Espearl

Usually, Espearl 20mg Tablet is taken once a day, first thing in the morning. If you take Espearl 20mg Tablet twice a day, take 1 dose in the morning and 1 dose in the evening. The tablets should be swallowed whole (remember not be chewed or crushed) and taken at least 1 hour before a meal with some water.

Yes, Espearl 20mg Tablet can be safely taken with domperidone as no harmful effects have been reported clinically. A fixed-dose combination of these two medicines is also available. Domperidone works by increasing the gut motility and Espearl 20mg Tablet decreases the acid production in the stomach. So, this combination is very effective in the treatment of reflux esophagitis associated with acidity, heartburn, intestinal and stomach ulcers.

Yes, you can take antacids along with Espearl 20mg Tablet. Take it 2 hours before or after you take Espearl 20mg Tablet.

Espearl 20mg Tablet is usually prescribed for short term use only. However, if need arises, such as for treating peptic ulcer disease and Zollinger Ellison syndrome (ZES), Espearl 20mg Tablet may be prescribed for a long term duration as well. Long term use may carry an increased risk for side effects and must be discussed with the doctor. Please use Espearl 20mg Tablet as advised by your doctor and under their supervision.

If Espearl 20mg Tablet is used for more than 3 months, certain long term side effects may be seen. The most important of these is low magnesium levels in your blood which may make you feel tired, confused, dizzy, shaky or dizzy. You may also have muscle twitches or irregular heartbeat. If the use is further prolonged for more than a year, you may have an increased risk of bone fractures, stomach infections and vitamin B12 deficiency. Vitamin B12 deficiency can make you anemic, as a result of which you may feel more tired, weak, or pale. Additionally you may have palpitations, shortness of breath, lightheadedness, indigestion, loss of appetite, flatulence (gas) or nerve problems such as numbness, tingling and problem in walking.

If you have been taking Espearl 20mg Tablet for a long time, stopping it abruptly may lead to increased acid production, thereby worsening your symptoms. Therefore, you must discuss any dose changes or if you wish to come off Espearl 20mg Tablet.

Weight gain is reported in less than 1% of the patients taking Espearl 20mg Tablet but the exact cause is unknown. One possible explanation is higher food intake once the reflux symptoms are relieved. Lifestyle modifications such as proper diet and exercise can help to prevent weight gain.

Yes, Espearl 20mg Tablet is relatively safe to use. Most of the people who take Espearl 20mg Tablet do not get a side effect. It is advised to be taken as directed by the doctor for maximum benefit.

Yes, Espearl 20mg Tablet can be taken with ranitidine. According to research reports, there are no significant interactions seen between Espearl 20mg Tablet and ranitidine. However, you must take them together only if prescribed by the doctor.

No, alcohol intake is not advised with Espearl 20mg Tablet. Alcohol itself does not affect the working of Espearl 20mg Tablet, but it can increase the acid production. This may further cause worsening of your symptoms