Dosage ;
GERD without erosive esophagitis: 20 mg PO qD x 4 weeks, 20-40 mg qD IV up to 10 days, switch to PO once patient able to swallow.
GERD with erosive esophagitis: Treatment: 20mg or 40 mg PO qD x4-8 weeks.
Maint: 20 mg PO qD up to 6 months, 20-40 mg qD IV up to 10 days, switch to PO once patient able to swallow.
H. pylori eradication: Indicated for combination therapy
(with amoxicillin and clarithromycin) to eradicate H. pylori in patients with duodenal ulcer 40 mg PO qD x 10 days, WITH amoxicillin 1000 mg PO BID, AND clarithromycin 500 mg PO BID x 10 days.
Risk reduction of NSAID-associated gastric ulcer, 20-40 mg PO qD x up to 6 months. Zollinger-Ellison Syndrome, 60 mg PO qD (initial) up to 100 mg PO qD,
OR 60 mg PO BID.
| Brand Name | Manufacturer Name | Distributor | Drug Strength | Packaging | Formulation | Formulation Strength | Price |
|---|---|---|---|---|---|---|---|
| Esocip | Cipla Ltd. | Lords Healthcare Ltd. | 20mg | 28 | Tablet | per tablet | KES 547 |
| Esocip | Cipla Ltd. | Lords Healthcare Ltd. | 20mg | 10 | Tablet | per tablet | KES 477 |
| Esocip | Cipla Ltd. | Lords Healthcare Ltd. | 40mg | 14 | Tablet | per tablet | KES 600 |
| Esocip | Cipla Ltd. | Lords Healthcare Ltd. | 40mg | 10 | Tablet | per tablet | KES 632 |
| Esocip | Cipla Ltd. | Lords Healthcare Ltd. | 40mg | 10 | Injection | per ml | KES 506 |
| Esoflux | Acme Laboratories Ltd | Ken-Bangla Pharmaceuticals Ltd. | 20mg | 40 | Capsule | per capsule | KES 900 |
| Esoflux | Acme Laboratories Ltd | Ken-Bangla Pharmaceuticals Ltd. | 40mg | 20 | Capsule | per capsule | KES 600 |
| Eso-kit | Cipla Ltd. | Lords Healthcare Ltd. | 30mg/500mg/500mg | 7 | Tablet | per tablet | KES 2,300 |
| Esome | Getz Pharmaceuticals | Surgipharm Ltd | 20mg | 14 | Capsule | per capsule | KES 311 |
| Esome | Getz Pharmaceuticals | Surgipharm Ltd | 40mg | 14 | Capsule | per capsule | KES 558 |
| Esome | Getz Pharmaceuticals | Surgipharm Ltd | 8mg | 1 | infusion | per ml | KES 619 |
| Esonium | Prism Life Sciences | Galaxy Pharmaceuticals Ltd | 20mg | 30 | Tablet | per tablet | KES 380 |
| Esonium | Prism Life Sciences | Galaxy Pharmaceuticals Ltd | 40mg | 30 | Tablet | per tablet | KES 600 |
| Esonium | Prism Life Sciences | Galaxy Pharmaceuticals Ltd | 40mg | 10 | Injection | per vial | KES 540 |
| Esotid | Opsonin Pharma | Radiance Pharmaceuticals Limited | 20mg | 30 | Tablet | per tablet | KES 470 |
| Esotid | Opsonin Pharma | Radiance Pharmaceuticals Limited | 40mg | 30 | Tablet | per tablet | KES 790 |
| Grasozole | NIC Pharma | Unicorn Pharma (K) Ltd. | 20mg | 30 | Tablet | per tablet | KES 382 |
| Grasozole | NIC Pharma | Unicorn Pharma (K) Ltd. | 40mg | 30 | Tablet | per tablet | KES 647 |
| Izra | Unichem Laboratories Ltd | C.Mehta & Co Ltd. | 40mg | 10 | Tablet | per tablet | KES 285 |
| Mepz | Innocia Life Sciences PVT. Ltd | Pharma Specialities Ltd. | 20mg | 30 | Tablet | per tablet | KES 470 |
| Nexium | AstraZeneca | Radiance Pharmaceuticals Limited | 20mg | 14 | Tablet | per tablet | KES 1,674.00 |
| Nexium | AstraZeneca | Radiance Pharmaceuticals Limited | 20mg | 28 | Tablet | per tablet | KES 3,348.00 |
| Nexium | AstraZeneca | Radiance Pharmaceuticals Limited | 40mg | 14 | Tablet | per tablet | KES 2,348.00 |
| Nexium | AstraZeneca | Radiance Pharmaceuticals Limited | 40mg | 10 | Injection | per vial | KES 12,918.00 |
| Nexium | AstraZeneca | Radiance Pharmaceuticals Limited | 10mg | 28 | Powder | KES 3,646.00 | |
| Nexpro | Torrent Pharmaceuticals Ltd. | Medox Pharmaceuticals Ltd. | 40mg | 50 | Tablet | per tablet | KES 1,600 |
| Nexpro | Torrent Pharmaceuticals Ltd. | Medox Pharmaceuticals Ltd. | 40mg | 1 | Injection | per vial | KES 500 |
| Protus | Square Pharmaceuticals Ltd | ACE Pharmaceuticals Ltd | 20mg | 30 | Tablet | per tablet | KES 306 |
| Protus | Square Pharmaceuticals Ltd | ACE Pharmaceuticals Ltd | 40mg | 30 | Tablet | per tablet | KES 492 |
| Sompraz | Sunlight International Trading (Africa) Co., Ltd | Harley's Limited | 20mg | 30 | Tablet | per tablet | KES 680 |
| Sompraz | Sunlight International Trading (Africa) Co., Ltd | Harley's Limited | 40mg | 30 | Tablet | per tablet | KES 1350 |
| Sompraz | Sunlight International Trading (Africa) Co., Ltd | Harley's Limited | 40mg | 1 | infusion | per ml | KES 550 |
| Esomeprazole | |
|---|---|
| Mode Of Action | Proton pump inhibition |
| Drug Indication | GERD without erosive esophagitis, GERD with erosive esophagitis, H. pylori eradication in combination therapy (with amoxicillin and clarithromycin), risk reduction of NSAID-associated gastric ulcer, Zollinger-Ellison Syndrome |
| Contra-Indications | Hypersensitivity to esomeprazole or other proton pump inhibitors |
| Side Effects | Gastro-intestinal disturbances (including nausea, vomiting, abdominal pain, flatulence, diarrhoea, constipation), and headache. |
| Dosage | Dose: GERD without erosive esophagitis: 20 mg PO qD x 4 weeks, 20-40 mg qD IV up to 10 days, switch to PO once patient able to swallow. GERD with erosive esophagitis: Treatment: 20mg or 40 mg PO qD x4-8 weeks. Maint: 20 mg PO qD up to 6 months, 20-40 mg qD IV up to 10 days, switch to PO once patient able to swallow. H. pylori eradication: Indicated for combination therapy (with amoxicillin and clarithromycin) to eradicate H. pylori in patients with duodenal ulcer 40 mg PO qD x 10 days, WITH amoxicillin 1000 mg PO BID, AND clarithromycin 500 mg PO BID x 10 days. Risk reduction of NSAID-associated gastric ulcer, 20-40 mg PO qD x up to 6 months. Zollinger-Ellison Syndrome, 60 mg PO qD (initial) up to 100 mg PO qD, OR 60 mg PO BID. |
| Special Information | Esomeprazole is the S enantiomer of omeprazole in its pure form. This S enantiomer is more potent than the R enantiomer. It binds to H+/K+-exchanging ATPase (proton pump) in gastric parietal cells resulting in blocking acid secretion. PPIs act by irreversibly blocking gastric proton pump (H+/K+ ATPase), which is involved in this last stage of gastric acid secretion. The enzyme copies that are destroyed by PPIs are soon replaced with new copies of the same. PPIs are generally more effective than H2-antagonists.PPIs are indicated for treatment of dyspepsia, peptic ulcer disease (PUD), gastroesophageal reflux disease (GORD / GERD), laryngopharyngeal reflux, Barrett's esophagus, prevention of stress gastritis, gastrinomas and Zollinger-Ellison syndrome. PPIs include the following: omeprazole, esomeprazole, lansoprazole, dexlansoprazole, pantoprazole and rabeprazole |
| Pregnancy Category | Category B3 |
| Pregnancy Category Description | Drugs which have been taken by only a small number of pregnant women and women of child-bearing age with no any established rise in the frequency of malformations or other direct or indirect detrimental effects on the foetus having been noted. Studies in animals show evidence of an increased occurrence of foetal damage, the significance of which is uncertain in human |
| Drug Category | DRUGS ACTING ON ALIMENTARY SYSTEM |
| Drug Sub-Category | Proton pump inhibitors (PPIs) |
| Brand Name | Manufacturer Name | Distributor | Drug Strength | Packaging | Formulation | Formulation Strength | Price |
|---|---|---|---|---|---|---|---|
| Esocip | Cipla Ltd. | Lords Healthcare Ltd. | 20mg | 28 | Tablet | per tablet | KES 547 |
| Esocip | Cipla Ltd. | Lords Healthcare Ltd. | 20mg | 10 | Tablet | per tablet | KES 477 |
| Esocip | Cipla Ltd. | Lords Healthcare Ltd. | 40mg | 14 | Tablet | per tablet | KES 600 |
| Esocip | Cipla Ltd. | Lords Healthcare Ltd. | 40mg | 10 | Tablet | per tablet | KES 632 |
| Esocip | Cipla Ltd. | Lords Healthcare Ltd. | 40mg | 10 | Injection | per ml | KES 506 |
| Esoflux | Acme Laboratories Ltd | Ken-Bangla Pharmaceuticals Ltd. | 20mg | 40 | Capsule | per capsule | KES 900 |
| Esoflux | Acme Laboratories Ltd | Ken-Bangla Pharmaceuticals Ltd. | 40mg | 20 | Capsule | per capsule | KES 600 |
| Eso-kit | Cipla Ltd. | Lords Healthcare Ltd. | 30mg/500mg/500mg | 7 | Tablet | per tablet | KES 2,300 |
| Esome | Getz Pharmaceuticals | Surgipharm Ltd | 20mg | 14 | Capsule | per capsule | KES 311 |
| Esome | Getz Pharmaceuticals | Surgipharm Ltd | 40mg | 14 | Capsule | per capsule | KES 558 |
| Esome | Getz Pharmaceuticals | Surgipharm Ltd | 8mg | 1 | infusion | per ml | KES 619 |
| Esonium | Prism Life Sciences | Galaxy Pharmaceuticals Ltd | 20mg | 30 | Tablet | per tablet | KES 380 |
| Esonium | Prism Life Sciences | Galaxy Pharmaceuticals Ltd | 40mg | 30 | Tablet | per tablet | KES 600 |
| Esonium | Prism Life Sciences | Galaxy Pharmaceuticals Ltd | 40mg | 10 | Injection | per vial | KES 540 |
| Esotid | Opsonin Pharma | Radiance Pharmaceuticals Limited | 20mg | 30 | Tablet | per tablet | KES 470 |
| Esotid | Opsonin Pharma | Radiance Pharmaceuticals Limited | 40mg | 30 | Tablet | per tablet | KES 790 |
| Grasozole | NIC Pharma | Unicorn Pharma (K) Ltd. | 20mg | 30 | Tablet | per tablet | KES 382 |
| Grasozole | NIC Pharma | Unicorn Pharma (K) Ltd. | 40mg | 30 | Tablet | per tablet | KES 647 |
| Izra | Unichem Laboratories Ltd | C.Mehta & Co Ltd. | 40mg | 10 | Tablet | per tablet | KES 285 |
| Mepz | Innocia Life Sciences PVT. Ltd | Pharma Specialities Ltd. | 20mg | 30 | Tablet | per tablet | KES 470 |
| Nexium | AstraZeneca | Radiance Pharmaceuticals Limited | 20mg | 14 | Tablet | per tablet | KES 1,674.00 |
| Nexium | AstraZeneca | Radiance Pharmaceuticals Limited | 20mg | 28 | Tablet | per tablet | KES 3,348.00 |
| Nexium | AstraZeneca | Radiance Pharmaceuticals Limited | 40mg | 14 | Tablet | per tablet | KES 2,348.00 |
| Nexium | AstraZeneca | Radiance Pharmaceuticals Limited | 40mg | 10 | Injection | per vial | KES 12,918.00 |
| Nexium | AstraZeneca | Radiance Pharmaceuticals Limited | 10mg | 28 | Powder | KES 3,646.00 | |
| Nexpro | Torrent Pharmaceuticals Ltd. | Medox Pharmaceuticals Ltd. | 40mg | 50 | Tablet | per tablet | KES 1,600 |
| Nexpro | Torrent Pharmaceuticals Ltd. | Medox Pharmaceuticals Ltd. | 40mg | 1 | Injection | per vial | KES 500 |
| Protus | Square Pharmaceuticals Ltd | ACE Pharmaceuticals Ltd | 20mg | 30 | Tablet | per tablet | KES 306 |
| Protus | Square Pharmaceuticals Ltd | ACE Pharmaceuticals Ltd | 40mg | 30 | Tablet | per tablet | KES 492 |
| Sompraz | Sunlight International Trading (Africa) Co., Ltd | Harley's Limited | 20mg | 30 | Tablet | per tablet | KES 680 |
| Sompraz | Sunlight International Trading (Africa) Co., Ltd | Harley's Limited | 40mg | 30 | Tablet | per tablet | KES 1350 |
| Sompraz | Sunlight International Trading (Africa) Co., Ltd | Harley's Limited | 40mg | 1 | infusion | per ml | KES 550 |