DIALICON: Usage and Effects on Digestive Health - Gastroenterology and Hepatology

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Shih-Chuan Jia Li Kang Tablets (DIALICON)


Current medications include LEEYO (Escitalopram) 10mg, Doxepin 25mg twice daily, LYRICA (Pregabalin) 75mg twice daily, Metformin 500mg, Tamsulosin 0.2mg, Ativan (Lorazepam) 0.5mg four times daily, and Zolpidem twice at bedtime.

Medications taken before breakfast include Lansoprazole 30mg and Promethazine (Promeran) after meals with KASCOAL.
For lunch, Promethazine (Promeran) is taken after meals with KASCOAL, and for dinner, Promethazine (Promeran) is taken after meals with KASCOAL.

These medications are for treating gastric ulcers and duodenal ulcers, taken for a short duration of 2 to 3 months.
Main symptoms include bloating.
Gastroscopy results indicate mild gastric ulcers and mild duodenal ulcers with excessive gastric acid.
1.
Recently, DIALICON was added during the follow-up visit.
Is this medication taken three times a day after meals?
2.
Since DIALICON contains B vitamins, can it be taken after dinner? Will it affect sleep, or will it not? Thank you, doctor.

ERIC, 30~39 year old female. Ask Date: 2020/05/04

Dr. Cai Jinji reply Gastroenterology and Hepatology


Hello ERIC: 1.
DIALICON is available in various dosages and methods of administration; it is recommended to consult your physician.
2.
DIALICON contains B vitamins, which are better absorbed on an empty stomach.
B vitamins may potentially affect sleep, but there are many factors that can influence sleep, so it is advisable to discuss this with your physician.
Nantou Hospital cares about you.

Reply Date: 2020/05/04

More Info


DIALICON, also known as 十全加利康錠, is a dietary supplement that is often used to support digestive health and alleviate symptoms related to gastrointestinal disorders. It is particularly noted for its potential benefits in managing conditions such as mild gastric ulcers and excessive stomach acid. Given your current medication regimen, which includes various medications for mental health, pain management, diabetes, and gastrointestinal issues, it is essential to understand how DIALICON fits into your overall treatment plan.

1. Usage and Dosage: DIALICON is typically recommended to be taken three times a day after meals. However, it is crucial to follow your healthcare provider's specific instructions regarding the dosage and timing, as individual needs may vary based on your overall health status and the presence of other medications. Since you are already taking Lansoprazole, a proton pump inhibitor (PPI) that reduces stomach acid, the addition of DIALICON may help in managing any residual symptoms of gastric discomfort or ulcers.

2. B Vitamins and Sleep: DIALICON contains B vitamins, which are essential for various bodily functions, including energy metabolism and nervous system health. While B vitamins are generally beneficial, they can sometimes have a stimulating effect, particularly if taken in the evening. This could potentially interfere with sleep for some individuals. If you are concerned about the impact on your sleep, it may be advisable to take DIALICON earlier in the day or discuss this with your healthcare provider to find a suitable schedule that minimizes any potential sleep disturbances.

3. Interactions with Current Medications: Given your current medications, including Escitalopram, Doxepin, Lyrica, Metformin, Tamsulosin, Ativan, Zolpidem, and Lansoprazole, it is essential to consider potential interactions. While DIALICON is generally well-tolerated, the combination of multiple medications can increase the risk of side effects or interactions. For instance, both Doxepin and Ativan can cause sedation, and adding another supplement could potentially enhance these effects. Always consult your healthcare provider before adding new medications or supplements to your regimen.

4. Monitoring Symptoms: As you start DIALICON, it is important to monitor your symptoms closely. If you experience any new or worsening symptoms, such as increased gastrointestinal discomfort, changes in sleep patterns, or any allergic reactions, you should contact your healthcare provider promptly. This is particularly important given your history of mild gastric ulcers and excessive stomach acid.

5. Overall Digestive Health: In addition to medication, maintaining a healthy diet, staying hydrated, and managing stress are crucial for digestive health. Incorporating fiber-rich foods, probiotics, and avoiding irritants such as caffeine and spicy foods can further support your gastrointestinal health.
In summary, DIALICON may be a beneficial addition to your treatment plan for managing gastric symptoms, but it is essential to use it under the guidance of your healthcare provider. Discussing your concerns about sleep and potential interactions with your current medications will help ensure a safe and effective approach to your digestive health. Always prioritize open communication with your healthcare team to tailor your treatment to your specific needs.

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