{"id":3542,"count":34,"description":"Gastrointestinal and hepatobiliary conditions span an enormous range \u2014 acid-related disease (GERD, peptic ulcer), inflammatory bowel disease (Crohn's, ulcerative colitis), irritable bowel syndrome, infectious enteritis, antibiotic-associated diarrhoea, hepatic disease, biliary stasis, motility disorders, and post-operative nausea. The MedsBase Gastro Health catalogue groups 24 products<\/strong> across these areas. (Acid-suppressive PPIs and H2 blockers for GERD are catalogued separately under Acid Reflux Treatment; classic IBS antispasmodics and rifaximin are in the IBS & IBD Treatment category.) All products are supplied by WHO-GMP gecertificeerde fabrikanten<\/strong>.\n\nInflammatory bowel disease \u2014 sulfasalazine and 5-ASA agents.<\/strong> Sulfasalazine (5-ASA + sulfapyridine carrier) remains a cornerstone for mild-to-moderate ulcerative colitis and rheumatoid arthritis as a DMARD. We stock Saaz<\/a> (500 mg). Mesalamine suppositories for distal proctitis are available as Pentasa Suppositories<\/a>; oral mesalamine generics (Mesacol, Asacol) are listed in the IBS & IBD Treatment category. Topical \/ oral budesonide for ileal Crohn's and right-sided UC (low systemic absorption, fewer steroid side-effects than prednisolone) is stocked as Budez CR<\/a>.\n\nAntibiotic \/ antiprotozoal agents for GI infection.<\/strong> Metronidazole (anti-anaerobic and antiprotozoal \u2014 Clostridium difficile, giardiasis, amoebic dysentery, bacterial vaginosis) is stocked as Flagyl Suspensie<\/a> for paediatric and weight-based adult dosing. Rifaximin (luminal-acting antibiotic for hepatic encephalopathy, IBS-D, traveller's diarrhoea) is listed as Rifagut<\/a>. Oral PPI omeprazole + domperidone combination (acid + motility coverage) is available as Omez D<\/a>; pure omeprazole is also stocked as Omez<\/a>, Omesec<\/a>, esomeprazole as Neksium<\/a> en Nexpro<\/a>, and rabeprazole as Razo<\/a> \u2014 full PPI selection lives in our Behandeling van zuurbranden<\/a> category.\n\nAntiemetics and prokinetics.<\/strong> Metoclopramide (D2 antagonist with prokinetic effect, useful for diabetic gastroparesis, post-operative ileus, chemotherapy-induced nausea) is stocked as Reglan<\/a>. Prochlorperazine (phenothiazine antiemetic for vertigo, migraine-associated nausea, hyperemesis gravidarum) is available as Stemetil<\/a>. Domperidone (peripheral D2 antagonist with prokinetic effect; carries QT-prolongation signal \u2014 limit to 10 mg TID for \u2264 7 days, avoid in age >60 or cardiac disease) is stocked as Dompewal<\/a>. Levosulpiride \/ domperidone alternative GR8-OD<\/a> for functional dyspepsia.\n\nHepatoprotective agents.<\/strong> Ursodeoxycholic acid (UDCA) is the standard for primary biliary cholangitis, gallstone dissolution in selected non-calcified stones, and cholestasis of pregnancy. We stock Udimax 300<\/a> (300 mg). Silymarin \/ liver-tonic combinations are available as Liv 52 DS<\/a> (the classic Himalaya formulation widely used for fatty liver, alcoholic hepatitis, drug-induced LFT elevation), and the IV version Maxiliv Injectie<\/a> for hospital use.\n\nDigestive enzymes, probiotics, and adjuncts.<\/strong> Probiotic combinations help reduce antibiotic-associated diarrhoea and may shorten infectious diarrhoea episodes. We stock Probiotics 25 Billion CFU<\/a> (multi-strain formula) and Vizylac Rich Sachet<\/a>. Carminative \/ antispasmodic combinations for functional bloating are available as Gasex<\/a>. Topical antifungal cream Crema Gel<\/a> is occasionally used for perianal candidiasis adjacent to GI presentations.\n\nHoe te kiezen.<\/strong> Acid-related disease (heartburn, peptic ulcer, GERD) \u2192 PPIs first-line, see Behandeling van zuurbranden<\/a>. Inflammatory bowel disease \u2192 sulfasalazine or 5-ASA mesalamine for mild UC; budesonide for ileal Crohn's; biologics (not stocked here) for moderate-to-severe disease under specialist supervision. Functional dyspepsia \/ motility issues \u2192 prokinetic + acid suppression. Suspected GI infection \u2192 metronidazole for anaerobes \/ amoebae \/ giardia; rifaximin for SIBO and IBS-D. Liver disease \u2192 UDCA for cholestasis, hepatic-tonic adjuncts as supportive. Acute or persistent GI bleeding, severe pain, jaundice, or unexplained weight loss is a same-day specialist referral \u2014 do not self-medicate.\n\nBelangrijk.<\/strong> All metoclopramide and domperidone use should be time-limited (5 days metoclopramide, 7 days domperidone in adults) per EMA \/ FDA restrictions on tardive dyskinesia and QT-prolongation respectively. Prolonged PPI use (>1 year) carries documented signals for B12 deficiency, hypomagnesaemia, fracture, CDI, and AKI\/CKD \u2014 review necessity at 6 months. Antibiotics for C. difficile (vancomycin oral, fidaxomicin) are not stocked here \u2014 refer to specialist guidelines.\n\nAll MedsBase Gastro Health products ship from WHO-GMP gecertificeerde fabrikanten<\/strong> met discrete wereldwijde verzending en vallen onder onze Reshipment Assurance Policy<\/a>.","link":"https:\/\/medsbase.com\/nl\/gastro-health\/","name":"Maag-darmgezondheid","slug":"gastro-health","taxonomy":"product_cat","parent":3342,"meta":[],"menu_order":0,"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_cat\/3542","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_cat"}],"about":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/taxonomies\/product_cat"}],"up":[{"embeddable":true,"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product_cat\/3342"}],"wp:post_type":[{"href":"https:\/\/medsbase.com\/nl\/wp-json\/wp\/v2\/product?product_cat=3542"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}