Esomep 20 mg (Capsule (Enteric Coated))

Unit Price: ৳ 7.02 (5 x 10: ৳ 351.00)
Strip Price: ৳ 70.20

Medicine Details

Indications

  • Relief from chronic heartburn symptoms
  • Healing of erosive esophagitis
  • Maintenance of healing of erosive esophagitis
  • Eradication of Helicobacter pylori infection in patients with duodenal ulcer disease
  • Treatment of Zollinger-Ellison Syndrome
  • Treatment of acid-related Dyspepsia
  • Treatment of duodenal and gastric ulcers

Pharmacology

  • Proton pump inhibitor
  • Suppression of gastric acid secretion
  • Specific inhibition of the H+/K+-ATPase in the gastric parietal cell
  • Better acid control than racemic proton pump inhibitors
  • Enteric-coated pellet formulation
  • Peak plasma levels occur at approximately 1.5 hours after oral administration
  • Extensive metabolism in the liver by the cytochrome P450 (CYP) enzyme system
  • Plasma elimination half-life of approximately 1-1.5 hours
  • Combination therapy with antimicrobials

Dosage

  • Oral dosage form
  • Different dosages for various conditions
  • IV injection or IV infusion for specific patient groups

Administration

  • Tablet or capsule to be swallowed whole one hour before a meal
  • Oral suspension with specific instructions for preparation and administration
  • IV injection preparation and administration
  • Requirement of administering at least one hour before meals

Interaction

  • Metabolized in the liver by CYP2C19 and CYP3A4
  • Unlikely to inhibit CYPs 1A2, 2A6, 2C9, 2D6, 2E1 and 3A4
  • Potential interference with the absorption of certain drugs
  • Co-administration of oral contraceptives, diazepam, phenytoin, or quinidine

Contraindications

  • Known hypersensitivity to any of the formulation

Side Effects

  • Headache
  • Diarrhea
  • Nausea
  • Flatulence
  • Abdominal pain
  • Constipation
  • Dry mouth

Pregnancy & Lactation

  • No adequate and well-controlled studies in pregnant women
  • No teratogenic effects in animal studies
  • Excretion in milk not studied
  • Discontinuation of breastfeeding if essential

Precautions & Warnings

  • Symptomatic response does not preclude the presence of gastric malignancy
  • Specific instructions for patients with difficulty swallowing capsules
  • Use of antacids while taking Esomep
  • Elderly and paediatric use considerations
  • No dosage adjustment recommended for mild to moderate hepatic insufficiency

Use in Special Populations

  • Safety and effectiveness not established in paediatric patients
  • No overall differences in safety and efficacy observed between the elderly and younger individuals
  • No dosage adjustment recommended for patients with mild to moderate hepatic insufficiency
  • Expected unaltered pharmacokinetics in patients with renal impairment

Overdose Effects

  • Signs of acute toxicity in animal studies
  • No specific antidote known
  • Symptomatic and supportive treatment recommended
  • Consideration of multiple drug ingestion

Storage Conditions

  • Temperature not exceeding 30°C
  • Dry place
  • Protection from light and moisture
  • Keep out of reach of children

Chemical Structure

  • Molecular formula: C17H19N3O3S
  • Chemical structure image available

Common Questions

  • Overview of Esomep 20 mg Capsule
  • Multiple uses of the capsule
  • Common side effects
  • Considerations for pregnancy and breastfeeding
  • Onset of action after administration
  • Quick tips for usage

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