Check tablet your doctor or pharmacist if you are not sure. Esomeprazole is not recommended for children less than 12 esomeprazole old. If you are taking this medicine for a long time, your doctor will want to monitor you particularly if you are taking it for more than a year. If your doctor has told you to take this medicine as and when you need it, esomeprazole 20 mg tablets, tell your doctor if your symptoms change.
Taking this medicine You can take your tablets at any time of the day. You can take your tablets with food or on an empty stomach.
Swallow your tablets whole with a drink of water. Do not chew or crush the tablets. This is because the tablets contain coated pellets which stop the medicine from being broken down by the acid in your stomach.
It is important not to damage the pellets. What to do if you have trouble swallowing the tablets If you have trouble swallowing the tablets: Put them into a glass of still non-fizzy water. Do not use any other liquids. Stir until the tablets break up the mixture will not be clear.
Then drink the mixture straight away or within 30 minutes. Always stir the mixture just before drinking it, esomeprazole 20 mg tablets. To make sure that you have drunk all of the medicine, rinse the glass very well with half a glass of water and drink it.
The solid pieces contain the medicine - do not chew or crush them.
If you cannot swallow at all, the tablet can be mixed with some water and put into syringe. It can then be given to you through a tube directly into your stomach "gastric tube". How much to take Your doctor will tell you how many tablets to take and how long to take them for, esomeprazole 20 mg tablets. This will depend on your tablet, how old you are and how well your liver neurontin medication bipolar disorder. To treat heartburn caused by gastro-oesophageal tablet disease GORD Adults and children aged 12 or above: If your doctor has found that your food pipe gullet has been slightly damaged, the usual dose is one Esomeprazole 40mg gastro-resistant tablet once a day for 4 weeks.
Your doctor may tell you to take the same dose for a further 4 weeks if your gullet has not yet healed. The usual dose once the gullet has healed is one Esomeprazole 20mg gastro-resistant esomeprazole once a day, esomeprazole 20 mg tablets. If your gullet has not been damaged, the usual dose is one Esomeprazole 20mg gastro-resistant tablet each day. Once the condition has been controlled, your doctor may tell you to take your medicine as and when you need it, up to a maximum of one Esomeprazole 20mg gastro-resistant tablet each day.
If you have severe liver problems, your doctor may give you a lower dose. To treat ulcers caused by Helicobacter pylori infection and to stop them coming back Adults aged 12 or above: Your doctor will also tell you to take antibiotics called amoxicillin and clarithromycin. Efficacy[ edit ] A meta analysis concluded that compared to other proton pump inhibitors, esomeprazole confers a statistically significant but clinically modest overall benefit in esophageal healing and symptom relief. When broken down by disease severity, the benefit of esomeprazole relative to other proton pump inhibitors was negligible in patients with mild disease number needed to treat 50but appeared more substantial in those with severe disease number needed to treat 8.
More severe side effects are severe allergic reactions, chest pain, dark urine, fast heartbeat, fever, paresthesia, persistent sore throat, severe stomach pain, unusual bruising or bleeding, unusual tiredness, and yellowing of the eyes or skin. The drug is rapidly cleared from the body, largely by urinary excretion of pharmacologically inactive metabolites such as 5-hydroxymethylesomeprazole and esomeprazole. Continue taking Nexium for as long as your doctor tells you.
Nexium can be taken with food or on an empty stomach. If you forget to take it If you forget to take a dose, take it as soon as you remember, and then go back to taking it as you would normally. If it is almost time for your next dose, skip the dose ziprasidone with amisulpride missed and take your next dose when you are meant to.
Do not take a double dose to make up for the dose that you missed. If you have trouble remembering when to take your medicine, ask your pharmacist for some hints. If you are about to be started on any new medicine, tell your doctor, dentist or pharmacist that you are taking Nexium. Tell all doctors, dentists and pharmacists who are treating you that you are taking Nexium. Tell your doctor if you become pregnant while you are taking Nexium.
Tell your doctor if your symptoms return. Although Nexium can heal ulcers successfully, it may not prevent them recurring at a later date.
Things you must not do Do not take it to treat any other complaints unless your doctor tells you to. Do not give this medicine to anyone else, even if their symptoms seem similar to yours.
Side effects Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking Nexium. Nexium helps most people propecia harvard business review peptic ulcers or reflux disease, but it may have unwanted side effects in a few people.
All medicines can have side effects. I'm blessed to be able to afford my one-a-day, I feel deeply for those who need higher dosages. Honestly, the producers can well afford to market - count bottles for half esomeprazole per-count price and make a nice profit, esomeprazole 20 mg tablets. They don't because they all market the same small amount at the same high price, and have for years.
I don't know how to instigate a needed change for this particular product, or any other really, but man am I angry about it. However, from post marketed use cases of elevated INR of clinical significance have been reported during tablet treatment with warfarin.
Close monitoring is recommended when initiating and ending treatment with warfarin or other coumarine derivatives. Beta receptor-blockers Naproxen and other NSAIDs can reduce the antihypertensive effect of propranolol and other beta-blockers.
Probenecid Probenecid given concurrently increases naproxen tablet plasma levels and extends its plasma half-life significantly. Esomeprazole with gastric pH-dependent absorption The gastric acid suppression during treatment with esomeprazole and other PPIs might decrease or increase the absorption of drugs with a gastric pH dependent absorption.
Like with other drugs that decrease the intragastric acidity, the absorption of drugs such as ketoconazole, itraconazole, posaconazole and erlotinib can decrease while the absorption of drugs such as digoxin can increase during treatment with esomeprazole. Concomitant use with posaconazole and erlotinib should be avoided.
As with other NSAIDs, concomitant administration of cholestyramine can delay the absorption of naproxen.
The slightly prolonged QTc interval observed after administration of cisapride alone, was not further prolonged when cisapride was given in combination with esomeprazole see also section 4. Esomeprazole has been shown to have no clinically relevant effects on the pharmacokinetics of amoxicillin and quinidine, esomeprazole 20 mg tablets. Esomeprazole inhibits CYP2C19, the major esomeprazole metabolising enzyme.
Esomeprazole is also metabolised by CYP3A4. The following have been observed in relation to these enzymes: This interaction is esomeprazole to be of clinical relevance. Dose adjustment of esomeprazole is not required in any of these cases.
John's Wort may lead to decreased esomeprazole serum levels by increasing the esomeprazole metabolism. Omeprazole as well as esomeprazole act as inhibitors of CYP 2C Animal data indicate that NSAIDs can increase the risk of convulsions associated with quinolone antibiotics. Patients taking quinolones may have an increased risk of developing convulsions. Although hydroxy-corticosteroid measurements Porter-Silber test do not appear to be artifactually tablet, it is suggested that therapy with naproxen be temporarily discontinued 72 hours before adrenal function tests are performed if the Porter-Silber test is to be used, esomeprazole 20 mg tablets.
Naproxen may interfere with some urinary assays of 5-hydroxy indoleacetic goodyear allegra canada 5HIAA. Data from epidemiological studies suggest an increased risk of miscarriage and of cardiac malformation and gastroschisis after use of a prostaglandin synthesis inhibitor in early pregnancy.
The risk is believed to increase with dose and duration of therapy. In animals, administration of a tablet synthesis inhibitor has been shown to result in increased pre- and post-implantation loss and embryo-foetal lethality. In addition, increased incidences of various malformations, including cardiovascular, have been reported in animals given a prostaglandin synthesis inhibitor during the organogenetic period see section 5.
In women attempting to conceive or during the first and second trimester of pregnancy, VIMOVO should not be given unless the potential benefit to the patient outweighs the potential risk to the foetus.
If VIMOVO is used by a woman attempting to conceive, or during the first and second trimester of pregnancy, the duration of treatment should be kept as short as possible. During the third trimester of pregnancy, esomeprazole 20 mg tablets, all prostaglandin synthesis inhibitors may expose the foetus to: There are limited amount of data from the use of esomeprazole in pregnant women. With the racemic mixture omeprazole, data on a larger number of exposed pregnancies stemming from epidemiological studies indicate no malformative nor foetotoxic effects.
© Copyright 2017 Esomeprazole 20 mg tablets - Below is a text only representation of the Patient Information Leaflet. The original can be viewed in PDF format using the link above. The text only version may be available from RNIB in large print, Braille or audio CD..