Domperidone+Esomeprazole

Molecule Description

Domperidone+Esomeprazole is a combination medicine. It is an anti-reflux medici

ne and is used to treat gastroesophageal reflux disease (GERD), which does not respond to esomeprazole medication alone. GERD is a condition in which acid from the stomach comes back up to the food pipe and causes heartburn, belching, nausea and chest pain. It works by decreasing the amount of acid produced in the stomach and improving mortality in the gut. Thus, it reduces the backflow of stomach content to the food pipe. Domperidone+Esomeprazole is available in the form of a tablet, capsule. Inform your doctor if you are pregnant, planning a pregnancy or breastfeeding and about all the medicines and supplements you take and all the conditions or diseases you suffer from, before starting this medicine.

Uses

Contraindications

Side effects

Precautions and Warnings

Uses of Domperidone+Esomeprazole

Domperidone+Esomeprazole is used to treat gastrointestinal reflux disease (GERD).

Contraindications of Domperidone+Esomeprazole

When should one not use Domperidone+Esomeprazole

If you are allergic to domperidone, esomeprazole or similar medicines.
If you have severe heart problems such as congestive heart failure, heart rhythm problems, electrolyte imbalance.
If you are taking any medicine which might affect the contraction of the heart muscle (QT prolongation).
If you are suffering from liver or kidney disorder.
If you are suffering from bleeding in the digestive system.
If you have a blockage or tear in the intestines.
If you have any tumour of the pituitary gland (Prolactin pituitary tumours).
If you are taking medicines such as Nelfinavir (used in HIV infection), Clarithromycin (antibiotic), Ketoconazole (antifungal) or Verapamil (used in high blood pressure and chest pain).

Side effects of Domperidone+Esomeprazole

Common side effects of this drug are:

Headache
Dizziness
Nausea
Vomiting
Stomach pain
Diarrhoea
Dry mouth
Drowsiness

Precautions and Warnings of Domperidone+Esomeprazole

Pregnancy

Can I take domperidone+esomeprazole during pregnancy?

It is not advised to take domperidone+esomeprazole during pregnancy until it is considered essential by the doctor and potential risks justify the benefits.

Breast Feeding

Can I take domperidone+esomeprazole while breastfeeding?

Domperidone+Esomeprazole passes in the breastmilk in a small amount. Your doctor may prescribe you this medicine while you are breastfeeding, only if it is necessary. Inform your doctor if you are a nursing mother.

Driving

Can I drive if I have taken domperidone+esomeprazole?

Domperidone+Esomeprazole may make you feel dizzy or drowsy, thus you need to be cautious while driving.

Alcohol

Can I consume alcohol with domperidone+esomeprazole?

Avoid consuming alcohol with domperidone+esomeprazole, as it may worsen the side effects.

Other General Warnings

Talk to your doctor if

You have heart problems and associated symptoms like palpitations, difficulty in breathing, and unconsciousness.
You have any liver and kidney-related diseases.
You have a specific blood test (Chromogranin A).
You have a history of fractures or have osteoporosis or taking steroids.
You develop skin lesions, especially in the sun-exposed area after taking this medicine.
You experience stomach pain or indigestion, unexplained weight loss, have problems while swallowing, vomit out food or blood after taking this medicine.
You have low levels of vitamin B12. This medicine is known to reduce the absorption of vitamin B12 after long term use. Supplements may be needed.
You are taking medicines to treat HIV or apomorphine (used to treat muscle stiffness).
You experience black stools or have a stomach tumour.
You are on this medicine for long-term treatment, your blood magnesium levels may decrease. Hence, your doctor may perform regular tests for the same.
Taking this medicine for more than one year may increase the chances of developing bone fractures.
This medicine may lead to a slightly increased risk of bacterial infections due to Salmonella and Campylobacter.
Domperidone+Esomeprazole is not recommended for patients below the age of 18 years.

Mode of Action of Domperidone+Esomeprazole

How Does It Work?

A pump called the proton pump in the stomach is responsible for the flow of stomach acids.
Domperidone acts by increasing the motility of the stomach and intestines so that acid does not reflux back into the food pipe.
Esomeprazole works by binding to this proton pump in stomach cells and blocks the acid secretion.

Interactions of Domperidone+Esomeprazole

Interactions with other medicines

Some medicines can affect the way domperidone+esomeprazole works or this medicine itself can reduce the effectiveness of other medicines taken at the same time.
Tell your doctor about all the medicines, supplements, or herbals you are currently taking or might take to avoid any possible interaction.
Domperidone+Esomeprazole should not be taken concomitantly along with medicines such as nelfinavir (used to treat HIV infection), amiodarone (used to treat muscle stiffness), clarithromycin (antibioti...
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This combination should also not be taken along with medicines used to treat heart problems (quinidine, sotalol), psychiatric illness (haloperidol, citalopram), antifungals (pentamidine), antimalarial...
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Concomitant use along with medicines used to treat psychiatric illness (diazepam), used to treat fits (phenytoin) is not recommended as it may increase the side effects of the medicines.
Medicine used to treat heart failure like digoxin may lead to toxicity when taken with domperidone+esomeprazole.
If you are taking warfarin (blood-thinner) along with this combination, caution is needed as there are chances of increased bleeding.
Medicines like Rifampicin, Methotrexate, Tacrolimus, Voriconazole, Cilostazol, Clopidogrel, Azithromycin, St John's wort, etc. should be used cautiously along with this combination.

Content Details

WRITTEN BY

Dr. Arpit Verma

MBBS, MD CCEBDM Diabetology

REVIEWED BY

Dr. Ritu Budania

MBBS, MD (Pharmacology)

Frequently Asked Questions (FAQs)

Q: Is domperidone+esomeprazole a steroid?

A: No, domperidone+esomeprazole is not a steroid, it is an anti-reflux medicine.

Q: In which all dosage forms is domperidone+esomeprazole available?

A: Domperidone+Esomeprazole is available in the form of tablet or capsule

References

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Last Updated on: 22 Dec 2021 | 11:37 AM (IST)

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