International Travelers Medical Center

Suite 01, Lower Ground of Makati Palace Hotel

# 5011 P. Burgos cor. Caceres Sts. Brgy. Poblacion, Makati City
Contact. Nos. (+632) 8256-9396;
Sun/Smart +63 947 424 1222
Email Address: itmcmanila@gmail.com

Date: June 11, 2021

Name: Genabe, Ofelia Perez

Birthdate: April 23, 1938

Rx:
Esomeprazole 40 mg/tablet
(Nexium) # 14
Sig: Please take one tablet, once a day, 30 minutes before breakfast for 2 weeks only.

Simethicone 40 mg/tablet - FOR BLOATEDNESS

(Restime or Disflatyl) # 85
Sig: Please chew two tablets THRICE a day, AFTER breakfast, AFTER lunch and AFTER dinner ONLY AS
NEEDED FOR BLOATEDNESS.

Rebamipide 100 mg/tablet - GASTRIC MUCOSAL PROTECTANT

(Mucosta) # 42
Sig: Please take one tablet, thrice a day, 30 minutes before major meals (breakfast, lunch and dinner) for 2
weeks. Purpose: Treatment of gastric mucosal lesions (erosion, bleeding, redness & edema) in acute gastritis
& exacerbation of chronic gastritis; gastric ulcer. Prevention of NSAID-induced gastropathy.

Domperidone 10 mg/tablet - FOR DYSPEPSIA

(Motilium) # 42
Sig: Please take one tablet, thrice a day, 30 minutes before major meals (breakfast, lunch and dinner) for 2
weeks only.

VERY IMPORTANT REMINDER/s:

Avoid the following: Spicy Food, Caffeinated Beverages, Dairy Products, Citrus Fruit, Tea, Softdrinks,
Skipping Meals, Tight Fit Clothing, Abdominal Exercises, Pain Relievers and Eating 2 hours before bedtime.
Please use two pillows when sleeping.

THIS IS CONSIDERED A LEGAL PRESCRIPTION IF SIGNED AND STAMPED BY THE PHYSICIAN.

You may reach the clinic for concerns, through the following numbers: Clinic Landline/Telefax: +632 256-9396; Smart Mobile Phone
+63 947 424 1222. Thank you so much!

Jumel V. Bornilla, M.D.

Internal Medicine
Medical Director
International Travelers Medical Center
License No. 103031
PTR No. 8530270

www.itmcmanila.com