Surrey Heartlands

Joint Formulary & PAD

Lansoprazole - Acid suppression (Adults)

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Status 1

Green
Formulations :
  • Capsules
Formulary Status :
Primary Care
ASPH
RSFT
SASH
SABP
Associated Icons :
Guidelines BNF SPC
Restrictions / Comments :
Important
Preferred
1st line for patients with no swallowing difficulties. 2nd line for adults with swallowing difficulties / feeding tubes - capsules can be opened.
 

Status 2

Green (see narrative)
Formulations :
  • Oro-dispersible
Formulary Status :
Primary Care
ASPH
RSFT
SASH
SABP
Associated Icons :
Guidelines BNF SPC
Restrictions / Comments :
Important
Preferred
1st line in adults with swallowing difficulties. 1st line for patients with enteral feeding tubes.
 

Status 3

Non Formulary
Formulations :
  • Liquid
  • Oral solution
  • Oral suspension
Formulary Status :
Primary Care
ASPH
RSFT
SASH
SABP
Associated Icons :
Guidelines BNF SPC
Restrictions / Comments :
Important
Lansoprazole oro-dispersible tablets are 1st-line for adults with swallowing dificulties or enteral feeding tubes.

Documentation

Evidence Review
PPIs in Adults - Established medicines review - September 2022.pdf
Information
PPIs in Adults - PPI traffic light reference table - September 2022.pdf

PAD Profile

ChemicalSubstance :
Lansoprazole
Indication :
Acid suppression (Adults)
Group Name :
Keywords :
GORD, gastro-oesophageal reflux disease, indigestion, PPIs, Proton pump inhibitors, gastric ulcer, stomach ulcer, dyspepsia
Brand Names Include :
Zoton, Zoton Fastab
Important Information :
Latest Additions Date From :
Latest Additions Date To :
Guidelines :
Acid suppression (Adults)
Supporting Documents :
2
Traffic Light Entries :
3

Other Indications

Below are listed other indications that Lansoprazole is used to treat.

Other Drugs

Below are listed other drugs that are used to treat Acid suppression (Adults).

Committee Recommendations (1)

07 Sep 22 - Surrey Heartlands Integrated Care System Area Prescribing Committee (APC)

The Surrey Heartlands Integrated Care System Area Prescribing Committee (APC) has agreed that lansoprazole capsules are a first choice option for people with no swallowing difficulties.  

Some lansoprazole capsules are licensed to be opened and have their contents mixed with water, apple/tomato juice, or sprinkled on soft food (e.g. yogurt, apple puree) to help people with swallowing difficulties. 

Some brands are licensed for enteral feeding tubes 14F or larger (check SPC) but other licensed options are available as per below.

For people with no swallowing difficulties:

  • 1st Line: Lansoprazole capsules/Omeprazole capsules
  • 2nd line: Pantoprazole tablets (Suitable for patients that cannot have animal-derived products) 
  • 2nd line: Rabeprazole tablets (Suitable for patients that cannot have animal-derived products)
  • 3rd line: Esomeprazole capsules – not for new initiation

For patients who cannot swallow tablets/have swallowing difficulties:

  • 1st Line: lansoprazole orodispersible tablets
  • 2nd line: lansoprazole capsules/omeprazole capsules (opened, and granules dispersed in water/yoghurt/apple puree)
  • 3rd line: esomeprazole granule sachets

For patients with enteral feeding tubes:

  • 1st line: lansoprazole orodispersible tablets
  • 2nd line: lansoprazole capsules
  • 3rd line: esomeprazole granule sachets (do not use if tube is less than 6F)