Overview Introduction Macpanta Plus Capsule is a combination medicine used in the treatment of constipation. It works by softening the stools, thus helps in the easy passage of stools. It also prevents the reflux of stomach acid into the food pipe and prevents excess production of stomach acid. Macpanta Plus Capsule is taken without food in a dose and duration as advised by the doctor. The dose you are given will depend on your condition and how you respond to the medicine. You should keep taking this medicine for as long as your doctor recommends. If you stop treatment too early your symptoms may come back and your condition may worsen. Let your healthcare team know about all other medications you are taking as some may affect, or be affected by this medicine. The most common side effects are nausea, diarrhea, flatulence, constipation, headache, and stomach pain. Most of these are temporary and usually resolve with time. Contact your doctor straight away if you are at all concerned about any of these side effects. This medicine may also cause sleepiness and dizziness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. Avoid drinking alcohol while taking this medicine as it can worsen your sleepiness. Before taking this medicine, you should tell your doctor if you are pregnant, planning pregnancy or breastfeeding. You should also tell your doctor if you have kidney diseases so that your doctor can prescribe a suitable dose for you. Lifestyle modifications like having fiber-rich diet, increase fluid intake and regular exercise can help you to get better results. Uses of Macpanta Plus Capsule Constipation Side effects of Macpanta Plus Capsule Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them Common side effects of Macpanta Plus Nausea Diarrhea Flatulence Constipation Dizziness Headache Sleepiness Stomach pain How to cope with side effects? The occurrence of side effects varies from person to person. The following are a few ways of dealing with some of the common side effects. However, consult your doctor if these persist. Coping with Nausea You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop from feeling sick. Speak to your doctor if your condition does not improve. Coping with Diarrhea Keep up your intake of fluids and electrolytes (sugars and salts) to avoid getting dehydrated. Eat less fiber (avoid raw fruits, fruit juice and vegetables). Talk to your doctor about possible medication to manage diarrhea. Ask about reducing the dosage of your drug or other suitable treatments. Coping with Flatulence Try eating small and frequent meals. Drink and chew your food slowly. Exercise regularly to improve how your body digests food. Try not to swallow too much air. This can happen when you talk and eat at the same time. Avoid drinking with a straw, chewing gum and smoking as these can also make you swallow air. Try to limit foods that are hard to digest or produce gas (such as fried and fatty foods, cheese, beans, cabbage, onion, whole grains and many others). Avoid drinking alcohol, carbonated soft drinks and fruit juices. If you wear dentures, make sure they fit properly. Some over-the-counter medicines can help. Talk to your doctor about possible medication if your condition does not improve. Coping with Constipation Try to eat foods which are high in fiber such as fresh fruits, vegetables and cereals to increase the bulk and consistency of bowel movements. Drink plenty of water or non-alcoholic drinks and stay hydrated to promote healthy digestion. Increasing physical activities such as walking, yoga and regular exercise can also be helpful. If your condition does not improve, you can ask your doctor to prescribe you laxative medicine. Coping with Dizziness This is usually short-lived and should go away within a few days. If this happens, stop what you are doing and sit or lie down until you feel better. Lying still in a dark, quiet room may help reduce the spinning feeling. Sleep with your head slightly raised on two or more pillows. Get up slowly from a lying or sitting position. Get plenty of rest and try to relax as being anxious can make it worse. Try taking this medicine at bedtime to reduce the symptoms. Drinking plenty of water and ginger tea may also help. Avoid alcohol, caffeine and smoking as it will make you feel worse. Avoid driving or using tools or machinery until you feel better. Coping with Headache Make sure you rest and drink plenty of fluids. Rest in a quiet, dimly lit room. Do not sleep more than you normally would. Do not strain your eyes (for example by looking at a screen). Do not drink alcohol. Headaches are usually temporary and usually go away with time. But, if they last longer or get worse, ask your doctor to recommend a painkiller. Coping with Sleepiness If the medicine is making you drowsy during the day, stop what you are doing and sit or lie down until you feel better. You can also consider taking a nap. Physical exercises such as walking may be helpful. Do not drink alcohol, as it will make you feel more tired. Avoid driving or operating heavy equipment when you are feeling drowsy. This problem usually goes away as your body gets used to the medicine. However, if it does not, ask your doctor if you can take your medicine at bedtime or whether the dose can be reduced. Coping with Stomach pain Try to get plenty of rest and relax. Putting a heat pad or covered hot water bottle on your stomach may relieve the stomach pain. It may help if you eat and drink slowly and have smaller and more frequent meals. Reduce your intake of coffee, tea and alcohol as these can make the pain worse. If you are in a lot of pain, speak to your doctor about possible medication. Your doctor may be able to prescribe some over-the-counter medicines to help reduce the pain. show more show less How to use Macpanta Plus Capsule Take this medicine in the dose and duration as advised by your doctor. Do not chew, crush or break it. Macpanta Plus Capsule is to be taken empty stomach. How Macpanta Plus Capsule works Macpanta Plus Capsule is a combination of two medicines: Levosulpiride and Pantoprazole. Levosulpiride is a prokinetic which works by increasing the release of acetylcholine (a chemical messenger). This increases the movement of stomach and intestines, and prevents reflux (acid going up to the food pipe). Pantoprazole is a proton pump inhibitor (PPI). It works by reducing the amount of acid in the stomach which helps in the relief of acid-related indigestion and ulcers. Safety Advice Alcohol UNSAFE It is unsafe to consume alcohol with Macpanta Plus Capsule. Pregnancy CONSULT YOUR DOCTOR Information regarding the use of Macpanta Plus Capsule during pregnancy is not available. Please consult your doctor. Breastfeeding CONSULT YOUR DOCTOR Information regarding the use of Macpanta Plus Capsule during breastfeeding is not available. Please consult your doctor. Driving UNSAFE Macpanta Plus Capsule may cause side effects which could affect your ability to drive. Macpanta Plus Capsule may cause drowsiness, numbness, or dyskinesias, therefore they should be advised to avoid driving and operations requiring supervision. Kidney CONSULT YOUR DOCTOR There is limited information available on the use of Macpanta Plus Capsule in patients with kidney disease. Please consult your doctor. However, limited data suggest a cautious use of this medicine in these patients. Liver SAFE IF PRESCRIBED Macpanta Plus Capsule is probably safe to use in patients with liver disease. Limited data available suggests that dose adjustment of Macpanta Plus Capsule may not be needed in these patients. Please consult your doctor.
