Espra 40 mg Tablet

Espra 40 mg Tablet contains 40 mg of esomeprazole in each tablet. It belongs to the proton pump inhibitor (PPI) class, which lowers the amount of acid your stomach makes. Doctors use Espra 40 mg Tablet to treat acid-related conditions such as GERD, erosive esophagitis, and stomach or duodenal ulcers.

How it works: Esomeprazole blocks the acid pumps in the stomach lining, which helps reduce stomach acid production. In tablet form, Espra 40 mg Tablet is swallowed and absorbed before it starts lowering acid, giving longer-lasting relief than medicines that only neutralize acid already in the stomach.

Espra 40 mg Tablet is a higher-strength option compared with Espra 20 mg Tablet, so it is usually chosen when a doctor wants stronger acid control or when symptoms have not responded well to a lower dose. Because it is a 40 mg tablet, it is meant for people a clinician has specifically assessed, and it may be used in treatment plans where more intensive acid suppression is needed.

• Gastroesophageal reflux disease (GERD)
• Healing erosive esophagitis
• Maintenance therapy after healing esophagitis
• Duodenal ulcer treatment
• H. pylori treatment as part of a combination regimen
• Prevention of NSAID-related stomach ulcers in selected patients

• Swallow Espra 40 mg Tablet whole with water; do not crush, chew, or split it unless your prescriber or pharmacist specifically says it is okay.
• Take it at least 1 hour before a meal, usually before breakfast, for best effect.
• If you are taking it for ongoing acid control, take it at the same time each day.
• Do not take extra tablets to make up for a missed dose; take the next dose when scheduled.
• If your doctor prescribed it as part of H. pylori therapy, take all medicines in the combination exactly as directed.
• Follow the full prescription even if your heartburn or reflux feels better quickly.

Each Espra 40 mg Tablet provides 40 mg of esomeprazole per tablet. Depending on the condition being treated, it may be taken once daily, and in some cases a doctor may prescribe it more than once daily, but the exact schedule is individualized. Do not exceed the maximum daily amount your prescriber instructs, because the right dose depends on your diagnosis and response.

Do not change your dose or stop the medicine without speaking to your doctor.

Common side effects of Esomeprazole may include:

• Headache
• Diarrhea
• Nausea
• Gas
• Abdominal pain
• Constipation
• Dizziness

• Espra 40 mg Tablet is a higher strength, so use it only if your doctor has decided you need this dose.
• Tell your doctor if you have liver disease, kidney problems, osteoporosis, or a history of low magnesium.
• Long-term use may increase the risk of bone fractures, low vitamin B12, and low magnesium.
• It may mask symptoms of more serious stomach problems, so new or worsening symptoms should be checked.
• Use caution if you take blood thinners or medicines for heart conditions, since interactions can matter at this strength too.
• Alcohol can worsen reflux symptoms and may make stomach irritation feel worse.
• If you have trouble swallowing tablets, ask your pharmacist before altering the tablet, since not every tablet form should be changed.

• Clopidogrel
• Warfarin and other anticoagulants
• Methotrexate
• Digoxin
• Certain HIV medicines such as atazanavir or nelfinavir

Store Espra 40 mg Tablet in its original strip/box at room temperature, away from moisture, heat, and direct light.