Espra 40 mg Tablet

Prescription Required

Overview

Uses of Espra Tablet

Espra 40 mg Tablet is used in the treatment of acidity, peptic ulcer disease and gastroesophageal reflux disease (acid reflux).

Espra Tablet side effects

Common
  • Headache
  • Nausea
  • Abdominal pain
  • Constipation
  • Flatulence
  • Diarrhoea

How to use Espra Tablet

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. Espra 40 mg Tablet is to be taken empty stomach.
https://www.azpicentral.com/nexium/nexium.pdf#page=1

How Espra Tablet works

Espra 40 mg Tablet is a proton pump inhibitor (PPI). It works by reducing the amount of acid in the stomach which helps in relief of acid related indigestion and heartburn.

Espra Tablet related warnings

Alcohol
CAUTION
Pregnancy
WEIGH RISKS VS BENEFITS
Espra 40 mg Tablet may be unsafe to use during pregnancy.
Animal studies have shown adverse effects on the foetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor.
Lactation
SAFE
Espra 40 mg Tablet is safe to use during lactation. Human studies have shown that either the drug does not pass into the breastmilk in significant amount or is not expected to cause toxicity to the baby.
Driving
SAFE
Espra 40 mg Tablet does not usually affect your ability to drive.
Kidney
SAFE
Espra 40 mg Tablet is safe to use in patients with kidney disease. No dose adjustment of Espra 40 mg Tablet is recommended.
However, inform your doctor if you have any kidney disease.
Liver
Espra 40 mg Tablet should be used with caution in patients with severe liver disease. Dose adjustment of Espra 40 mg Tablet may be needed. Please consult your doctor.

What if you miss a dose of Espra Tablet?

If you miss a dose of Espra 40 mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
Espra 40 mg Tablet
₹6.67/Tablet
Nexpro 40 Tablet
Torrent Pharmaceuticals Ltd
₹8.29/Tablet
24% costlier
₹9.9/Tablet
49% costlier
₹7.97/Tablet
20% costlier
Raciper 40 Tablet
Sun Pharmaceutical Industries Ltd
₹7.07/Tablet
6% costlier
Nexpro Fast 40 Tablet
Torrent Pharmaceuticals Ltd
₹10.11/Tablet
52% costlier

Expert Advice

  • Inform your doctor if you get watery diarrhea, fever, or stomach pain that does not go away.
  • Inform your doctor if you do not feel better after taking it for 14 days as you may be suffering from some other problem that needs attention.
  • Long-term use can cause weak bones and deficiency of minerals such as magnesium. Take adequate dietary intake of calcium and magnesium or their supplements as prescribed by your doctor.
  • You have been prescribed Espra 40 mg Tablet to reduce stomach acid and heal stomach ulcers.
  • Take it one hour before the meal, preferably in the morning.
  • It is a well-tolerated medicine and provides relief for a long time.

Interaction with Drugs

Taking Espra with any of the following medicines can modify the effect of either of them and cause some undesirable side effects
Brand(s): Panik
SERIOUS
Brand(s): Mgmax
SERIOUS
Brand(s): Risure
SERIOUS
Brand(s): Dizapam
SERIOUS
Brand(s): Eurolam, Alwel, Tenzo
SERIOUS
Brand(s): Psycopan
SERIOUS
Brand(s): Methosis
MODERATE
Brand(s): Stoin
MODERATE
Brand(s): Clopinorm
MINOR
Brand(s): Zuroxy, Roxilim, Rox Thro
MINOR

Patient Concerns

Questions Related to Espra

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Now I am taking esomeprazole-40mg once in the morning in empty stomach. What is the best medicine in ayurveda for acidity?What should be best medicine in stead of allopathic?
Dr. Aanchal Maheshwari
Ayurveda
there are a lotbof medicines to cure acidity in Ayurveda. syrup smllapitta mishran 10 ml thrice before meal, and powder anago 1 spoon befre meal twice. Anago powder is my self prepared medicine and is very effective. follow a healthy lifestyle, avoid junk spicy oily food
I have acidity &lots of gases problemsI am waiting. Thanku
Dr. Pushkar Mani
Diabetes Specialist
take RABEKIND DSR twice daily 1 hour before breakfast and 1 hour before dinner for 4 weeksTab ZINCOVIT once daily after breakfast for 4 weeksSyrup ULGEL 10ml twice daily with meals for 2 weeks
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User Feedback


FAQs

Q. Is Espra available over the counter?
No, Espra is not available as an over-the-counter product. It is a prescription medicine and is available only when prescribed by a physician.
Q. Can I take Espra with aluminum hydroxide and magnesium carbonate or other antacids?
Espra can be taken with antacids like aluminum hydroxide and magnesium carbonate. But antacids should be taken two hours before or one hour after taking Espra. This is because Espra requires a lower pH for its action and antacids can increase the pH of the stomach and hence decrease the action of Espra.
Q. Is Espra a controlled substance?
Espra is not a controlled substance. It is available when prescribed by a doctor.
Q. Is Espra safe to use?
Yes, Espra is safe if taken for prescribed duration in prescribed doses as advised by your doctor. However, its use is associated with some common side effects like nausea, abdominal pain, constipation, diarrhea, and flatulence.
Q. Can I take Espra with paracetamol (acetaminophen)?
Espra can be taken with paracetamol. No drug-drug interactions or harmful effects have been seen when they are used together.
Q. Does Espra cause weight loss?
Espra is not known to lower weight. However, it may cause damage to your stomach lining on a long term use and weight loss could be an indication of the same or it can be due to an underlying condition which requires immediate attention.
Q. Does Espra cause hair loss?
Hair loss has been reported as a rare side effect of Espra. Talk to your doctor in case you experience excessive hair fall while you are taking Espra.
Q. Why is Espra better than omeprazole?
Espra and Omeprazole both belong to the same class of drugs and are used in disease conditions with excess acid production like heartburn, acidity, stomach ulcers and intestinal ulcers. Espra is an S-isomer of omeprazole and is seen to provide more effective and rapid acid control than omeprazole, without any increase in side effects and fewer variations in response between different patients.
Q. Does Espra cause palpitations (feeling of rapid, strong heart beat)?
Espra can lower the magnesium levels in your body and this can cause palpitations. You must get your magnesium levels checked regularly if you have to use this medicine for more than three months.
Q. Can a patient undergoing dialysis take Espra?
Espra can be taken by a patient undergoing dialysis in a manner as prescribed by the doctor. This is extensively bound to proteins in the body, so, it is not expected to be removed by dialysis.
Q. Is Espra better than rabeprazole?
Both Espra and rabeprazole are similar in efficacy and safety. One study mentions rabeprazole as a better choice for mild-to-moderate gastroesophageal reflux disease (GERD) compared to Espra while another study mentions Espra provides a more effective and faster acid-inhibitory effect.
Q. Is Espra better than ranitidine?
Both Espra and ranitidine lower acid production in your stomach and treat heartburn and heal stomach and intestine ulcers. There are not many studies which compare Espra with ranitidine. However, one study mentions that Espra once daily is more effective and well-tolerated compared ranitidine twice daily for healing gastric ulcers.
Q. Can I take Espra with domperidone?
Espra can be taken with domperidone. Espra decreases the acid secretion and domperidone increases the gut motility and helps in nausea and vomiting. It is safe to use the two medicines together and these are also available as a fixed-dose combination and help in the treatment of heartburn, stomach and duodenal ulcers and gastritis.
Q. Can I take Espra with clopidogrel?
Espra decreases the activation of clopidogrel and hence reduces its effectivity. Avoid using both drugs together or use an alternate drug. Patients who are taking these medicines together needs to be monitored closely by a doctor.
Q. Can I take Espra with levosulpiride?
Espra can be taken with levosulpiride. Espra decreases the acid secretion and levosulpiride increases the intestinal motility. It is safe to use the two medicines together. Espra is also available as a fixed-dose combination with levosulpiride. This combination helps in the treatment of heartburn, stomach and duodenal ulcers and gastritis.
Q. Is dexlansoprazole better than Espra?
Dexlansoprazole and Espra belong to the same class of medicines and works the same way. Some studies mention that dexlansoprazole helps in better control of symptoms like heartburn as compared to Espra, however, there is no definitive evidence for this and different patients may find that one works better for them than the other.
Q. Is Espra an antacid?
Espra belongs to the class of proton pump inhibitors (PPIs) which decrease the amount of acid produced in the stomach. While antacids only neutralize the stomach acid by coating the stomach.
Q. Does Espra cause tinnitus?
Tinnitus has been reported as a rare side effect with Espra (<1% patients taking this drug). Please consult your doctor if you experience tinnitus while taking Espra.
Q. Does Espra has an expiry date?
Yes, Espra does expire. Please check the expiry date written on the pack and it refers to the last day of that month. Do not use Espra after the expiry date.
Q. Is Espra an antibiotic?
No, Espra is not an antibiotic. It is a proton pump inhibitor used for the treatment of acidity, heartburn, intestinal ulcers and stomach ulcers.
Q. Can I take Espra with nitrofurantoin?
Espra can be taken with nitrofurantoin. No drug-drug interactions or any harmful effects have been reported when they are used together.
Q. Can I take Espra with ranitidine?
Yes, Espra can be taken with ranitidine. No drug-drug interactions or any harmful effects have been reported when they are used together. As Espra do take some days to show its action, so, ranitidine is given to the patients to immediate relief.
Q. Can I take Espra with ibuprofen?
Espra can be taken with ibuprofen. No drug-drug interactions or any harmful effects have been reported when they are used together.
Q. Can I take Espra with hyoscine?
Espra can be taken with hyoscine. No drug-drug interactions or any harmful effects have been reported when they are used together.
Q. Does Espra cause tiredness?
Tiredness is a rare side effect seen with Espra. Talk to your doctor if you experience excessive tiredness as this may be due to some liver abnormalities as Espra breaks down in the liver or due to an underlying condition that needs attention.
Q. Can the use of Espra cause weight gain?
Weight gain has not be reported to occur with Espra. However, its use is associated with some common side effects like nausea, abdominal pain, constipation, diarrhea, and flatulence.
Q. Can the use of Espra affect birth control?
Espra does not seem to affect birth control, as no drug interactions have been reported between Espra and oral birth control pills. It is safe to take the two medications together.
Q. Can a patient with underlying cardiac disease take Espra?
Patients with the underlying cardiac disease can take Espra. However, Espra can interact with certain drugs (e.g clopidogrel, digoxin) which might be used by these patients. They may need to be monitored for digoxin toxicity. Espra decreases the activation of clopidogrel, thus reducing its effects, so the patients taking these medicines together should also be monitored regularly.
Q. Can Espra be given in cancer patients?
Espra is seen to increase the antitumor effect of the medicines with no added side effects. Since cancer patients may also take many medicines for the primary cancer treatment or for other symptoms and infections, there are chances of drug-drug interactions with Espra. So, it should be used only as advised by your doctor.
Q. How is Espra different from pantoprazole?
Espra and pantoprazole both belong to the same class of drugs and are seen to be equally effective in the treatment of disease conditions with excess acid production like heartburn, acidity, stomach ulcers and intestinal ulcers. However, as per some research studies, pantoprazole provides significantly faster first-time relief from daytime and night-time GERD-related symptoms than Espra.
Q. Is Espra more effective than lansoprazole?
Yes, Espra is seen to achieve a better acid control and is more effective in relief of heartburn symptoms and acid reflux symptoms as compared to lansoprazole in many research studies. Also, healing rates were consistently high with Espra.
Q. Can I take Espra with sodium bicarbonate as a buffer?
Sodium bicarbonate buffer can protect against acid degradation of Espra in addition to immediate antacid action. Espra can be taken with sodium bicarbonate as a buffer only in a manner as prescribed by the doctor.
Q. Can I take Espra with naproxen?
Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) which works by reducing inflammation and pain in the body. Espra and naproxen can be taken together. There are no reported drug interactions or harmful effects of using Espra with naproxen.
Q. Is Espra a narcotic?
Espra is not a narcotic. It is a proton pump inhibitor used for the treatment of acidity, heartburn, intestinal ulcers and stomach ulcers.
Q. CAn the use of Espra cause constipation?
Constipation has been reported as a common side effect of Espra. Other common side effects associated with its use are nausea, abdominal pain, diarrhea, and flatulence.
Q. What is the difference between Espra and famotidine ?
Espra is a proton pump inhibitor whereas Famotidine is an H2 histamine receptor blocker. Espra is more potent at inhibiting gastric acid production compared to famotidine and also its effect lasts for a long time.
Q. Is Espra a steroid?
Espra is not a steroid. It is a proton pump inhibitor used for the treatment of acidity, heartburn, intestinal ulcers and stomach ulcers.
Information last updated by Dr. Varun Gupta, MD Pharmacology on 8th Mar 2017.
The medicine details are for information purpose only. Consult a doctor before taking any medicine.
Manufacturer/Marketer Address
Zydus Tower, Satellite Cross Roads,Ahmedabad – 380015 Gujarat, India.
One of the following licensed pharmacy from the nearest location with deliver Espra 40mg Tablet. The details of the licensed pharmacy shall be shared once you request the drugs and the respective pharmacy accepts the your request based on valid prescription and availability: VOP, FTP, OWT, LKK, AAY, OIP, NXT, GBC, JBT, NVL, MKE, OWP, 1MH, ZVP, THR, SDE, 2ML, TSS, OMV, CZT, STS, RGH, GGL, RWP, SWP, VSL, PHC, FDM, NDP, ARV, HPC, SSI, HWS, SBA, ZNT, QTM, AXM, NRP, GLD, IAD, SSS, UBR, NSL, AHP, RTN, DHP, AMR, ADF, SOF, GEO, NEO, SBC, SGA, GDA, MLC, PWN, AMM, APS, SRS, ZEL, MOM, NFP, GFL, LCC, GPL, CLT, OBS, DAD, IPL, BAP, AVW, EEC, ALY, NSF, BJR, SCP, DYL, AVC, DFP, SAA, MRS, SPV, PME, SNG, RWL, GTF, MKT, PRL, DHR, DPL, KCI, NTL, ABL, HBV, HMP, PRN, FIP, SYN, HGI, MIL, OLT, SSR, PRT, OWI, EPS, JIV, KHC, SHN, AVB, JVO, RHS, AYU, SGN, PPR, RPP, XPR, FRM, NSM, ERS, RPA, RDH, GPP, DVH, MDH, VSC, HAT, PTI, THP, SHC, UMP, ARD, HCP, OHM, NPH, IMC, SHG, MIP, MMF, SNL, WHP, AFT, LHA, BHM, AMH, HNP, SNH, FRS, HLP, SIO, SGH, BHS, WDE, NLP, JVN, HSP, CPK, FGH, BMJ, BHP, SLC, 4IT, ANS, KRR, GBL, WSI, VDH, RKS, MSD, ENP, CMC, SWA, SCH, UPA, VVN, SPF, LHP, BIO, AVL, SBN, NTB, SVH, SPD, AGT, XMX, CRN, SHA, NLC, NNH, EPR, CMD, EAN, NVY, TNH, MDI, NCH, TPN, HZF, GVP, VAF, AAA, ZPR, AYN, MFN, ADE, NLG, RTL, VJS, IPP, PVP, WPL, TOM, HLT, ESY, SYS, SJP, RHW, BNT, RPC, BDI, ABP, KHS, TYN, JHC, HSM, VUR, BSN, SBL, USM, MJT, NXG, HTV, KLC, RHL, AGC, BMR, BRC, DRA, ATP, STA, RUS, GHP, TAP, PEN, OWN, DLP, MAP, VHP, CHP, HEX, SMS, PNT, CTP, HHH, VEM, PTP, SVS, PMA, DZY, RVC, LIP, BES, AVS, SAF, KHP, DGN, EVP, RRP, MGL, MNS, NNP, GBB, SIP, MDO, HIP, SMN, ANP, BHC, BLE, SHD, TAT, RPI, GPT, AAR, BTM, BNC, EMB, KHH, NEW, HNF, VTR, SLN, DLY, PSE, CSE, PHN, BLP, BDN, PAP, MBP, KIS, EQN, BJP, APT, NPS, JLI, TRP, BBN, TSC, HTS, SDM, RVA, NAS, KHD, SAH, BLS, KBC, JSL, ANT, GTC, BGS, RSS, RSA, KIM, PNQ, RAC, STO, RDR, NBG, ADT, ALC, DAO, IAH, JJE, PIC, ISI, ATH, LAG, PRC, PRE, VMH, GMA, GNC, LMS, SRG, CNE, DYG, TPS, MPC, SGC, 9MM, DPP, PLT, O4O, WHL, UHP, BHA, ENV, RYL, MTM, USF, GHR, PSF, MTD, KNH, BBS, WAD, GHC, MDN, ATL, KMC, BSL, QLF, ZVO, KAL, RMR
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