
Espra 20mg Tablet
Manufacturer
Zydus Cadila
Salt Composition
Esomeprazole (20mg)
Key Information
Short Description
Espra 20mg Tablet is used to treat conditions related to excessive stomach acid production, such as gastroesophageal reflux disease (GERD), peptic ulcer disease, and Zollinger-Ellison syndrome.
Dosage Form
Tablet
Introduction
Espra 20mg Tablet can also be used to prevent stomach ulcers caused by certain medications such as nonsteroidal anti-inflammatory drugs (NSAIDs). Take the medicine as per your doctor's prescription. The dose will depend on what you are being treated for but it is usually the lowest dose for the shortest time that is needed to treat your condition. It is usually taken on an empty stomach preferably in the morning or at least 1 hour prior to meal. Continue taking the medicine even if your symptoms disappear until the doctor say it is okay to stop. If you are taking this medicine for a long time your doctor may carry out regular tests to check your levels of magnesium which can fall with this medicine.
Directions for Use
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Espra 20mg Tablet is to be taken empty stomach.
Safety Information
Side Effects
Headache Constipation or diarrhea Stomach pain Feeling or being sick
Alcohol Warning
Caution is advised when consuming alcohol with Espra 20mg Tablet. Please consult your doctor.
Breastfeeding Warning
Information regarding the use of Espra 20mg Tablet during breastfeeding is not available. Please consult your doctor. Caution should be exercised when Espra 20mg Tablet is administered to breastfeeding women.
Pregnancy Warning
Information regarding the use of Espra 20mg Tablet during pregnancy is not available. Please consult your doctor.
Interacting Medicines
Atazanavir Cilostazol Indinavir Nelfinavir
How it works
Espra 20mg Tablet is a proton pump inhibitor (PPI). It works by reducing the amount of acid in the stomach which helps in relief of acid related indigestion and heartburn.
Quick Tips
Long-term use of Espra 20mg Tablet can cause weak bones and a deficiency of minerals such as magnesium. Take adequate dietary intake of calcium and magnesium or their supplements as prescribed by your doctor. Consult your doctor right away if you develop decreased urination, edema (swelling due to fluid retention), lower back pain, nausea, fatigue, and rash or fever. These could be signs of a kidney problem.
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Frequently asked questions
What is the best time to take Espra 20mg Tablet?
Typically, Espra 20mg Tablet should be taken once a day, ideally in the morning. If you need to take it twice daily, consider taking one dose in the morning and another in the evening. Remember to swallow the tablets whole, without chewing or crushing them, and take them at least an hour before meals with some water.
Can I take Espra 20mg Tablet with domperidone?
Yes, it is safe to combine Espra 20mg Tablet with domperidone. In fact, a fixed-dose combination of these two medications is available. Domperidone enhances gut motility, while Espra 20mg Tablet reduces stomach acid production, making this duo highly effective for treating reflux esophagitis associated with acidity and heartburn.
Can I take antacids along with Espra 20mg Tablet?
Yes, you can take antacids alongside Espra 20mg Tablet. For optimal results, consider taking them at least two hours apart.
Can I take Espra 20mg Tablet for a long term?
Usually, Espra 20mg Tablet is prescribed for short-term use only. However, in cases like peptic ulcer disease and Zollinger Ellison syndrome (ZES), it may be prescribed for extended periods under medical supervision.
What are the long term side effects of Espra 20mg Tablet?
Prolonged use of Espra 20mg Tablet, especially exceeding three months, may lead to low magnesium levels in the blood. This can cause fatigue, confusion, dizziness, muscle twitches, or irregular heartbeat. If taken for more than a year, there is an increased risk of bone fractures, stomach infections, and vitamin B12 deficiency. Vitamin B12 deficiency might result in anemia, causing symptoms like fatigue, weakness, pale skin, palpitations, shortness of breath, lightheadedness, indigestion, loss of appetite, flatulence (gas), or nerve problems such as numbness, tingling, and difficulty walking.
Can I stop taking Espra 20mg Tablet if I feel better?
If you've been taking Espra 20mg Tablet for a long time, abruptly stopping it may worsen symptoms by increasing acid production. Discuss any dosage changes or plans to discontinue with your doctor.
Can Espra 20mg Tablet cause weight gain?
Weight gain has been reported in less than 1% of patients taking Espra 20mg Tablet, although the exact cause is unknown. One possible explanation is increased food intake after symptoms are relieved. Lifestyle modifications like proper diet and exercise can help prevent weight gain.
Is Espra 20mg Tablet safe to use?
Yes, Espra 20mg Tablet is generally considered safe for most people. It's essential to follow the doctor's instructions for maximum benefit.
Can I take Espra 20mg Tablet with ranitidine?
Yes, it is safe to combine Espra 20mg Tablet with ranitidine. However, consult your doctor before taking them together.
Can I take alcohol with Espra 20mg Tablet?
No, it's not advised to consume alcohol while taking Espra 20mg Tablet, as it can increase acid production and worsen symptoms.