Raciper IV Injection
Esomeprazole Sodium Injection
40mg
Sun Pharmaceutical Industries Ltd.
| Pack size | 1's |
|---|---|
| Dispensing mode | |
| Source | |
| Agent | |
| Retail Price | 112.90 NPR |
Available as:
Indications
Raciper IV Injection is used for:
Heartburn, Acid Related Dyspepsia, Peptic ulcer disease, Zollinger-Ellison syndrome, Gastroesophageal reflux disease (GERD), Helicobacter pylori infection, Erosive Esophagitis, Gouty arthritis.
Adult Dose
Intravenous
Gastro-oesophageal reflux disease
Adult: 20 or 40 mg by inj over at least 3 min or infusion over 10-30 min once daily for <10 days. Convert to oral therapy as soon as possible.
NSAID-associated ulceration
Adult: 20 mg/day by inj over at least 3 min or infusion over 10-30 min. Convert to oral therapy as soon as possible.
Gastric and duodenal ulcers
Adult: 80 mg infusion over 30 min followed by continuous infusion of 8 mg/hr over 72 hr, then convert to oral therapy given as 40 mg once daily for 4 wk.
Elderly: No dosage adjustment needed.
Hepatic impairment: Severe (Child-Pugh class C): <20 mg/day.
Child Dose
Short-term Treatment of GERD
IV
Short-term treatment of GERD with erosive esophagitis when oral therapy is not possible or appropriate
<1 month: Safety and efficacy not established
1 month to 1 year: 0.5 mg/kg IV qDay
>1 year (<55 kg): 10 mg IV qDay
>1 year (?55 kg): 20 mg IV qDay
Renal Dose
Renal impairment: No dosage adjustment needed.
Administration
Reconstitution:
Each single-use vial contains 20 or 40 mg of esomeprazole.
For IV inj: Reconstitute each vial w/ 5 mL of normal saline and consume w/in 12 hr.
For IV infusion: Reconstitute each vial w/ 5 mL of normal saline, lactated Ringer's inj or dextrose 5% inj, then further dilute the resultant solution to a final volume of 50 mL.
IV Administration
IV injection
Injection: Over no less than 3 min
Intermittent IV infusion
Infuse over 10-30 min regardless of amount
Flush IV line with NS, LR, or D5W prior to and after administration
Do not administer with any other drugs
Continuous IV infusion
Administer initial 80 mg IV dose over 30 min, THEN follow with
Continuous IV infusion of 8 mg/hr for total treatment duration of 72 hr
Contra Indications
Esomeprazole is contraindicated in patients with known hypersensitivity to any component of the formulation or to substituted Benzimidazoles.
Precautions
Paediatric; pregnancy, lactation. Malignancy and hepatic impairment. Increased risk of developing certain infections such as community-acquired pneumonia. For patients with severe liver impairment, a dose of 20 mg should not be exceeded.
Lactation: Unknown whether esomeprazole is distributed into breast milk; discontinue drug or do not nurse
Pregnancy-Lactation
Interactions
Increased risk of digoxin-induced cardiotoxic effects. Increased risk of hypomagnesaemia w/ diuretics. May increase INR and prothrombin time w/ warfarin. May increase serum concentration of tacrolimus, saquinavir, methotrexate. May interfere the elimination of drugs metabolised by CYP2C19 (e.g. diazepam). May decrease the bioavailability of ketoconazole, erlotinib and Fe salts.
Potentially Fatal: May decrease serum concentration and pharmacological effects of rilpivirine, atazanavir and nelfinavir. May decrease the antiplatelet effects of clopidogrel.
Adverse Effects
Side effects of Esomeprazole Sodium Injection :
>10%
Headache (2-11%)
1-10%
Flatulence (10%),Indigestion (6%),Nausea (6%),Abdominal pain (1-6%),Diarrhea (2-4%),Xerostomia (3-4%),Dizziness (2-3%),Constipation (2-3%),Somnolence (1-2%),Pruritus (1%)
<1%
Blood and lymphatic system disorders: Agranulocytosis, pancytopenia
Blurred vision,
GI disorders: Pancreatitis, stomatitis, microscopic colitis
Hepatobiliary disorders: Hepatic failure, hepatitis with or without jaundice
Anaphylactic reaction/shock
GI candidiasis
Hypomagnesemia
Musculoskeletal disorders: Muscular weakness, myalgia, bone fracture
Nervous system disorders: Hepatic encephalopathy, taste disturbance
Psychiatric disorders: Aggression, agitation, depression, hallucination
Interstitial nephritis
Gynecomastia
Bronchospasm
Skin and subcutaneous tissue disorders: Alopecia, erythema multiforme, hyperhidrosis, photosensitivity, Stevens-Johnson syndrome, toxic epidermal necrolysis (sometimes fatal fatal)
Mechanism of Action
Esomeprazole is a PPI that suppresses gastric acid secretion by inhibiting H+/K+ ATPase in the gastric parietal cell. It is the S-isomer of omeprazole.
Note
Raciper 40mg IV Injection manufactured by Sun Pharmaceutical Industries Ltd.. Its generic name is Esomeprazole Sodium Injection. Raciper is availble in Nepal.
Farmaco Nepal drug index information on Raciper IV Injection is not intended for diagnosis, medical advice or treatment; neither intended to be a substitute for the exercise of professional judgment.