Emanera, 28 pcs., 40 mg, enteric capsules

Compatibility of Emanera and alcohol

? When consuming a single dose of alcohol, dyspeptic reactions may occur in the form of nausea, vomiting, and stool disturbances.

If the patient constantly neglects the prohibition received from the doctor, the following actions will occur:

• increased gas formation, leading to severe pain in the epigastric region;
• lack of therapeutic effect of the drug with exacerbation or relapse of reflux esophagitis;
• a gradual increase in the inflammatory reaction in the stomach, which appears due to exposure to toxic ethanol, which leads to the formation of ulcers and erosion of the stomach and duodenum;
• disruption of the microflora in the stomach, which leads to the active proliferation of the bacterium Helicobacter pylori, which causes peptic ulcers.

As ethyl alcohol accumulates in the tissues, the patient’s condition worsens. Therefore, simultaneous intake of alcohol and Emanera is prohibited.

Composition and release form

Emanera is available in several dosages containing 20 or 40 mg of omeprazole, respectively.

• starch syrup;
• povidone;
• polysorbate-80;
• sucrose;
• macrogol 6000;
• gelatin and other substances.

The drug Emanera 40 mg and 20 is available in pinkish capsules, inside the powder is in the form of white granules, sometimes with a gray tint. Depending on the course of treatment, you can purchase the product in packages of 7 capsules, 14 and 28.

Brief characteristics of the drug

Emanera is a medicine in the form of capsules containing esomeprazole magnesium.

This is an active substance due to which the following actions are formed in the body:

• suppression of enzymes that stimulate the production of hydrochloric acid in the stomach;
• normalization of pH, at which the bacteria that causes peptic ulcers do not multiply.

Absorption occurs in the intestines. Bioavailability is high, a bond is formed with blood plasma proteins. Excretion is carried out through the kidneys and bile.

Indications for use:

• reflux esophagitis, that is, the backflow of intestinal contents into the stomach or from the stomach into the esophagus;
• combined treatment for active reproduction of Helicobacter pylori;
• prevention of peptic ulcers.

The dosage depends on the degree of development of the disease. It decreases in the presence of severe liver disease.

Side effects:

• headache, dizziness;
• epigastric pain;
• diarrhea or constipation;
• increased gas formation;
• nausea, vomiting;
• dry mouth, constant thirst;
• local allergic reactions on the skin and mucous membranes in the form of itching, burning, urticaria.

The drug is contraindicated for use in case of hypersensitivity to one of the components of the drug or during lactation. Tests have not been carried out on pregnant women, so it is not recommended to use the medicine during this period. But a doctor may prescribe it if the therapeutic effect outweighs the risk of side effects.

If there are symptoms indicating the development of a malignant neoplasm, this diagnosis must first be excluded. The medicine normalizes the digestion process, therefore eliminating pathological signs. This makes it difficult to make a diagnosis.

Use of the drug for alcoholism

Alcoholism leads to disruption of internal organs and systems. The initial impact falls on the liver. Alcoholic hepatitis forms, which transforms into fibrosis and cirrhosis. Chronic alcoholics are often diagnosed with liver malignancy.

Ethanol has a toxic effect on the walls of the digestive tract if the dosage is constantly exceeded. Therefore, gastritis and ulcers form.

The instructions for use of the medicine say that it is used with caution for liver diseases. This is due to the fact that the active substance of the drug is metabolized by the liver, and therefore affects it.

If you start therapy during alcoholism, the therapeutic effect of the drug is reduced. Ethanol acts on the kidneys, causing increased diuresis. The medicine is eliminated along with the urine, which reduces the therapeutic effect.

Dosage

The use of Emanera is possible in several ways:

1. Inside, without chewing first. Drink with plain water.
2. If the patient cannot swallow the capsule for a number of reasons, then you can dilute the contents in warm water and drink the solution, but no later than 40 minutes after its preparation. The patient must ensure that the contents of the Emaner capsules do not remain on the walls of the glass.
3. Input via probe.

The duration of therapy is prescribed exclusively by a qualified specialist. According to the instructions for the drug Emanera, the dose of the drug is prescribed as follows:

1. For the treatment of gastroesophageal reflux pathology, 40 mg is prescribed once every 24 hours for a course of 30 days.
2. Use as a preventive measure for gastroesophageal reflux pathology - you should drink 1 capsule containing 20 mg of the active substance once a day.
3. For ulcers, a dose of 20 mg 2 times a day is indicated for 12-14 days. Additionally, the patient is prescribed to drink an antibiotic.
4. For ulcers associated with taking non-steroidal anti-inflammatory drugs, it is prescribed to drink 40 mg per day for a course of 30-60 days.
5. Use for the prevention of ulcers - the patient needs to drink 20 mg once a day.
6. Prevention of bleeding from ulcers after intravenous administration of a drug that lowers the level of hydrochloric acid - the drug Emanera is used at a dose of 40 mg per day in a monthly course.

Important! If liver function is impaired, dosage adjustment is not required. But in case of severe liver dysfunction, you can take no more than 20 mg per day. In case of kidney dysfunction, caution must be exercised.

Consequences of drinking alcohol

All patients are prohibited from drinking alcohol before starting treatment.

But if they break the rule, the following consequences arise:

• active diuresis, which removes the drug in a high volume along with urine, eliminating the effect of treatment;
• the formation of dyspeptic disorders that worsen the patient’s well-being;
• a high risk of developing allergic reactions that aggravate a person’s well-being if he suffers from itching caused by alcoholic hepatitis;
• active proliferation of bacteria in the stomach, gradually leading to the formation of ulcers with periods of bleeding;
• the appearance of vomiting, along with which the medicine leaves the stomach (vomiting worsens a person’s well-being with reflux esophagitis).

To eliminate the consequences, stop drinking alcohol in a timely manner. To continue drug therapy, consult a doctor.

Equivalents and reviews

If it is not possible to purchase the pharmacological drug Emanera, analogues may be as follows:

The drug has proven its effectiveness and has a minimal risk of adverse reactions. Therefore, reviews about the drug are in most cases positive.

The main disadvantage that the patient faces is the cost of the pharmacological agent, as well as its rare availability in pharmacies.

The approximate price for 14 capsules of 20 mg is 300-350 rubles.

28 capsules of 40 mg each cost 800 rubles. 40 milligrams of the active substance and 14 capsules cost approximately 600 rubles.

The cost of Emaner's analogues differs significantly.

When can you take the drug, after how long

How long after you can take the medicine is decided by your doctor after a general examination and laboratory tests. If a small amount of ethanol is concentrated in a person’s blood due to a single or periodic intake of alcohol, therapy is allowed to be carried out 2-3 days after consuming the last dose.

If the patient is an alcoholic, it is not recommended to begin treatment until the addiction is completely eliminated. If a person refuses alcohol, therapy is carried out no earlier than after 4-5 weeks.

Recommendations for administration through a tube

The administration of Emanera through a tube requires compliance with several rules:

1. Carefully open the capsule and pour the contents into the syringe. Add 30 ml of water (up to 50 ml) and 5 g of air.
2. Shake the mixture until a homogeneous mass is obtained.
3. The tip is inserted vertically.
4. The spitz is shaken off, turned over with the tip down, and 5-10 ml of solution is slowly introduced.
5. After insertion, the syringe is turned upward and held in this way to avoid clogging.
6. The spitz is lowered and shaken again, after which another 10-15 ml should be injected.
7. The procedure is repeated until completely empty.
8. If there is any sediment left on the walls of the syringe, add more water and air and repeat the procedure.

Important! Emaner capsules and instructions for their use are provided for informational purposes only. You should consult your doctor before use.

Emanera and beer

Emanera and beer don't mix. Capsules with esomeprazole magnesium will not be able to reduce the secretion of hydrochloric acid in the stomach, so gastroesophagitis and reverse reflux will increase.

The drug should not be used together with beer. An alcoholic drink irritates the gastrointestinal mucosa and leads to increased stomach acidity.

This causes exacerbation of reflux esophagitis and peptic ulcer. Feeling worse, increases the risk of bleeding in the digestive tract.

Increased diuresis leads to the elimination of the drug from the blood, reducing the therapeutic effect. My health continues to deteriorate and complications arise.

Contraindications

The product has contraindications that must be taken into account before treatment:

1. It is prohibited to use Atazanavir or Nelfinavir tablets together with Emanera.
2. Children under 12 years of age should not use the drug. The thing is that there is not enough information about the effect for children.
3. Use in children over 12 years of age is possible only for the diagnosis of GERD.
4. Do not use if you are hypersensitive to the components of the drug.

Organs affected by the toxin

The combined use of pharmacological agents and alcohol has a toxic effect on the internal organs and environments of the body. Alcohol, entering into a chemical reaction with a medicine, leads to poisoning, disrupts physiological processes, enhances or weakens the healing properties of drugs.

The liver suffers more than other organs. She gets hit twice. Many medications have a side effect - hepatotoxicity, destroy cells, and disrupt the physiology of the organ. In the liver, alcohol breaks down to ethanal, a substance 20-30 times more toxic than ethanol, which causes the death of hepatocytes.

Dangerous groups of drugs for the organ in combination with alcohol:

• anti-inflammatory;
• hormonal;
• antibacterial;
• antifungal;
• glucose control agents for diabetes mellitus;
• anti-tuberculosis;
• cytostatics (chemotherapy drugs);
• tranquilizers (anti-epileptic, psychotropic).

In second place among the internal organs exposed to the harmful effects of alcohol together with medications are the heart and vascular system. Strong drinks during drug therapy constrict blood vessels and increase blood pressure. The simultaneous intake of alcohol and chemical substances leads to failure of the myocardium and increases the risk of developing an attack of angina pectoris and a heart attack.

A mixture of ethanol and pharmaceuticals disrupts the quality of the blood and reduces clotting. This is dangerous due to internal bleeding and strokes.

Rules for taking medications and alcohol

Drinking alcohol during treatment minimizes the clinical effect of therapy and creates a risk of developing complications of the disease.

If this cannot be avoided, follow the rules of behavior that will reduce the occurrence of negative consequences:

1. Do not drink strong drinks (vodka, cognac, whiskey), choose dry wine (100-150 ml), beer (no more than 300 ml). Don't drink alcohol on an empty stomach.
2. The interval between taking the medicine and alcohol should be at least 2 hours.
3. To reduce the toxic effect, take medications that protect the liver (hepatoprotectors), pancreas (pancreatin), and stomach (antacids ─ Rennie, Almagel).

If a person takes antiviral medications for colds, anti-inflammatory drugs, alcohol in moderation does not pose a threat to the body.

Alcoholic drinks during treatment are strictly contraindicated in cases of liver cirrhosis, severe infectious diseases, and during a course of chemotherapy.

Pregnancy and breastfeeding

The use of the drug Emanera during pregnancy is allowed if the specialist evaluates the benefit for the pregnant woman as higher than the possible consequences for the intrauterine development of the fetus, since there is no information about the use of the pharmacological drug during pregnancy.

According to animal studies, scientists do not note a negative effect on the intrauterine development of the child or on the course of pregnancy.

There is no data on whether the active substance is excreted in mother's milk. Therefore, you will have to stop taking this medicine while you are breastfeeding.

Medicines, alcohol and chronic diseases

If a person has chronic diseases, simultaneous use of alcohol and medications is potentially dangerous for the functioning of vital organs. Since patients systematically take prescribed medications, the influence of alcohol can lead to negative consequences.

People with chronic heart disease (angina pectoris, heart defects) develop arrhythmias of varying severity. Heart attacks with severe pain syndrome develop, which is not relieved by Nitroglycerin, and the risk of developing myocardial infarction increases significantly.

In case of chronic liver diseases (viral hepatitis, hepatosis), alcohol during treatment can become a trigger in the development of cirrhosis and hepatocellular carcinoma (cancer).

Drinking alcohol during cirrhosis leads to the following consequences:

• bleeding into the abdominal cavity;
• liver decomposition, infection, peritonitis;
• hepatic coma;
• death.

If a person is on long-term treatment with sedatives, psychotropic drugs, tranquilizers, he is contraindicated in drinking alcohol. This leads to severe depression and the appearance of obsessive states (hallucinations, phobias). Suicidal feelings develop. Such a patient needs constant monitoring and assistance from a psychiatrist.

The most dangerous combinations and consequences

The combination of alcohol and chemical-based drugs can lead to serious disorders in the body, and in some cases to fatal consequences.

List of medications and their side effects in combination with alcohol:

Overdose and side effects

There have been no cases of overdose when using Emanera capsules. However, if you take an increased dose, which is non-compliance with the instructions for use, then there is a disturbance in the functioning of the gastrointestinal tract, and adverse reactions from the body occur. There is no antidote for using Emaner. If a patient has an overdose, it is necessary to contact specialists to provide symptomatic assistance.

Doctors note the following side effects:

• migraine;
• sleep disturbance;
• stressful state;
• feeling very tired;
• causeless aggression;
• myalgia;
• muscle weakness;
• reads;
• indigestion;
• change in taste;
• general weakness;
• sweating;
• hives;
• photosensitivity and so on.

Important! If any of the above symptoms occur, you should immediately contact the nearest medical facility for help. Therapeutic measures are aimed at relieving clinical manifestations.

According to numerous reviews, Emanera is an effective remedy that is widely used in the medical field. However, the instructions for use are provided for informational purposes only; before using the capsules, you should consult your doctor.