- Male
- 27 Years
- 29/01/2025
I'm having some trouble with gastric issues and I'm trying to figure out if itopride is a safe option. Also, are the modes of action for itopride and levosulpride the same or are there some differences I should be aware of?
Answered by 1 Apollo Doctors
itopride is primarily used for gastrointestinal motility issues and has fewer neurological side effects. Levosulpiride is also used for gastrointestinal issues but can affect mood and has stronger sedative effects at higher doses due to its impact on dopamine and serotonin.Both drugs block dopamine D2 receptors, but Itopride also has cholinergic effects, stimulating acetylcholine release to aid digestion. This may make Itopride somewhat more specific for treating GI conditions. Levosulpiride, in addition to its prokinetic effects, has a neuropsychiatric effect, which makes it more effective for treating conditions like anxiety or depression at higher doses
Dr. Ibrahim Suggests...
Consult a Gastroenterology/gi Medicine Specialist
Answered 04/07/2025
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Answered by 1 Apollo Doctors
I've been dealing with nausea, stomach pressure, acidity, and weight loss even though I've been eating normally. Recently, after getting an upper endoscopy, they found I have antral gastritis and tested positive for H. pylori. So, I'm on Nexpro L, Gaviscon syrup, an H. pylori treatment kit, and a probiotic. It's been 8 days on these meds, with another week to go. While my symptoms have improved and I'm feeling better, I'm still dropping weight. I'm really confused and a bit worried why this is happening. Could it be because of the H. pylori infection? Once the treatment's over, will I be able to gain weight back? I used to weigh around 71 kg last year; now I'm down to 65.5 kg. I also have piles, and it's kind of freaking me out. How should I approach gaining weight again?
Kindly discuss for your concern.
Answered by 1 Apollo Doctors
I'm experiencing some concerning pain in my chest, arms, and shoulders. I've already had an ECG, Echocardiogram, and TMT test done, and all the results were normal. After an endoscopy, I was diagnosed with H. pylori and took antibiotics for two weeks, followed by more medication for about seven weeks now. But I'm still feeling this pain. Is it something I should be worried about, or is it normal?
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Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.