Remmo 20mg | 10pcs | Esomeprazole Tablet | Substitutes | ePharma
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Remmo 20mg Tablet

Generic: Esomeprazole

Type: Tablet

Pack Size: 15 Pcs

Remmo 20 belongs to a group of gastrointestinal agents used to treat gastroesophageal reflux disease (GERD), Zollinger-Ellison syndrome, and stomach ulcers. 

The stomach is usually protected from acid by a mucous layer. In some cases, due to excess acid production, the mucous layer gets eroded, which leads to complications like GERD, acidity, peptic ulcers, and Zollinger-Ellison syndrome.


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Discount Price: ৳ 139.5
MRP: ৳ 150 7% Off

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Description:

Esomeprazole, a nonprescription medication available over the counter, is used to treat individuals with regular heartburn.

For adults and children over the age of one, Esomeprazole is prescribed to treat the symptoms of gastroesophageal reflux disease (GERD), a condition in which the esophagus (the tube connecting the throat and stomach) may be damaged by the backward flow of acid from the stomach. Esomeprazole is prescribed to treat GERD in adults and children aged one month and older. Adults with GERD can utilize prescription esomeprazole to promote esophageal healing and stop additional esophageal damage. Esomeprazole is frequently used to help adults avoid developing ulcers, which are sores in the lining of the stomach or intestine when using nonsteroidal anti-inflammatory medicines (NSAIDs). Along with other drugs, it is also used to treat and stop the recurrence of stomach ulcers in adults brought on by the H. pylori bacterium. Additionally, people with Zollinger-Ellison syndrome and other disorders caused by excessive stomach acid production are treated with prescription Esomeprazole. 

Safety Advices


Alcohol
CAUTION

Caution is advised when consuming alcohol with Remmo 20. Please consult your doctor.


Pregnancy
CONSULT YOUR DOCTOR

Remmo 20 may be unsafe to use during pregnancy. Although there are limited studies on humans, animal studies have shown harmful effects on the developing baby. Your doctor will weigh the benefits and any potential risks before prescribing them to you. Please consult your doctor.


Breastfeeding
CONSULT YOUR DOCTOR

Remmo 20 is probably unsafe to use during breastfeeding. Limited human data suggests that the drug may pass into the breastmilk and harm the baby.


Driving
SAFE

It is not known whether Remmo 20 alters the ability to drive. Do not drive if you experience any symptoms that affect your ability to concentrate and react.


Kidney
SAFE IF PRESCRIBED

Remmo 20 is safe to use in patients with kidney disease. No dose adjustment of Remmo 20 is recommended. However, inform your doctor if you have any kidney disease.


Liver
CAUTION

Remmo 20 should be used with caution in patients with severe liver disease. A dose adjustment of Remmo 20 may be needed. Please consult your doctor.

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Uses of Remmo 20
  • Gastroesophageal Reflux Disease (Acid Reflux)
  • Peptic Ulcer Disease
How to use Remmo 20

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. Remmo 20 is to be taken empty stomach.

How Remmo 20 works

Remmo 20 is a proton pump inhibitor (PPI). It works by reducing the amount of acid in the stomach which helps in the relief of acid-related indigestion and heartburn.

What if you forget to take Remmo 20?
  • If you miss a dose of Remmo 20, 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.
Side effects of Remmo 20
  • Headache
  • Dizziness
  • Dryness in mouth
  • Nausea
  • Abdominal pain
  • Constipation
  • Flatulence
  • Diarrhea
Missed Dosage of Remmo 20

Use the medicine as soon as you can, but skip the missed dose if it is almost time for your next dose. Do not use two doses at one time.

Quick SUggestions:
  • It is a medication that is well-tolerated and lasts a very long period.
  • Avoid eating just before going to bed or in the evening.
  • If you get a fever, watery diarrhea, or persistent stomach pain, call your doctor right immediately.
  • Remmo 20 usage for an extended period of time may result in weak bones and a mineral deficit, especially magnesium. As directed by your doctor, get enough calcium and magnesium in your diet or as supplements.
  • If you experience reduced urine, edema (swelling brought on by fluid retention), lower back discomfort, nausea, exhaustion, rash, or fever, call your doctor immediately once. These could be kidney-related symptoms.
Indications of Remmo 20mg Tablet
  • Gastro-esophageal Reflux Disease (GERD) is treated with esomeprazole MUPS tablets (GERD).
  • NSAID-related stomach ulcer risk is reduced.
  • Eradication of Helicobacter pylori (Triple therapy).
  • Idiopathic hypersecretion and Zollinger-Ellison syndrome
Pharmacology

Esomeprazole is a proton pump inhibitor that inhibits the H+/K+ ATPase in the gastric parietal cell, suppressing gastric acid output. The first single optical isomer of a proton pump inhibitor, esomeprazole (S-isomer of omeprazole), provides superior acid control than racemic proton pump inhibitors.

Dosage of Remmo 20

Inflammatory Esophagitis

  • Adult (over the age of 18): 40 mg once a day for 4 weeks.
  • For 4 weeks, take 40 mg once a day in children and adolescents (12 to 18 years old).

Maintaining erosive Esophagitis Healing

  • Adult (over the age of 18): 20 mg once a day.
  • 12 to 18-year-old children and adolescents: 20 mg once a day.

H. pylori eradication (Esomeprazole MUPS tablet with 1000 mg Amoxicillin and 500 mg Clarithromycin)-

  • Adult (over the age of 18): 20 mg twice daily for seven days.
  • Twelve to eighteen-year-olds: 20 mg twice daily for seven days.
  • Idiopathic Hypersecretion and the Zollinger-Ellison Syndrome
  • Adult (>18 years): twice daily doses of 40–80 mg.

Children aged 1 to 11:

  • Erosion of the Esophagus 20 kg or less: 10 mg once every day for 8 weeks. Weight under 20 kilograms: 10 or 20 mg once daily for eight weeks.
  • 10 mg once daily for the maintenance of erosive esophagitis healing

Esomeprazole MUPS pill is not recommended for usage in children under the age of one year old.

Administration of Remmo 20

Esomeprazole MUPS tablets should be swallowed whole with liquid. The tablets should not be chewed or crushed. If required, the tablets can also be dispersed in half a glass of non-carbonated water (mineral water is not suitable). No other liquids should be used. Stir until the tablets disintegrate and drink the liquid with the pellets immediately or within 30 minutes. Rinse the glass with half a glass of water and drink. The pellets must not be chewed or crushed.

Interaction of Remmo 20

CYP2C19 and CYP3A4 metabolize esomeprazole extensively in the liver. Studies conducted in vitro and in vivo have demonstrated that esomeprazole isn't likely to inhibit CYPs 1A2, 2A6, 2C9, 2D6, or 3A4. With medicines processed by these CYP proteins, no clinically important intuition would be expected. According to drug interaction studies, there are no clinically significant interactions between Esomeprazole and phenytoin, warfarin, quinidine, clarithromycin, or amoxicillin. Esomeprazole could interfere with CYP2C19, the enzyme that is primarily responsible for metabolizing the drug. Diazepam's clearance was reduced by 45% when Esomeprazole 30 mg and diazepam, a CYP2C19 substrate, were taken together. Twelve hours after the initial dose and beyond, expanded plasma levels of diazepam have been monitored. Esomeprazole prevents caustic gastrointestinal discharge. Therefore, esomeprazole may interfere with the absorption of medications whose bioavailability is strongly influenced by gastrointestinal pH (such as ketoconazole, and press salts a).

Quinidine, diazepam, phenytoin, or verbal contraceptives shouldn't be used with Esomeprazole because they don't seem to change its pharmacokinetic profile. Clarithromycin in Combination with Other Therapies: Esomeprazole and 14-hydroxy clarithromycin plasma levels have increased as a result of co-administration with clarithromycin and amoxicillin.

Contraindications

Esomeprazole is contraindicated in patients with known hypersensitivity to any component of the formulation or to substituted Benzimidazoles.

Pregnancy & Lactation

In pregnant women, there are no sufficient and well-controlled trials. No teratogenic effects have been found in animal investigations. Esomeprazole excretion in milk has not been studied. If the use of esomeprazole is thought necessary, breastfeeding should be terminated.

Precautions & Warnings
  • In patients who have a history of hypersensitivity to any of the formulations, esomeprazole is not recommended.
  • If the patient has severe liver failure and renal impairment, esomeprazole should be administered with caution.
Storage Conditions

Protect from light and store in a cool, dry area below 25°C. Keep out of children's reach.

Frequently Asked Questions (FAQ)

Esomeprazole Magnesium Trihydrate is a proton pump inhibitor (PPI) that is used to treat various gastrointestinal conditions, including acid reflux, gastroesophageal reflux disease (GERD), and stomach ulcers.

Esomeprazole Magnesium Trihydrate works by reducing the amount of acid produced in the stomach, which can help relieve symptoms associated with acid reflux and other related conditions.

Remmo 20is generally safe for children, but it should only be used under the guidance of a healthcare professional.

Esomeprazole Magnesium Trihydrate can interact with certain medications, including blood thinners and antifungal drugs. It is important to inform your healthcare provider of all medications you are taking before starting treatment with Esomeprazole Magnesium Trihydrate.

Remmo 20 typically starts working within one hour of taking it. However, it may take several days of treatment to experience the full benefits.

The recommended dosage ofRemmo 20 varies depending on the condition being treated and the individual patient. It is important to follow the dosage instructions provided by your healthcare provider.
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Disclaimer:
ePharma sole intention is to ensure that its consumers get proper information as musch as possible. Although we do not guarantee the accuracy and the completeness of the information that provided and here information is for informational purposes only. The information contained herein should NOT be used as a substitute for the advice of a qualified physician. This may not cover everything about particular health conditions, lab tests, medicines, all possible side effects, drug interactions, warnings, alerts, etc. Please consult your healthcare professional and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

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