Zexum (20mg) 15 Capsules

Overview

Zexum 20mg Capsules contain esomeprazole, an acid-suppressing medicine used for conditions linked with excess gastric acid. Esomeprazole belongs to the proton pump inhibitor group and reduces acid production at the final step of secretion inside the stomach lining. This makes it useful for short-term symptom control in reflux and for clinician-directed treatment plans where sustained acid reduction is needed.

This pack contains 15 capsules and is intended for oral use. Because acid-related symptoms can overlap with more serious stomach, liver, heart or digestive conditions, persistent, recurrent or severe symptoms should be assessed by a qualified healthcare professional rather than managed repeatedly without review.

Benefits

• Helps reduce excess stomach acid production
• May relieve acid reflux and heartburn symptoms in suitable patients
• Supports healing of acid-related irritation when used as directed
• May be included in ulcer treatment or prevention plans under medical supervision

Key Features

• Contains esomeprazole 20mg per capsule
• Pack size: 15 capsules
• Oral capsule dosage form
• Proton pump inhibitor / anti-ulcerant medicine
• Used for acid-related conditions when clinically appropriate

Dosage and How to Use

• How to use: Swallow the capsule with water. Do not crush or chew delayed-release capsules unless specifically instructed by a healthcare professional or product leaflet.
• Administration: Oral administration.
• Recommended dose: Use the dose and duration directed by a qualified healthcare professional or the approved product label; do not self-adjust the dose.
• Adult dose: As prescribed by a qualified healthcare professional according to condition and treatment duration.
• Pediatric use: Use in children only if prescribed by a qualified healthcare professional; dose and suitability depend on age, weight and diagnosis.
• Elderly use: Older adults should use as directed; review is important if there are kidney issues, low magnesium risk, osteoporosis risk or multiple medicines.
• When to take: Follow the prescribed timing. Esomeprazole is commonly taken before food for many acid-related conditions, but individual instructions may vary.
• With food: Often taken before food, but follow the prescriber’s directions or pack leaflet.
• Missed dose: Take the missed dose when remembered unless it is almost time for the next dose. Do not take two doses together to make up for a missed dose.
• Overdose: In case of accidental overdose, seek medical advice or emergency help, especially if unusual symptoms occur.

Specifications

Side Effects

Common side effects

• Headache
• Nausea
• Abdominal pain
• Constipation
• Diarrhoea
• Flatulence
• Dizziness
• Dry mouth

Serious side effects (seek medical help)

• Severe allergic reaction
• Severe or persistent diarrhoea
• Kidney inflammation symptoms such as reduced urination or flank pain
• Low magnesium symptoms such as muscle spasms, seizures or irregular heartbeat
• Severe skin reactions
• Unusual bruising or bleeding

Allergic reaction

Stop use and seek urgent help if rash, swelling of the face or throat, breathing difficulty, severe dizziness or other signs of serious allergy occur.

Safety and Precautions

• Do not use if allergic to esomeprazole, other proton pump inhibitors or any capsule ingredient.
• Seek medical assessment for alarm symptoms such as unexplained weight loss, persistent vomiting, vomiting blood, black stools, difficulty swallowing or chest pain.
• Long-term or repeated use should be medically reviewed due to risks such as low magnesium, vitamin B12 deficiency, kidney inflammation, fractures and certain infections.
• Tell your healthcare professional about all medicines, supplements and herbal products before use.
• Use caution in severe liver disease, osteoporosis risk, low magnesium, kidney problems or history of severe diarrhoeal infection.
• Pregnancy and breastfeeding use should be decided by a healthcare professional.

When not to use

Do not use after an allergic reaction to esomeprazole or similar PPIs. Do not use for persistent or severe symptoms without medical assessment.

Special populations

• Pregnancy: Use during pregnancy only on the advice of a healthcare professional after benefit-risk assessment.
• Breastfeeding: Use while breastfeeding only on the advice of a healthcare professional.
• Liver: Dose adjustment or closer monitoring may be needed in significant liver impairment; use under medical supervision.
• Kidney: Seek medical advice if kidney disease is present or if symptoms such as reduced urination, swelling or flank pain develop.
• Heart: Chest pain, pressure, pain spreading to the arm or jaw, sweating or shortness of breath should be treated as urgent symptoms and not assumed to be acidity.
• Driving: Esomeprazole is not usually sedating, but avoid driving or operating machinery if dizziness or visual disturbance occurs.
• Alcohol: Alcohol can worsen reflux and stomach irritation in some people; limit or avoid alcohol if it triggers symptoms.

Interactions

Drugs:

• Clopidogrel
• Warfarin or other anticoagulants
• Diazepam
• Phenytoin
• Digoxin
• Methotrexate
• Tacrolimus
• Certain antifungals such as ketoconazole or itraconazole
• Certain HIV medicines
• Rifampicin
• St John’s wort

Food:

• Food may affect timing of absorption
• follow the recommended timing and avoid foods or drinks that trigger reflux symptoms.

Conditions:

• Severe liver disease
• Osteoporosis or high fracture risk
• Low magnesium
• Kidney disease or history of interstitial nephritis
• Clostridioides difficile infection risk
• Unexplained gastrointestinal alarm symptoms

Storage and Disposal

• Store in a cool, dry place away from direct sunlight, heat and moisture. Keep in original packaging until use.
• Store at room temperature unless the product packaging states otherwise.
• Keep out of the reach and sight of children and pets.
• Do not use expired medicine. Dispose of unused or expired capsules safely according to local pharmacy guidance.

Disclaimer

For educational and product information purposes only. This is not a substitute for professional medical advice, diagnosis or treatment. Use only as directed by a qualified healthcare professional or the approved product label.