Esoral 20 mg (Tablet (Enteric Coated))

Unit Price: ৳ 6.00 (8 x 14: ৳ 672.00)
Strip Price: ৳ 84.00

Medicine Details

Indications

  • Relief from chronic heartburn symptoms and other symptoms associated with GERD
  • Healing of erosive esophagitis
  • Maintenance of healing of erosive esophagitis
  • Eradication of Helicobacter pylori infection in patients with duodenal ulcer disease
  • Treatment for Zollinger-Ellison Syndrome
  • Relief from acid-related Dyspepsia
  • Treatment for Duodenal and Gastric ulcer

Pharmacology

  • Proton pump inhibitor
  • Suppresses gastric acid secretion
  • Specific inhibition of the H+/K+-ATPase in the gastric parietal cell
  • First single optical isomer of proton pump inhibitor (S-isomer of omeprazole)
  • Better acid control than racemic proton pump inhibitors
  • Absorption occurs at approximately 1.5 hours after oral administration
  • Systemic bioavailability is approximately 90%
  • Metabolized in the liver by the cytochrome P450 (CYP) enzyme system
  • Plasma elimination half-life of approximately 1–1.5 hours

Dosage

  • Oral dosage form for healing of erosive esophagitis: 20 mg or 40 mg once daily for 4-8 weeks
  • Oral dosage form for symptomatic GERD: 20 mg once daily for 4 weeks
  • Oral dosage form for duodenal and gastric ulcer: 20 mg once daily for 2-8 weeks
  • IV Injection or IV infusion dosage for adults with GERD with erosive esophagitis: 20 mg or 40 mg once daily

Administration

  • Tablet or capsule should be swallowed whole and taken one hour before a meal
  • Oral Suspension should be stirred well and consumed within 30 minutes
  • IV Injection should be administered intravenously over a period of at least 3 minutes

Interaction

  • Metabolized in the liver by CYP2C19 and CYP3A4
  • Does not have clinically significant interactions with certain drugs metabolized by specific CYP enzymes
  • May potentially interfere with the absorption of drugs where gastric pH is an important determinant of bioavailability

Contraindications

  • Contraindicated in patients with known hypersensitivity to any of the formulation

Side Effects

  • Common adverse events include headache, diarrhea, nausea, flatulence, abdominal pain, constipation, and dry mouth

Pregnancy & Lactation

  • No adequate and well-controlled studies in pregnant women
  • Animal studies revealed no teratogenic effects
  • Excretion in milk not studied, breastfeeding should be discontinued if use is essential

Precautions & Warnings

  • Symptomatic response to therapy does not preclude the presence of gastric malignancy
  • Capsules should be taken at least one hour before meals
  • Antacids may be used while taking the drug

Use in Special Populations

  • Safety and effectiveness in paediatric patients have not been established
  • No overall differences in safety and efficacy observed between elderly and younger individuals

Overdose Effects

  • A single oral dose at 510 mg/kg has been lethal to rats
  • Signs of acute toxicity include reduced motor activity, changes in respiratory frequency, tremor, and convulsions

Storage Conditions

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

Chemical Structure

  • Molecular Formula: C17H19N3O3S
  • Chemical Structure: Image provided in the source

Common Questions about Esoral 20 mg Tablet

  • Used to treat gastroesophageal reflux disease (GERD), ulcers, and conditions with excessive stomach acid production
  • Common side effects include headaches, diarrhea, nausea, and stomach pain
  • Pregnant or breastfeeding individuals should consult a doctor before use

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