{"id":8418,"date":"2021-03-12T09:16:22","date_gmt":"2021-03-12T09:16:22","guid":{"rendered":"https:\/\/zeepedia.com\/?p=8418"},"modified":"2021-04-14T17:46:53","modified_gmt":"2021-04-14T17:46:53","slug":"esomeprazole-sun","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/esomeprazole-sun\/","title":{"rendered":"Esomeprazole SUN &#8211; Esomeprazole uses, dose and side effects"},"content":{"rendered":"\n<p>\n\n20 mg, 40 mg&nbsp;enteric-tablet&nbsp;is&nbsp;<br>esomeprazole<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">1. What Esomeprazole SUN is and what it is used for<\/h2>\n\n\n\n<p>Esomeprazole SUN contains a drug substance called esomeprazole.&nbsp;It belongs to a group of medicines called &#8220;proton pump inhibitors&#8221;.&nbsp;These work by reducing the amount of acid produced in the stomach.<br><\/p>\n\n\n\n<p>Esomeprazole SUN is used to treat the following conditions:<br><\/p>\n\n\n\n<p><strong>Adults<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Gastroesophageal reflux&nbsp;disease (&nbsp;GERD&nbsp;).&nbsp;This is when acid from the stomach leaks into the esophagus (the connection between the mouth and the stomach) and causes pain,&nbsp;inflammation,&nbsp;and heartburn.<\/li><li>Ulcers in the stomach or upper intestine are infected by a&nbsp;bacterium&nbsp;called &#8221;&nbsp;<em>Helicobacter pylori&#8221;.&nbsp;<\/em>If you have such wounds, your doctor may also prescribe&nbsp;antibiotics&nbsp;to treat the&nbsp;infection&nbsp;and to allow wound healing.<\/li><li>A gastric ulcer&nbsp;is caused by so-called&nbsp;NSAIDs&nbsp;(Non-steroidal anti-inflammatory drugs).&nbsp;Esomeprazole SUN can also be used to prevent the appearance of&nbsp;stomach ulcers or ulcers in the upper intestine when taking NSAIDs.<\/li><li>Too much acid in the stomach is caused by a&nbsp;tumor&nbsp;in the pancreas (Zollinger-Ellison syndrome).<\/li><li>Continued treatment to prevent new bleeding from wounds after treatment with&nbsp;intravenous&nbsp;esomeprazole.<\/li><\/ul>\n\n\n\n<p><strong>Young people from 12 years<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Gastroesophageal reflux&nbsp;disease (&nbsp;GERD&nbsp;).&nbsp;This is when acid from the stomach leaks into the esophagus (the connection between the mouth and the stomach) and causes pain,&nbsp;inflammation,&nbsp;and heartburn.<\/li><li>Ulcers in the stomach or upper intestine are infected by a&nbsp;bacterium&nbsp;called &#8221;&nbsp;<em>Helicobacter pylori&#8221;.&nbsp;<\/em>If you have such wounds, your doctor may also prescribe&nbsp;antibiotics&nbsp;to treat the&nbsp;infection&nbsp;and to allow wound healing.<\/li><\/ul>\n\n\n\n<p>Esomeprazole contained in Esomeprazole SUN may also be approved for the treatment of other conditions not mentioned in this product information.&nbsp;Ask your doctor, pharmacist, or other healthcare professional if you have any further questions, and always follow their instructions.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before taking Esomeprazole SUN<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take Esomeprazole SUN again<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>you are allergic to esomeprazole or any of the other ingredients of this medicine (listed in section 6).<\/li><li>you are allergic to other&nbsp;proton pump inhibitors&nbsp;(eg pantoprazole, lanzoprazole, rabeprazole, omeprazole).<\/li><li>you are taking a medicine that contains nelfinavir (used to treat&nbsp;HIV&nbsp;).<\/li><\/ul>\n\n\n\n<p>Do not take Esomeprazole SUN if any of the above apply to you.&nbsp;If you are not sure, talk to your doctor or pharmacist before taking Esomeprazole SUN.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor or pharmacist before taking Esomeprazole SUN if:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>you have severe liver problems.<\/li><li>you have severe kidney problems.<\/li><li>you have ever had a skin reaction after treatment with a medicine similar to Esomeprazole SUN that reduces stomach acid.<\/li><li>you should undergo a specific blood test (chromogranin A).<\/li><\/ul>\n\n\n\n<p>If you get a rash, especially in areas exposed to the sun, tell your doctor as soon as possible as you may need to stop treatment with Esomeprazole SUN.&nbsp;Also remember to mention any other&nbsp;side effects, such as joint pain.<br><\/p>\n\n\n\n<p>Esomeprazole SUN may mask the symptoms of other diseases.&nbsp;<strong>Therefore, if any of the following occur before you start taking Esomeprazole SUN or while you are taking it, contact your doctor immediately:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>You lose a lot of weight for no reason and have trouble swallowing.<\/li><li>You get stomach pains or indigestion.<\/li><li>You start vomiting food or blood.<\/li><li>You get black (blood-mixed) stools.<\/li><\/ul>\n\n\n\n<p>If you have been prescribed Esomeprazole SUN to take \u201cas needed\u201d, consult your doctor if your symptoms persist or change in nature.<br><\/p>\n\n\n\n<p>Using a&nbsp;proton pump inhibitor&nbsp;such as Esomeprazole SUN and especially if you have been using Esomeprazole SUN for more than a year may increase the risk of a hip, wrist, or vertebral fracture (bone fracture).&nbsp;Tell your doctor if you have osteoporosis (&nbsp;osteoporosis&nbsp;) or if you use medicines called&nbsp;corticosteroids&nbsp;because they may increase the risk of osteoporosis.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Esomeprazole SUN<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.&nbsp;This is because Esomeprazole SUN can affect the way other medicines work and other medicines can affect the effect of Esomeprazole SUN.<br><\/p>\n\n\n\n<p>Do not take Esomeprazole SUN if you are also taking medicines containing&nbsp;<strong>nelfinavir (<\/strong>&nbsp;used to treat&nbsp;HIV&nbsp;).<br><\/p>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking any of the following medicines:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Atazanavir (used to treat&nbsp;HIV&nbsp;).<\/li><li>Clopidogrel (used to prevent blood clots)<\/li><li>Ketoconazole&nbsp;, itraconazole or voriconazole (used to treat fungal infections).<\/li><li>Erlotinib (used to treat cancer)<\/li><li>Citalopram, imipramine, or clomipramine (used to treat depression).<\/li><li>Diazepam&nbsp;(used to treat anxiety, muscle relaxation, or&nbsp;epilepsy&nbsp;).<\/li><li>Phenytoin&nbsp;(used in&nbsp;epilepsy&nbsp;).&nbsp;If you are taking&nbsp;phenytoin, your doctor will need to monitor you when you start or stop taking Esomeprazole SUN.<\/li><li>Drugs used for blood thinning, such as&nbsp;warfarin.&nbsp;Your doctor may need to monitor you when you start or stop taking Esomeprazole SUN.&nbsp;<\/li><li>Cilostazol (used to treat&nbsp;window disease&nbsp;&#8211; pain in the legs when walking due to insufficient blood supply to the legs)<\/li><li>Cisapride (used for indigestion or heartburn).<\/li><li>Digoxin&nbsp;(used for heart problems)<\/li><li>Methotrexate (a chemotherapeutic drug used in high&nbsp;doses&nbsp;to treat cancer) &#8211; if you are taking high&nbsp;doses&nbsp;of methotrexate, your doctor may pause your treatment with Esomeprazole SUN<\/li><li>Tacrolimus (organ transplant)<\/li><li>Rifampicin (used to treat&nbsp;tuberculosis&nbsp;)<\/li><li>St. John&#8217;s wort&nbsp;&#8211;&nbsp;<em>Hypericum perforatum<\/em>&nbsp;(used to treat depression)<\/li><\/ul>\n\n\n\n<p>If the doctor has prescribed the&nbsp;antibiotics&nbsp;amoxicillin and clarithromycin, coupled with Esomeprazole SUN for the treatment of&nbsp;ulcers&nbsp;caused by&nbsp;<em>Helicobacter pylori&nbsp;&#8211;&nbsp;<\/em>infection, you must tell your doctor if you take other medicines.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Esomeprazole SUN with food, drink, and alcohol<\/h2>\n\n\n\n<p>You can take your tablets with a meal or on an &#8220;empty stomach&#8221;.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding, and fertility<\/h2>\n\n\n\n<p>If you are pregnant or breast-feeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.<\/p>\n\n\n\n<p>Your doctor will decide if you can take Esomeprazole SUN during that time.<br><\/p>\n\n\n\n<p>It is not known if Esomeprazole SUN passes into breast milk.&nbsp;Therefore, you should not take Esomeprazole SUN if you are breast-feeding.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Esomeprazole SUN is unlikely to affect your ability to drive or handle tools or machines.&nbsp;However, side effects&nbsp;such as dizziness and visual disturbances may occur in uncommon or rare cases.&nbsp;(see section 4).&nbsp;If you are affected, do not drive or use machines.<\/p>\n\n\n\n<p>You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires increased attention.&nbsp;One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or&nbsp;side effects.&nbsp;Descriptions of these effects and&nbsp;side effects&nbsp;can be found in other sections.&nbsp;Read all the information in this leaflet for guidance.&nbsp;If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Esomeprazole SUN contains sucrose<\/h2>\n\n\n\n<p>If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">3. How to use Esomeprazole SUN<\/h2>\n\n\n\n<p>Always take this medicine exactly as your doctor or pharmacist has told you.&nbsp;Ask your doctor or pharmacist if you are unsure.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If you use this medicine for a long time, your doctor will want to follow up on your treatment (especially if you are taking the medicine for more than a year).<\/li><li>If you have been told by your doctor that you must take this medicine, tell your doctor if your symptoms change.<\/li><\/ul>\n\n\n\n<p><strong>How much should you take?<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Your doctor will tell you how many tablets to take and how long to take them.&nbsp;Dosage&nbsp;one depends on your condition, how old you are, and how well your liver is working.<\/li><li>Normal&nbsp;doses&nbsp;are given below.<\/li><\/ul>\n\n\n\n<p><strong>Adults from 18 years<\/strong><\/p>\n\n\n\n<p><strong>For the treatment of heartburn caused by&nbsp;gastroesophageal reflux&nbsp;disease (&nbsp;GERD&nbsp;):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If your doctor has found that your esophagus is slightly damaged, the recommended&nbsp;dose is&nbsp;one Esomeprazole SUN 40 mg&nbsp;enteric tablet&nbsp;once daily for 4 weeks.&nbsp;Your doctor may recommend that you take the same&nbsp;dose&nbsp;for another 4 weeks if the damage to your esophagus is not healed.<\/li><li>The recommended&nbsp;dose&nbsp;one after the esophagus is healed is an Esomeprazole SUN 20 mg&nbsp;enteric tablet&nbsp;once daily.<\/li><li>If your esophagus is not damaged, the recommended&nbsp;dose is&nbsp;one Esomeprazole SUN 20 mg&nbsp;enteric tablet&nbsp;once daily.&nbsp;When your condition is under control, your doctor may recommend that you take the medicine up to a maximum of one Esomeprazole SUN 20 mg&nbsp;enteric tablet&nbsp;once a day&nbsp;if necessary.<\/li><li>If you have a severe hepatic impairment, your doctor may recommend a lower dose.<\/li><\/ul>\n\n\n\n<p><strong>To treat ulcers caused by&nbsp;<em>Helicobacter pylori<\/em>&nbsp;&#8211;&nbsp;infection&nbsp;and to prevent the ulcer from occurring again:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The recommended&nbsp;dose&nbsp;is an Esomeprazole SUN 20 mg&nbsp;enteric tablet&nbsp;twice daily for one week.<\/li><li>Your doctor will also recommend that you take&nbsp;antibiotics&nbsp;such as amoxicillin and clarithromycin.<\/li><\/ul>\n\n\n\n<p><strong>For the treatment of&nbsp;stomach ulcers&nbsp;caused by&nbsp;NSAIDs&nbsp;(Non-steroidal anti-inflammatory drugs):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The recommended&nbsp;dose&nbsp;is an Esomeprazole SUN 20 mg&nbsp;enteric tablet&nbsp;once daily for 4 to 8 weeks.<\/li><\/ul>\n\n\n\n<p><strong>To prevent&nbsp;stomach ulcers&nbsp;if you are taking&nbsp;NSAIDs&nbsp;(Non-steroidal anti-inflammatory drugs):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The recommended&nbsp;dose&nbsp;is one Esomeprazole SUN 20 mg&nbsp;enteric tablet&nbsp;once daily.<\/li><\/ul>\n\n\n\n<p><strong>For the treatment of excess acid in the stomach caused by a&nbsp;tumor&nbsp;of the pancreas (Zollinger-Ellison syndrome):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The recommended&nbsp;dose&nbsp;is Esomeprazole SUN 40 mg twice daily.<\/li><li>Your doctor will adjust the&nbsp;dose&nbsp;according to your needs and will also decide how long you should take the medicine.&nbsp;The maximum&nbsp;dose&nbsp;is 80 mg twice daily.<\/li><\/ul>\n\n\n\n<p><strong>Continued treatment to prevent new bleeding from wounds after treatment with&nbsp;intravenous&nbsp;Esomeprazole SUN:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The recommended&nbsp;dose&nbsp;is an Esomeprazole SUN 40 mg&nbsp;enteric tablet&nbsp;once daily for 4 weeks.<\/li><\/ul>\n\n\n\n<p><strong>Young people from 12 years<\/strong><br><\/p>\n\n\n\n<p><strong>For the treatment of heartburn caused by&nbsp;gastroesophageal reflux&nbsp;disease (&nbsp;GERD&nbsp;):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If your doctor has found that your esophagus is slightly damaged, the recommended&nbsp;dose is&nbsp;one Esomeprazole SUN 40 mg&nbsp;enteric tablet&nbsp;once daily for 4 weeks.&nbsp;Your doctor may recommend that you take the same&nbsp;dose&nbsp;for another 4 weeks if the damage to your esophagus is not healed.<\/li><li>The recommended&nbsp;dose&nbsp;one after the esophagus is healed is an Esomeprazole SUN 20 mg&nbsp;enteric tablet&nbsp;once daily.<\/li><li>If your esophagus is not damaged, the recommended&nbsp;dose is&nbsp;one Esomeprazole SUN 20 mg&nbsp;enteric tablet&nbsp;once daily.<\/li><li>If you have a severe hepatic impairment, your doctor may recommend a lower dose.<\/li><\/ul>\n\n\n\n<p><strong>To treat ulcers caused by&nbsp;<em>Helicobacter pylori<\/em>&nbsp;&#8211;&nbsp;infection&nbsp;and to prevent the ulcer from occurring again:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The recommended&nbsp;dose&nbsp;is an Esomeprazole SUN 20 mg&nbsp;enteric tablet&nbsp;twice daily for one week.<\/li><li>Your doctor will also recommend that you take&nbsp;antibiotics&nbsp;such as amoxicillin and clarithromycin.<\/li><\/ul>\n\n\n\n<p><strong>Taking the medicine<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>You can take the tablets at any time of the day.<\/li><li>You can take the tablets with food or on an empty stomach.<\/li><li>Swallow your tablets whole along with a little water.&nbsp;Do not chew or crush the tablets.&nbsp;This is because the tablets contain coated granules that prevent the medicine from being broken down by the acid in the stomach.&nbsp;The granules mustn&#8217;t be damaged.<\/li><\/ul>\n\n\n\n<p><strong>What you can do if you have difficulty swallowing the tablets<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If you have problems swallowing the tablets:<ul><li>Put them in glass (not carbonated) water.&nbsp;Do not use other liquids.<\/li><li>Stir until the tablets break (&nbsp;mixture&nbsp;one will not be ready).&nbsp;Drink the&nbsp;mixture immediately or within 30 minutes.&nbsp;Always&nbsp;stir the mixture&nbsp;immediately before drinking it.<\/li><li>Put them in glass (not carbonated) water.&nbsp;Do not use other liquids.<\/li><li>To be sure that you have ingested all the medicine, rinse the glass thoroughly with another half glass of water and drink it up.&nbsp;The solid particles contain the medicine &#8211; do not chew or crush them.<\/li><\/ul><\/li><li>If you can not swallow at all, the tablets can be mixed with a little water and placed in a&nbsp;syringe.&nbsp;Mixture&nbsp;one can then be given directly into the stomach via a probe.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Children under 12 years<\/h2>\n\n\n\n<p>Esomeprazole SUN&nbsp;enteric tablets&nbsp;are not recommended for children under 12 years of age.<br><\/p>\n\n\n\n<p><strong>Older<\/strong><\/p>\n\n\n\n<p>Dose adjustment is not necessary for elderly patients.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you take more Esomeprazole SUN then you should<\/h2>\n\n\n\n<p>If you have ingested too much medicine or if, for example, a child has accidentally ingested the medicine, contact a doctor, hospital, or the Poison Information Center for risk assessment and advice.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you forget to take Esomeprazole SUN<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>If you forget to take a&nbsp;dose, take it as soon as you notice it.&nbsp;If it is near the time of the next&nbsp;dose&nbsp;&#8211; skip the missed&nbsp;dose.<\/li><li>Do not take a double&nbsp;dose&nbsp;(two&nbsp;doses&nbsp;at the same time) to compensate for a missed&nbsp;dose&nbsp;<\/li><\/ul>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or pharmacist<strong>.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">4. Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause&nbsp;side effects,&nbsp;although not everybody gets them.<br><\/p>\n\n\n\n<p>Serious&nbsp;side effects&nbsp;are<br><\/p>\n\n\n\n<p><strong>If you notice any of the following serious&nbsp;side effects,&nbsp;stop taking Esomeprazole SUN and contact your doctor immediately:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Sudden wheezing, swelling of the lips, tongue, and throat or body, rash, fainting, or difficulty swallowing (severe&nbsp;allergic reaction&nbsp;).<\/li><li>Redness&nbsp;of the skin with blistering or flaking.&nbsp;Severe blistering and bleeding on the lips, eyes, mouth, nose, and genitals may also occur.&nbsp;This can be &#8220;Stevens-Johnson syndrome&#8221; or &#8220;toxic&nbsp;epidermal&nbsp;necrolysis&#8221;.<\/li><li>Yellowed skin, dark urine, and fatigue can be symptoms of liver problems.<\/li><\/ul>\n\n\n\n<p>These&nbsp;side effects&nbsp;are rare and occur in less than 1 in 1,000 people.<br><\/p>\n\n\n\n<p>Other&nbsp;side effects&nbsp;include:<br><\/p>\n\n\n\n<p><strong><em>Common (affects less than 1 in 10 people)<\/em><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Headache.<\/li><li>Effects on the stomach or intestines: diarrhea, abdominal pain, constipation, flatulence.<\/li><li>Nausea or vomiting.<\/li><li>Benign&nbsp;polyps&nbsp;are in the stomach.<\/li><\/ul>\n\n\n\n<p><strong><em>Uncommon (affects less than 1 in 100 people)<\/em><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Swelling of the feet and ankles.<\/li><li>Sleep disorders (insomnia).<\/li><li>Dizziness, tingling, drowsiness.<\/li><li>Scams (&nbsp;vertigo&nbsp;).<\/li><li>Dry mouth.<\/li><li>Changes in blood test results that show liver function.<\/li><li>Skin rash, hives, and&nbsp;itching.<\/li><li>Hip, wrist, or vertebral fractures (if Esomeprazole SUN is used in high&nbsp;doses&nbsp;and for a long time).<\/li><\/ul>\n\n\n\n<p><strong><em>Rare (affects less than 1 in 1,000 people)<\/em><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Altered blood count such as reduced number of white&nbsp;blood cells&nbsp;or&nbsp;platelets.&nbsp;This may cause weakness, bruising, or susceptibility to infection.<\/li><li>Low levels of&nbsp;sodium&nbsp;in the blood.&nbsp;This can cause weakness, vomiting, and cramps.<\/li><li>Feeling of agitation, confusion, or depression.<\/li><li>Taste changes.<\/li><li>Vision problems, such as blurred vision.<\/li><li>Sudden wheezing or shortness of breath (&nbsp;bronchospasm&nbsp;).<\/li><li>Inflammation&nbsp;of the oral cavity.<\/li><li>A fungal infection called &#8220;cod&#8221; can affect the intestines.<\/li><li>Liver problems including jaundice, which can cause yellowing of the skin, dark urine, and fatigue.<\/li><li>Hair loss (&nbsp;alopecia&nbsp;).<\/li><li>Skin rash when sunbathing.<\/li><li>Joint pain (&nbsp;arthralgia&nbsp;) or muscle pain (&nbsp;myalgia&nbsp;).<\/li><li>General malaise and lack of energy.<\/li><li>Increased sweating.<\/li><\/ul>\n\n\n\n<p><strong><em>Very rare (affects less than 1 in 10,000 people)<\/em><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Changes in the blood picture including&nbsp;agranulocytosis&nbsp;(lack of&nbsp;white blood cells&nbsp;).<\/li><li>Aggression.<\/li><li>Hallucinations (seeing, feeling, or hearing things that do not exist).<\/li><li>Severe liver problems leading to liver failure and encephalitis.<\/li><li>Sudden onset of severe rash, blistering or flaky skin.&nbsp;This may be associated with high fever and joint pain (Erythema multiforme,&nbsp;Stevens-Johnson&nbsp;syndrome,&nbsp;toxic epidermal necrolysis&nbsp;).<\/li><li>Muscle weakness.<\/li><li>Severe kidney problems.<\/li><li>Enlargement of the mammary glands in men.<\/li><\/ul>\n\n\n\n<p><strong><em>No known frequency (cannot be calculated from the available data)<\/em><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If you use Esomeprazole SUN for more than three months, your blood magnesium levels may drop.&nbsp;Low levels of&nbsp;magnesium&nbsp;can manifest as fatigue, involuntary muscle movements, confusion, cramps, dizziness, or rapid heartbeat.&nbsp;If you get any of these symptoms, contact your doctor immediately.&nbsp;Low levels of&nbsp;magnesium&nbsp;can also lead to decreased levels of&nbsp;potassium&nbsp;or&nbsp;calcium&nbsp;in the blood.&nbsp;Your doctor may measure the level of magnesium in your blood using regular blood tests.<\/li><li>Inflammation&nbsp;of the intestine (causes diarrhea).<\/li><li>Skin rash, possibly with joint pain.<\/li><\/ul>\n\n\n\n<p>In very rare cases, esomeprazole SUN can affect the white&nbsp;blood cells&nbsp;so that the immune system is weakened.&nbsp;If you get an&nbsp;infection&nbsp;with symptoms such as fever and&nbsp;<strong>severe<\/strong>&nbsp;general malaise or fever with symptoms of local&nbsp;infection&nbsp;such as pain in the neck, throat, or mouth or difficulty urinating, you must contact a doctor as soon as possible so that any lack of&nbsp;white blood cells&nbsp;(&nbsp;agranulocytosis&nbsp;) can be excluded by a blood test.&nbsp;It is important that you then information about your medication.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. How to store Esomeprazole SUN<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Do not store above 30 \u00b0 C.<\/p>\n\n\n\n<p>Store in the original package (in blisters).&nbsp;Moisture sensitive.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the carton or blister (EXP).&nbsp;The expiration date is the last day of the specified month.<br><\/p>\n\n\n\n<p>The medicine should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">6. Contents of the packaging and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">What Esomeprazole SUN 20 mg \/ 40 mg enteric tablets contain<\/h2>\n\n\n\n<p>The active substance is esomeprazole.&nbsp;Each tablet contains 20 mg and 40 mg of esomeprazole (as&nbsp;amorphous&nbsp;esomeprazole magnesium).<br><\/p>\n\n\n\n<p>Other ingredients are:<\/p>\n\n\n\n<p><em>Tablet core:<\/em>&nbsp;Hydroxypropylcellulose (E463), crospovidone (type A)<\/p>\n\n\n\n<p><em>Film coating:<\/em>&nbsp;Povidone (K30), macrogol 400, macrogol 4000, macrogol 6000, hypromellose phthalate (HP-55S), hypromellose phthalate (HP-50), diethyl phthalate, hydroxypropylcellulose, microcrystalline cellulose (&nbsp;PH&nbsp;101), microcrystalline cellulose crospovide Type B), sodium stearyl fumarate, Opadry 03B86651 brown (HMPC 2910 \/ Hypromellose 6cP, titanium dioxide (E171), macrogol \/ PEG 400, iron oxide red (E172), sugar spheres (sucrose and corn starch), talc (E553b).&nbsp;<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>Esomeprazole SUN 20 mg&nbsp;enteric tablets&nbsp;are brownish red, oval, biconvex, film-coated tablets marked &#8216;E5&#8217; on one side and smooth on the other.<\/p>\n\n\n\n<p>Esomeprazole SUN 40 mg&nbsp;enteric tablets&nbsp;are brownish red, oval, biconvex, film-coated tablets marked &#8216;E6&#8217; on one side and smooth on the other.<\/p>\n\n\n\n<p>The tablets are packaged in<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>OPA-Al-PE-desiccant-HDPE \/ Al blister in the following pack sizes: 7, 14, 15, 28, 30, 56, 60, 90 and 100 tablets.<\/li><li>OPA-Al-PVC \/ Al blisters in pack sizes of 7, 14, 15, 28, 30, 56, 60, 90 and 100 tablets.<\/li><\/ul>\n\n\n\n<p>Not all pack sizes may be marketed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorisation Holder<\/h2>\n\n\n\n<p>SUN Pharmaceutical Industries Europe BV<\/p>\n\n\n\n<p>Polarisavenue 87<\/p>\n\n\n\n<p>2132 JH, Hoofddorp<\/p>\n\n\n\n<p>Netherlands<br><\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p><strong>Sun Pharmaceutical Industries Europe BV,<\/strong>&nbsp;Polarisavenue 87, 2132JH Hoofddorp, The Netherlands<\/p>\n\n\n\n<p><strong>Terapia SA,<\/strong>&nbsp;124 Fabricii Street, 400 632 Cluj Napoca, Romania<br><\/p>\n\n\n\n<p>This medicinal product is authorized under the European Economic Area under the names:<br><\/p>\n\n\n\n<p>Belgium: Esomeprazole AB<\/p>\n\n\n\n<p>Germany: Esomeprazole Basics<\/p>\n\n\n\n<p>Italy: Esomeprazolo SUN<\/p>\n\n\n\n<p>Netherlands: Esomeprazole SUN<\/p>\n\n\n\n<p>Portugal: Ezoclip<\/p>\n\n\n\n<p>United Kingdom: Esomeprazole<br><\/p>\n","protected":false},"excerpt":{"rendered":"<p>20 mg, 40 mg enteric-tablet is<br \/>\nesomeprazole<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2205,2200],"tags":[3600,3602,3603,3624,3626,3627,3625,3601,2212,2210],"class_list":["post-8418","post","type-post","status-publish","format-standard","hentry","category-e","category-medicines","tag-esomeprazole","tag-esomeprazole-dose","tag-esomeprazole-side-effects","tag-esomeprazole-sun","tag-esomeprazole-sun-dose","tag-esomeprazole-sun-side-effects","tag-esomeprazole-sun-uses","tag-esomeprazole-uses","tag-medicine","tag-tablet"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8418","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=8418"}],"version-history":[{"count":5,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8418\/revisions"}],"predecessor-version":[{"id":10180,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8418\/revisions\/10180"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=8418"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=8418"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=8418"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}