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Esomeprazole max dose and max duration
Male 40Yrs, 90 kgs,185 cms. I have chronic mild gastritis and heartburn. Right now on esomeprazole 120mg and Itopride 150mg (divided dose) since 40 days. The gastritis and heartburn are under control. I am taking another medication(propranolol 40 mg and will last for atleast 4 months) due to which I have to take medicines for acidity. What is the max duration that I can be on this dosage for acidity. Any precautions that needs to be taken.
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120 mg of esomeprazole in a chronic gastritis is not common,All though in some certain specific conditions can be given up to 240 mg.Long term usage has adverse effects especially rebound acidity
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Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Do connect and consult
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If you would like to discuss your concern in more detail, please feel free to contact me on WhatsApp at eight six one nine six six nine nine zero six. Alternatively, you can connect with me through the Practo app for a detailed consultation
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Esomeprazole 120 mg/day is higher than the usual dose for gastritis/GERD. There is no fixed maximum duration, but prolonged use at this dose requires specialist supervision.
Please consult throught proper consultation for dose review and possible reduction to the lowest effective dose. Long-term use may require monitoring for nutritional deficiencies. Avoid trigger foods and late-night meals.
Please confirm whether 120 mg is your total daily dose or a single dose.
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Consult
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Yes ..Will guide you in detail..
Do consult
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Do consult
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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One in empty stomach for long time
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Please book a consultation to review your exact dosage, treatment duration and precautions
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Dr. Furqan Majid
General Physician
2 yrs exp
Hyderabad
Esomeprazole is generally prescribed for 4–8 weeks for GERD, with longer treatment depending on the diagnosis and response. Long-term use can be appropriate when indicated, but the lowest effective dose should be used.
Next Steps
Important: Esomeprazole 120 mg/day is higher than the usual GERD dose. Please verify the dose with your treating physician before continuing. Propranolol does not routinely require additional acid-suppressing medication.
Health Tips
Precautions:
Take esomeprazole 30–60 minutes before meals, as prescribed.
Avoid late-night meals, smoking, and foods that trigger reflux.
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Mr. Hari krupakar reddy
General Physician
22 yrs exp
Sirohi
Always think of optimum dose, need to revise with food habits and keep healthy gut flora
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Dr. Divyansh Jain
General Physician
1 yrs exp
Ghaziabad
Hello,
Esomeprazole 120 mg daily is substantially higher than the usual dose for gastritis or GERD.
For uncomplicated reflux, the standard dose is generally 20â40 mg once daily for 4â8 weeks. Higher doses are reserved for specific conditions, such as pathological gastric acid hypersecretion, under specialist supervision.
Since your symptoms are controlled after 40 days, continuing 120 mg daily without reassessment is not advisable.
There is no fixed maximum duration for esomeprazole, but long-term treatment should use the lowest effective dose and have a clear medical indication.
Propranolol does not automatically require continuous high-dose acid suppression.
Next Steps
Consult your prescribing gastroenterologist promptly to review the unusually high esomeprazole dose. Discuss reducing treatment to the lowest effective dose. Do not change the prescribed regimen independently. Review whether itopride 150 mg daily is still necessary. If prolonged high-dose PPI treatment is required, your doctor may monitor magnesium, kidney function, and other relevant parameters. Confirm why propranolol was prescribed and whether your gastrointestinal symptoms are actually related to it.
Health Tips
Take esomeprazole 30â60 minutes before meals. Avoid late-night meals, overeating, and foods that trigger acidity. Prolonged high-dose PPI use may increase the risk of low magnesium, vitamin B12 deficiency, and intestinal infections, although these complications are not inevitable. Seek medical attention for difficulty swallowing, black stools, vomiting blood, or unexplained weight loss. My recommendation: Since your symptoms are controlled, discuss a supervised dose reduction rather than continuing 120 mg daily for another four months. A gradual reduction may help manage rebound acidity. Wishing you good health!
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Mr. Yateesh R
General Physician
4 yrs exp
Kadur
Long duration of these drugs cause nutritional deficiency and kidney problem.
Kindly adjust the dose and reduce it.
Maintain proper diet
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Dr. Adhiraj Mantri
General Physician
1 yrs exp
Delhi
Your gastritis depends on your diet ,you have to identify the underlying cause or you should take help from doctor in identifying the cause/foods that cause it regularly, inspite of avoiding junk food you can have gastritis due to daily diet patterns and sometimes body can be reactive to normal foods as simple as milk.
You will not have to take them for long,
as soon as you identify the cause your medications can be stopped.
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Dr. Gaurij Hood
General Physician
18 yrs exp
Valsad
Pls connect for further discussion and solution
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Ankita Gahlot
Obstetrician
12 yrs exp
Bangalore
How long you can safely stay on this dose isn't something to fix with a general rule, since it depends on how your gastritis responds over time. Long-term or higher-dose acid-suppressing medicine does carry real precautions, including a greater chance of low vitamin B12, low magnesium and weaker bones with extended use, which is why the dose usually gets reassessed every so often rather than left unchanged for months.
Next Steps
Please ask your physician or gastroenterologist around 2 to 3 months in whether the dose can be lowered once your gastritis stays controlled, and mention how long the propranolol course will run.
Health Tips
Get your vitamin B12 and magnesium checked if you stay on this for several months, and tell your doctor about any new bone pain, loose motions, or unusual tiredness.
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.