Nexpro L Capsule

• If you have a history of allergy (skin redness, itching, swelling of face, lips and eyes, difficulty in breathing swallowing) to esomeprazole, levosulpride or any of the content of Nexpro L capsule.
• If you are taking other medicines like Nelfinavir (for HIV infection).
• If you have fits.
• If you have mood disorders or any other mental illness.
• If you have breast cancer.
• If you have high blood pressure due to pheochromocytoma (tumuor of adrenal gland).

• Headache
• Pain in the abdomen
• Nausea
• Vomiting
• Altered bowel movements
• Anxiety
• Confusion

Other General Warnings

• You have severe liver or kidney issues.
• You have a history of allergies or skin reactions to any other anti-acidity medication.
• You are scheduled to have a specific blood test (Chromogranin A).
• You have osteoporosis.
• You are taking medications such as corticosteroids (which increase the risk of osteoporosis).
• You develop a rash on the skin, particularly in areas exposed to sunlight.
• You have any gastric bleeding, mechanical obstruction, or perforation in the digestive tract.
• You experience dementia (loss of memory).
• You have a history of strokes.
• You have any condition related to the heart and circulation, including abnormal heart rhythms (QT prolongation).
• You have a history of blood clotting or a family history of it.
• You are taking medications for other mental health conditions.

• Take medicine as a whole with sufficient amount of water.
• Do not break or chew the medicine.
• Always take this medicine exactly as your doctor has told you.
• If you are taking it once day, then always take this medicine at same time like early morning before breakfast. Even after improvement of symptoms continue taking this medicine for period your doctor has prescribed to control the symptoms and as preventive measures.

• Keep Nexpro-L out of the sight and reach of children.
• Do not use this medicine after the expiry date.
• Store below 25°C in the original package.
• Do not throw away any medicines via wastewater or household waste.

• This medicine should preferably be taken before meals for optimal effectiveness.
• Some individuals may experience headache, dizziness, diarrhoea, nausea,, and vomiting while taking medicine. InforIfe effects trouble you or do not go away., inform your doctor
• If you experience sleepiness after taking Nexpro L capsule, it is advisable to avoid driving, operating heavy machinery, or performing any tasks that require mental alertness.
• You can make certain lifestyle modifications by avoiding excessive intake of foods that cause acidity, such as carbonated drinks and oily or fried food, engaging in regular exercise, and maintaining a healthy weight.
• It is also recommended to limit alcohol consumption and to quit smoking for better management of your acid reflux.
• Nexpro L may mask the symptoms of other diseases; therefore, if you experience symptoms such as unexplained weight loss, stomach pain, indigestion, recurrent vomiting, swallowing difficulties, blood in vomit, or passing black stools, consult your doctor immediately if the symptoms do not improve or change in character.

Overdose

Missed a Dose

How Does It Work?

Interactions with other medicines

• Concomitant use of Nexpro L capsule and the following medications can alter its effects:
• - Nelfinavir, Atazanavir (for HIV infection)
• - Clopidogrel (to prevent blood clotting)
• - Cilostazol (to treat intermittent claudication—leg pain caused by reduced blood supply when walking)
• - Digoxin (for heart problems)
• - Methotrexate (a chemotherapy agent used in high doses to treat cancer)
• - Tacrolimus (for organ transplantation patients)
• - Ketoconazole, Itraconazole or Voriconazole (for fungal infections)
• - Erlotinib (for cancer)
• - Diazepam (for anxiety or to relax muscles)
• - Citalopram, Imipramine or Clomipramine (for mental health conditions)
• - Phenytoin (for epilepsy or seizures)
• - Warfarin or Coumarin (anticoagulants)
• - Cisapride (for indigestion and heartburn)
• - Rifampicin (for tuberculosis)
• - St. John’s wort (Hypericum perforatum) (for mental health conditions)
• - Medications that can cause abnormal heart rhythms
• - Medications that can cause electrolyte disturbances
• - Medications affecting the brain and nervous system.
• Inform your doctor about any other medications you are taking, including over-the-counter and herbal remedies, as these may impact the effectiveness of Nexpro L capsule or increase the risk of side effects.

Interactions with food items