{"id":8424,"date":"2021-03-12T09:22:05","date_gmt":"2021-03-12T09:22:05","guid":{"rendered":"https:\/\/zeepedia.com\/?p=8424"},"modified":"2021-04-14T17:43:55","modified_gmt":"2021-04-14T17:43:55","slug":"esomeprazole-pensa","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/esomeprazole-pensa\/","title":{"rendered":"Esomeprazole Pensa &#8211; Esomeprazole uses, dose and side effects"},"content":{"rendered":"\n<p>\n\n20 mg and 40 mg&nbsp;hard enteric&nbsp;<br>capsules esomeprazole<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Esomeprazole Pensa is and what it is used for<\/h2>\n\n\n\n<p>Esomeprazole Pensa contains a medicine called esomeprazole.&nbsp;It belongs to a group of medicines called&nbsp;proton pump inhibitors.&nbsp;These work by reducing the amount of acid produced in the stomach.<br><\/p>\n\n\n\n<p>Esomeprazole Pensa is used to treat the following conditions:<br><\/p>\n\n\n\n<p>Adults<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Gastroesophageal reflux disease&nbsp;(&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<\/em>&nbsp;&#8220;.&nbsp;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 Pensa can also be used to prevent&nbsp;stomach ulcers&nbsp;when taking&nbsp;NSAIDs&nbsp;<\/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>Young people from 12 years<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Gastroesophageal reflux disease&nbsp;(&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<\/em>&nbsp;&#8220;.&nbsp;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 Pensa may also be approved for the treatment of other conditions not mentioned in this product information.&nbsp;Ask your doctor, pharmacist, or another 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 using Esomeprazole Pensa<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not take Esomeprazole Pensa<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to esomeprazole or any of the other ingredients of this medicine (listed in section 6).<\/li><li>if you are allergic to other&nbsp;proton pump inhibitors&nbsp;(eg pantoprazole, lansoprazole, rabeprazole, omeprazole).<\/li><li>if you are taking a medicine containing nelfinavir (used to treat&nbsp;HIV&nbsp;&#8211;&nbsp;infection&nbsp;).<\/li><\/ul>\n\n\n\n<p>Do not take Esomeprazole Pensa if any of the above apply to you.&nbsp;If you are not sure, talk to your doctor or pharmacist before taking Esomeprazole Pensa.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor before taking Esomeprazole Pensa:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you have severe liver problems.<\/li><li>if you have severe kidney problems.<\/li><li>if you have ever had a skin reaction after treatment with a medicine similar to Esomeprazole Pensa that reduces stomach acid.<\/li><li>if you are going to have a special blood test (chromogranin A).<br><\/li><\/ul>\n\n\n\n<p>Esomeprazole Pensa can mask the symptoms of other diseases.&nbsp;<strong>Therefore, you should contact your doctor immediately if any of the following occur before you start taking Esomeprazole Pensa, or while you are taking it:<\/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 Pensa to take \u201cas needed\u201d, consult your doctor if your symptoms persist or change in nature.<br><\/p>\n\n\n\n<p>Using&nbsp;proton pump inhibitors&nbsp;such as Esomeprazole Pensa and especially if you use Esomeprazole Pensa for more than a year may increase the risk of hip, wrist, or vertebral fractures.&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<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 taking Esomeprazole Pensa.<br><\/p>\n\n\n\n<p>Also remember to mention any other&nbsp;side effects, such as joint pain.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Esomeprazole Pensa<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines, including medicines obtained without a prescription, as Esomeprazole Pensa may affect the way other medicines work, and other medicines may affect the effect of Esomeprazole Pensa.<\/p>\n\n\n\n<p>Do not take Esomeprazole Pensa if you are taking a medicine containing nelfinavir (used to treat&nbsp;HIV&nbsp;&#8211;&nbsp;infection&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 or saquinavir (used for the treatment of&nbsp;HIV&nbsp;&#8211;&nbsp;infection&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 epilepsy&nbsp;).<\/li><li>Phenytoin&nbsp;(used in&nbsp;epilepsy&nbsp;).&nbsp;If you are taking&nbsp;phenytoin, your doctor will need to monitor when you start or stop taking Esomeprazole Pensa.<\/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 Pensa.<\/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>Tacrolimus (organ transplantation).<\/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 temporarily stop your treatment with Esomeprazole Pensa.<\/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).<br><\/li><\/ul>\n\n\n\n<p>If the doctor has prescribed the&nbsp;antibiotics&nbsp;amoxicillin and clarithromycin, in combination with esomeprazole Pensa to treat&nbsp;ulcers&nbsp;caused by&nbsp;<em>Helicobacter pylori<\/em>&nbsp;&#8211;&nbsp;infection, you must tell your doctor if you are also taking other medicines.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Esomeprazole Pensa with food and drink<\/h2>\n\n\n\n<p>You can take your capsules with a meal or on an empty stomach.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding, and fertility<\/h2>\n\n\n\n<p>If you are pregnant, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.&nbsp;Your doctor will decide if you can take Esomeprazole Pensa during that time.<br><\/p>\n\n\n\n<p>It is not known if Esomeprazole Pensa passes into breast milk.&nbsp;Therefore, you should not take Esomeprazole Pensa 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 Pensa 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 cases or rare cases (see section 4).&nbsp;If you are affected, do not drive or use machines.<br><\/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 sharpened 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 Pensa contains sucrose<\/h2>\n\n\n\n<p>Esomeprazole Pensa contains&nbsp;granules&nbsp;(round grains) of sucrose, which is a type of sugar<strong>.&nbsp;<\/strong>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 Pensa<\/h2>\n\n\n\n<p>Always use 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>Recommended&nbsp;dose<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Your doctor will tell you how many capsules 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>The recommended&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 disease&nbsp;(&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 capsule of Esomeprazole Pensa 40 mg once daily for 4 weeks.&nbsp;<br>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;when the esophagus is healed is 1 capsule of Esomeprazole Pensa 20 mg once daily.<\/li><li>If your esophagus is not damaged, the recommended&nbsp;dose is&nbsp;1 capsule of Esomeprazole Pensa 20 mg once daily.&nbsp;When your condition is under control, your doctor may recommend that you take the medicine up to a maximum of 1 capsule of Esomeprazole Pensa 20 mg once daily if necessary.<\/li><li>If you have a severe hepatic impairment, your doctor may recommend a lower&nbsp;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>&nbsp;:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The recommended&nbsp;dose&nbsp;is 1 capsule of Esomeprazole Pensa 20 mg twice daily for one week.<\/li><li>Your doctor will also recommend that you take&nbsp;antibiotics, 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>&nbsp;The recommended&nbsp;dose&nbsp;is 1 capsule of Esomeprazole Pensa 20 mg 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 1 capsule of Esomeprazole Pensa 20 mg 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 1 capsule of Esomeprazole Pensa 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<\/strong>&nbsp;:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The recommended&nbsp;dose&nbsp;is 1 capsule of Esomeprazole Pensa 40 mg once daily for 4 weeks.<\/li><\/ul>\n\n\n\n<p><strong>Young people from 12 years<\/strong><\/p>\n\n\n\n<p><strong>For the treatment of heartburn caused by&nbsp;gastroesophageal reflux disease&nbsp;(&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;1 capsule of Esomeprazole Pensa 40 mg once daily for 4 weeks.&nbsp;<br>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 1 capsule of Esomeprazole Pensa 20 mg once daily.<\/li><li>If your esophagus is not damaged, the recommended&nbsp;dose is&nbsp;1 capsule of Esomeprazole Pensa 20 mg once daily.<\/li><li>If you have a severe hepatic impairment, your doctor may recommend a lower&nbsp;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 1 capsule of Esomeprazole Pensa 20 mg twice daily for one week.<\/li><li>Your doctor will also recommend that you take&nbsp;antibiotics, 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 capsules at any time of the day.<\/li><li>You can take the capsules with a meal or on an empty stomach.<\/li><li>Swallow the capsules whole with a glass of water.&nbsp;Do not chew or crush the capsules or their contents.&nbsp;This is because the capsules contain granules covered with a casing that prevents 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 capsules<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If you have problems swallowing the capsules:1) Carefully open the capsule above a glass of water (not carbonated) and empty the contents of the capsule (&nbsp;granules&nbsp;one) into the glass.&nbsp;Do not use other liquids.2) Stir.&nbsp;Drink&nbsp;mixture&nbsp;one at a time or within 30 minutes.&nbsp;Always&nbsp;stir the mixture&nbsp;one before drinking it.3) To make sure you have taken all the medicine;&nbsp;rinse the glass thoroughly with another half glass of water and drink up.&nbsp;The solid particles contain the medicine &#8211; do not chew or crush them.<\/li><li>If you can not swallow at all, the contents of the capsule 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<p><strong>Children under 12 years<\/strong><\/p>\n\n\n\n<p>Esomeprazole Pensa should not be used by children under 12 years of age.<br><\/p>\n\n\n\n<p><strong>Older<\/strong><\/p>\n\n\n\n<p>Dose&nbsp;one does not need to be adapted to the elderly.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you take more Esomeprazole Pensa then you should<\/h2>\n\n\n\n<p>If you have ingested too much medicine or if e.g.&nbsp;a child ingested the medicine by mistake, 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 Pensa<\/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;to make up for a forgotten&nbsp;dose.<\/li><\/ul>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/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, although not everybody gets them.<br><\/p>\n\n\n\n<p><strong>Stop taking Esomeprazole Pensa and contact your doctor immediately if you notice any of the following serious side effects:<\/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, which can be symptoms of liver problems.<\/li><\/ul>\n\n\n\n<p>These&nbsp;side effects&nbsp;are rare and may affect up to 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><em>Common (may affect up to 1 in 10 people)<\/em><\/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.<br><\/li><\/ul>\n\n\n\n<p><em>Uncommon (may affect up to 1 in 100 people)<\/em><\/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 the blood picture show the function of the liver.<\/li><li>Skin rash, hives, and&nbsp;itching.<\/li><li>Hip, wrist, or vertebral fractures (if Esomeprazole Pensa is used in high&nbsp;doses&nbsp;and for a long time).<\/li><\/ul>\n\n\n\n<p><em>Rare (may affect up to 1 in 1,000 people)<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Altered blood count such as decreased number of&nbsp;white blood cells&nbsp;or&nbsp;platelets.&nbsp;This can 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>Very rare (may affect up to 1 in 10,000 people)<\/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>No known frequency (cannot be calculated from the available data)<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>If you use Esomeprazole Pensa 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, and 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 Pensa can affect the white&nbsp;blood cells&nbsp;so that the immune system is weakened.&nbsp;If you have an&nbsp;infection&nbsp;with symptoms such as&nbsp;fever with <strong>severe<\/strong>&nbsp;deterioration of the general condition or fever with symptoms of a local&nbsp;infection&nbsp;such as.&nbsp;pain in the throat, pharynx, or mouth or difficulty urinating, you must seek medical attention as soon as possible so that any lack of&nbsp;white blood cells&nbsp;(&nbsp;agranulocytosis&nbsp;) can be ruled out with a blood test.&nbsp;It is important that you then provide information about the medicines you are taking.<br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">5. Storage of Esomeprazole Pensa<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<br><\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the carton, jar, or blister.&nbsp;The expiration date is the last day of the specified month.<br><\/p>\n\n\n\n<p><em>Blister:<\/em>&nbsp;<br>Do not store above 30 \u00b0 C.&nbsp;Store in the original package.&nbsp;Moisture sensitive.<br><\/p>\n\n\n\n<p><em>Jar:<\/em>&nbsp;<br>Do not store above 30 \u00b0 C.&nbsp;Close the jar tightly.&nbsp;Moisture sensitive.<\/p>\n\n\n\n<p>Shelf life for the opened jar: 6 months.<br><\/p>\n\n\n\n<p>Medicines 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.<br><\/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\">Content declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substance is esomeprazole. Esomeprazole Pensa enteric capsules are available in two strengths containing 20 mg or 40 mg of esomeprazole (as sodium salt).<br><\/li><li>Other ingredients are Capsule contents: Sugar spheres (sucrose and corn starch), methylcellulose, talc, titanium dioxide (E171), glycerol monostearate, polysorbate 80, sodium lauryl sulfate, methacrylic acid ethyl acrylate copolymer, and triethyl citrate.<br>Capsule shell: Carrageenan, potassium chloride, red iron oxide (E172), titanium dioxide (E171), hypromellose, capsule labeling (shellac, potassium hydroxide, and black iron oxide (E172)).<\/li><\/ul>\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><strong>Esomeprazole Pensa 20 mg enteric capsules<\/strong><\/p>\n\n\n\n<p>Esomeprazole Pensa 20 mg enteric capsules have an opaque light pink upper and lower part, size 4 (approx. 14 mm), marked with \u201cES\u201d on the upper part and \u201c20\u201d on the lower part.&nbsp;The capsule contains round&nbsp;granules.<\/p>\n\n\n\n<p>Aluminum \/ aluminum blister:<\/p>\n\n\n\n<p>7, 14, 28, 30 and 56 capsules<br><\/p>\n\n\n\n<p>White opaque polyethylene (PE) jar with desiccant (silica gel) and PE lid with a safety closure:<\/p>\n\n\n\n<p>14, 28, 90, 100, and 500 capsules<br><\/p>\n\n\n\n<p><strong>Esomeprazole Pensa 40 mg enteric capsules<\/strong><\/p>\n\n\n\n<p>Esomeprazole Pensa 40 mg capsules have an opaque pink top and bottom, size 2 (approximately 18 mm), marked with \u201cES\u201d on the top and \u201c40\u201d on the bottom.&nbsp;The capsule contains round&nbsp;granules.<br><\/p>\n\n\n\n<p>Aluminum \/ aluminum blister:<\/p>\n\n\n\n<p>7, 14, 28, 30 and 56 capsules<br><\/p>\n\n\n\n<p>A white opaque plastic jar of polyethylene (PE) with desiccant (silica gel) and PE lid with a safety closure:<\/p>\n\n\n\n<p>14, 28, 90, 100, and 500 capsules<br><\/p>\n\n\n\n<p>Not all pack sizes may be marketed.<\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>TOWA PHARMACEUTICAL EUROPE, SL<\/p>\n\n\n\n<p>C \/ de Sant Marti, 75-97<\/p>\n\n\n\n<p>08107 Martorelles (Barcelona)<\/p>\n\n\n\n<p>Spain<br><\/p>\n\n\n\n<p><strong>This medicinal product is authorized under the European Economic Area under the following names:<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>Country<\/strong><\/td><td><strong>Name<\/strong><\/td><\/tr><tr><td>THE<\/td><td>Esomeprazole Apomed<\/td><\/tr><tr><td>DK, NO, NL, SE<\/td><td>Esomeprazole Pensa<\/td><\/tr><tr><td>IT<\/td><td>Esomeprazolo Pensa Pharma<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"<p> 20 mg and 40 mg hard enteric<br \/>\ncapsules esomeprazole<\/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":[2240,3600,3602,3612,3614,3615,3613,3603,3601,2212],"class_list":["post-8424","post","type-post","status-publish","format-standard","hentry","category-e","category-medicines","tag-capsules","tag-esomeprazole","tag-esomeprazole-dose","tag-esomeprazole-pensa","tag-esomeprazole-pensa-dose","tag-esomeprazole-pensa-side-effects","tag-esomeprazole-pensa-uses","tag-esomeprazole-side-effects","tag-esomeprazole-uses","tag-medicine"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8424","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=8424"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8424\/revisions"}],"predecessor-version":[{"id":10173,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/8424\/revisions\/10173"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=8424"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=8424"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=8424"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}