Maxpro 40mg (Capsule)
Manufactured by: Renata Limited
Esomeprazole Magnesium Trihydrate BP Similar medicine
Maxpro is indicated for
- 胃灼熱、酸相關性消化不良、消化性潰瘍、佐林格-埃利森症候群、胃食道逆流（GERD）、幽門螺旋桿菌感染、糜爛性食道炎、痛風性關節炎、十二指腸和胃潰瘍。
Precautions and warnings
對於兒童、孕婦、餵嬰兒母乳的母親，應格外小心。 惡性腫瘤和肝功能損害。 發生某些感染（例如社區型肺炎）的風險增加。 對於嚴重肝功能損害的患者，劑量不應超過20毫克。
在使用這種藥物之前，請告訴您的醫生您的病史，特別是如果您患有肝病或紅瘡。
一些症狀可能是更嚴重疾病的警告跡象。 如果您有胃灼熱、出汗、胸部或肩膀疼痛，尤其是呼吸急促、異常出汗或不明原因的體重減輕，請立即就醫。
Side-effects
- 最常見的不良事件（>1%）是頭痛、腹瀉、腹痛、噁心、脹氣、口乾、便秘。
Drug Interactions
西洛他唑、氯吡格雷、甲氨蝶呤（尤其是高劑量治療）和利福平是可能與此藥物相互作用的一些產品。
有些產品需要胃酸才能被身體充分吸收。 由於埃索美拉唑會減少胃酸，因此可能會影響這些藥物的療效。 受影響的產品包括阿扎那韋、厄洛替尼、奈非那韋、帕唑帕尼、利匹韋林和各種唑類抗真菌藥物。
埃索美拉唑是一種與奧美拉唑作用相似的藥物。 服用埃索美拉唑時，避免服用任何含有奧美拉唑的藥物。
埃索美拉唑 增加地高辛誘發心臟毒性的風險、利尿劑引起低鎂血症的風險、華法林、他克莫司、沙奎那韋和甲氨蝶呤血清濃度的 INR 和凝血酶原時間。
埃索美拉唑可以防止 CYP2C19 代謝的藥物被消除（例如地西泮）。 酮康唑、厄洛替尼和鐵鹽的生物利用度可能會降低。
利匹韋林、阿扎那韋和奈非那韋的血清濃度和藥理作用可能會降低。 氯吡格雷的抗血小板作用可能會降低。
Contraindications
已知對製劑中任何成分或苯並咪唑替代品過敏的患者不應使用埃索美拉唑。
Mode of actions
埃索美拉唑是一種質子幫浦抑制劑 (PPI)，可抑制胃壁細胞中的 H+/K+ ATP 酶，進而抑制胃酸排出。 它是奧美拉唑的S-異構體。
Dosage & Administration
成人：PO：糜爛性食道炎：40 mg，每天一次，持續 4 週，如果需要，最多可達 8 週。 維持：20毫克/天。
消化性潰瘍：20 mg，每日兩次，持續 7 天。 NSAID 相關潰瘍 20 mg，每日一次，持續 4-8 週。
佐林格-埃利森症候群初始劑量：40 mg，每日兩次。 通常範圍：80-160 毫克/天。
胃食道逆流症：20 mg，每日一次，持續 4 週。 大多數患者在 4 至 8 週內痊癒。 對於4-8週後仍未痊癒的患者，可以考慮額外治療4-8週。 緩釋片劑/膠囊應整個吞服，並在進食前至少一小時服用。
Pregnancy & Lactation
儘管動物生殖研究顯示對胎兒有不良影響，並且在孕婦中沒有充分且良好對照的研究，但在懷孕期間，儘管存在潛在風險，但在確實需要時可以使用該藥物。
在懷孕最後 3 個月內使用這種藥物的新生兒母親可能很少會出現困倦、肌肉僵硬或顫抖、餵食或呼吸困難、持續哭泣等症狀。 如果您發現寶寶有任何這些症狀，尤其是在第一個月內，請立即告訴醫生。
這種藥物會進入母乳。 哺乳前請先諮詢您的醫生。
Pack Size & Price
30's pack Price : ৳300
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