EMANERA caps. 40 mg. 14 tablets
EMANERA caps. 40 mg. 14 tablets
What Emanera and what it is used
Emanera contains a medicine called esomeprazole. It belongs to a group of drugs called proton pump inhibitors. They work by reducing the amount of stomach acid that your stomach produces.
Emanera be used in:
"Gastro-oesophageal reflux disease" (GERD). This is a condition where acid from the stomach comes back up into the esophagus (the tube that connects the throat to the stomach) causing pain, inflammation and heartburn. This medicine is used for:
Treatment of the esophagus if it is damaged or inflamed.
Stop these conditions the return of acid.
relieve unpleasant symptoms that often occur under these conditions.
Ulcers in the stomach or upper intestine (duodenum) who are infected with bacteria called "Helicobacter Pylori". If you have this condition, your doctor may prescribe this medicine in combination with certain antibiotics to:
Cures ulcers caused by the bacterium Helicobacter Pylori
Prevention of recurrence of ulcers associated with this bacterium
Stomach ulcers caused by medicines called non-steroidal anti-inflammatory drugs (NSAIDs).
This medicine is used for:
Treatment of stomach ulcers caused by NSAIDs
Prevention of ulcers of the stomach and duodenum, if you are taking NSAIDs
Prolonged treatment after prevention of re-bleeding ulcers with intravenous esomeprazole.
Too much acid in the stomach caused by a growth of the pancreas (syndrome Zollinger - Ellison syndrome).
Before you take Emanera
Do not take Emanera
If you are allergic (hypersensitive) to esomeprazole or any of the other ingredients of Emanera.
If you are allergic to other drugs, proton pump inhibitors.
If you are taking atazanavir (a medicine used to treat HIV).
Do not take Emanera if any of the above apply to you. If you are unsure, check with your doctor or pharmacist before taking Emanera.
Take special care with Emanera
Consult your doctor or pharmacist before taking Emanera if:
have severe liver problems.
have severe kidney problems
Emanera may mask the symptoms of other diseases.
So if any of the following happen to you before you start taking Emanera or until you take, consult your doctor immediately:
You lose a lot of weight for no reason and have trouble swallowing.
You have stomach pain or indigestion.
You begin to vomit food or blood.
Do you have black stools (bloody stools).
If you have been prescribed Emanera "on demand" you should contact your doctor if symptoms persist or change in character.
If diarrhea occurs during treatment with Emanera, contact your doctor immediately, as treatment with proton pump inhibitors may lead to slightly increased risk of gastrointestinal infections such as Salmonella and Campylobacter.
Taking other medicines
Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. This is because Emanera can affect the way some medicines work and some medicines can affect Emanera.
Emanera Do not take if you are taking the following medications:
Atazanavir (used to treat HIV).
Tell your doctor or pharmacist if you are taking any of these medicines:
Ketoconazole, itraconazole or voriconazole (used to treat infections caused by fungus).
Citalopram, imipramine or clomipramine (used to treat depression).
Diazepam (used to treat anxiety, relax muscles or in epilepsy).
Phenytoin (used in epilepsy). If you are taking phenytoin, your doctor will need to monitor you when you start or stop taking Emanera.
Medicines used to thin the blood, such as warfarin. Your doctor may monitor you when you start or stop taking Emanera.
Cisapride (used for indigestion and heartburn).
If your doctor has prescribed antibiotics amoxicillin and clarithromycin, and Emanera to treat ulcers caused by Helicobacter Pylori, it is important to tell your doctor about all other medicines you are taking.
Taking Emanera with food and drink
You can take the capsules with food or on an empty stomach.
Pregnancy and lactation
Before taking Emanera, tell your doctor if you are pregnant or trying to become pregnant. Ask your doctor or pharmacist for advice before taking any medicine. Your doctor will decide whether you can take Emanera during this time. It is not known whether Emanera passes into breast milk. Therefore, you should not take Emanera if you are breastfeeding.
Driving and operating machinery
Emanera unlikely to affect your ability to drive or use tools or machines.
Important information about some of the ingredients of Emanera
Emanera contain sucrose. If you are told by your doctor that you have intolerance to some sugars, contact your doctor before you start taking this medicine.
How to take Emanera
Always Emanera exactly as your doctor has told you. You should consult with your doctor or pharmacist if you are not sure.
Emanera not recommended for children under the age of 12.
If you are taking this medicine for a long time, your doctor will want to monitor you (especially if you have taken more than one year).
If your doctor has told you to take this medicine, and only when you need it, tell your doctor if symptoms change.
Taking this medicine
You can take the capsules at any time of day.
You can take the capsules with food or on an empty stomach.
Swallow the capsules whole with a glass of water. The capsules should not be chewed or crushed. This is because the capsules contain coated pellets which stop the drug to be destroyed by stomach acid. It is important not to damage the pellets.
What to do if you have difficulty swallowing capsules
If you have trouble swallowing the capsules:
Open the capsule and empty the pellets in half a cup (not carbonated) water. Do not use other liquids.
Drink the mixture immediately or within 30 minutes. Always stir the mixture just before drinking.
To make sure that you have drunk all of the medicine, rinse the glass well with half a cup of water and drink it. The solids contain medicine - do not chew or crush them.
If you can not swallow the capsule can be mixed with a little water and pour into a syringe. It can then be introduced to you through a tube directly into the stomach ("stomach tube").
How to take Emanera
Your doctor will tell you how many capsules to take and how long to take them. This will depend on your condition, how old you are and how well your liver.
The usual doses are given below.
To treat heartburn caused by gastroesophageal reflux disease (GERD):
Adults and children aged 12 years or older:
If your doctor has determined that your esophagus (the tube that carries food from the mouth to reach the stomach) is slightly damaged, the usual dose is one 40 mg capsule Emanera once daily for 4 weeks. Your doctor may advise you to take the same dose
4 more weeks if the esophagus has not yet healed.
The usual dose once the gullet has healed is one capsule Emanera 20 mg once daily.
If the esophagus is damaged, the usual dose is one 20 mg capsule Emanera every day. Once the condition is under control, your doctor may tell you to take your medicine, also only need a maximum of one 20 mg capsule Emanera every day.
If you have severe liver problems, your doctor may give you a lower dose.
To treat ulcers caused by Helicobscte Pylori and to stop discarding of acid:
Adults aged 18 or older: The usual dose is one 20 mg capsule Emanera twice daily for one week.
Your doctor will advise you to take antibiotics amoxicillin and clarithromycin.
To treat stomach ulcers caused by NSAIDs (nonsteroidal anti-inflammatory drugs):
Adults aged 18 years and above: the usual dose is one 20 mg capsule Emanera once daily for 4 to
For use on a continuous basis after prevent re-bleeding ulcers with intravenous esomeprazole:
Adults aged 18 and older: The usual dose is one capsule Emanera 40 mg once daily for 4 weeks.
To treat too much acid in the stomach caused by a growth of the pancreas (syndrome Zollinger - Ellison:
Adults aged 18 years and above: the usual dose is one 40 mg capsule Emanera twice a day.
Your doctor will adjust the dosage according to your needs and decide how long you should take your medicine. The maximum dose is 80 mg twice daily.
If you take more Emanera than you
If you take more than Emanera prescribed by your doctor, ask your doctor or pharmacist.
If you forget to take Emanera
If you forget to take a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose.
Do not take a double dose (two doses at the same time) to make up the missed dose.
If you have any further questions on the use of this medicine, ask your
doctor or pharmacist.
Possible side effects
Like all medicines, Emanera can cause side effects, although not everybody gets them.
If you notice any of the following serious side effects, stop taking Emanera and consult your doctor immediately:
Sudden difficulty breathing, swelling of the lips, tongue and throat or body, rash, fainting or difficulty swallowing (severe allergic reaction).
Skin redness, blistering or peeling. It can occur and large blisters and bleeding in the lips, eyes, mouth, nose and genitals. This could be a "syndrome Stevens - Johnons" or "toxic epidermal necrolysis".
Yellowing of the skin, dark urine and fatigue, which may be signs of liver problems.
These effects are rare and affect less than 1 in 1,000 people.
Other side effects include:
Very common: affects more than 1 user in 10
Common: affects 1 to 10 users in 100
Uncommon: affects 1 to 10 users in 1,000
Rare: affects 1 to 10 users in 10,000
Very rare: affects less than 1 in 10,000 users
Not known: frequency can not be made from the available data
Effects on the stomach and gut: diarrhea, abdominal pain, constipation, wind (flatulence).
Nausea or vomiting.
Swelling of the feet and ankles.
Trouble sleeping (insomnia).
Dizziness, tingling sensation as "tingling" drowsiness.
Changes in blood tests that check how the liver is working.
Skin rash, rash (hives) and itchy skin.
• Blood problems such as reducing the number of white blood cells (leukopenia) and platelets (thrombocytopenia). This can cause weakness, bruising or get infections more often.
Low levels of sodium in the blood. This can cause weakness, being sick (vomiting) and cramps.
Feelings of excitement, confusion, or depression.
Changes in taste.
Eye problems such as blurred vision.
Sudden feeling of snoring or breathing difficulties (bronchospasm).
Inflammation of the inner part of the mouth.
An infection called "thrush" which can affect the gut and is caused by a fungus.
Liver problems, including jaundice which can cause yellow skin, dark urine and fatigue.
Hair loss (alopecia).
Skin rash when exposed to sunlight.
Pain in the joints (arthralgia) or muscle pain (myalgia).
General malaise and lack of energy.
Changes in blood counts, including lack of white blood cells (agranulocytosis), and reduce the number of red and white blood cells, and platelets (pancytopenia).
Seeing, hearing or feeling things that are not there (hallucinations).
Severe liver problems leading to liver failure and inflammation of the brain.
Sudden onset of severe rash or blistering or peeling of the skin. This may be associated with fever and joint pains (Erythema multiforme syndrome, Stevens - Johnson, toxic epidermal necrolysis).
Severe kidney problems.
Breast enlargement in men.
Emanera can in very rare cases affect the white blood cells, leading to immune deficiency. If you have an infection with symptoms such as fever with very weakened general condition, or fever with local infection symptoms such as pain in the neck, throat, or mouth, or difficulty passing urine, you should consult with your doctor as soon as possible so that eventually exclude the lack of white blood cells (agranulocytosis) through a blood test. It is important to give information about their treatment at this time. Do not be alarmed by this list of possible side effects. You may not experience any of them. If any of the side
effects gets serious, or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.
How to store Emanera
Keep out of reach of children.
Emanera Do not use after the expiry date stated on the packaging. The expiry date refers to the last day of that month.
Store in the original package to protect from moisture.
HDPE tablet container
Keep container tightly closed in order to
protect from moisture.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medications that you no longer need. These measures will help to protect the environment.
The active substance is esomeprazole. Each gastro - resistant capsule, hard, contains 20 mg or 40 mg esomeprazole (as magnesium dihydrate).
The other ingredients are sucrose, corn starch, povidone Compulsory Social Security Code, sodium lauryl sulfate, poly (vinyl alcohol), titanium dioxide (E171), macrogol 3000, macrogol 6000, talc, magnesium carbonate heavy, methacrylic acid - ethyl acrylate copolymer (1:1) dispersion 30%, and polysorbate 80 in the pellet core capsule and gelatin, titanium dioxide (E171) and red iron oxide (E172) in the capsule shells.