Nexpro 20mg Tablet

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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Adeline Carol Peters
Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

Last updated:

Overview

Nexpro 20mg Tablet is a prescription-only medicine (POM) that contains Esomeprazole 20mg (as esomeprazole magnesium trihydrate). It is supplied as a tablet and is dispensed in Malaysia only against a valid prescription issued by a registered doctor.

Under Malaysian rules for prescription medicines, this page carries product, safety and handling information only. Your doctor or pharmacist will explain whether this medicine is suitable for you, the dose you should take, and how long you should take it.

On DoctorOnCall, Nexpro 20mg Tablet is reviewed by a licensed doctor through an online consultation and dispensed by a registered pharmacist before delivery. Always follow the instructions on your prescription label and the package insert supplied with the product, and do not share this medicine with anyone else.

Directions for Use

Take Nexpro 20mg Tablet at least 1 hour before a meal, usually in the morning, swallowing the tablet whole with a glass of water – do not crush or chew it. Continue the full course as prescribed even if your symptoms improve early, unless your doctor advises otherwise.

Dosage

The usual dose of Nexpro 20mg Tablet for GERD is 40mg once daily for 4-8 weeks, or 20mg once daily for maintenance therapy, adjusted by your doctor depending on the condition being treated and your response. For H. pylori eradication, it is used together with antibiotics for a shorter, specific course. Always take exactly as prescribed.

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, other proton pump inhibitors, or any ingredient in this product
  • Concomitant use with nelfinavir or rilpivirine-containing HIV medicines

Drug / Food Interactions

  • Clopidogrel’s antiplatelet effect may be reduced when taken with esomeprazole
  • Certain HIV medicines (e.g. atazanavir, nelfinavir) may have reduced absorption when combined with esomeprazole
  • Methotrexate levels may increase, particularly at high-dose methotrexate regimens
  • Long-term use may reduce absorption of vitamin B12 and magnesium

Quick Tips

  • Take about 1 hour before a meal for the best effect
  • Complete the full prescribed course, even for H. pylori eradication regimens combined with antibiotics
  • Avoid trigger foods that worsen reflux, such as fatty, spicy, or acidic foods, and avoid lying down right after eating
  • Inform your doctor if you need to use this medicine for a prolonged period, as periodic review may be recommended

Ingredients / Active Ingredients

  • Esomeprazole 20mg (as esomeprazole magnesium trihydrate)

Safety Advice

Pregnancy

No Data

There is no adequate data on use during pregnancy. Consult a doctor before use.

Breastfeeding

Limited Data

Limited data on excretion in breast milk. Consult a doctor before use.

Kidney

Use With Care

Use cautiously. Dose adjustment or monitoring may be required.

Liver

Use With Care

Use cautiously. Liver function monitoring may be required.

Alcohol

No Data

No data is available regarding the interaction of alcohol with this medicine.

Driving

Generally Safe

This medicine is generally safe and should not impair your driving ability.

Frequently Asked Questions

Product Specifications

BrandTorrent Pharma
ManufacturerTorrent Pharma
ClassificationPrescription medicine
Ingredients / Active IngredientsEsomeprazole
Pack Size28s, 7s
Shelf LifeUse this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.

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