Side Effects:

Common Nausea, Headache, Abdominal pain, Constipation, Flatulence, Diarrhoea.

Expert advice for Protogut Capsule
Inform your doctor if you do not feel better after taking it for 14 days as you may be suffering from some other problem that needs attention. Protogut can decrease magnesium levels in blood. Get your magnesium levels checked regularly. You may need a magnesium supplement or need to discontinue your medicine.  Inform your doctor if you are suffering from osteoporosis as Protogut can weaken your bones by decreasing calcium levels in blood. You may need a calcium supplement, preferably calcium citrate. Protogut is a well-tolerated medicine and provides relief for a long time. It may take a few days to show its effect. You can take an antacid for a quick relief during this time unless your doctor has asked you not to use them. Once you start feeling better, do not stop taking your medicine. Take it for the duration as advised by your doctor

Frequently Asked Questions

Q. What are the side effects of Protogut use in infants?
Use of Protogut in infants (children < 1 year of age) may commonly cause diarrhea, constipation, stomach upset, and flatulence. It may make infants irritable and inconsolable and difficult to sleep. Long-term use may cause inflammation of the pancreas, irritable colon, stool discoloration, growth of fungus in food pipe, stomatitis, abdominal swelling, mucosal atrophy of the tongue and decrease absorption of vitamins and minerals. Some may have severe allergic reactions also.

Q. Can I take Protogut with clopidogrel?
Protogut can be safely taken with clopidogrel. No clinically important changes in the action of clopidogrel have been seen when Protogut and clopidogrel are used together.

Q. How is Protogut given through the nasogastric tube?
Open the Protogut capsule and empty the granules into a syringe. Mix the contents with apple juice in the syringe and attach it to the nasogastric (NG) tube and give directly into the stomach. Once given, flush the NG tube with more apple juice to clear the tube.

Q. Does long term use of Protogut is associated with side effects?
Patients taking Protogut for a long period of time (a year or longer) may have decreased calcium levels leading to an increased risk of fractures of the hip, wrist, or spine. It can also decrease magnesium levels when used for more than 3 months. Long-term use may also cause inflammation of stomach lining (atrophic gastritis). Take Protogut only at the dose and for duration advised by your doctor

Q. Why does Protogut cause diarrhea?
Use of Protogut lowers the natural stomach acid which normally helps to kill bacteria. So, use of Protogut leads to overgrowth of the harmful bacteria which can cause diarrhea. This is known as Clostridium difficile–associated diarrhea (CDAD). Inform your doctor if you have loose stools many times in a day and for many days with stomach cramps and fever.

Q. Does Protogut cause burping?
Burping also known as belching or eructations is a side effect seen with Protogut use. Other common side effects associated are nausea, abdominal pain, constipation, diarrhea, and flatulence.

Q. Is Protogut a CYP3A4 inhibitor?
No, Protogut does not inhibit CYP3A4, it inhibits other subtypes of CYP enzymes namely, CYP2C19 and CYP2C9. However, there are no significant drug-drug interactions because of this property.

Q. Is Protogut safe to use?
Protogut is safe to use when taken at doses and for a duration strictly as advised by the doctor. However, there are some common side effects associated with its use includes nausea, abdominal pain, constipation, diarrhea, and flatulence.

Q. Why does Protogut cause a sore throat?
Sore throat occurs in less than 1% of the patients who take Protogut but the reason for the same is not known.

Q. Can I use Protogut with antacids?
Protogut can be taken with antacids like aluminum hydroxide, magnesium carbonate or sodium bicarbonate. However, antacids should be taken two hours before or one hour after taking Protogut because it requires a lower pH for its action and antacids can increase the pH of the stomach and decrease the action of Protogut.

Q. Why do Protogut cause vitamin D deficiency and osteoporosis?
Protogut decreases calcium absorption leading to calcium deficiency. So, it increases the risk of osteoporosis (thinning of bones) and bone fractures on long-term use, like hip, wrist or spine fractures. Inform your doctor if you have osteoporosis or if you are taking corticosteroids (they increase the risk of osteoporosis) before starting your therapy. Take enough calcium and vitamin D to reduce the risk.

Q. Does Protogut increase appetite (make you hungry)?
Yes, Protogut can increase appetite and make you feel hungry. This is reported to be an uncommon side effect seen with the use of Protogut.

Q. What is the role of Protogut in the treatment of H. pylori?
Protogut is used along with antibiotics for the treatment of H.Pylori infection. It works by decreasing stomach acid volume and breakdown and washout of antibiotics leading to an increase in antibiotic concentration and tissue penetration. It also helps in the symptomatic relief by decreasing associated acidity, reflux, and heartburn.

Q. Is Protogut a vesicant?
A vesicant is a substance which causes blistering and tissue injury. Protogut is not a vesicant. It is a proton pump inhibitor used for the treatment of acidity, heartburn, intestinal ulcers and stomach ulcers.

Q. Why does Protogut cause weight gain?
Weight gain is reported in less than 1% of the patients taking Protogut but the exact cause is unknown. One of the possible explanation is higher food intake once the reflux symptoms are relieved. Lifestyle modifications such as proper diet and avoidance of overeating should be observed to avoid weight gain.

Q. Can I take Protogut with ibuprofen?
Yes, Protogut can be taken with ibuprofen. Protogut can be used to prevent ibuprofen (painkillers) induced gastritis and stomach ulcers by decreasing the production of acid in the stomach. Moreover, there are no clinically significant interactions of Protogut with ibuprofen.

Q. Does Protogut treat irritable bowel syndrome (IBS)?
Protogut is not routinely used for the treatment of irritable bowel syndrome (IBS). It is given if there is associated dyspepsia or increased stomach acid secretion. IBS is managed with a combination of antispasmodics (to relieve stomach pain), laxatives (to relieve constipation), and anti-motility drugs (to relieve diarrhea).

Q. Can I take Protogut with aspirin?
Yes, you can take Protogut with aspirin. However, Protogut decreases stomach acid and makes stomach juices alkaline. This can decrease absorption of aspirin and break the enteric coating of the formulations. However, these interactions are minor and can be avoided by taking the medicines at a time gap.

Q. Can I take Protogut with prednisolone?
Protogut can be taken with steroids like prednisolone. Protogut is used to prevent prednisolone (steroid) induced gastritis and stomach ulcers by decreasing the production of acid in the stomach. No drug-drug interactions or harmful effects have been seen when Protogut is used with prednisolone.

Q. Can I take Protogut with hyoscine?
Yes, hyoscine can be taken with Protogut. They are given together as hyoscine can help in better relief when given with Protogut. However, some studies in normal individuals have also shown that hyoscine can decrease the effect of Protogut. So, it is advisable to consult your doctor before taking them together.

Q. Is Protogut used to treat a cough?
Protogut is used for the treatment of acidity, heartburn, intestinal ulcers and stomach ulcers and can help in providing relief in a chronic cough that may happen due to acid reflux. However, it is not used to treat a cough due to cold, flu or throat infections.

Q. While taking Protogut, which foods should be avoided?
You should preferably avoid foods that cause acidity and heartburn as they would aggravate your disease condition, for example: fried foods, prepared in butter or oil, fat rich foods, tomato-based foods and juices, caffeinated drinks like cola, tea, drinks from citrus fruits like lemon water or orange juice and alcohol-containing drinks.

Q. Does Protogut cause dry mouth?
Yes, use of Protogut is associated with dry mouth, however, this is not a very common side. Some common side effects seen with Protogut use are nausea, abdominal pain, constipation, diarrhea, and flatulence.

Q. Does Protogut make you tired?
Yes, use of Protogut makes you feel tired (fatigue) very commonly. Some other common side effects seen with its use are nausea, abdominal pain, constipation, diarrhea, and flatulence.

Q. Is Protogut used to treat nausea?
Protogut is used for the treatment of acidity, heartburn, intestinal ulcers and stomach ulcers and can help in providing relief in nausea that may happen due to acid reflux. It is not used to treat nausea due to any other cause. Rather, nausea is one of the most common side effect of Protogut.

Q. Can I take Protogut with paracetamol?
Yes, you can take Protogut with paracetamol. Protogut is used to prevent paracetamol (painkillers) induced gastritis and stomach ulcers by decreasing the production of acid in the stomach. There are no clinically significant drug-drug interactions or harmful effects seen when they are used together.

Q. IS it safe to take Protogut with vitamin C (ascorbic acid)?
Yes, Protogut can be taken with vitamin C (ascorbic acid). There are no drug-drug interactions or any harmful effects seen when they are used together.

Q. Is it safe to take Protogut with naproxen?
Protogut can be taken with naproxen. No drug-drug interactions or any harmful effects have been reported when they are used together.

Q. Is Protogut used for children?
Yes, Protogut is used in the management of gastroesophageal reflux disease (GERD) and erosive gastritis in children. However, the safety and effectiveness of Protogut are established only in children between 1 to 17 years of age.

Q. Is Protogut a controlled substance?
Protogut is not a controlled substance. It's a prescription medicine and is available on providing a valid prescription by a doctor.

Q. Is Protogut a beta blocker?
No, Protogut is not a beta blocker. It is a Proton pump inhibitor is used in the treatment of acidity, heartburn, intestinal ulcers and stomach ulcers.

Q. Is Protogut a probiotic?
No,Protogut is not a probiotic. It is a Proton pump inhibitor is used in the treatment of acidity, heartburn, intestinal ulcers and stomach ulcers. A probiotic is a substance, which is helpful in diarrhea.

Q. Is Protogut a narcotic substance?
Protogut is a not a narcotic substance and has not been reported to have any abuse potential. Protogut does not get you high and does not cause any addiction as no withdrawal symptoms have been reported when you stop taking this drug.

Q. Is Protogut an antibiotic?
No, Protogut is not an antibiotic. It is a Proton pump inhibitor is used in the treatment of acidity, heartburn, intestinal ulcers and stomach ulcers. An antibiotic is a medicine, which is used to treat infections.

Q. Is Protogut a sulfa drug?
No,Protogut is not a sulfa drug. It is a Proton pump inhibitor is used in the treatment of acidity, heartburn, intestinal ulcers and stomach ulcers.

Q. Is Protogut a steroid?
No, Protogut is not a steroid. It is a Proton pump inhibitor is used in the treatment of acidity, heartburn, intestinal ulcers and stomach ulcers.

Q. Is Protogut a NSAID?
No, Protogut is not a NSAID. It is a Proton pump inhibitor is used in the treatment of acidity, heartburn, intestinal ulcers and stomach ulcers. NSAIDs are painkillers, which are used to treat pain.

Q. Is Protogut a statin?
No, Protogut is not a statin. It is a Proton pump inhibitor is used in the treatment of acidity, heartburn, intestinal ulcers and stomach ulcers.

Q. Is Protogut a laxative?
No,Protogut is not a laxative. It is a Proton pump inhibitor is used in the treatment of acidity, heartburn, intestinal ulcers and stomach ulcers. A laxative is a medicine, which is used to treat constipation.

Q. Is Protogut a diuretic?
No,Protogut is not a diuretic. It is a Proton pump inhibitor is used in the treatment of acidity, heartburn, intestinal ulcers and stomach ulcers. A diuretic is a medicine, which removes excess water and electrolytes from the body through urine.

Q. Is Protogut a prescription drug?
Protogut is a prescription medicine and is available on providing a valid prescription by a doctor.

Q. Is Protogut an H2 blocker?
No,Protogut is not an H2 blocker. It is a Proton pump inhibitor is used in the treatment of acidity, heartburn, intestinal ulcers and stomach ulcers.