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Clinical Pharmacology

Absorption
Nexium delayed-release capsule contains an enteric-coated pellet which is a formulation of esomeprazole magnesium. After oral administration peak plasma levels (Cmax) occur at approximately 1.5 hours (Tmax). When the doses is increased the Cmax increase in the proportional manner, and there is also three-fold increase in the area under the plasma concentration-time curve from 20mg to 40 mg. The repetition of a once-daily dosing is with 40 mg, after taking a single dose of 40 mg, the systemic bioavailability is around 90% compared to 64%. The mean exposure (AUC) to esomeprazole increases from 4.32 µmol*hr/L on day 1 to 11.2 µmol*hr/L on day 5 after 40 mg once daily dosing.

The AUC after administration of a single 40 mg dose of esomeprazole is decreased by 43 to 53% after food intake compared to fasting conditions. It is advisable if you take esomeprazole at least one hour before meals. The pharmacokinetic profile of Esomeprazole was determined in 40 patients with symptomatic gastroesophageal reflux disease following repeated once daily administration of 20 mg and 40 mg capsules of Nexium over a period of five days.

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CUSTOMER SERVICE

Prescriptions Dispensed from Pharmacy Address:
Canada are Dispensed by:
Candrug License #18985 (6045438711)
Pharmacy Manager: Amarjit Mann
Unit #202A, 8322-130th Street, Surrey,
British Columbia, Canada V3W 8J9
Toll Free: 1-877-900-3784


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