Before you begin taking a medication, be sure to inform your doctor of any medical conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should take Hp Pac.
Abnormal heart rhythm: Clarithromycin may cause a heart rhythm problem called QT prolongation. If you have a history of QT prolongation, a medical condition associated with QT prolongation, or are taking certain medications (e.g., Amiodarone, Sotalol), discuss with your doctor how Hp Pac may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Hp Pac, and whether any special monitoring is needed.
Allergic reactions: Some people who are allergic to penicillin or cephalosporins also experience allergic reactions to amoxicillin. Some people who are allergic to erythromycin or azithromycin also experience allergic reactions to clarithromycin. Before you take lansoprazole - clarithromycin - amoxicillin, inform your doctor about any previous adverse reactions you have had to medications, especially penicillin or erythromycin antibiotics. Contact your doctor at once if you experience signs of an allergic reaction, such as skin rash, itching, difficulty breathing, or swelling of the face and throat.
Diarrhea: Diarrhea is a common side effect of antibiotics such as amoxicillin and clarithromycin. Diarrhea usually stops when the antibiotic is finished. However, a serious condition called pseudomembranous colitis can occur. If you develop severe watery and bloody diarrhea (with or without stomach cramps and fever) any time during treatment or up to 1 or 2 months after stopping Hp Pac, contact your doctor.
Kidney function: A safe and effective dose of lansoprazole - clarithromycin - amoxicillin for people with reduced kidney function has not been determined. If you have Kidney Disease or decreased kidney function, discuss with your doctor how Hp Pac may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Hp Pac, and whether any special monitoring is needed.
Liver function: Liver disease or reduced liver function may cause clarithromycin or lansoprazole to build up in the body, causing side effects. If you have liver problems, discuss with your doctor how Hp Pac may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Hp Pac, and whether any special monitoring is needed. Your doctor may want to test your liver function regularly with blood tests while you are taking Hp Pac.
Clarithromycin may also cause a decrease in liver function. If you experience symptoms of liver problems such as fatigue, feeling unwell, loss of appetite, nausea, yellowing of the skin or whites of the eyes, dark urine, pale stools, abdominal pain or swelling, and itchy skin, contact your doctor immediately.
Methotrexate: When taken together, proton pump inhibitors such as lansoprazole may cause methotrexate to build up in the body, causing severe side effects, including possible death. Methotrexate is used to treat certain types of cancer, Arthritis, and gastrointestinal disease. If you are taking methotrexate for any reason, discuss with your doctor how Hp Pac may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Hp Pac, and whether any special monitoring is needed.
Myasthenia Gravis: Myasthenia gravis is a condition that causes specific muscle weakness. Clarithromycin may cause symptoms of myasthenia gravis to occur or become worse. If you have myasthenia gravis, discuss with your doctor how Hp Pac may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Hp Pac, and whether any special monitoring is needed.
Stomach cancer: Lansoprazole can improve some of the symptoms of stomach cancer and make it harder for a doctor to diagnose it.
Pregnancy: Hp Pac should not be used during pregnancy, especially during the first 3 months, unless the benefits outweigh the risks. If you become pregnant while taking Hp Pac, contact your doctor immediately.
Breast feeding: Amoxicillin and clarithromycin pass into breast milk. It is not known if lansoprazole passes into breast milk. If you are a breast-feeding mother and are taking Hp Pac, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.
Children: The safety and effectiveness of using this combination of medications have not been established for children.
Seniors: Due to the possibility of reduced kidney and liver function, seniors should discuss with their doctor how Hp Pac may affect their medical condition, how their medical condition may affect the dosing and effectiveness of Hp Pac, and whether any special monitoring is needed.
