Side Effects:

Common Nausea, Headache, Abdominal pain, Constipation, Flatulence, Diarrhoea.

Expert advice for Esomac Granules
Inform your doctor if you do not feel better after taking it for 14 days as you may be suffering from some other problem that needs attention. Esomac can decrease magnesium levels in blood. Get your magnesium levels checked regularly. You may need a magnesium supplement or need to discontinue your medicine.  Inform your doctor if you are suffering from osteoporosis as Esomac can weaken your bones by decreasing calcium levels in blood. You may need a calcium supplement, preferably calcium citrate. Esomac is a well-tolerated medicine and provides relief for a long time. It may take a few days to show its effect. You can take an antacid for a quick relief during this time unless your doctor has asked you not to use them. Once you start feeling better, do not stop taking your medicine. Take it for the duration as advised by your doctor

Frequently Asked Questions

Q. Is Esomac available over the counter?
No, Esomac is not available as an over-the-counter product. It is a prescription medicine and is available only when prescribed by a physician.

Q. Can I take Esomac with aluminum hydroxide and magnesium carbonate or other antacids?
Esomac can be taken with antacids like aluminum hydroxide and magnesium carbonate. But antacids should be taken two hours before or one hour after taking Esomac. This is because Esomac requires a lower pH for its action and antacids can increase the pH of the stomach and hence decrease the action of Esomac.

Q. Is Esomac a controlled substance?
Esomac is not a controlled substance. It is available when prescribed by a doctor.

Q. Is Esomac safe to use?
Yes, Esomac is safe if taken for prescribed duration in prescribed doses as advised by your doctor. However, its use is associated with some common side effects like nausea, abdominal pain, constipation, diarrhea, and flatulence.

Q. Can I take Esomac with paracetamol (acetaminophen)?
Esomac can be taken with paracetamol. No drug-drug interactions or harmful effects have been seen when they are used together.

Q. Does Esomac cause weight loss?
Esomac is not known to lower weight. However, it may cause damage to your stomach lining on a long term use and weight loss could be an indication of the same or it can be due to an underlying condition which requires immediate attention.

Q. Does Esomac cause hair loss?
Hair loss has been reported as a rare side effect of Esomac. Talk to your doctor in case you experience excessive hair fall while you are taking Esomac.

Q. Why is Esomac better than omeprazole?
Esomac and Omeprazole both belong to the same class of drugs and are used in disease conditions with excess acid production like heartburn, acidity, stomach ulcers and intestinal ulcers. Esomac is an S-isomer of omeprazole and is seen to provide more effective and rapid acid control than omeprazole, without any increase in side effects and fewer variations in response between different patients.

Q. Does Esomac cause palpitations (feeling of rapid, strong heart beat)?
Esomac can lower the magnesium levels in your body and this can cause palpitations. You must get your magnesium levels checked regularly if you have to use this medicine for more than three months.

Q. Can a patient undergoing dialysis take Esomac?
Esomac can be taken by a patient undergoing dialysis in a manner as prescribed by the doctor. This is extensively bound to proteins in the body, so, it is not expected to be removed by dialysis.

Q. Is Esomac better than rabeprazole?
Both Esomac and rabeprazole are similar in efficacy and safety. One study mentions rabeprazole as a better choice for mild-to-moderate gastroesophageal reflux disease (GERD) compared to Esomac while another study mentions Esomac provides a more effective and faster acid-inhibitory effect.

Q. Is Esomac better than ranitidine?
Both Esomac and ranitidine lower acid production in your stomach and treat heartburn and heal stomach and intestine ulcers. There are not many studies which compare Esomac with ranitidine. However, one study mentions that Esomac once daily is more effective and well-tolerated compared ranitidine twice daily for healing gastric ulcers.

Q. Can I take Esomac with domperidone?
Esomac can be taken with domperidone. Esomac decreases the acid secretion and domperidone increases the gut motility and helps in nausea and vomiting. It is safe to use the two medicines together and these are also available as a fixed-dose combination and help in the treatment of heartburn, stomach and duodenal ulcers and gastritis.

Q. Can I take Esomac with clopidogrel?
Esomac decreases the activation of clopidogrel and hence reduces its effectivity. Avoid using both drugs together or use an alternate drug. Patients who are taking these medicines together needs to be monitored closely by a doctor.

Q. Can I take Esomac with levosulpiride?
Esomac can be taken with levosulpiride. Esomac decreases the acid secretion and levosulpiride increases the intestinal motility. It is safe to use the two medicines together. Esomac is also available as a fixed-dose combination with levosulpiride. This combination helps in the treatment of heartburn, stomach and duodenal ulcers and gastritis.

Q. Is dexlansoprazole better than Esomac?
Dexlansoprazole and Esomac belong to the same class of medicines and works the same way. Some studies mention that dexlansoprazole helps in better control of symptoms like heartburn as compared to Esomac, however, there is no definitive evidence for this and different patients may find that one works better for them than the other.

Q. Is Esomac an antacid?
Esomac belongs to the class of proton pump inhibitors (PPIs) which decrease the amount of acid produced in the stomach. While antacids only neutralize the stomach acid by coating the stomach.

Q. Does Esomac cause tinnitus?
Tinnitus has been reported as a rare side effect with Esomac (

Q. Does Esomac has an expiry date?
Yes, Esomac does expire. Please check the expiry date written on the pack and it refers to the last day of that month. Do not use Esomac after the expiry date.

Q. Is Esomac an antibiotic?
No, Esomac is not an antibiotic. It is a proton pump inhibitor used for the treatment of acidity, heartburn, intestinal ulcers and stomach ulcers.

Q. Can I take Esomac with nitrofurantoin?
Esomac can be taken with nitrofurantoin. No drug-drug interactions or any harmful effects have been reported when they are used together.

Q. Can I take Esomac with ranitidine?
Yes, Esomac can be taken with ranitidine. No drug-drug interactions or any harmful effects have been reported when they are used together. As Esomac do take some days to show its action, so, ranitidine is given to the patients to immediate relief.

Q. Can I take Esomac with ibuprofen?
Esomac can be taken with ibuprofen. No drug-drug interactions or any harmful effects have been reported when they are used together.

Q. Can I take Esomac with hyoscine?
Esomac can be taken with hyoscine. No drug-drug interactions or any harmful effects have been reported when they are used together.

Q. Does Esomac cause tiredness?
Tiredness is a rare side effect seen with Esomac. Talk to your doctor if you experience excessive tiredness as this may be due to some liver abnormalities as Esomac breaks down in the liver or due to an underlying condition that needs attention.

Q. Can the use of Esomac cause weight gain?
Weight gain has not be reported to occur with Esomac. However, its use is associated with some common side effects like nausea, abdominal pain, constipation, diarrhea, and flatulence.

Q. Can the use of Esomac affect birth control?
Esomac does not seem to affect birth control, as no drug interactions have been reported between Esomac and oral birth control pills. It is safe to take the two medications together.

Q. Can a patient with underlying cardiac disease take Esomac?
Patients with the underlying cardiac disease can take Esomac. However, Esomac can interact with certain drugs (e.g clopidogrel, digoxin) which might be used by these patients. They may need to be monitored for digoxin toxicity. Esomac decreases the activation of clopidogrel, thus reducing its effects, so the patients taking these medicines together should also be monitored regularly.

Q. Can Esomac be given in cancer patients?
Esomac is seen to increase the antitumor effect of the medicines with no added side effects. Since cancer patients may also take many medicines for the primary cancer treatment or for other symptoms and infections, there are chances of drug-drug interactions with Esomac. So, it should be used only as advised by your doctor.

Q. How is Esomac different from pantoprazole?
Esomac and pantoprazole both belong to the same class of drugs and are seen to be equally effective in the treatment of disease conditions with excess acid production like heartburn, acidity, stomach ulcers and intestinal ulcers. However, as per some research studies, pantoprazole provides significantly faster first-time relief from daytime and night-time GERD-related symptoms than Esomac.

Q. Is Esomac more effective than lansoprazole?
Yes, Esomac is seen to achieve a better acid control and is more effective in relief of heartburn symptoms and acid reflux symptoms as compared to lansoprazole in many research studies. Also, healing rates were consistently high with Esomac.

Q. Can I take Esomac with sodium bicarbonate as a buffer?
Sodium bicarbonate buffer can protect against acid degradation of Esomac in addition to immediate antacid action. Esomac can be taken with sodium bicarbonate as a buffer only in a manner as prescribed by the doctor.

Q. Can I take Esomac with naproxen?
Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) which works by reducing inflammation and pain in the body. Esomac and naproxen can be taken together. There are no reported drug interactions or harmful effects of using Esomac with naproxen.

Q. Is Esomac a narcotic?
Esomac is not a narcotic. It is a proton pump inhibitor used for the treatment of acidity, heartburn, intestinal ulcers and stomach ulcers.

Q. CAn the use of Esomac cause constipation?
Constipation has been reported as a common side effect of Esomac. Other common side effects associated with its use are nausea, abdominal pain, diarrhea, and flatulence.

Q. What is the difference between Esomac and famotidine ?
Esomac is a proton pump inhibitor whereas Famotidine is an H2 histamine receptor blocker. Esomac is more potent at inhibiting gastric acid production compared to famotidine and also its effect lasts for a long time.

Q. Is Esomac a steroid?
Esomac is not a steroid. It is a proton pump inhibitor used for the treatment of acidity, heartburn, intestinal ulcers and stomach ulcers.