Emanera Gastro-Resistant 20mg Capsule
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Prescription Required
Overview
Emanera Gastro-Resistant 20mg Capsule contains esomeprazole 20mg as a gastro-resistant capsule, a proton pump inhibitor (PPI) used to treat gastro-oesophageal reflux disease (GERD), heal and prevent stomach and duodenal ulcers, and as part of combination therapy to eradicate Helicobacter pylori infection. This product is manufactured by Krka, an established European generic pharmaceutical manufacturer.
Esomeprazole works by irreversibly blocking the proton pump (H+/K+-ATPase) in the lining of the stomach, which is the final step in acid production. This significantly reduces the amount of acid the stomach produces, relieving symptoms and allowing damaged tissue in the oesophagus or stomach to heal.
How it Works
Esomeprazole is the S-isomer of omeprazole. After absorption, it accumulates in the acid-producing cells of the stomach lining and binds irreversibly to the proton pump enzyme, blocking the final step of gastric acid secretion. Because the effect is irreversible, acid suppression continues until the body produces new proton pump enzymes.
Directions for Use
Take Emanera Gastro-Resistant 20mg Capsule at least one hour before a meal, usually in the morning. Swallow the capsule whole with a glass of water – do not chew or crush it. If you have difficulty swallowing capsules, you may open the capsule and mix the contents with a small amount of non-carbonated water or soft food such as yoghurt or apple sauce, and swallow immediately without chewing the granules.
Dosage
The usual dose of Emanera Gastro-Resistant 20mg Capsule depends on the condition being treated – typically once daily for GERD and ulcer healing, sometimes as part of a combination regimen with antibiotics for H. pylori eradication. Your doctor will determine the correct dose and duration of treatment for your specific condition, which may range from a few weeks to longer-term use.
Shelf Life
Use this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.
Storage Instructions
Store below 30°C in a dry place, away from direct sunlight and out of reach of children.
Side Effects
- Headache
- Diarrhoea or constipation
- Abdominal pain
- Nausea or vomiting
- Bloating or gas
- Dizziness
- Dry mouth
Contraindications
- Known hypersensitivity to esomeprazole or other proton pump inhibitors
- Concomitant use with nelfinavir (an antiretroviral medicine)
Drug / Food Interactions
- Clopidogrel’s antiplatelet effect may be reduced when combined with esomeprazole, potentially lowering its cardiovascular protection
- May reduce the absorption of medicines that require stomach acid, such as ketoconazole, itraconazole, and certain HIV medicines
- Warfarin’s blood-thinning effect (INR) may be increased, requiring closer monitoring
- Methotrexate levels may increase when combined with esomeprazole, particularly at high methotrexate doses
Quick Tips
- Take at least one hour before a meal for the best effect
- Swallow the capsule whole, or open it and mix the granules with water or soft food if you have swallowing difficulty
- Long-term use may be associated with vitamin B12 or magnesium deficiency, fracture risk, or C. difficile infection risk – discuss periodic monitoring with your doctor
- Complete the full course if this medicine is part of an H. pylori eradication regimen
- Do not stop long-term treatment abruptly without your doctor’s advice
Frequently Asked Questions
What is Emanera Gastro-Resistant 20mg Capsule used for?
Emanera Gastro-Resistant 20mg Capsule is a proton pump inhibitor used to treat acid reflux (GERD), heal stomach and duodenal ulcers, and as part of combination therapy to eradicate H. pylori infection.
How should I take Emanera Gastro-Resistant 20mg Capsule?
Emanera Gastro-Resistant 20mg Capsule is usually taken once daily, at least one hour before a meal, swallowed whole with water. Your doctor will advise on the exact timing if it is part of a combination regimen.
Can I open the capsule if I have trouble swallowing it?
Yes, esomeprazole gastro-resistant capsules can be opened and the granules mixed with a small amount of non-carbonated water or soft food, then swallowed immediately without chewing – this is a genuine, labelled administration option for this medicine.
Is it safe to take this medicine long-term?
Long-term PPI use carries some risks, including vitamin B12 or magnesium deficiency, increased fracture risk, and a higher risk of C. difficile intestinal infection. Your doctor will periodically review whether continued use is still needed.
What should I do if I miss a dose of Emanera Gastro-Resistant 20mg Capsule?
Take the missed dose as soon as you remember, unless it is almost time for your next dose – in that case, skip the missed dose and continue as normal. Do not double the dose.
Can I buy Emanera Gastro-Resistant 20mg Capsule from DoctorOnCall?
Yes, Emanera Gastro-Resistant 20mg Capsule is available through DoctorOnCall, a licensed online pharmacy serving our Malaysian and Singaporean customers. As this is a prescription medicine, you will need to complete an online consultation so a doctor can assess your suitability and issue a valid prescription before the order is processed. This ensures the medicine is appropriate for your condition and used under proper medical supervision, whether you are ordering from Malaysia or Singapore.
Is the medication provided by DoctorOnCall genuine and safe to use?
DoctorOnCall sources its medicines through appropriate licensed pharmacy supply channels for our Malaysian and Singaporean customers. All orders are dispensed and checked by a registered pharmacist before delivery. Always use Emanera Gastro-Resistant 20mg Capsule according to your doctor’s instructions and the information provided with the product.
What payment methods does DoctorOnCall accept?
We accept payment via Online Banking, Credit Card, and e-Wallets (Boost, GrabPay) for our Malaysian and Singaporean customers, so you can choose whichever method is most convenient for you at checkout.
Does DoctorOnCall provide an installment payment plan for Emanera Gastro-Resistant 20mg Capsule?
DoctorOnCall provides an installment payment plan for eligible Malaysian and Singaporean customers, where applicable. Available plans, eligibility, and terms can vary by market, so please contact DoctorOnCall Customer Service for the latest information on installment options for your order.
Is delivery free, and how much does shipping for Emanera Gastro-Resistant 20mg Capsule cost?
Delivery charges may vary for our Malaysian and Singaporean customers depending on your delivery location and the applicable order terms at the time of purchase. For the most accurate and up-to-date delivery fee information, please contact DoctorOnCall Customer Service before placing your order.
How long does delivery take for Emanera Gastro-Resistant 20mg Capsule?
Our Malaysian customers can generally expect delivery within 3-5 working days, while our Singaporean customers generally receive their orders within 5-7 working days. These are expected timeframes rather than guarantees, and actual delivery time may vary depending on your delivery location, order processing time, courier operations, and whether the order falls on a weekend or public holiday.
What is DoctorOnCall’s shipping, return, or cancellation policy for Emanera Gastro-Resistant 20mg Capsule?
Shipping, return, and cancellation terms may vary for our Malaysian and Singaporean customers depending on the product and your order details. Please refer to DoctorOnCall’s Shipping & Delivery Policy and Return, Refund & Exchange Policy, or contact Customer Service, for the specific terms that apply to your order.
Ingredients / Active Ingredients
- Esomeprazole 20mg (gastro-resistant capsule)
Safety Advice
Pregnancy
There is no adequate data on use during pregnancy. Consult a doctor before use.
Breastfeeding
Limited data on excretion in breast milk. Consult a doctor before use.
Kidney
Use cautiously. Dose adjustment or monitoring may be required.
Liver
Use cautiously. Liver function monitoring may be required.
Alcohol
No data is available regarding the interaction of alcohol with this medicine.
Driving
This medicine is generally safe and should not impair your driving ability.
Medical Review
