Esomeprazole is the S-isomer of Omeprazole and reduces gastric acid secretion through a specific targeted mechanism of action. It is a specific inhibitor of the acid pump in the parietal cell.
Esomeprazole works better to lower acidity in the gut and improve symptoms of GERD compared to omeprazole. How?
Find out below:
What researchers found?
Compared to Omeprazole, Esomeprazole provides greater
acid control in patients with GERD and keeps stomach pH at higher than 4
for a longer period of time (Since higher the pH level is associated
with prompt resolution of GERD symptoms and high rates of esophagitis
healing.
It also exerts a faster rise
of intragastric pH environment than omeprazole by inhibiting the
proton pump of gastric mucosa.
Compared with omeprazole, its
S-isomer esomeprazole displays lower first-pass hepatic metabolism and slower
plasma clearance; this results in higher plasma concentration and highly
effective inhibition of gastric acid secretion.
https://pubmed.ncbi.nlm.nih.gov/12018920/
https://www.goodrx.com/blog/esomeprazole-vs-omeprazole-for-acid-reflux/
https://go.drugbank.com/drugs/DB00736
Note: For informational purposes only. Consult your textbook for advising your patients.
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