Nexe 20 mg (Tablet (Enteric Coated))
Unit Price: ৳ 5.00 (6 x 10: ৳ 300.00)
Strip Price: ৳ 50.00
Medicine Details
Category | Details |
---|---|
Generic | Esomeprazole |
Company | Apex pharmaceuticals ltd |
Also available as |
Indications
- Relief from chronic heartburn symptoms
- Healing of erosive esophagitis
- Maintenance of healing of erosive esophagitis
- Eradication of Helicobacter pylori infection
- Treatment of Zollinger-Ellison Syndrome
- Management of acid-related Dyspepsia
- Treatment of Duodenal & Gastric ulcers
Pharmacology
- Proton pump inhibitor
- Suppression of gastric acid secretion
- Specific inhibition of H+/K+-ATPase
- First single optical isomer of proton pump inhibitor
- Better acid control than racemic proton pump inhibitors
- Enteric-coated pellet formulation
- Peak plasma levels occur at approximately 1.5 hours
- Systemic bioavailability is approximately 90%
Dosage
- Oral dosage form
- 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: Triple Therapy
- Zollinger-Ellison Syndrome: 20-80 mg once daily
- Acid-related Dyspepsia: 20-40 mg once daily
- Duodenal ulcer: 20 mg once daily for 2-4 weeks
- Gastric ulcer: 20-40 mg once daily for 4-8 weeks
- IV Injection or IV infusion for various conditions and patient age groups
Administration
- Tablet or capsule should be swallowed whole and taken one hour before a meal
- Oral Suspension
- IV Injection
- IV infusion
- Nasogastric or gastric tube administration
Interaction
- Extensive metabolism in the liver by CYP2C19 and CYP3A4
- Inhibition of gastric acid secretion
- Potential interference with CYP2C19
- No clinically significant interactions with various 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 teratogenic effects in animal studies
- Excretion in milk not studied
- Discontinuation of breast-feeding if essential use is considered
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 Nexe
Use in Special Populations
- Safety and effectiveness in paediatric patients not established
- No overall differences in safety and efficacy in the elderly
- No dosage adjustment recommended for patients with mild to moderate hepatic insufficiency
- No alteration of pharmacokinetics in patients with renal impairment
Overdose Effects
- Lethal to rats at a high dose
- Signs of acute toxicity
- No specific antidote known
- Symptomatic and supportive treatment recommended
Storage Conditions
- Store at a temperature not exceeding 30°C
- Dry place
- Protect from light and moisture
- Keep out of reach of children
Chemical Structure
- Molecular Formula: C17H19N3O3S
- Chemical Structure Image link
Common Questions about Nexe 20 mg Tablet
- PPI for reducing stomach acid production
- Treatment of GERD, ulcers, and excessive stomach acid conditions
- Common side effects
- Safety during pregnancy and breastfeeding
- Onset of action
- Quick tips for usage and potential side effects