Lansoprazole is a proton pump inhibitor (PPI) which is an effective and well-tolerated treatment option in the management of acid-related disorders. Lansoprazole fast disintegrating tablet (LFDT) – a new, patient-friendly and more convenient formulation of lansoprazole which can be taken with or without water – is the first PPI to be made available as an orally disintegrating tablet. It represents an innovative drug delivery system, comprising enteric-coated microgranules of lansoprazole compressed with an inactive, rapidly dispersing matrix to form a tablet. When the tablet is placed on the tongue and sucked gently it disintegrates rapidly in the mouth, releasing the enteric-coated microgranules which are swallowed with the patient’s saliva without water. Alternatively, the tablet can be swallowed with a drink of water. Studies have shown that the bioavailability of LFDT is comparable to lansoprazole capsules, at both 15 and 30 mg doses; the indications and recommended dosages for LFDT are therefore identical to lansoprazole capsules. The new formulation may be of particular benefit to those with active life-styles who do not always have water available, patients who have difficulty in swallowing, and elderly patients.

1.
Tolman KG, Sanders SW, Buchi KN, Karol MD, Jennings DE, Ringham GL: The effects of oral doses of lansoprazole and omeprazole on gastric pH. J Clin Gastroenterol 1997;24:65–70.
[PubMed]
2.
Fitton A, Wiseman L: Pantoprazole. A review of its pharmacological properties and therapeutic use in acid-related disorders. Drugs 1996;51:460–482.
[PubMed]
3.
Hassan-Alin M, Andersson T, Bredgerg E, Röhss K: Pharmacokinetics of esomeprazole after oral and intravenous administration of single and repeated doses to healthy subjects. Eur J Clin Pharmacol 2000;56:665–670.
[PubMed]
4.
Swan SK, Hoyumpa AM, Merritt GJ: Review article: The pharmacokinetics of rabeprazole in health and disease. Aliment Pharmacol Ther 1999;13(suppl 3):11–17.
5.
Howden CW: Clinical pharmacology of omeprazole. Clin Pharmacokinet 1991;20:38–49.
6.
Richter JE, Kahrilas PJ, Sontag SJ, Kovacs TO, Huang B, Pencyla JL: Comparing lansoprazole and omeprazole in onset of heartburn relief: Results of a randomized, controlled trial in erosive esophagitis patients. Am J Gastroenterol 2001;96:3089–3098.
7.
Matheson AJ, Jarvis B: Lansoprazole. An update of its place in the management of acid-related disorders. Drugs 2001;61:1801–1833.
8.
Bown RL: An overview of the pharmacology, efficacy, safety and cost-effectiveness of lansoprazole. Int J Clin Pract 2002;56:132–139.
9.
Nakao M, Malfertheiner P: Growth inhibitory and bactericidal activities of lansoprazole compared with those of omeprazole and pantoprazole against Helicobacter pylori. Helicobacter 1998;3:21–27.
[PubMed]
10.
Lai KC, Lam SK, Chu KM, Wong BCY, Hui WM, Hu WHC, Lau GKK, Wong WM, Yuen MF, Chan AOO, Lai CL, Wong J: Lansoprazole for the prevention of recurrences of ulcer complications from long-term low-dose aspirin use. N Engl J Med 2002;346:2033–2038.
11.
Malfertheiner P, Megraud F, O’Morain C, Hungin AP, Jones R, Axon A, Graham DY, Tytgat G; The European Helicobacter pylori Study Group (EHPSG): Current concepts in the management of Helicobacter pylori infection – The Maastricht 2–2000 Consensus Report. Aliment Pharmacol Ther 2002;16:167–180.
12.
Misiewicz JJ, Harris AW, Bardhan KD, Levi S, O’Morain C, Cooper BT, Kerr GD, Dixon MF, Langworthy H, Piper D: One week triple therapy for Helicobacter pylori: A multicentre comparative study. Lansoprazole Helicobacter Study Group. Gut 1997;41:735–739.
[PubMed]
13.
Pilotto A, Franceschi M, Leandro G, Bozzola L, Fortnato A, Rassu M, Meli S, Soffiati G, Scagnelli M, Di Mario F, Valerio G: Efficacy of 7 day lansoprazole-based triple therapy for Helicobacter pylori infection in elderly patients. J Gastroenterol Hepatol 1999;14:468–475.
14.
Patti MG, Feo CV, De Pinto M, Arcerito M, Tong J, Gantert W, Tyrrell D, Way LW: Results of laparoscopic antireflux surgery for dysphagia and gastroesophageal reflux disease. Am J Surg 1998;176:564–568.
[PubMed]
15.
Friedel D, Fisher RS: Gastrointestinal motility in the elderly. Clin Geriatr 2000;8:30–43.
16.
Tateno M, Nakamura N: Phase I study of lansoprazole (AG-1749) antiulcer agent – Capsule form. J Clin Ther Med 1991;7:51–62.
17.
Tabata T, Kashihara T, Hirai S, Kitanori N, Toguchi H: Effect of gastric pH on the absorption of a new antiulcer drug (lansoprazole) in the beagle dog. J Biopharm Sci 1991;2:319–328.
18.
Freston JW, Chiu YL, Mulford DJ, Ballard ED: Comparative pharmacokinetics and safety of lansoprazole oral capsules and orally disintegrating tablets in healthy subjects. Aliment Pharmacol Ther 2003;17:361–367.
19.
Shimizu T, Nakano Y, Tabata T, Hamaguchi N: 19th Symposium on Particulate Preparations and Designs. October 2002, abstract A-23.
You do not currently have access to this content.