prosium (ESOMEPRAZOLE)

What is Prosium?

Prosium magnesium is a medicine that lowers stomach acid. It helps heal damaged esophagus linings, eases heartburn and acid reflux, and prevents stomach ulcers caused by certain pain relievers. It's also used with antibiotics to fight a type of stomach infection.

What is the usual dose of Prosium?

Prosium is a medicine for heartburn. Adults with bad heartburn take 20mg or 40mg once a day for five days. Teens (12-17) take the same dose, but for a longer time (4-8 weeks to heal, or 4 weeks for symptom relief). There's not enough information on how much to give younger children.

How do I take Prosium?

Prosium should be taken on an empty stomach, preferably 1 hour before a meal. It should be swallowed whole with a glass of water and not crushed, chewed, or opened. There are no specific food restrictions, but it is best to avoid taking it with food that may irritate your stomach, such as spicy or acidic foods.

For how long do I take Prosium?

Prosium is a medicine that reduces stomach acid. How long you take it depends on your problem. For some stomach issues, like a damaged esophagus or heartburn, you might need it for 4 to 8 weeks, or maybe longer if it doesn't fully heal. If you're taking medicine for pain and need protection from ulcers, you could take it for up to 6 months. For some rare, serious conditions, you might need it long-term. Your doctor will tell you exactly how long to take it and what dose is right for you. It's important to only take it as directed and for as short a time as needed.

What is Prosium used for?

Prosium is commonly used to treat:

1. Gastroesophageal reflux disease (GERD) - to reduce symptoms like heartburn and acid regurgitation.
2. Peptic ulcers - to promote healing and reduce stomach acid.
3. Zollinger-Ellison syndrome - a condition involving excessive acid production.
4. Helicobacter pylori eradication - as part of combination therapy to treat H. pylori infection and ulcers.
5. Erosive esophagitis - caused by acid reflux.

How long does it take for Prosium to start working?

Prosium's effectiveness depends on what it's treating. For a sore esophagus, healing takes 4-8 weeks. Heartburn relief usually starts within a month. Preventing stomach ulcers from pain relievers can take up to six months. Other conditions need different treatment lengths, so follow your doctor's instructions.

Is Prosium effective?

Prosium magnesium works well in adults for certain stomach problems. It's also been tested safely in children aged 1 to 17 for short-term treatment of a specific condition (erosive esophagitis) affecting the esophagus. Older children (12-17) can also use it for a short time to treat heartburn. However, it didn't help babies (1-11 months old) with heartburn any more than a sugar pill.

How does one know if Prosium is working?

The benefit of Prosium is typically evaluated by assessing the improvement of symptoms, such as heartburn and acid regurgitation, as well as the healing of esophageal ulcers or erosions. Endoscopic examinations may be used to monitor healing in conditions like GERD or peptic ulcers. Additionally, clinical assessments of symptom relief, quality of life, and recurrence prevention are key indicators of its effectiveness.

How does Prosium work?

Prosium works by inhibiting the proton pump in the stomach lining. The proton pump is responsible for secreting hydrochloric acid into the stomach. By blocking this pump, Prosium reduces stomach acid production, which helps treat conditions like GERD, peptic ulcers, and erosive esophagitis. This allows the stomach lining to heal and reduces symptoms like heartburn and acid reflux.

Who should avoid taking Prosium?

Prosium magnesium can cause some serious problems. It can hurt your kidneys, cause severe diarrhea, and shouldn't be taken with certain other medicines (like those containing rilpivirine). If you have liver problems or low levels of magnesium, calcium, or potassium, tell your doctor before taking it. Taking it for a long time can lower your vitamin B12 and magnesium, and might increase your risk of broken bones or a type of lupus.

Can I take Prosium with vitamins or supplements?

Taking strong stomach acid reducers for a long time (more than 3 years) can sometimes stop your body from absorbing vitamin B12 properly. Long-term use of Prosium can cause vitamin B12 deficiency. It may also interact with iron supplements. Monitor closely and consult your doctor for supplementation advice

This can cause problems like tiredness, weakness, numbness, and heart problems. It can also lower your magnesium levels, which might lead to muscle spasms, irregular heartbeat, or even seizures. Your doctor should check your magnesium and calcium levels regularly, especially if you already have low calcium. If low calcium doesn't get better with treatment, the doctor might need to stop your medication.

 

Can I take Prosium with other prescription drugs?

Prosium may interact with several prescription drugs, including:

1. Clopidogrel: Prosium may reduce the effectiveness of clopidogrel, a blood thinner, by inhibiting its activation.
2. Warfarin: It may increase the risk of bleeding when taken with warfarin, requiring more frequent monitoring of blood clotting.
3. Diazepam: Prosium can increase the levels of diazepam, leading to sedation or increased side effects.
4. Methotrexate: Prosium may increase the levels of methotrexate, leading to potential toxicity.
5. Digoxin: It can increase digoxin levels, raising the risk of toxicity.

Can Prosium be taken safely while pregnant?

Human data are limited. Use only if the potential benefits outweigh the risks, and consult your doctor during pregnancy.

Can Prosium be taken safely while breastfeeding?

If you're taking Prosium magnesium and breastfeeding, talk to your doctor. The medicine might get into your breast milk, and they can help you decide what's best for your baby.

Is Prosium safe for the elderly?

The medicine works the same for older and younger people. While most older people will be fine, some might be more sensitive to it. Start with the smallest dose and use it for the shortest time necessary.

How should I store Prosium?

Keep the medicine capsules in a cool, dry place at normal room temperature (between 68 and 77 degrees Fahrenheit). Make sure the bottle is closed tightly and kids can't get to it.

Does Prosium make people tired or drowsy?

Fatigue is an uncommon side effect. If it persists, consult your doctor for further evaluation​.

Does Prosium cause stomach upset?

Yes, common gastrointestinal side effects include diarrhea (4%), nausea, and abdominal pain. Inform your doctor if these symptoms worse.

Does Prosium affect sleep?

Sleep disturbances, including insomnia, are rare. Contact your doctor if sleep issues arise during treatment​.

Does Prosium make it hard to think or concentrate?

Cognitive effects like confusion or dizziness are rare. Report significant issues to your doctor​.

Does Prosium affect mood?

Rare mood-related side effects include depression and anxiety. Consult your healthcare provider if you notice changes in mental health​

Does Prosium interfere with sexual function?

Erectile dysfunction and gynecomastia are rarely reported. Contact your doctor if these symptoms occur​.

Does Prosium affect appetite?

Changes in appetite are uncommon. Notify your doctor if appetite issues become significant​.

Does Prosium cause weight gain?

You might lose weight unexpectedly while taking this medicine. If your weight changes, see your doctor.

Does Prosium cause headaches?

Some people taking the medicine Prosium magnesium get headaches. If you get a headache while taking this medicine, talk to your doctor.

Does Prosium limit driving?

Prosium may cause dizziness or drowsiness in rare cases. Avoid driving if affected​.

Is it safe to drink alcohol while taking Prosium?

Alcohol may increase stomach acid, counteracting the medication's effect. Limit alcohol intake and consult your doctor if you have concerns​.

Is it safe to drink coffee or tea while taking Prosium?

Caffeine in coffee or tea does not interfere directly with Prosium but may worsen acid reflux. Consume in moderation.

Is it safe to exercise while taking Prosium?

Exercise is safe, but avoid activities that worsen GERD symptoms. Stay hydrated and consult your doctor for personalized advice.

What are Prosium possible harms and risks?

This medicine can cause some common, mild problems like diarrhea, headache, and tummy aches in a small number of people. More serious, but rarer, side effects can include kidney problems, severe diarrhea, broken bones, bad skin reactions (like a serious rash), low levels of certain vitamins and minerals, and stomach polyps. Some of these serious problems might not show up until you've been taking the medicine for a while.