Esomeprazole

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.

Esomeprazole Brands
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