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Drug either PPIS or H2RA and prokinetics
This is a combination therapy using either proton pump inhibitors (PPIs) or histamine-2 receptor antagonists (H2RAs) to reduce gastric acid, paired with prokinetic agents to enhance gastric motility and accelerate gastric emptying.
This is a combination therapy using either proton pump inhibitors (PPIs) or histamine-2 receptor antagonists (H2RAs) to reduce gastric acid, paired with prokinetic agents to enhance gastric motility and accelerate gastric emptying. Used for Gastroesophageal reflux disease (GERD), Peptic ulcer disease, Functional dyspepsia with impaired gastric motility.
At a glance
| Generic name | Drug either PPIS or H2RA and prokinetics |
|---|---|
| Also known as | Drug treatment, lansoprazole, esomeprazole,pantoprazole,rebeprazole, omeprazole,cimetidine,nizatidine,famotidine,ranitidine,lafutidine |
| Sponsor | King Saud University |
| Drug class | Combination antacid and prokinetic agent |
| Target | H+/K+-ATPase (PPIs) or H2 receptor (H2RAs); dopamine antagonist or other prokinetic target |
| Modality | Small molecule |
| Therapeutic area | Gastroenterology |
| Phase | FDA-approved |
Mechanism of action
PPIs irreversibly inhibit the H+/K+-ATPase pump in gastric parietal cells, while H2RAs competitively block histamine H2 receptors to reduce acid secretion. Prokinetics (such as metoclopramide or domperidone) enhance gastric muscle contractions and accelerate food movement through the stomach. The combination addresses both acid-related symptoms and motility dysfunction in gastroesophageal reflux disease and related conditions.
Approved indications
- Gastroesophageal reflux disease (GERD)
- Peptic ulcer disease
- Functional dyspepsia with impaired gastric motility
Common side effects
- Headache
- Diarrhea or constipation
- Nausea
- Abdominal pain
- Fatigue
Key clinical trials
Primary sources
Every claim on this page is sourced from regulatory or scientific primary sources. See our editorial policy for full methodology.
| Source | Used for |
|---|---|
| ClinicalTrials.gov | Trial enrolment, design, endpoints, results |