Pregnancy Interaction

• Be careful when using this during pregnancy because both components could influence the baby's growth.
• Levosulpiride: There isn't much information about how safe it is for people, thus it's not usually suggested until absolutely necessary.
• Esomeprazole is seen to be fairly safe (Category B), however it shouldn't be used for a long time.
• Use only under strict medical advice during pregnancy.
• Don't do anything during the first trimester unless you have to.

Faq For Medicine

Q 1. What does Esokem-L do?

It is used to treat acid reflux (GERD), too much acid, nausea, vomiting, gastritis, and irritation of the food pipe caused by too much acid.

Q2. Can I take it every day?

Yes, generally once a day or as directed.

Q3. When does it start to work?

Levosulpiride will help with nausea and stomach pain in 30 to 60 minutes. Esomeprazole: Complete acid control in one to two days.

Q4. Is it safe for pregnant women to take Esokem-L?

Not a good idea unless the doctor says it's required.

Q5. Can I eat it after food?

No. For optimal results, take it before meals.

Q6. Does it assist with gas and stomach problems?

Yes. Levosulpiride helps the stomach flow better and makes you feel less bloated.

Q7. Is this safe for long-term use?

Long-term usage of PPIs can cause acid rebound, low B12, low magnesium, and weak bones.

Expert Advice

• Take the tablet a half hour before breakfast.
• Don't drink alcohol, eat spicy or oily foods, smoke, or drink caffeine. These things make acidity worse.
• People who have been using these drugs for a long time should get their Vitamin B12, Magnesium, and Liver Function Tests checked.
• Do not take this with other acidity treatments (H2 blockers, antacids) at the same time.
• Tell your doctor if you have ever had seizures, mania, or depression because of levosulpiride.
• Not advised for people with Parkinson's disease or illnesses connected to prolactin.

Side Effects

• A lot:
• Sleepiness
• Pain in the head
• Feeling sick
• Pain in the stomach
• Gas or bloating
• Mouth that is dry
• Constipation or diarrhea
• Feeling dizzy
• Specific to levosulpiride:
• Tenderness in the breasts
• Milk discharge (galactorrhea)
• Problems with your period
• Gaining weight
• Serious (rare):
• Very bad allergic reactions
• Heartbeats that aren't regular
• Seizures
• Very bad diarrhea
• A lot of confusion

 How It Works

• An inhibitor of the proton pump (PPI)
• Stops H+/K+ ATPase pumps, which lowers acid secretion.
• Gives long-lasting relief from GERD, heartburn, and acidity
• 75 mg of levosulpiride
• A drug that makes things move
• It makes the stomach move more, which helps with indigestion and lessens bloating.
• Works on dopamine D2 receptors
• Helps with nausea, vomiting, and stomach pain
• Makes the lower esophageal sphincter tighter, which lowers acid reflux.
• Combined Effect: lowers acidity, speeds up stomach emptying, and eases nausea and bloating.

Medicine Interaction

• Be careful with:
• Antidepressants (SSRIs and SNRIs) can have effects on serotonin.
• Antipsychotics—more side effects
• Antibiotics (clarithromycin, erythromycin) – raised levels of levosulpiride
• Antacids lower the absorption of esomeprazole (wait 1–2 hours).
• Warfarin, a blood thinner, changed the INR levels.
• Antiarrhythmics (quinidine, amiodarone) - problems with heart rhythm
• Alcohol makes the stomach more irritated.
• Levodopa—levosulpiride makes it less effective.

 How to Use

• Take one pill per day or as instructed.
• Always take it 30 minutes before meals, usually before breakfast.
• Don't chew or crush; just swallow.
• If you forget to take a dose, take it when you remember, but skip it if it's close to the following dose.
• Don't take twice as much.

 Uses / Indications

• Gastroesophageal Reflux Disease (GERD)
• Too much acid
• Long-term gastritis
• Acid reflux that makes you feel sick or throw up
• Dyspepsia that works
• Feeling bloated and having trouble digesting
• Heartburn
• Irritation of the food pipe