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Overview

Espra 20 MG Tablet

Manufacturer :  Zydus Cadila
Medicine Composition :  Esomeprazole
Prescription vs OTC : Prescription by Doctor required

About Espra 20 MG Tablet

Espra 20 MG Tablet is used in the treatment of conditions caused by excessive production of acid in the stomach. The conditions may include erosive esophagitis, gastroesophageal reflux disease (GERD), Helicobacter pylori infection and Zollinger-Ellison syndrome (tumors in the pancreas or in the upper part of the small intestine).

Espra 20 MG Tablet is used for short-term (4-8 weeks) treatment of severe erosive esophagitis (grade 2 or above), diagnosed by endoscopy and short-term treatment of symptomatic gastroesophageal reflux disease (GERD) poorly responsive to customary medical treatment.

It is also used for the treatment of heartburn and other symptoms associated with GERD; pathological hypersecretory conditions; peptic ulcer disease; gastric ulcer therapy; maintenance of healing of erosive esophagitis; approved for combination use in the eradication of H. pylori in patients with active duodenal ulcer.

Apart from that, it can also help in preventing stomach ulcer that is caused due to the consumption of nonsteroidal anti-inflammatory drugs (NSAID). The medication is available as a delayed-release capsule or in the form of a liquid suspension.

Belonging to the drug group of proton pump inhibitors, this medication blocks the proton pump in your stomach’s cells. When this proton pump gets blocked, there will be less production of acid in your stomach.

The dosage of this medication is decided by your doctor based on your age, the severity of the condition, your medical history and the reaction of your body after taking the first dose.

It should be kept in mind that this medicine is processed by the liver. If you have chronic liver disease, the body will be unable to process it well, causing a build-up of the drug. Also, this medicine can pass on to a child through his/her mother by breastfeeding. Hence, both pregnant and breastfeeding mothers must consult a doctor before taking the medication.

This medicine is approved for combination use in the eradication of H. pylori in patients with active duodenal ulcer. The most common side effects associated with Omeprazole include diarrhea, gas, vomiting, headache, nausea and stomach aches.

Although rare, certain severe adverse reactions are increased possibility of bone fractures, decreased magnesium levels inside the body, seizures, irregular heart-beats, jitteriness, muscle spasms and weakness, feet/hand spasms, voice box spasms, etc.

The likelihood of these severe side effects goes up if you take this medicine for over a period of 3 months. Also, prolonged intake of this medication (usually over a period of three years) can result in your body’s decreased ability to absorb Vitamin B12.

Other possible (albeit rare) side effects include diarrhea, inflammation of the intestine and the stomach lining, damage to the kidneys, allergic reactions, weight loss, and fever.

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Gastroenterologist before using this medicine.

    What are the uses of Espra 20 MG Tablet

    • Erosive Esophagitis

    • Gastroesophageal Reflux Disease

    • Helicobacter Pylori Infection

    • Zollinger-Ellison Syndrome

    • Other Forms Of Ulcers

    • Heartburn

    • Acidity

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Gastroenterologist before using this medicine.

    What are the contraindications of Espra 20 MG Tablet ?

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Gastroenterologist before using this medicine.

    What are the side effects of Espra 20 MG Tablet ?

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Gastroenterologist before using this medicine.

    Key highlights of Espra 20 MG Tablet

    • How long is the duration of effect?

      The effect of this medicine lasts for a duration of about 16-18 hours.

    • What is the onset of action?

      The effect of this medicine is observed in 1 hour of administration.

    • Are there any pregnancy warnings?

      This medicine cannot be used by pregnant women unless necessary. Consult your doctor before taking this medicine.

    • Is it habit forming?

      No habit forming tendencies has been reported.

    • Are there any breast-feeding warnings?

      This medicine is not suggested for use by breastfeeding women as it may cause some side effects in the infant.

    • Is It safe with alcohol?

      Caution must be taken. Avoid consuming alcohol along with this medicine.

    • Is it safe to drive while on this medicine?

      It is unknown whether this medicine alter the ability of patients driving skills. It patient experience any side effects, he must avoid driving.

    • Does this affect kidney function?

      It is safe to use Espra 20 MG Tablet in patients with kidney disease.

    • Does this affect liver function?

      Caution must be taken in patients with liver disease. Adjustment of dose is needed, kindly consult your doctor before taking this medication.

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Gastroenterologist before using this medicine.

    What are the substitutes for Espra 20 MG Tablet ?

    Below is the list of medicines, which have the same composition, strength and form as Espra 20 MG Tablet , and hence can be used as its substitute.

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Gastroenterologist before using this medicine.

    What are the dosage instructions?

    • Missed Dose instructions

      The missed dose should be taken as soon as possible. The missed dose should be skipped if it is time for the next dose.

    • Are there any overdose instructions?

      Contact your doctor if symptoms of overdose such as confusion, drowsiness, blurred vision, dry mouth and headache are suspected.

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Gastroenterologist before using this medicine.

    Where is the Espra 20 MG Tablet approved?

    • India

    • United States

    • Japan

    Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Gastroenterologist before using this medicine.

    How does this medication work?

    This medication belongs to the class of proton pump inhibitor drug and binds to H+/K+-exchanging ATPase in gastric parietal cells, resulting in blockage of acid secretion.

      Information given here is based on the salt content of the medicine. Uses and effects of the medicine may vary from person to person. It is advisable to consult a Gastroenterologist before using this medicine.

      What are the interactions of Espra 20 MG Tablet ?

      Whenever you take more than one medicine, or mix it with certain foods or beverages, you"re at risk of a drug interaction.

        test
      • Interaction with Alcohol

        Interaction with alcohol is not known. Consult your doctor before consumption.
      • Interaction with Lab Test

        Neuroendocrine tumor diagnosis

        This medication should not be used while undergoing the neuroendocrine/carcinoid tumor test as it might give a false-positive result for this diagnostic test.
      • Interaction with Medicine

        Clopidogrel

        Report the use of either of the medicine to the doctor. Your doctor may prescribe a safer alternative for reducing the stomach acidity while you are being treated with Clopidogrel.

        Ketoconazole

        This medication should be used with Ketoconazole or other antifungals of the same group with caution. Inform the doctor about the usage of either of these medications so that safer alternatives can be prescribed.

        Methotrexate

        This medication should not be used with Methotrexate. The use of either of the drugs should be reported to the doctor so that a safer substitute could be prescribed.

        Warfarin

        Usage of this medication with Warfarin should be strictly monitored by the doctor. Suitable adjustment in dosage and monitoring of Prothrombin time is necessary to ensure safety. Any symptoms like unusual bleeding, swelling, vomiting, or presence of blood in urine should be reported immediately.

        Nelfinavir

        This medication is not recommended for use when the patient is already taking anti-viral medications like Nelfinavir or other drugs used in the management of HIV Infection.

        Digoxin

        This medication should be used with caution if the patient is on Digoxin. Prior usage of any of these drugs should be informed to the doctor. Any symptoms like nausea, vomiting, diarrhea, loss of appetite, disturbances in vision, and abnormalities in heartbeat should be reported immediately.
      • Interaction with Disease

        Liver Disease

        Any history of liver disease has to be reported to the doctor. Suitable dose adjustment is required based on the extent of the liver impairment.

        Osteoporosis

        Suitable dose adjustment have to be made in patients who suffer from Osteoporosis related fracture.

        Hypomagnesemia

        Inform your doctor about magnesium level imbalance in the body. Regular monitoring is advised for patients taking Espra 20 MG Tablet in such cases.

      FAQs about Espra 20 MG Tablet

      • Ques : What is Espra 20 MG Tablet?

        Ans : This medication is used in the treatment of conditions caused by excessive production of acid in the stomach.

      • Ques : How long do I need to use Espra 20 MG Tablet before I see improvement in my condition?

        Ans : This medication is to be taken till the time you see an improvement in your health conditions.

      • Ques : At what frequency do I need to use Espra 20 MG Tablet?

        Ans : This medication should be taken in the dosage as prescribed by the doctor.

      • Ques : Should I use Espra 20 MG Tablet empty stomach, before food or after food?

        Ans : This medication should be taken after food in a prescribed dosage.

      • Ques : What are the instructions for the storage and disposal of Espra 20 MG Tablet?

        Ans : This medication should be kept in a cool dry place and in its original packaging. Make sure this medication remains unreachable to children and pets.

      • Ques : What is the half-life of Espra 20 MG Tablet?

        Ans : The half-life of Espra 20 MG Tablet is between 1 to 1.5 hours.

      • Ques : Does Espra 20 MG Tablet induce diarrhea?

        Ans : Espra 20 MG Tablet may cause diarrhea in some patients, however, it should improve in some time.

      • Ques : Does Espra 20 MG Tablet makes the body susceptible to infections?

        Ans : The excessive usage of Espra 20 MG Tablet makes the body susceptible to bacterial infection, thus, it should be used with caution.

      • Ques : What are the dietary specifications while taking Espra 20 MG Tablet?

        Ans : There are no specific dietary guidelines unless the doctor instructs otherwise.

      • Ques : What is the route of administration of Espra 20 MG Tablet?

        Ans : Espra 20 MG Tablet is administered orally with a glass of water.

      References

      • Esomeprazole- Drug Information Portal [Internet]. druginfo.nlm.nih.gov. 2021 [Cited 25 Nov 2021]. Available from:

        https://druginfo.nlm.nih.gov/drugportal/name/esomeprazole

      • ESOMEPRAZOLE- esomeprazole magnesium tablet- Daily Med [Internet]. dailymed.nlm.nih.gov. 2021 [Cited 24 Nov 2021]. Available from:

        https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ea9ef7b0-7397-470f-b852-397e8b0e66e4

      • Esomeprazole 20 mg Gastro-resistant Tablets- EMC [Internet]. www.medicines.org.uk. 2021 [Cited 3 December 2021]. Available from:

        https://www.medicines.org.uk/emc/product/10557/smpc

      • Esomeprazole- Drug Information Portal [Internet]. druginfo.nlm.nih.gov. 2021 [Cited 25 Nov 2021]. Available from:

        https://druginfo.nlm.nih.gov/drugportal/name/esomeprazole

      • ESOMEPRAZOLE- esomeprazole magnesium tablet- Daily Med [Internet]. dailymed.nlm.nih.gov. 2021 [Cited 24 Nov 2021]. Available from:

        https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=ea9ef7b0-7397-470f-b852-397e8b0e66e4

      • Esomeprazole 40 mg gastro-resistant capsules, hard- EMC [Internet]. www.medicines.org.uk. 2021 [Cited 3 December 2021]. Available from:

        https://www.medicines.org.uk/emc/product/12020/smpc

      Disclaimer : The information produced here is best of our knowledge and experience and we have tried our best to make it as accurate and up-to-date as possible, but we would like to request that it should not be treated as a substitute for professional advice, diagnosis or treatment.

      Lybrate is a medium to provide our audience with the common information on medicines and does not guarantee its accuracy or exhaustiveness. Even if there is no mention of a warning for any drug or combination, it never means that we are claiming that the drug or combination is safe for consumption without any proper consultation with an expert.

      Lybrate does not take responsibility for any aspect of medicines or treatments. If you have any doubts about your medication, we strongly recommend you to see a doctor immediately.
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      Written ByDrx Hina FirdousPhD (Pharmacology) Pursuing, M.Pharma (Pharmacology), B.Pharma - Certificate in Nutrition and Child CarePharmacology
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      Reviewed ByDr. Garima SharmaMBBS, Master in Healthcare Administration, Diploma in Occupational HealthGeneral Physician
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