ESPRA XN TABLET

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Zydus Cadila

Composition for ESPRA XN TABLET

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Primarily used for

Potentiallyunsafewith
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Alcohol
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Pregnancy
120.8
₹12.08/tablet
10 tablets in 1 strip
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Substitutes for ESPRA XN

No substitutes found for this medicine

Medicine Overview of ESPRA XN TABLET

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Uses of Naproxen

Naproxen is used in fever, headache, arthralgia, myalgia, dental pain, post operative pain, pain during menstruation, osteoarthritis, rheumatoid arthritis, ankylosing spondylitis and gout.
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Side effects of Naproxen

Common

Abdominal pain, Constipation, Diarrhoea, Epigastric pain, Flatulence, Nausea, Vomiting, Indigestion.

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How to use Naproxen

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.

How ESPRA XN TABLET works

Naproxen is a non-steroidal anti-inflammatory drug (NSAID). It works by blocking the release of certain chemical messengers that cause fever, pain and inflammation (redness and swelling).
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Uses of Esomeprazole

Esomeprazole is used in the treatment of acidity, heartburn, intestinal ulcers and stomach ulcers.
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Side effects of Esomeprazole

Common

Nausea, Abdominal pain, Constipation, Diarrhoea, Flatulence.

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How to use Esomeprazole

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.

How ESPRA XN TABLET works

Esomeprazole lowers the acid production in the stomach.

In Depth Information on ESPRA XN TABLET

Expert advice for Naproxen

  • It should be taken with food or milk to avoid getting an upset stomach.
  • It can cause serious complications like stomach bleeding and kidney problems if taken for a long time.
  • Naproxen can raise your risk of blood clots, heart attack, or a stroke.
  • Inform your doctor if you are pregnant or planning to conceive or breastfeeding.
  • Inform your doctor if you have ever been diagnosed with kidney or liver problems.

Expert advice for Esomeprazole

  • 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.
  • Esomeprazole can decrease magnesium levels in blood. Get your magnesium levels checked regularly. You may need a magnesium supplement or need to discontinue your medicine. 
  • Inform your doctor if you are suffering from osteoporosis as Esomeprazole can weaken your bones by decreasing calcium levels in blood. You may need a calcium supplement, preferably calcium citrate.
  • Esomeprazole is a well-tolerated medicine and provides relief for a long time.
  • It may take a few days to show its effect. You can take an antacid for a quick relief during this time unless your doctor has asked you not to use them.
  • Once you start feeling better, do not stop taking your medicine. Take it for the duration as advised by your doctor
Warnings
Special precautions for ESPRA XN TABLET
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Alcohol
CAUTION
Taking Naproxen with alcohol can increase the risk of stomach bleeding caused by naproxen.

Taking a large amount of alcohol can increase acidity and cause acid reflux in the food pipe causing heartburn. This would decrease the effect of this drug and can aggravate your underlying condition.
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Pregnancy
WEIGH RISKS VS BENEFITS
Espra xn 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.
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Lactation
Unknown. Human and animal studies are not available. Please consult your doctor.
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Driving
CAUTION
Do not drive, operate machinery.
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Kidney
CAUTION
Naproxen should not be given in renal failure.
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Liver
CAUTION
No dose adjustment is needed for patients with the mild to m
oderate liver disease.Not advisable in patients with the severe liver disease.
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Patient Concerns

Frequently asked questions for ESPRA XN TABLET

Frequently asked questions for Naproxen

Q. Does naproxen help with pain?
Naproxen is a pain killer and is used to reduce pain. It belongs to a group of medicines called non-steroidal anti-inflammatory drugs (NSAIDs) and is used to treat diseases of joints such as rheumatoid arthritis (including in children), osteoarthritis, ankylosing spondylitis. It is also used to treat attacks of gout, muscle and bone disorders and painful periods.
Q. Can I take naproxen for a sinus infection?
Naproxen may be given to reduce the pain and swelling associated with sinus infection. It does not, however, treat any infections, you would need antibiotics for the same. Consult a doctor for the treatment of sinus infection.
Q. Does naproxen raise blood pressure?
Naproxen can raise your blood pressure, however, it is not a very common side effect. Talk to your doctor if you are a hypertensive (patient of high blood pressure) and you have been asked to take naproxen or you experience high blood pressure while taking naproxen.
Q. Does naproxen cause constipation?
Naproxen can cause constipation, however, it is not a very common side effect. Talk to your doctor before if you experience constipation while taking naproxen.
Q. Does naproxen contain sulfa?
Naproxen doesn't contain any sulfa substance.
Q. Is naproxen a controlled substance?
Naproxen is not a controlled substance, however, it is available only when prescribed by a doctor.
Q. Is naproxen addictive?
Naproxen has not been reported to have any addictive potential.
Q. Does naproxen contain caffeine?
Naproxen does not contain any caffeine.
Q. Is naproxen safe?
Naproxen is safe if used at prescribed doses for the prescribed duration as advised by your doctor.
Q. Is naproxen a narcotic?
Naproxen is not a narcotic medicine. It is a painkiller and belongs to the group of medicines called non-steroidal anti-inflammatory drugs (NSAIDs).
Q. Is naproxen safe in pregnancy?
Naproxen should not be taken during pregnancy. If you are pregnant or you are planning to have a baby, tell your doctor before taking this medicine.
Q. Is naproxen a blood thinner?
Naproxen is not a blood thinner. It is a painkiller and belongs to the group of medicines called non-steroidal anti-inflammatory drugs (NSAIDs).
Q. Is naproxen good for headaches?
Naproxen can help in relieving a headache and has been used for treating migraine headaches. However, it has not been found to be very effective for the relief of migraine headaches as mentioned in some studies. Consult a doctor before taking any medicines for the relief of headache.
Q. Is naproxen over the counter?
Naproxen is not an over the counter (OTC) product. It belongs to a class of prescription drugs.
Q. Is naproxen better than ibuprofen?
Naproxen and ibuprofen belong to the same class of medicines called non-steroidal anti-inflammatory drugs (NSAIDs) and has a similar way of working, but their effect may vary upon individual response. Always follow doctor's advice regarding its use.
Q. Can I take naproxen with ibuprofen?
Naproxen and ibuprofen both belong to the class of drugs known as nonsteroidal anti-inflammatory drugs (NSAIDs). When used together, they can cause coagulation problems (increased tendency for bleeding) and can also increase blood potassium levels. Please consult your doctor before taking these two medicines together.
Q. Can I take naproxen with paracetamol?
Naproxen can be taken with paracetamol. No drug-drug interactions have been reported between the two. However, interactions can occur. Please consult your doctor before taking the two medicines together.
Q. Can I take naproxen with meloxicam?
Meloxicam and naproxen both belong to the class of drugs known as nonsteroidal anti-inflammatory drugs (NSAIDs) When used together, they can cause coagulation problems (increased tendency for bleeding) and can also increase blood potassium levels. Please consult your doctor before taking these two medicines together.
Q. Can I take naproxen with oxycodone?
Naproxen can be taken with oxycodone. No drug-drug interactions have been reported between the two. However, interactions can occur. Please consult your doctor before taking the two medicines together.
Q. Can I take naproxen with codeine?
Naproxen can be taken with codeine. No drug-drug interactions have been reported between the two. However, interactions can occur. Please consult your doctor before taking the two medicines together.
Q. Can I take naproxen with prednisone?
Naproxen and prednisone can increase the toxicity of each other. Talk to your doctor before taking the two medicines together.
Q. Can I take naproxen with tramadol?
Naproxen can be taken with tramadol. No drug-drug interactions have been reported between the two. However, interactions can occur. Please consult your doctor before taking the two medicines together.
Q. Can I take naproxen for cramps (painful periods)?
Naproxen can be used for treating cramps (painful periods). Talk to your doctor before taking any medicines for cramps.
Q. Can I take naproxen for fever?
Naproxen is not generally used to treat fever. It is a pain-killer and is used for treating various painful conditions. Consult a doctor if you have a fever as it is important to know the cause of fever before starting any medicines.
Q. Can I take naproxen for back pain?
Naproxen can be used to treat muscle and bone disorders, so, it can help in relieving back pain. However, consult a doctor for the relief of back pain as it is important to find out the cause of back pain before starting any medicines.
Q. Can I take naproxen for a cold?
Naproxen is not used to treat cold. Consult a doctor if you have a cold before taking any medicine.
Q. Can I take naproxen for a hangover?
Naproxen is not used to treat a hangover.
Q. Can I take naproxen for gallbladder pain?
Naproxen is not used to treat gallbladder pain. Consult a doctor if you think you have gall bladder pain as it is important to know the reason for pain before starting any medicines.
Q. Can I take naproxen for tonsillitis?
Naproxen is not used to treat tonsillitis. Consult a doctor if you think you have tonsillitis as it would need to be diagnosed before the start of any treatment.
Q. Can I take naproxen for urinary tract infection (UTI)?
Naproxen is not used to treat urinary tract infection (UTI) as it is a pain killer and you would need an antibiotic for the treatment of an infection. Please consult your doctor if you think you have urinary tract infection (UTI) as it requires proper diagnosis and treatment.
Q. Can I take naproxen for a toothache (dental pain)?
Naproxen is a pain killer, so can be used for the treatment of a toothache (dental pain), however, please consult your doctor before starting any painkillers as there could be an underlying infection which needs to be taken care of along with.
Q. Does naproxen make you sleepy?
Naproxen may make you feel dizzy, drowsy or tired and may cause blurred vision and you need to be careful while driving or operating any machinery. Talk to your doctor before taking naproxen.
Q. Does naproxen work immediately?
Naproxen starts working immediately as it is absorbed quickly from the gastrointestinal tract. Some pain relief occurs after a few hours, however, the full effect is seen after a couple of weeks. Please consult your doctor for more details.
Q. Does naproxen expire?
Yes, naproxen does expire. All the medicines come with an expiry date mentioned on the pack. You must check the expiry date before using any medicine.
Q. Does naproxen have aspirin in it?
Naproxen does not contain aspirin. These are two different drugs which belong to the same group of medicines called non-steroidal anti-inflammatory drugs (NSAIDs).
Q. Does naproxen get you high?
Naproxen does not get you high. It has not been reported to have any addiction potential.
Q. Does naproxen work?
Naproxen works if used for the right indication at prescribed doses for the prescribed duration as advised by your doctor.
Q. Does naproxen have paracetamol in it?
Naproxen does not contain paracetamol. These are two different medicines which belong to the same group of medicines called non-steroidal anti-inflammatory drugs (NSAIDs).
Q. Can I take naproxen for the treatment of flu?
Naproxen is not recommended for the treatment of flu. Talk to your doctor if you have flu before taking any medicines. It is a self-limiting condition and you may not need to take any treatment for this.
Q. Can I take naproxen for swollen glands?
Naproxen may be given to reduce the pain and swelling associated with the swollen glands. It does not, however, treat any underlying infections if any, you would need antibiotics for the same. Consult a doctor before taking any antibiotics.
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Frequently asked questions for Esomeprazole

Q. Is esomeprazole available over the counter?
No, esomeprazole 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 esomeprazole with aluminum hydroxide and magnesium carbonate or other antacids?
Esomeprazole can be taken with antacids like aluminum hydroxide and magnesium carbonate. But antacids should be taken two hours before or one hour after taking esomeprazole. This is because esomeprazole requires a lower pH for its action and antacids can increase the pH of the stomach and hence decrease the action of esomeprazole.
Q. Does esomeprazole contain lactose?
Many esomeprazole preparations contain lactose and sucrose. Lactose intolerance has been reported with its use in some patients who cannot digest lactose, a type of sugar mainly found in milk and dairy products. The patient may complain of symptoms like flatulence (gas), diarrhea, bloating, stomach pain and feeling of being sick (nausea). Read the ingredients mentioned on the pack before taking the medicine.
Q. Is esomeprazole a controlled substance?
Esomeprazole is not a controlled substance. It is available when prescribed by a doctor.
Q. Is esomeprazole safe to use?
Yes, esomeprazole 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 esomeprazole with paracetamol (acetaminophen)?
Esomeprazole can be taken with paracetamol. No drug-drug interactions or harmful effects have been seen when they are used together.
Q. Does esomeprazole cause weight loss?
Esomeprazole 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 esomeprazole cause hair loss?
Hair loss has been reported as a rare side effect of esomeprazole. Talk to your doctor in case you experience excessive hair fall while you are taking esomeprazole.
Q. Why is esomeprazole better than omeprazole?
Esomeprazole 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. Esomeprazole 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 esomeprazole cause palpitations (feeling of rapid, strong heart beat)?
Esomeprazole 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 esomeprazole?
Esomeprazole 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. Can esomeprazole be given in the pediatric age group?
The safety and effectiveness of esomeprazole have been established in pediatric patients 1 to 17 years of age for short-term treatment (up to eight weeks) of gastroesophageal reflux disease (GERD). The safety and effectiveness of esomeprazole have been established in pediatric patients of 1 month to less than 1 year for short-term treatment (up to 6 weeks). but not in less than 1 month of age.
Q. Is esomeprazole better than rabeprazole?
Both esomeprazole 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 esomeprazole while another study mentions esomeprazole provides a more effective and faster acid-inhibitory effect.
Q. Is esomeprazole better than ranitidine?
Both esomeprazole and ranitidine lower acid production in your stomach and treat heartburn and heal stomach and intestine ulcers. There are not many studies which compare esomeprazole with ranitidine. However, one study mentions that esomeprazole once daily is more effective and well-tolerated compared ranitidine twice daily for healing gastric ulcers.
Q. Can I take esomeprazole with domperidone?
Esomeprazole can be taken with domperidone. Esomeprazole 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 esomeprazole with clopidogrel?
Esomeprazole 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 esomeprazole with levosulpiride?
Esomeprazole can be taken with levosulpiride. Esomeprazole decreases the acid secretion and levosulpiride increases the intestinal motility. It is safe to use the two medicines together. Esomeprazole 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 esomeprazole?
Dexlansoprazole and esomeprazole 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 esomeprazole, however, there is no definitive evidence for this and different patients may find that one works better for them than the other.
Q. Where and how is esomeprazole absorbed?
Esomeprazole is rapidly absorbed from the small intestines. However, the absorption of esomeprazole is delayed and decreased when taken before a high-fat meal, it is generally advised to be taken 30 minutes to 1 hour before meals.
Q. Is esomeprazole an antacid?
Esomeprazole 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 esomeprazole cause tinnitus?
Tinnitus has been reported as a rare side effect with esomeprazole (<1% patients taking this drug). Please consult your doctor if you experience tinnitus while taking esomeprazole.
Q. Does esomeprazole has an expiry date?
Yes, esomeprazole does expire. Please check the expiry date written on the pack and it refers to the last day of that month. Do not use esomeprazole after the expiry date.
Q. Is esomeprazole an antibiotic?
No, esomeprazole 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 esomeprazole with nitrofurantoin?
Esomeprazole 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 esomeprazole with ranitidine?
Yes, esomeprazole can be taken with ranitidine. No drug-drug interactions or any harmful effects have been reported when they are used together. As esomeprazole do take some days to show its action, so, ranitidine is given to the patients to immediate relief.
Q. Can I take esomeprazole with ibuprofen?
Esomeprazole 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 esomeprazole with hyoscine?
Esomeprazole can be taken with hyoscine. No drug-drug interactions or any harmful effects have been reported when they are used together.
Q. Does esomeprazole cause tiredness?
Tiredness is a rare side effect seen with esomeprazole. Talk to your doctor if you experience excessive tiredness as this may be due to some liver abnormalities as esomeprazole breaks down in the liver or due to an underlying condition that needs attention.
Q. Does esomeprazole cause weight gain?
Weight gain has not be reported to occur with esomeprazole. However, its use is associated with some common side effects like nausea, abdominal pain, constipation, diarrhea, and flatulence.
Q. Does esomeprazole affect birth control?
Esomeprazole does not seem to affect birth control, as no drug interactions have been reported between esomeprazole and oral birth control pills. It is safe to take the two medications together.
Q. Why is esomeprazole enteric coated?
Esomeprazole is enteric coated to avoid its breakdown by stomach acids so that it can reach the intestine and gets absorbed there. Also, the enteric-coated tablets should not be broken or crushed before swallowing.
Q. Can a patient with underlying cardiac disease take esomeprazole?
Patients with the underlying cardiac disease can take esomeprazole. However, esomeprazole 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. Esomeprazole decreases the activation of clopidogrel, thus reducing its effects, so the patients taking these medicines together should also be monitored regularly.
Q. Can esomeprazole be given in cancer patients?
Esomeprazole 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 esomeprazole. So, it should be used only as advised by your doctor.
Q. How much time does esomeprazole take to show its effect?
The onset of action of esomeprazole is within 3 hours and lasts for a duration of up to 24 hours.
Q. How is esomeprazole different from pantoprazole?
Esomeprazole 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 esomeprazole.
Q. Is esomeprazole more effective than lansoprazole?
Yes, esomeprazole 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 esomeprazole.
Q. Can I take esomeprazole with sodium bicarbonate as a buffer?
Sodium bicarbonate buffer can protect against acid degradation of esomeprazole in addition to immediate antacid action. Esomeprazole can be taken with sodium bicarbonate as a buffer only in a manner as prescribed by the doctor.
Q. Can I take esomeprazole with naproxen?
Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) which works by reducing inflammation and pain in the body. Esomeprazole and naproxen can be taken together. There are no reported drug interactions or harmful effects of using esomeprazole with naproxen.
Q. Is esomeprazole a narcotic?
Esomeprazole is not a narcotic. It is a proton pump inhibitor used for the treatment of acidity, heartburn, intestinal ulcers and stomach ulcers.
Q. Does esomeprazole cause constipation?
Constipation has been reported as a common side effect of esomeprazole. Other common side effects associated with its use are nausea, abdominal pain, diarrhea, and flatulence.
Q. What is the difference between Esomeprazole and famotidine ?
Esomeprazole is a proton pump inhibitor whereas Famotidine is an H2 histamine receptor blocker. Esomeprazole is more potent at inhibiting gastric acid production compared to famotidine and also its effect lasts for a long time.
Q. Is esomeprazole a steroid?
Esomeprazole is not a steroid. It is a proton pump inhibitor used for the treatment of acidity, heartburn, intestinal ulcers and stomach ulcers.
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