Tenatoprazole
Proton pump inhibitor
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Tenatoprazole is a proton pump inhibitor (PPI) used in the treatment of gastroesophageal reflux disease (GERD) and other conditions involving excessive stomach acid production. It is similar to other PPIs such as omeprazole, lansoprazole, and pantoprazole, but has a longer duration of action.
Mechanism of Action
Tenatoprazole works by irreversibly inhibiting the H+/K+ ATPase enzyme system (also known as the proton pump) in the parietal cells of the stomach. This inhibition prevents the final step in the production of gastric acid, thereby reducing acid secretion.
Pharmacokinetics
Tenatoprazole has a longer half-life compared to other PPIs, which allows for prolonged acid suppression. This can be beneficial in managing conditions that require sustained acid control.
Clinical Uses
Tenatoprazole is primarily used to treat:
- Gastroesophageal reflux disease (GERD)
- Peptic ulcer disease
- Zollinger-Ellison syndrome
- Erosive esophagitis
Side Effects
Common side effects of tenatoprazole include:
Serious but rare side effects may include:
- Hypomagnesemia
- Clostridium difficile infection
- Osteoporosis-related fractures
Comparison with Other PPIs
Tenatoprazole's longer duration of action distinguishes it from other PPIs, potentially offering better control of nocturnal acid breakthrough. However, its clinical advantages over other PPIs are still under investigation.
See Also
- Proton pump inhibitor
- Gastroesophageal reflux disease
- Peptic ulcer disease
- Zollinger-Ellison syndrome
References
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Contributors: Prab R. Tumpati, MD