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ESOPOLE 20/MG CAP 28/CAP
- Sku : I-032069
Key features
ESOPOLE 20 mg is a modified-release capsule containing the active ingredient esomeprazole 20 mg. It reduces gastric acid secretion by inhibiting the H+/K+-ATPase (proton pump) in gastric parietal cells, providing sustained acid suppression. ESOPOLE is indicated for symptomatic gastro-oesophageal reflux disease and for healing and maintenance of healed erosive esophagitis; pathological hypersecretory conditions including Zollinger-Ellison syndrome; as part of combination therapy for H. pylori eradication to reduce duodenal ulcer recurrence; and to reduce the risk of NSAID‑associated gastric ulcers in at‑risk patients. Available as prescription-only modified-release capsules in a pack of 28.- Brand: ESOPOLE
- Active Ingredient: ESOMEPRAZOLE 20mg
- Strength: 20mg
- Dosage Form: Modified-release capsule
- Pack Size: 28 Capsules
- Route: Oral use
- Prescription Status: Prescription
- Therapeutic Class: Gastrointestinal
- Pharmacological Group: Proton Pump Inhibitors
- Drug Class: Proton Pump Inhibitor (PPI), Benzimidazole derivative
- Manufacturer: Hetero Labs Limited Unit - III
- Country of Origin: India
- SFDA Registration No.: 24-5362-21
- Shelf Life: 24 months
- Storage: store below 30°c
- Gi Condition: Acid Reflux/GERD
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Indications
Approved Uses
GERD (symptomatic reflux) and erosive esophagitis (healing and maintenance of healed erosive esophagitis); pathological hypersecretory conditions including Zollinger-Ellison syndrome; H. pylori eradication as part of combination therapy to reduce duodenal ulcer recurrence; risk reduction/prevention of NSAID‑associated gastric ulcer in at‑risk patients.
Off-Label Uses
Common off-label uses include laryngopharyngeal reflux (LPR), stress ulcer prophylaxis in critically ill patients (institution/protocol dependent), and as part of therapy for eosinophilic esophagitis (PPI-responsive EoE).
Side Effects
Common Side Effects
Headache, nausea, diarrhea, abdominal pain, flatulence, constipation, dry mouth, dizziness
Side Effect Frequency
Common (1-10%): headache, abdominal pain, diarrhea, nausea/vomiting, flatulence, constipation. Uncommon (0.1-1%): dizziness, dry mouth, dermatitis, pruritus, urticaria. Rare/very rare (<0.1%): hypersensitivity reactions, interstitial nephritis, severe cutaneous adverse reactions (e.g., SJS/TEN), hepatitis/liver enzyme elevations; hypomagnesemia is typically reported as rare and usually with long-term use.
Safety & Warnings
Driving Warning
Safe
Drug Interactions
Drug Interactions
Key interactions include: clopidogrel (reduced activation/antiplatelet effect), warfarin (↑INR/bleeding risk), high-dose methotrexate (↑levels/toxicity), digoxin (↑absorption), drugs needing acidic pH (e.g., ketoconazole/itraconazole, iron salts) (↓absorption), antiretrovirals (contraindicated with nelfinavir and rilpivirine; avoid/monitor with atazanavir), tacrolimus (↑levels), CYP inducers (rifampin, St. John’s wort) (↓esomeprazole exposure), and CYP2C19 substrates such as diazepam/citalopram (↑exposure in some patients).
Alcohol Interaction
Safe
Special Populations
Breastfeeding
Caution
Elderly
Standard adult dosing; no routine dose adjustment required
Kidney Impairment
No adjustment needed.
Liver Impairment
Mild-to-moderate impairment: no adjustment needed. Severe impairment (Child-Pugh Class C): do not exceed 20 mg/day.
Storage & Patient Advice
Missed Dose
Take the missed dose as soon as remembered unless it is close to the next scheduled dose; if close, skip the missed dose and resume the regular schedule. Do not double doses.
Overdose
Symptoms are usually non-specific (e.g., confusion, drowsiness, blurred vision, tachycardia, nausea/vomiting, headache); management is supportive/symptomatic, and hemodialysis is unlikely to be useful.
Pharmacology
Half-Life
Approximately 1-1.5 hours (plasma elimination half-life) after oral dosing
Bioavailability
Systemic exposure comparable to enteric-coated formulation; bioavailability data not specified for 20 mg modified-release
Metabolism
Hepatic metabolism primarily via CYP2C19 and secondarily via CYP3A4
Product Information
Available Dosage Forms
Modified-release capsule, delayed-release tablet, powder for oral suspension, intravenous injection
Generic Availability
Yes
Gi Condition
Acid Reflux/GERD
Reviewed by Al Mujtama Pharmacy Medical Review Team. Last reviewed 22-06-2026
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