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Medicine side effects
I am suffering from stomach heat since 2 weeks. Hence I was prescribed sompraz dsr and acinil o. However post taking sompraz dsr I am having weakness and hand shakiness even after having food. This tablet composite of PPI esomeprazol. Does this can cause low bloody sugar in patient without diabetes. As these symptoms improve post having biscuits as per may observation for last 3 days. Please explain. As google show in rare cases it does lower blood sugar. I had my recent blood test. My HB, vitamin d, thyroid, fasting sugar and average glucose levels, all are normal.
Answers (16)
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Esomeprazol rarely causes side effects, whereas domperdone could cause side effects like tremors and weakness, movement
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In Sompraz DSR.... Domperidone is present. domperidone can cause extrapyramidal symptoms (EPS), but it is a very rare side effect. If it is given in high dose or if any other medicines are used along with domperidone, it can cause tremors / shaking of hands. It reaches its highest concentration in the bloodstream around 30 minutes to 1 hour after consumption, which is when you might have experienced these symptoms..... And immediately body recognise and starts its action against it ( may be then you must have had biscuit and you feel your symptoms getting better.).
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you don't need domperidone as you don't have vomiting. just take plain sompraz or shift to pantoprazole 40mg without domperidone. continue acinil o syrup. that will be enough
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If you are panicking and thinking that this drug is causing you this side effects, stop the medicine now . Though
tab sompraz does not cause side effect as this .
Next Steps
Kindly consult me on Practo and get the medicine changed ..
Health Tips
Improve your diet , avoid junk foods and have a balanced diet.
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AS SUSH NO SUCH SIDE EFFECTS.
YET
STOP MEDICINE
MUCAIN GEL 10ML WITHOUT WATER NOTHING BY MOUTH TILL 30MIN CAN BE TAKEN 3TO4 TIMES IF BURNING IS THERE.
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Stop all types of PPI like esomeprazole and also stop domperidone before things aggravate.
Take:
Sucral forte syrup - 10 ml thrice daily before taking food.
This alone will take care of your summer heat, shaky hands and weakness.
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Esomeprazole (PPI) rarely causes hypoglycemia, but the domperidone component in Sompraz DSR can cause hand tremors/shakiness â it's a dopamine blocker and can cause these extrapyramidal side effects. The improvement after eating biscuits could suggest mild reactive hypoglycemia, but more likely the shakiness is domperidone-related.
Next Steps
Stop Sompraz DSR and switch to plain esomeprazole 40mg (without domperidone) and take it 30 minutes before breakfast. If shakiness resolves, domperidone was the cause. Consult me on Practo for an adjusted prescription.
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Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
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Take Pantoprazole
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These r not due to low blood sugar. Some PPIs are not compatible for everyone. Use another PPI. For more questions, kindly consult with me on 94 two six eight six 78 nine six.
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Dr. Amit Gangwar
General Physician
1 yrs exp
Bareilly
If you are panicking and thinking that this drug is causing you this side effects, stop the medicine now . Though tab sompraz does not cause side effect as this .
Next Steps
Kindly consult me on Practo and get the medicine changed ..
Health Tips
Improve your diet , avoid junk foods and have a balanced diet.
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Do consult
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Dr. Sachin Bhiwaji Sanap
General Practitioner
7 yrs exp
Hingoli
PPI won’t cause hypoglycaemia , Hypoglycaemia basically beacuse of your stomach issue or any other things, take other PPI or do consult
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Dr. Supratim Gope
General Physician
3 yrs exp
Bengaluru
1. Can Esomeprazole cause hypoglycemia?
Very rarely, yes- but it's not a common side effect.
PPI like esomeprazole are not known to directly lower blood glucose. There are only isolated case reports of hypoglycemia, mostly in patients on multiple drugs or with liver/kidney issues. In a non-diabetic with normal fasting & average glucose, PPI alone causing hypo is unlikely.
2. What else could cause "weakness + shakiness after food"?*
Somapraz DSR = Esomeprazole 20mg + Domperidone 30mg SR
Domperidone is more likely to be related here. Possible causes:
- Reactive/Dumping-type symptoms: If "stomach heat" is due to gastritis/GERD, eating small amounts like biscuits gives quick relief. That suggests gastric irritation, not true hypo.
- Electrolyte / B12 / Mg deficiency: Long term PPI use can affect B12, Mg. But 2 weeks is too short.
- Anxiety/stress component: "Stomach heat" + shakiness often overlaps with anxiety.
- Dehydration or poor intake due to gastritis symptoms
3. Why do biscuits help?
That points more towards gastritis/empty stomach acidity or functional dyspepsia. Food buffers acid → symptom relief. True hypoglycemia would need glucose monitoring
Next Steps
If you want we can have a consultation
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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. Iamun Mushtaq
General Physician
4 yrs exp
Srinagar
Stop taking that drug and see if it is due to that.
Have you done HbA1C or GTT? Or just FBS?
Consult for more queries
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Ms. Newshi Jain M
General Physician
Chennai
Check vit b12
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