyspepsia. , 2002, Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology.

[5]  H. Matsushita,et al.  [Endoscopic diagnosis of Barrett's adenocarcinoma]. , 1999, Nihon Geka Gakkai zasshi.

[6]  M. Hughes,et al.  Meta-analysis of antisecretory and gastrokinetic compounds in functional dyspepsia. , 1998, Journal of clinical gastroenterology.

[7]  R. Hunt Controversial issues in gastroesophageal reflux disease. , 1997, Canadian journal of gastroenterology = Journal canadien de gastroenterologie.

[8]  I. Modlin,et al.  Solving the GORDian Knot , 1997 .

[9]  A. Pilotto,et al.  A comparison of five maintenance therapies for reflux esophagitis. , 1995, The New England journal of medicine.

[10]  J. Dent,et al.  Healing and relapse of severe peptic esophagitis after treatment with omeprazole. , 1988, Gastroenterology.

[11]  G. Sachs,et al.  Pantoprazole Review of its Pharmacological Properties and Therapeutic Use in Acid-Related Disorders , 1996 .