Esomeprazol ratiopharm
Esomeprazol ratiopharm reduces stomach acid and is used by adults for short-term treatment of heartburn and reflux symptoms.
Form
enterokapseli, kova
Strength
20 mg
Active Ingredient
Esomeprazole magnesium dihydrate
Manufacturer
ratiopharm GmbH
How to Use
Dosage
One 20 mg capsule per day.
Method
Swallow the capsule whole with a glass of water. Do not chew or crush it. You can take it with or without food, at any time of day.
Important
One 20 mg capsule per day.
Possible Side Effects
COMMON
- •Headache
- •Stomach or gut problems (diarrhea, stomach pain, constipation, gas)
- •Nausea or vomiting
- •Small growths in the stomach (benign polyps)
- •Swelling in feet and ankles
- •Trouble sleeping
- •Dizziness, tingling or numbness, drowsiness
- •Vertigo (a spinning sensation)
- •Dry mouth
- •Changes in liver blood test results
- •Rash, hives, and itchy skin
- •Bone fractures (hip, wrist, or spine), especially with long-term high-dose use
RARE
- •Changes in blood cell counts (leading to weakness, bruising, or frequent infections)
- •Low sodium in the blood (can cause weakness, vomiting, and seizures)
- •Agitation, confusion, or depression
- •Changes in taste
- •Vision problems (like blurred vision)
- •Sudden wheezing or shortness of breath (bronchospasm)
- •Inflammation in the mouth
- •Thrush (a fungal infection that may affect the gut)
- •Liver problems including jaundice (yellow skin, dark urine, and tiredness)
- •Hair loss
- •Sun rash
- •Joint or muscle pain
- •General feeling of being unwell and lack of energy
- •Increased sweating
- •Severe changes in blood cell counts, including very low white blood cells (agranulocytosis)
- •Aggression
- •Hallucinations (seeing, feeling, or hearing things that are not real)
- •Severe liver problems leading to liver failure and brain inflammation
- •Severe skin reactions, including peeling skin and blisters (e.g., Stevens-Johnson syndrome, toxic epidermal necrolysis, DRESS syndrome)
- •Muscle weakness
- •Severe kidney problems
- •Enlarged breasts in men
- •Low levels of magnesium in the blood (possibly with long-term use, causing tiredness, muscle twitching, confusion, seizures, dizziness, or fast heart rate)
- •Inflammation in the gut (causing diarrhea)
- •Rash with possible joint pain
Important Warnings
- Do not use if you are allergic to Esomeprazol ratiopharm, other similar medicines (PPIs), or any of its ingredients. Also, do not use if you have had a severe skin rash from similar medicines before.
- Do not use if you are taking nelfinavir, a medicine for HIV infection.
- Talk to your doctor before use if you have severe liver or kidney problems, or if you are scheduled for a special blood test (Chromogranin A).
- Contact your doctor immediately if you experience unexplained weight loss, trouble swallowing, stomach pain, indigestion, vomiting after meals, vomiting blood, or black stools.
- If you get a rash, especially in sun-exposed areas, tell your doctor. Stop using this medicine and seek immediate medical help if you notice signs of severe skin reactions like peeling skin or blisters.
Show 4 more warnings
- This medicine is for adults only. Do not give it to children or adolescents under 18 without a doctor's prescription.
- If you are pregnant, planning to become pregnant, or breastfeeding, ask your doctor or pharmacist for advice before taking this medicine.
- Do not drive or use machines if you feel dizzy or have vision problems after taking this medicine.
- If you take too much medicine, or if a child takes it by accident, contact a doctor, hospital, or Poison Information Centre immediately.
Use in Elderly Patients
Category A
Suitable for older adults. For short-term use only. Consider the numerous potential interactions, especially with clopidogrel and (es)citalopram. Avoid long-term use. Long-term use carries an increased risk of adverse effects. Risk of hypomagnesemia in prolonged use. (updated 10.11.2025)