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Esomeprazole Capsules
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What is Esomeprazole?
Esomeprazole is a medication that is often referred to as a Proton Pump Inhibitor (PPI). PPIs work by reducing the amount of acid that is produced in the stomach and alleviating the symptoms associated with this. It is used for conditions such as heartburn and acid reflux and is also used for gastro-oesophageal reflux disease (GORD) which is a persistent form of acid reflux. In addition to acid reflux, Esomeprazole can be used to treat stomach ulcers. The medication comes in the form of capsules, tablets, granules and can also be taken as a liquid.
How to take Esomeprazole?
The best time to take esomeprazole is in the morning, where one tablet can be taken with or without food.
Swallow the tablets with a drink of water however if you have problems swallowing the whole tablet you can put them in your drink, ensuring it is dissolved/broken up and then drinking straight away.
Who can and can’t take Esomeprazole?
This product is suitable for adults and should only be given to children if their doctor has prescribed this.
Please note that is this medication is not suitable for everyone and you should consult your doctor if you have had any of the following:
- An allergic reaction to this product or any other medications in the past
- Liver problems
- A glucose, sucrose or lactose intolerance (where your body is unable to absorb these forms of sugar) as the capsules can contain small amounts of any of these sugars.
Dosage
For Heartburn and Acid Reflux- 20mg per day
For gastro-oesophageal reflux disease- 20mg to 40mg per day
For stomach ulcers- 20mg per day
Your doctor may recommend only taking esomeprazole when you have symptoms, and this means you may not need to take this each day.
When your symptoms have subsided, you can stop taking the medication, the time this will take can range from days to week.
Please note that esomeprazole is not suitable for everyone so consult your doctor first for the best option for your symptoms.
FAQ's
How quickly will esomeprazole work?
Some people feel relief within hours, but the full effect builds over 2 to 3 days. Maximum benefit is typically seen within 2 weeks of daily use.
How long should I take it?
For uncomplicated dyspepsia or reflux, a 2 to 4 week course is typical. If symptoms persist or return soon after stopping, seek medical review rather than self-continuing long term.
Can I take antacids or alginates with esomeprazole?
Yes. You can use an alginate or simple antacid for breakthrough symptoms. Take them separately, for example leave 2 to 3 hours from your esomeprazole, to avoid interfering with the capsule’s release.
Are there important medicine interactions?
Yes. Notable interactions include atazanavir, nelfinavir and rilpivirine which should be avoided, and potential effects with clopidogrel, warfarin, digoxin, phenytoin, diazepam, high-dose methotrexate, tacrolimus, theophylline, some antifungals such as posaconazole or itraconazole, and erlotinib. Always list all medicines and supplements in your questionnaire.
What are the risks of long-term PPI use?
With short-term courses, risks are low. With long-term use, possible issues include low magnesium or vitamin B12, bone fracture risk, infections such as C. difficile, and kidney effects. If you need ongoing therapy, arrange a GP review to confirm the diagnosis and lowest effective dose.
What if I miss a dose?
Take it when you remember. If it is close to your next dose, skip the missed capsule. Do not take a double dose.
When should I seek medical help urgently?
Seek urgent care for severe chest or abdominal pain, vomiting blood, black stools, difficulty swallowing, persistent vomiting, or unintentional weight loss.
Is this information a substitute for seeing my own doctor?
No. This information supports, but does not replace, advice from your GP or another qualified clinician. Follow your prescriber’s instructions and read the patient leaflet supplied with your medicine.
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