Easium
Generic Name
Esomeprazole
Manufacturer
Square Pharmaceuticals Ltd.
Country
Bangladesh
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Price Details
Current market pricing information
| Variant | Unit Price | Strip Price |
|---|---|---|
| easium 5 mg tablet | ৳ 0.69 | ৳ 27.60 |
| easium 10 mg injection | ৳ 7.00 | N/A |
| easium 10 mg suppository | ৳ 3.01 | N/A |
Description
Overview of the medicine
Esomeprazole is a proton pump inhibitor that decreases the amount of acid produced in the stomach. It is used to treat conditions like heartburn, acid reflux, and ulcers.
Uses & Indications
Dosage
Adults
20-40 mg once daily for 4-8 weeks, depending on condition and doctor's advice.
Elderly
No dose adjustment generally required, but caution is advised due to potential comorbidities.
Renal_impairment
No dose adjustment needed for mild to moderate renal impairment. For severe impairment, consultation with a doctor is recommended.
How to Take
Take orally, preferably at least one hour before a meal. Swallow capsules whole; do not chew or crush. For patients who have difficulty swallowing, the capsule can be opened and the pellets mixed with water.
Mechanism of Action
Esomeprazole is a proton pump inhibitor that specifically inhibits the gastric H+/K+-ATPase (proton pump) in the parietal cells of the stomach. This irreversible inhibition blocks the final step in acid production.
Pharmacokinetics
Onset
Within 1 hour
Excretion
Mainly excreted in urine (approximately 80%) and feces (approximately 20%).
Half life
Approximately 1-1.5 hours
Absorption
Rapidly absorbed after oral administration. Bioavailability is approximately 64% with a single 40 mg dose and increases to 89% with repeated once-daily administration. Food delays absorption.
Metabolism
Extensively metabolized in the liver by the cytochrome P450 system, primarily by CYP2C19 and CYP3A4.
Side Effects
Contraindications
- •Known hypersensitivity to Esomeprazole, substituted benzimidazoles, or any excipients.
- •Concomitant use with Nelfinavir.
Drug Interactions
Warfarin
May increase INR and prothrombin time, requiring monitoring.
Clopidogrel
May reduce the antiplatelet effect of clopidogrel due to inhibition of CYP2C19.
Methotrexate
May increase serum levels of methotrexate, especially at high doses, leading to toxicity.
Storage
Store in a cool and dry place, below 30°C (86°F). Protect from light and moisture. Keep out of reach of children.
Overdose
Symptoms are generally mild and non-specific, including nausea, vomiting, dizziness, abdominal pain, and headache. Treatment is symptomatic and supportive; there is no specific antidote.
Pregnancy & Lactation
Pregnancy Category B. Studies in animals have not shown harm, but human studies are limited. Use only if clearly needed. Esomeprazole is excreted in human breast milk; caution should be exercised when administered to a nursing mother.
Frequently Asked Questions
Common questions about this medicine
Pack Sizes
Shelf Life
24 months from manufacturing date
Availability
Available in pharmacies nationwide in Bangladesh
Approval Status
Approved by FDA and DGDA
Patent Status
Off-patent (for generic versions)
WHO Essential Medicine
YesAlternative Medicines in Bangladesh
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Global Brand Names
International brand names for this medicine
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