Esomep 40 mg (Capsule (Enteric Coated))

Unit Price: ৳ 11.29 (4 x 8: ৳ 361.20)
Strip Price: ৳ 90.30

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
  • Suppresses gastric acid secretion
  • Enteric-coated pellet formulation
  • Metabolized in the liver by CYP2C19 and CYP3A4
  • Peak plasma levels occur at approximately 1.5 hours
  • Plasma elimination half-life of approximately 1–1.5 hours

Dosage

  • Oral:
    • Healing of erosive esophagitis: 20 mg or 40 mg once daily for 4-8 weeks
    • Maintenance of healing of erosive esophagitis: 20 mg once daily
    • Symptomatic GERD: 20 mg once daily for 4 weeks
    • Helicobacter pylori eradication: 40 mg once daily for 10 days
    • Zollinger-Ellison Syndrome: 20-80 mg once daily
    • Acid-related dyspepsia: 20-40 mg once daily for 2-4 weeks
    • Duodenal ulcer: 20 mg once daily for 2-4 weeks
    • Gastric ulcer: 20-40 mg once daily for 4-8 weeks
  • IV Injection or Infusion:
    • GERD with erosive esophagitis: 20 mg or 40 mg once daily for adult patients
    • Pediatric patients (1 year to 17 years) - 10 mg to 20 mg once daily based on body weight
    • Risk reduction of rebleeding of Gastric or Duodenal Ulcers following therapeutic endoscopy in adults: 80 mg followed by continuous infusion

Administration

  • Tablet or capsule should be swallowed whole and taken one hour before a meal
  • Oral suspension should be taken with water, and any remaining medicine should be consumed immediately
  • IV injection should be administered over a period of at least 3 minutes

Interaction

  • Extensively metabolized in the liver by CYP2C19 and CYP3A4
  • Inhibition of gastric acid secretion
  • Potential interference with the absorption of certain drugs

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 known teratogenic effects in animal studies
  • Excretion in milk not studied
  • Breastfeeding should be discontinued if the use of esomeprazole is considered essential

Precautions & Warnings

  • Symptomatic response to therapy with esomeprazole does not preclude the presence of gastric malignancy
  • Patients should be informed about proper administration, including swallowing whole tablets or capsules

Use in Special Populations

  • Pediatric Use: Safety and effectiveness not established
  • Geriatric Use: No overall differences in safety and efficacy observed
  • Hepatic Insufficiency: No dosage adjustment recommended for patients with mild to moderate hepatic insufficiency
  • Renal Insufficiency: Pharmacokinetics not expected to be altered relative to healthy volunteers

Overdose Effects

  • Common signs of acute toxicity include reduced motor activity, respiratory changes, tremor, and convulsions

Storage Conditions

  • Store at a temperature not exceeding 30°C
  • Protect from light and moisture
  • Keep out of reach of children

Chemical Structure

  • Molecular Formula: C17H19N3O3S

Common Questions

  • What is Esomep 40 mg Capsule?
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  • How long does it take for Esomep 40 mg Capsule to work?

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