Overview Introduction Esomac D 20 Capsule SR is a prescription medicine used to treat gastroesophageal reflux disease (Acid reflux) and indigestion by relieving the symptoms such as heartburn, stomach pain, or irritation. It also neutralizes the acid in the stomach and promotes easy passage of gas to reduce stomach discomfort. Esomac D 20 Capsule SR is taken without food in a dose and duration as advised by the doctor. The dose you are given will depend on your condition and how you respond to the medicine. You should keep taking this medicine for as long as your doctor recommends. If you stop treatment too early your symptoms may come back and your condition may worsen. Let your healthcare team know about all other medications you are taking as some may affect, or be affected by this medicine. Most common side effects are diarrhea, flatulence, stomach pain, dryness in mouth, and headache. Most of these are temporary and usually resolve with time. Contact your doctor straight away if you are at all concerned about any side effects. It may also cause sleepiness and dizziness, so do not drive or do anything that requires mental focus until you know how this medicine affects you. Avoid drinking alcohol while taking this medicine as it can worsen your sleepiness. Lifestyle modifications like having cold milk and avoiding hot tea, coffee, spicy food or chocolate can help you to get better results. Before taking this medicine, you should tell your doctor if you are pregnant, planning pregnancy or breastfeeding. You should also tell your doctor if you have liver diseases so that your doctor can prescribe a suitable dose for you. Uses of Esomac D Capsule SR Gastroesophageal reflux disease (Acid reflux) Functional dyspepsia Side effects of Esomac D Capsule SR Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them Common side effects of Esomac D Diarrhea Flatulence Stomach pain Dryness in mouth Headache How to cope with side effects? The occurrence of side effects varies from person to person. The following are a few ways of dealing with some of the common side effects. However, consult your doctor if these persist. Coping with Diarrhea Keep up your intake of fluids and electrolytes (sugars and salts) to avoid getting dehydrated. Eat less fiber (avoid raw fruits, fruit juice and vegetables). Talk to your doctor about possible medication to manage diarrhea. Ask about reducing the dosage of your drug or other suitable treatments. Coping with Flatulence Try eating small and frequent meals. Drink and chew your food slowly. Exercise regularly to improve how your body digests food. Try not to swallow too much air. This can happen when you talk and eat at the same time. Avoid drinking with a straw, chewing gum and smoking as these can also make you swallow air. Try to limit foods that are hard to digest or produce gas (such as fried and fatty foods, cheese, beans, cabbage, onion, whole grains and many others). Avoid drinking alcohol, carbonated soft drinks and fruit juices. If you wear dentures, make sure they fit properly. Some over-the-counter medicines can help. Talk to your doctor about possible medication if your condition does not improve. Coping with Stomach pain Try to get plenty of rest and relax. Putting a heat pad or covered hot water bottle on your stomach may relieve the stomach pain. It may help if you eat and drink slowly and have smaller and more frequent meals. Reduce your intake of coffee, tea and alcohol as these can make the pain worse. If you are in a lot of pain, speak to your doctor about possible medication. Your doctor may be able to prescribe some over-the-counter medicines to help reduce the pain. Coping with Dryness in mouth Keep a drink available that you can sip through the day. Rinse your mouth with warm salted water and chew sugarless gum or hard candy. Try breathing through your nose more often than your mouth. Avoid caffeinated beverages, smoking and alcohol because they can make your condition worse. Use lip balm if your lips are also dry. Try to avoid foods that are acidic (like lemons), spicy, salty or sugary. If this side effect bothers you or does not go away, talk to your doctor about artificial saliva products or other suitable treatments. Coping with Headache Make sure you rest and drink plenty of fluids. Rest in a quiet, dimly lit room. Do not sleep more than you normally would. Do not strain your eyes (for example by looking at a screen). Do not drink alcohol. Headaches are usually temporary and usually go away with time. But, if they last longer or get worse, ask your doctor to recommend a painkiller. show more show less How to use Esomac D Capsule SR 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. Esomac D 20 Capsule SR is to be taken empty stomach. How Esomac D Capsule SR works Esomac D 20 Capsule SR is a combination of two medicines: Domperidone and Esomeprazole. Domperidone is a prokinetic which works on the upper digestive tract to increase the movement of the stomach and intestines, allowing the food to move more easily through the stomach. Esomeprazole is a proton pump inhibitor (PPI) which works by reducing the amount of acid in the stomach which helps in the relief of acid-related indigestion and heartburn. Safety Advice Alcohol CAUTION Caution is advised when consuming alcohol with Esomac D 20 Capsule SR. Please consult your doctor. Pregnancy CONSULT YOUR DOCTOR Esomac D 20 Capsule SR may be unsafe to use during pregnancy. Although there are limited studies in humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing it to you. Please consult your doctor. Breastfeeding SAFE IF PRESCRIBED Esomac D 20 Capsule SR is safe to use during breastfeeding. Human studies suggest that the drug does not pass into the breastmilk in a significant amount and is not harmful to the baby. Driving UNSAFE Esomac D 20 Capsule SR may decrease alertness, affect your vision or make you feel sleepy and dizzy. Do not drive if these symptoms occur. Kidney CAUTION Esomac D 20 Capsule SR should be used with caution in patients with kidney disease. Dose adjustment of Esomac D 20 Capsule SR may be needed. Please consult your doctor. Liver CAUTION Esomac D 20 Capsule SR should be used with caution in patients with liver disease. Dose adjustment of Esomac D 20 Capsule SR may be needed. Please consult your doctor. Use of Esomac D 20 Capsule SR is not recommended in patients with moderate and severe liver disease.
