Treating heartburn or esophagitis (inflammation of the food pipe) due to acid reflux disease (GERD). It may be used to prevent stomach ulcers associated with nonsteroidal anti-inflammatory drugs (NSAIDs). It may also be used with other medicines to prevent ulcers of the small intestines.
Esomeprazole is an acid pump inhibitor (or proton pump inhibitor). It works by turning off some of the acid pumps in the stomach lining and reducing the amount of acid backing up into the esophagus (food pipe).
Do NOT use Esomeprazole if:
you are allergic to any ingredient in Esomeprazole or to similar medications
Contact your doctor or health care provider right away if any of these apply to you.
Before using Esomeprazole :
Some medical conditions may interact with this medicine. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:
if you are pregnant, plan to become pregnant, or are breast-feeding
if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
if you have allergies to medicines or other substances
if you have liver disease
Some MEDICINES MAY INTERACT with Esomeprazole. Tell your health care provider if you are taking any other medicines, especially any of the following:
Azole antifungals (eg, ketoconazole) or protease inhibitors (eg, indinavir) because the effectiveness may be decreased by Esomeprazole
Cilostazol or digoxin, because the actions and side effects may be increased by Esomeprazole
This may not be a complete list of all interactions that may occur. Ask your health care provider if Esomeprazole may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.
How to use Esomeprazole :
Use Esomeprazole as directed by your doctor. Check the label on the medicine for exact dosing instructions. Check the label on the medicine for exact dosing instructions.
Take Esomeprazole on an empty stomach at least 1 hour before eating.
Swallow Esomeprazole whole. Do not break, crush, or chew before swallowing.
If you have difficulty swallowing the capsule, you may add 1 tablespoon of applesauce to an empty bowl. Open the capsule and empty the pellets onto the applesauce. Mix the pellets with the applesauce and swallow the mixture immediately. The applesauce used should not be hot and should be soft
enough to be swallowed without chewing. Do not chew or crush the pellets.
Do not store the mixture for future use.
Antacids may be taken while using Esomeprazole.
If you miss a dose of Esomeprazole , take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Ask your health care provider any questions you may have about how to use Esomeprazole.
Important safety information:
Notify your doctor if you have any symptoms of a bleeding ulcer, such as black, tarry stools or vomit that looks like coffee grounds; or experience throat pain, chest pain, or severe stomach pain.
Esomeprazole is not recommended for use in CHILDREN; safety and effectiveness have not been confirmed.
PREGNANCY and BREAST-FEEDING: If you are pregnant or plan on becoming pregnant, discuss with your doctor the benefits and risks of using Esomeprazole during pregnancy. This medicine is excreted in breast milk. If you are or will be breast-feeding while you are using Esomeprazole , check with your doctor
or pharmacist to discuss the risks to your baby.
Possible side effects of Esomeprazole :
All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:
Seek medical attention right away if any of these SEVERE side effects occur:
Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); chest, throat, or severe stomach pain.
What is the shelf life of the pills?
The expiry date is mentioned on each blister. It is different for different batches. The shelf life is 2 years from the date of manufacture and would differ from batch to batch depending on when they were manufactured.
Study Links Agent Orange to Prostate Cancer in Vietnam Vets (HealthDay)
HealthDay - WEDNESDAY, Aug. 6 (HealthDay News) -- Vietnam veterans exposed to
the defoliant Agent Orange have a significantly greater risk of prostate
cancer, especially the most aggressive form of the disease, a new study
contends.
Prostate test advice for elderly won't stop debate (AP)
AP - New advice that men over 75 should not be screened for prostate cancer won't quell the long-standing controversy over the usefulness of the blood test for the disease, cancer experts said Tuesday.
Prostate cancer screening: More harm than good for older men (AFP)
AFP - US experts no longer recommend routine prostate cancer screenings for men 75 and older, saying the risks outweigh the benefits for that age group, a report published Tuesday in the Annals of Internal Medicine said.
Erectile dysfunction (ED) affects the lives of many middle-aged men and their partners. The term erectile dysfunction covers a range of disorders, but usually refers to the inability to obtain an adequate erection for satisfactory sexual activity.
Although erectile dysfunction, formerly called impotence, is more common in men older than 65, it can occur at any age. An occasional episode of erectile dysfunction happens to most men and is normal. As men age, it's also normal to experience changes in erectile function. Erections may take longer to develop, may not be as rigid or may require more direct stimulation to be achieved. Men may also notice that orgasms are less intense, the volume of ejaculate is reduced and recovery time increases between erections. Erectile dysfunction may also be a sign of a physical or emotional problem that requires treatment.
Erectile dysfunction was once a taboo subject, but more men are seeking help. Doctors are gaining a better understanding of what causes erectile dysfunction and are finding new and better treatments.
This Website discusses all about erectile dysfunction, physiology of the normal erection and the pathophysiology, and treatment of ED.
What is Erectile Dysfunction?
Erectile dysfunction or impotence is a sexual dysfunction characterized by the inability to develop or maintain an erection of the penis for satisfactory sexual intercourse regardless of the capability of ejaculation. There are various underlying causes, such as diabetes, many of which are medically reversible.
The causes may be physiological or psychological. Psychological impotence can often be helped by almost anything that the patient believes in; there is a very strong placebo effect.
Due to its embarrassing nature and the shame felt by sufferers, the subject was taboo for a long time, and is the subject of many urban legends. Folk remedies have long been advocated, with some being advertised widely since the 1930s. The introduction of perhaps the first pharmacologically effective remedy for impotence, sildenafil (trade name Viagra), in the 1990s caused a wave of public attention, propelled in part by the news-worthiness of stories about it and heavy advertising.
The Latin term impotentia coeundi describes simple inability to insert the penis into the vagina. It is now mostly replaced by more precise terms.
Signs and symptoms:
Erectile dysfunction is characterized by the inability to maintain erection. Normal erections during sleep and in the early morning suggest a psychogenic cause, while loss of these erections may signify underlying disease, often cardiovascular in origin. Other things leading to erectile dysfunction are diabetes mellitus (causing neuropathy) or hypogonadism (decreased testosterone levels due to disease affecting the testicles or the pituitary gland).
Here are some causes of Erectile Dysfunction:
* Arousal: The first step is sexual arousal, which men obtain from the senses of sight, touch, hearing and smell, and from thoughts.
* Nervous system response: The brain communicates the sexual excitation to the body's nervous system, which activates increased blood flow to the penis.
* Blood vessel response:. A relaxing action occurs in the blood vessels that supply the penis, allowing more blood to flow into the shafts that produce the erection.
Physiology of normal erections:
Penile erections involve an integration of complex physiologic processes involving the CNS, peripheral nervous system, and hormonal and vascular systems. Any abnormality involving these systems, whether from medication or disease, has a significant impact on the ability to develop and sustain an erection, ejaculate, and experience orgasm. Tumescence, the vascular filling of the cavernous bodies, relies on neural and hormonal mechanisms operating at various levels of the neural axis. This is unique among visceral functions because it requires central neurological input.
Andersson et al summarized some of the information related to the pathways involved in erectile function. The degree of contraction of corpus cavernosal smooth muscle determines the functional state of the penis. The balance between contraction and relaxation is controlled by central and peripheral factors that involve many transmitters and transmitter systems. At the cellular level, smooth muscle relaxation occurs following the release of acetylcholine from the parasympathetic nerves.
Pathophysiology of erectile dysfunction:
Erectile Dysfunction is essentially a vascular disease. It is often associated with other vascular diseases and conditions such as diabetes, hypertension, and coronary artery disease. Other conditions associated with Erectile Dysfunction include neurologic disorders, endocrinopathies, benign prostatic hyperplasia, and depression. Conditions associated with reduced nerve and endothelium function, such as aging, hypertension, smoking, hypercholesterolemia, and diabetes, alter the balance between contraction and relaxation factors. These conditions cause circulatory and structural changes in penile tissues, resulting in arterial insufficiency and defective smooth muscle relaxation. In some patients, sexual dysfunction may be the presenting symptom of these disorders.
Treatment:
Sildenafil Citrate is the way to treat Erectile Dysfunction. Generic Viagra contains sildenafil citrate and contains same ingredients like branded drug.
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