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Written By Santoshini Reddy G , M Pharmacy
Reviewed By Bayyarapu Mahesh Kumar , M Pharmacy
Non returnable*
COD available

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Manufacturer/Marketer :

Olympus Life Sciences

Consume Type :

ORAL

Return Policy :

Not Returnable

About Esopic-L Capsule SR

Esopic-L Capsule SR belongs to a group of medicines called gastrointestinal agents used to treat gastro-oesophageal reflux disease (GERD). Gastroesophageal reflux disease occurs when stomach acid frequently flows back into the food pipe (oesophagus); this causes acidity, pain and heartburn. Symptoms include heartburn, sour or bitter taste in the mouth and difficulty swallowing.

Esopic-L Capsule SR contains Esomeprazole and Levosulpiride. Esomeprazole works by blocking the action of an enzyme called gastric proton pump, which is responsible for the production of acid. Levosulpiride works by increasing the stomach and intestinal movement and pressure of the inferior oesophageal (food pipe) sphincter, thereby preventing the backflow of food and acid into the mouth. Together, Esopic-L Capsule SR helps in preventing acid reflux, thereby providing relief from acidity and heartburn.

You are advised to take Esopic-L Capsule SR for as long as your doctor has prescribed it for you, depending on your medical condition. In some cases, you may experience certain common side-effects such as headache, abdominal pain, constipation, diarrhoea, flatulence, nausea and vomiting. Most of these side-effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side-effects persistently.

Inform your doctor before taking Esopic-L Capsule SR if you have a history of gastrointestinal bleeding or intestinal obstruction. On long-term treatment, Esopic-L Capsule SR may increase the risk of bone fractures. Consult your doctor if you are pregnant or breastfeeding. Esopic-L Capsule SR may cause drowsiness and dizziness, so drive only if you are alert. Esopic-L Capsule SR should not be given to children as safety has not been established. Avoid consuming alcohol along with Esopic-L Capsule SR as it could lead to increased drowsiness and can elevate the production of stomach acid.

Uses of Esopic-L Capsule SR

Gastro-oesophageal reflux disease.

Directions for Use

Take Esopic-L Capsule SR 1hour prior food. Swallow Esopic-L Capsule SR as a whole with a glass of water, do not chew, or crush it.

Medicinal Benefits

Esopic-L Capsule SR belongs to a group of medicines called gastrointestinal agents used to treat gastro-oesophageal reflux disease (GERD). Esopic-L Capsule SR is a combination of two drugs, namely: Esomeprazole (proton pump inhibitor) and Levosulpiride (prokinetic agent). Esomeprazole works by blocking the action of an enzyme called gastric proton pump, which is responsible for the production of acid. Levosulpiride works by increasing the stomach and intestinal movement and pressure of the inferior oesophageal (food pipe) sphincter, thereby preventing the backflow of food and acid into the mouth. Together, Esopic-L Capsule SR helps in preventing acid reflux, thereby providing relief from acidity and heartburn.

Storage

Keep Esopic-L Capsule SR out of reach and sight of children.
Side effects of Esopic-L Capsule SR
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
Here are the precise steps to cope with diarrhoea caused by medication usage:
  • Inform Your Doctor: Notify your doctor immediately about your diarrhoea symptoms. This allows them to adjust your medication or provide guidance on managing side effects.
  • Stay Hydrated: Drink plenty of fluids to replace lost water and electrolytes. Choose water, clear broth, and electrolyte-rich drinks. Avoid carbonated or caffeinated beverages to effectively rehydrate your body.
  • Follow a Bland Diet: Eat easy-to-digest foods to help firm up your stool and settle your stomach. Try incorporating bananas, rice, applesauce, toast, plain crackers, and boiled vegetables into your diet.
  • Avoid Trigger Foods: Steer clear of foods that can worsen diarrhoea, such as spicy, fatty, or greasy foods, high-fibre foods, and dairy products (especially if you're lactose intolerant).
  • Practice Good Hygiene: Maintain good hygiene to prevent the spread of infection. To stay healthy, wash your hands frequently, clean and disinfect surfaces regularly, and avoid exchanging personal belongings with others.
  • Take Anti-Diarrheal Medications: If your doctor advises, anti-diarrheal medications such as loperamide might help manage diarrhoea symptoms. Always follow your doctor's directions.
  • Keep track of your diarrhoea symptoms. If they don't get better or worse or are accompanied by severe stomach pain, blood, or dehydration signs (like extreme thirst or dark urine), seek medical help.
Overcome Medication-Induced Nausea: A 9-Step Plan
  • Inform your doctor about the nausea and discuss possible alternatives to the medication or adjustments to the dosage.
  • Divide your daily food intake into smaller, more frequent meals to reduce nausea.
  • Opt for bland, easily digestible foods like crackers, toast, plain rice, bananas, and applesauce.
  • Avoid certain foods that can trigger nausea, such as fatty, greasy, spicy, and smelly foods.
  • Drink plenty of fluids, such as water, clear broth, or electrolyte-rich beverages like coconut water or sports drinks.
  • Use ginger (tea, ale, or candies) to help relieve nausea.
  • Get adequate rest and also avoid strenuous activities that can worsen nausea.
  • Talk to your doctor about taking anti-nausea medication if your nausea is severe.
  • Record when your nausea occurs, what triggers it, and what provides relief to help you identify patterns and manage your symptoms more effectively.
Here are the steps to manage Gastrointestinal Air and Swelling (GAS) caused by medication:
  • Tell your doctor about your GAS symptoms. They may change your medication regimen or prescribe additional drugs to help you manage them.
  • To manage GAS symptoms, eat a balanced diet of fibre, vegetables, and fruits.
  • Drink enough water throughout the day to avoid constipation and treat GAS symptoms.
  • Regular exercise like yoga and walking may help stimulate digestion and alleviate GAS symptoms.
  • Take probiotics only if your doctor advises, as they may help alleviate GAS symptoms by promoting gut health.
  • Take medication for GAS symptoms only if your doctor advises, as certain medications can interact with your existing prescriptions or worsen symptoms.
  • If symptoms persist, worsen, or are accompanied by severe abdominal pain, vomiting, or bleeding, seek immediate medical attention.
  • Drink water or other clear fluids.
  • To prevent worsening of pain, limit intake of tea, coffee, or alcohol.
  • Include bland foods like rice, toast, crackers, and rice in your diet.
  • Avoid lying down immediately after eating as it may cause indigestion or heartburn.
  • Avoid acidic and spicy food as it may cause indigestion.
Here are the steps to cope with constipation as a side effect of medication:
  • Inform your doctor about your constipation symptoms. They may adjust your medication or advise alternative treatments.
  • Stay hydrated by drinking sufficient of water (at least 8-10 glasses a day) to help soften stool and promote bowel movements.
  • Increase fibre intake by eating foods high in fibre, such as fruits, whole grains, vegetables and legumes, to help bulk up the stool.
  • Establish a bowel routine by trying to go to the bathroom at the same time each day to train your bowels.
  • Engaging in regular exercise, like walking or yoga, can support in bowel movement stimulation.
  • Consult your doctor if constipation persists, and discuss alternative treatments or adjustments to your medication.
Here are the steps to Dry Mouth (xerostomia) caused by medication:
  • Inform your doctor about dry mouth symptoms. They may adjust your medication regimen or prescribe additional medications to manage symptoms.
  • Drink plenty of water throughout the day to help keep your mouth moist and alleviate dry mouth symptoms.
  • Chew sugar-free gum or candies to increase saliva production and keep your mouth moisturized.
  • Use saliva substitutes, such as mouthwashes or sprays, only if your doctor advises them to help moisturize your mouth and alleviate dry mouth symptoms.
  • Avoid consuming smoking, alcohol, spicy or acidic foods, and other irritants that may aggravate dry mouth symptoms.
  • Schedule regular dental check-ups to keep track of your oral health and handle any dry mouth issues as they arise.

Drug Warnings

Do not take Esopic-L Capsule SR if you are allergic to any of its contents, if you are taking nelfinavir (anti-HIV), if you have a gastrointestinal haemorrhage, mechanical obstruction or perforation, epilepsy, mania, porphyria, or cardiac impairment. Inform your doctor before taking Esopic-L Capsule SR if you have severe liver or kidney problems; if you are due to have Chromogranin A test; if you experience unexplained weight loss, stomach pain, indigestion, vomit food or blood, or if you pass black stools. On long-term treatment, Esopic-L Capsule SR may increase the risk of bone fractures. Do not take Esopic-L Capsule SR if you are pregnant or breastfeeding. Esopic-L Capsule SR may cause dizziness and drowsiness, so drive only if you are alert. Esopic-L Capsule SR should not be given to children as safety has not been established. Avoid consuming alcohol along with Esopic-L Capsule SR as it could lead to increased drowsiness and can elevate the production of stomach acid. 

Drug-Drug Interactions

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EsomeprazoleRilpivirine
Critical

Drug-Drug Interactions

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EsomeprazoleRilpivirine
Critical
How does the drug interact with Esopic-L Capsule SR:
Esopic-L Capsule SR may reduce rilpivirine absorption and blood levels, making the medicine less effective against HIV.

How to manage the interaction:
Although taking Esopic-L Capsule SR with Rilpivirine can possibly result in an interaction, they can be taken together if prescribed by your doctor. However, contact your doctor immediately if your symptoms do not improve. Do not discontinue using any medications without consulting a doctor.
How does the drug interact with Esopic-L Capsule SR:
Taking gefitinib with Esopic-L Capsule SR may reduce the effectiveness of gefitinib.

How to manage the interaction:
Although taking Esopic-L Capsule SR and Gefitinib together can possibly result in an interaction, they can be taken together if prescribed by your doctor. It is recommended to take Gefitionib 12 hours before or after taking Esopic-L Capsule SR. Do not stop taking any medications without consulting a doctor.
How does the drug interact with Esopic-L Capsule SR:
Co-administration of methotrexate and Esopic-L Capsule SR can increase the blood levels and side effects of methotrexate.

How to manage the interaction:
Although taking Esopic-L Capsule SR with Methotrexate can result in an interaction, they can be taken together if prescribed by a doctor. However, contact your doctor if you experience headache, dizziness, nausea and vomiting. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Esopic-L Capsule SR:
Using Dasatinib together with Esopic-L Capsule SR may decrease the levels of Dasatinib.

How to manage the interaction:
Although taking Esopic-L Capsule SR together with Dasatinib can result in an interaction, they can be taken together if prescribed by a doctor. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Esopic-L Capsule SR:
Coadministration of erlotinib and Esopic-L Capsule SR can reduce effects of erlotinib.

How to manage the interaction:
Taking Erlotinib and Esopic-L Capsule SR together is generally avoided as it can possibly result in an interaction. It can be taken if your doctor has advised it. Do not stop using any medications without first talking to your doctor.
How does the drug interact with Esopic-L Capsule SR:
Taking tacrolimus with Esopic-L Capsule SR may significantly increase the blood levels of tacrolimus, which can lead to an increased risk of side effects.

How to manage the interaction:
Although taking Esopic-L Capsule SR with Tacrolimus can result in an interaction, they can be taken together if prescribed by your doctor. However, contact a doctor immediately if you experience irregular heartbeat, blurring of vision, fever, chills, or muscle spasms. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Esopic-L Capsule SR:
Esopic-L Capsule SR reduces the absorption of atazanavir, resulting in reduced efficacy of atazanavir.

How to manage the interaction:
Although there is a possible interaction between Esopic-L Capsule SR and atazanavir, they can be taken together if prescribed by a doctor. Do not stop using any medications without consulting a doctor.
EsomeprazoleNelfinavir
Severe
How does the drug interact with Esopic-L Capsule SR:
Taking nelfinavir with Esopic-L Capsule SR may decrease the effects of nelfinavir.

How to manage the interaction:
Although taking Esopic-L Capsule SR and Nelfinavir can possibly result in an interaction, they can be taken together if prescribed by your doctor. Do not stop taking any medications without consulting your doctor.
How does the drug interact with Esopic-L Capsule SR:
Esopic-L Capsule SR may interfere with the absorption of Acalabrutinib and reduce their efficacy.

How to manage the interaction:
Taking Esopic-L Capsule SR with Acalabrutinib together can result in an interaction, but it can be taken if your doctor has advised it. Do not stop using any medications without talking to your doctor.
How does the drug interact with Esopic-L Capsule SR:
Esopic-L Capsule SR can make Dacomitinib less effective by reducing its absorption and lowering its concentration in the blood.

How to manage the interaction:
Co-administration of Esopic-L Capsule SR with Dacomitinib can result in an interaction, but it can be taken if your doctor has advised it. Do not stop using any medications without talking to your doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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Diet & Lifestyle Advise

  • Eat smaller meals more often.
  • Avoid smoking and alcohol consumption. Alcohol intake leads to increased production of stomach acid, thereby increasing acidity and heartburn.
  • Maintain a healthy weight by regular exercising.
  • Avoid lying down after eating as it causes acid reflux.
  • Avoid tight-fitting clothes as it might increase the pressure on the abdomen leading to acid reflux.
  • Practise relaxation techniques and avoid stress by doing yoga or meditation.
  • Avoid foods such as high-fat food, spicy food, chocolates, citrus fruits, pineapple, tomato, onion, garlic, tea and soda. 
  • Avoid sitting continuously as it may trigger acidity. Take a break of 5 minutes every hour by doing brisk walking or stretching.

Side Effects of Esopic-L Capsule SR

  • Headache
  • Abdominal pain
  • Flushing
  • Dry mouth
  • Constipation
  • Diarrhoea
  • Flatulence
  • Nausea
  • Vomiting

Habit Forming

No

Therapeutic Class

GASTROINTESTINAL AGENTS

Author Details

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Drug-Diseases Interactions

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No Drug - Disease interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Diseases Interactions

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FAQs

Esopic-L Capsule SR is a combination of two drugs, namely: Esomeprazole and Levosulpiride. Esomeprazole works by blocking the action of an enzyme called gastric proton pump, which is responsible for the production of acid. Levosulpiride works by increasing the stomach and intestinal movement and pressure of the inferior oesophageal (food pipe) sphincter, thereby preventing the backflow of food and acid into the mouth. Together, Esopic-L Capsule SR helps in preventing acid reflux, thereby providing relief from acidity.

Diarrhoea might be a side-effect of Esopic-L Capsule SR. Drink enough fluids and eat non-spicy food if you experience diarrhoea. If you find blood in stools (tarry stools) or if you experience severe diarrhoea, consult your doctor. Do not take anti-diarrheal medicine on your own.

Do not take Esopic-L Capsule SR with nelfinavir (a drug used to treat HIV infections). Consult your doctor before taking Esopic-L Capsule SR with other medicines to rule out unpleasant side-effects.

Esopic-L Capsule SR contains esomeprazole which might increase the risk of fracture in the wrist, hip or spine. This mainly occurs in people taking Esopic-L Capsule SR for longer durations. Inform your doctor if you have osteoporosis or if you are taking corticosteroids, your doctor may prescribe calcium and vitamin D supplements.

Esopic-L Capsule SR may cause changes in blood tests for checking liver functioning. Inform the person doing the tests that you are taking Esopic-L Capsule SR.

Dry mouth could be a side-effect of Esopic-L Capsule SR. Limiting caffeine intake, avoiding smoking and mouthwashes containing alcohol, drinking water regularly and chewing sugar-free gum/candy might help in stimulating saliva and thereby prevents drying of the mouth.

Drug-Drug Interactions Checker List

  • ASPIRIN
  • NAPROXEN
  • ATAZANAVIR
  • CLOPIDOGREL
  • WARFARIN
  • CILOSTAZOL
  • KETOCONAZOLE
  • ITRACONAZOLE
  • VORICONAZOLE
  • ERLOTINIB
  • METHOTREXATE
  • CITALOPRAM
  • IMIPRAMINE
  • CLOMIPRAMINE
  • DULOXETINE
  • DIAZEPAM
  • PHENYTOIN
  • CISAPRIDE
  • DIGOXIN
  • TACROLIMUS
  • RIFAMPICIN

Special Advise

  • Esopic-L Capsule SR may cause changes in blood tests for checking liver functioning. Inform the person doing the tests that you are taking Esopic-L Capsule SR.
  • Inform your doctor before taking Esopic-L Capsule SR if you are due to have Chromogranin A test.

Disease/Condition Glossary

Gastroesophageal reflux disease (GERD): 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, heartburn and peptic ulcers. Gastroesophageal reflux disease (GERD) occurs when stomach acid frequently flows back into the food pipe (oesophagus). This backflow (acid reflux) irritates the food pipe and causes heartburn and acidity. Symptoms include heartburn, sour or bitter taste in the mouth and difficulty swallowing.

Have a query?

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Alcohol

Unsafe

Avoid consumption of alcohol while taking Esopic-L Capsule SR. Alcohol intake leads to increased production of stomach acid, thereby increases acidity and heartburn.

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Pregnancy

Unsafe

Esopic-L Capsule SR should not be taken if you are pregnant. Consult your doctor before taking Esopic-L Capsule SR if you are pregnant.

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Breast Feeding

Unsafe

Esopic-L Capsule SR may pass into breast milk. Consult your doctor before taking Esopic-L Capsule SR if you are breastfeeding.

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Driving

Caution

Esopic-L Capsule SR may cause dizziness, drowsiness and blurred vision. Do not drive or operate machinery unless you are alert.

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Liver

Unsafe

Esopic-L Capsule SR should not be used in patients with hepatic impairment. Consult your doctor before taking Esopic-L Capsule SR if you have a liver impairment or any concerns regarding this.

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Kidney

Caution

Dose adjustment may be needed. Consult your doctor before taking Esopic-L Capsule SR if you have kidney impairment or any concerns regarding this.

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Children

Unsafe

Esopic-L Capsule SR should not be given to children as the safety and effectiveness were not established.

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