davaindia domperidone+esomeprazole 30mg/40mg capsule sr - Domperidone (30mg) + Esomeprazole (40mg) medicine

Amrizol-DSR Capsule: Complete Medicine Guide

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🏭 Davaindia Generic Pharmacy 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 21, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate to well-established for individual components; combination evidence is limited.
Reviewed by
SaathiMed Expert Panel | Oct 21, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Blood in vomit or black, tarry stools
  • Severe chest pain or difficulty breathing
  • Irregular heartbeat or palpitations
  • Sudden swelling of face, lips, or throat
  • Yellowing of skin or eyes
  • Severe abdominal pain
  • Uncontrollable muscle spasms or tremors

If experiencing severe symptoms, call emergency services immediately.

What is davaindia domperidone+esomeprazole 30mg/40mg capsule sr used for?

This medicine is a combination of Domperidone and Esomeprazole used to treat acid reflux and dyspepsia. It works by improving stomach emptying and reducing acid production. It is usually taken once daily before breakfast.

  • Generic Name: Domperidone + Esomeprazole
  • Manufacturer: Davaindia Generic Pharmacy
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 davaindia domperidone+esomeprazole 30mg/40mg capsule sr के बारे में (Hindi Summary)

उपयोग: यह दवा डोम्पेरिडोन और एसोमेप्राजोल का संयोजन है, जिसका उपयोग एसिड रिफ्लक्स, हार्टबर्न, अपच और पेट की गैस जैसी समस्याओं के इलाज के लिए किया जाता है। यह पेट में एसिड का उत्पादन कम करती है और पेट खाली होने की गति को बढ़ाती है, जिससे जी मिचलाना और पेट फूलना कम होता है। इसे आमतौर पर नाश्ते से 30-60 मिनट पहले खाली पेट लिया जाता है।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में सिरदर्द, दस्त, मतली, पेट दर्द, गैस और मुँह सूखना शामिल हैं। ये आमतौर पर हल्के और अस्थायी होते हैं। गंभीर दुष्प्रभावों में अनियमित दिल की धड़कन, स्तनों में सूजन या दर्द, और मांसपेशियों में अकड़न शामिल हो सकते हैं। यदि आपको कोई भी असामान्य लक्षण महसूस हो, तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। इसे चबाएं या तोड़ें नहीं, पूरा निगल लें। इसे सुबह नाश्ते से 30-60 मिनट पहले खाली पेट लेना सबसे अच्छा है। इस दवा के साथ शराब न लें, क्योंकि इससे पेट में जलन और दुष्प्रभाव बढ़ सकते हैं। यदि आपको चक्कर या नींद आती है, तो वाहन न चलाएं। यदि आपको दिल की धड़कन में गड़बड़ी, पैरों में सूजन, या पीलिया जैसे लक्षण दिखें, तो तुरंत डॉक्टर से मिलें।

💡 Did You Know? India has the highest number of USFDA-compliant plants outside the USA.

💊 davaindia domperidone+esomeprazole 30mg/40mg capsule sr Uses & Benefits

[{"condition":"Gastroesophageal reflux disease (GERD)","description":"Reduces acid reflux and heartburn by decreasing stomach acid production and improving gastric emptying.","evidence":"Well-established"},{"condition":"Functional dyspepsia","description":"Relieves upper abdominal discomfort, bloating, and early fullness by enhancing gastric motility and reducing acid.","evidence":"Moderate"},{"condition":"Nausea and vomiting associated with gastroparesis","description":"Domperidone component helps to accelerate stomach emptying and reduce nausea.","evidence":"Moderate"},{"condition":"Peptic ulcer disease","description":"Esomeprazole heals ulcers by suppressing acid secretion; Domperidone may help with associated dysmotility.","evidence":"Well-established for Esomeprazole component"}]

Off-label uses: [{"condition":"Diabetic gastroparesis","description":"Sometimes prescribed off-label to improve gastric emptying in diabetic patients.","evidence":"Limited"},{"condition":"Refractory nausea in palliative care","description":"Occasionally used off-label for nausea not responding to other treatments.","evidence":"Limited"}]

Primary treatment for: Gastroesophageal reflux disease (GERD)

Also treats: Functional dyspepsia, Gastroparesis, Peptic ulcer disease

📋 Drug Information

Generic Name(s)Domperidone + Esomeprazole
Brand NameAmrizol-DSR Capsule
ManufacturerDavaindia Generic Pharmacy
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassGASTRO INTESTINAL
Action ClassProkinetic agent + Proton pump inhibitor
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep in the original container.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine on an empty stomach, at least 30-60 minutes before breakfast, for best results.
2
Do not crush or chew the capsule; swallow it whole with water.
3
Avoid alcohol and grapefruit juice while taking this medicine.
4
If you experience palpitations, dizziness, or fainting, seek medical attention immediately.
5
Do not use this medicine for more than 12 weeks without consulting your doctor.
6
Inform your doctor if you are taking blood thinners, antifungals, or HIV medications.
7
Keep a record of your symptoms to help your doctor assess the effectiveness.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Heartburn
This medicine is commonly prescribed for acid reflux.
Likely Use
✅
Bloating and early fullness
Domperidone helps improve gastric emptying.
Likely Use
❌
Fever
This medicine is not a fever reducer.
Not Primary
❌
Headache
This medicine is not for headaches; it may cause headache as a side effect.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionDomperidone is rapidly absorbed after oral administration, with peak plasma levels occurring within 30 to 60 minutes. Esomeprazole is also rapidly absorbed, with peak plasma concentrations achieved within 1 to 2 hours. Food may delay the absorption of Esomeprazole, so it is best taken before meals.
DistributionDomperidone is widely distributed in the body but does not readily cross the blood-brain barrier. Esomeprazole is distributed into the gastric parietal cells and other tissues. Both drugs have moderate volumes of distribution.
Protein BindingDomperidone is approximately 91-93% bound to plasma proteins. Esomeprazole is about 97% bound to plasma proteins.
MetabolismDomperidone undergoes extensive first-pass metabolism in the liver via CYP3A4 and CYP1A2 enzymes. Esomeprazole is metabolized in the liver by CYP2C19 and CYP3A4 enzymes.
Half-LifeDomperidone has an elimination half-life of about 7-9 hours in healthy individuals. Esomeprazole has a plasma half-life of approximately 1-1.5 hours.
ExcretionDomperidone is excreted mainly in feces (about 66%) and urine (about 33%). Esomeprazole is excreted primarily as metabolites in urine (about 80%) and feces (about 20%).
BioavailabilityDomperidone has an oral bioavailability of about 13-17% due to first-pass metabolism. Esomeprazole has an oral bioavailability of approximately 64% after a single dose and increases to about 89% with repeated dosing.
Onset of ActionDomperidone's prokinetic effects begin within 30 to 60 minutes after oral administration. Esomeprazole's acid-suppressive effect starts within 1 hour, with maximum effect after 3-5 days of daily dosing.
Peak Plasma TimeDomperidone: 0.5-1 hour; Esomeprazole: 1-2 hours.
Duration of ActionDomperidone's effect lasts about 6-8 hours. Esomeprazole's acid suppression lasts for about 24 hours, allowing once-daily dosing.

How It Works

This medicine combines two active ingredients with complementary mechanisms. Domperidone is a peripheral dopamine D2 receptor antagonist that blocks dopamine receptors in the chemoreceptor trigger zone and the gastrointestinal tract, leading to enhanced gastric motility and accelerated gastric emptying without significant central nervous system effects. Esomeprazole is a proton pump inhibitor that irreversibly inhibits the H+/K+ ATPase enzyme in gastric parietal cells, thereby suppressing both basal and stimulated acid secretion. The combination provides both prokinetic and acid-suppressive effects, addressing both motility and acid-related symptoms.

Mechanism Steps

1
Domperidone blocks dopamine D2 receptors: Domperidone antagonizes dopamine D2 receptors in the gastrointestinal tract and chemoreceptor trigger zone, which enhances gastric motility and reduces nausea.
2
Esomeprazole inhibits proton pump: Esomeprazole irreversibly binds to the H+/K+ ATPase enzyme in gastric parietal cells, blocking the final step of acid secretion.
3
Combined effect on GERD symptoms: The prokinetic action of Domperidone reduces reflux by improving gastric emptying, while Esomeprazole reduces the acidity of any refluxate, leading to symptom relief.

💡 How to Take davaindia domperidone+esomeprazole 30mg/40mg capsule sr

Strength: Capsule containing Domperidone 30 mg and Esomeprazole 40 mg.

1Take the capsule whole with a glass of water.
2Do not crush, chew, or break the capsule.
3Take it on an empty stomach, at least 30-60 minutes before a meal.
4If you forget to take it before breakfast, take it before your next meal, but do not take two doses at once.
5Follow your doctor's instructions exactly.

Dosage Information

Adult DosageThe usual adult dose is one capsule taken orally once daily, preferably 30 to 60 minutes before breakfast. However, the dose and duration must be individualized by a qualified clinician based on the indication, severity of symptoms, age, and renal and hepatic function. Do not self-adjust the dose.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the side effects of this medicine. Dose adjustment may be necessary based on renal and hepatic function. Consult a doctor.
Renal ImpairmentIn patients with severe renal impairment (creatinine clearance <30 mL/min), Domperidone is contraindicated. Esomeprazole dose may need adjustment. Consult a doctor.
Hepatic ImpairmentIn patients with mild to moderate hepatic impairment, no dose adjustment is needed for Esomeprazole. Domperidone is contraindicated in severe hepatic impairment. Consult a doctor.
Maximum Daily DoseThe maximum recommended daily dose is one capsule (Domperidone 30 mg + Esomeprazole 40 mg) per day. Do not exceed this dose.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

Meals
Take 30-60 minutes before a meal
Esomeprazole works best on an empty stomach.
Grapefruit juice
Avoid
May increase Domperidone levels and side effects.
Alcohol
Avoid
Increases risk of stomach irritation and drowsiness.

⏰ What to Do If You Miss a Dose

📌 Less than 12 hours have passed since the missed dose
→ Take the missed dose as soon as you remember.
💡 Continue with your regular schedule the next day.
📌 More than 12 hours have passed since the missed dose
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of davaindia domperidone+esomeprazole 30mg/40mg capsule sr

✅ Common Side Effects

Headache (Common (5-10%))
Usually resolves on its own. Consult doctor if persistent or severe.
Diarrhea (Common (5-10%))
Stay hydrated. If diarrhea persists more than 48 hours, consult doctor.
Nausea (Common (5-10%))
Take with food if not contraindicated. If nausea worsens, contact doctor.
Abdominal pain (Common (5-10%))
Usually transient. If severe or persistent, seek medical advice.
Flatulence (Common (5-10%))
Dietary adjustments may help. Consult doctor if bothersome.
Dry mouth (Common (5-10%))
Sip water frequently. If persistent, consult doctor.

🚨 Serious Side Effects

QT prolongation and ventricular arrhythmias (Rare (<0.1%))
Seek immediate medical attention if you experience palpitations, dizziness, or fainting.
Extrapyramidal symptoms (Rare (<0.1%))
Report muscle stiffness, tremors, or difficulty moving to your doctor immediately.
Hyperprolactinemia (Uncommon (0.1-1%))
Consult doctor if you notice breast enlargement, galactorrhea, or menstrual irregularities.
Severe allergic reactions (Rare (<0.1%))
Seek emergency help if you develop rash, swelling of face/lips/throat, or difficulty breathing.
Liver toxicity (Rare (<0.1%))
Report yellowing of skin or eyes, dark urine, or severe fatigue to your doctor.

⚠️ Rare Side Effects

Agranulocytosis
Seek immediate medical attention if you develop fever, sore throat, or mouth ulcers.
Anaphylaxis
Call emergency services immediately if you experience difficulty breathing or swelling.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Ketoconazole Major
Warfarin Major
Methotrexate Major
Atazanavir Major
Diazepam Moderate
Phenytoin Moderate
Clopidogrel Moderate
Antacids Minor
Iron supplements Minor
Grapefruit juice Moderate

🚨 Major Interactions

  • Ketoconazole, Itraconazole, Clarithromycin
  • Warfarin
  • Methotrexate
  • Atazanavir, Nelfinavir

⚡ Moderate Interactions

  • Diazepam
  • Phenytoin
  • Clopidogrel

🍷 Alcohol Interaction

Alcohol may increase the risk of stomach irritation and worsen side effects such as dizziness, drowsiness, and gastrointestinal discomfort. It is advisable to avoid alcohol while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to Domperidone, Esomeprazole, or any component","Prolactin-releasing pituitary tumor (prolactinoma)","Severe hepatic impairment","Known QT prolongation or congenital long QT syndrome","Concomitant use with QT-prolonging drugs or potent CYP3A4 inhibitors","Gastrointestinal obstruction, perforation, or bleeding","Severe renal impairment (creatinine clearance

⚠️ Warnings & Precautions

["Use with caution in patients with cardiovascular disease or risk factors for QT prolongation.","Avoid in patients with electrolyte imbalances (hypokalemia, hypomagnesemia).","May increase risk of bone fractures with long-term use.","Can mask symptoms of gastric malignancy; rule out malignancy before starting.","May cause drowsiness; avoid driving or operating machinery until you know how it affects you.","Use with caution in elderly patients due to increased risk of side effects.","Do not use for longer than 12 weeks without medical reassessment."]

🤱 Lactation Safety

Domperidone is excreted in breast milk and may cause side effects in the infant. Esomeprazole is also excreted in breast milk but is considered compatible with breastfeeding. Consult your doctor before using this medicine while breastfeeding.

💊 Overdose Management

Overdose may cause severe drowsiness, extrapyramidal symptoms, and cardiac arrhythmias. Seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote. Gastric lavage may be considered if within 1 hour of ingestion. Monitor ECG and vital signs.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not crush, chew, or break the capsule; swallow it whole with water. It is best taken on an empty stomach, at least 30 to 60 minutes before breakfast, to maximize the effect of Esomeprazole. Avoid alcohol while taking this medicine, as it can worsen stomach irritation and increase the risk of side effects. Do not drive or operate heavy machinery if you feel dizzy or drowsy after taking it. Inform your doctor if you have a history of heart rhythm problems, low magnesium levels, or liver disease. Do not use this medicine for longer than recommended without medical supervision. Keep out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are at higher risk of side effects such as QT prolongation, electrolyte imbalances, and falls due to dizziness. Dose adjustment and close monitoring are recommended. Use with caution.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before taking this medicine. The safety of this combination during pregnancy is not well established. Your doctor may recommend alternative treatments.

🏥 Post-Surgery Considerations

After surgery, use this medicine only if prescribed by your surgeon. It may affect gastric motility and acid secretion, which could impact recovery. Inform your surgeon about all medicines you are taking.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine, as it may increase the risk of bleeding during dental procedures. Your dentist may recommend temporary discontinuation or monitoring.

💚 Lifestyle Tips for Better Results

🏃
Eat smaller, more frequent meals.
🥗
Avoid lying down immediately after eating.
😴
Elevate the head of your bed to reduce night-time reflux.
💧
Maintain a healthy weight.
🧘
Avoid trigger foods like spicy, fatty, and acidic foods.
🌞
Quit smoking and limit alcohol.
🚭
Manage stress through relaxation techniques.

🏋️ Exercise Considerations

Avoid vigorous exercise immediately after taking this medicine, especially if you experience dizziness or drowsiness. Light to moderate exercise is generally safe. Consult your doctor before starting any new exercise regimen.

🥗 Diet Recommendations

Include high-fiber foods like fruits and vegetables.
Choose lean proteins.
Avoid spicy, fatty, and fried foods.
Limit caffeine and carbonated drinks.
Stay hydrated with water.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or drowsiness in some people. Avoid driving or operating heavy machinery until you know how it affects you. It may also cause frequent urination or diarrhea, which can affect work. Plan your dose timing to minimize disruption.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. If you experience severe side effects or your symptoms resolve, your doctor may advise tapering or stopping. Abrupt discontinuation may cause rebound acid hypersecretion.

📅 Long-Term Use Effects

Long-term use of this medicine may lead to vitamin B12 deficiency, low magnesium levels, and an increased risk of bone fractures. Domperidone may cause hyperprolactinemia with prolonged use. Regular monitoring and periodic reassessment by a doctor are recommended. Do not use for more than 12 weeks without medical advice.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Lifestyle modifications

Dietary changes, weight loss, and elevating the head of the bed can reduce reflux symptoms.

Evidence: Well-established
Other acid-suppressing medicines

H2 blockers or other PPIs may be alternatives if this combination is not suitable.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific interactions with vaccines are known. However, if you are scheduled for any vaccination, inform your healthcare provider about this medicine.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

When traveling, carry your medicine in its original packaging along with a copy of your prescription. Keep it in your carry-on luggage to avoid loss. Store at room temperature and protect from extreme heat or cold. If crossing time zones, continue taking your dose at the usual time relative to your new local time, but consult your doctor if unsure. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 45-year-old man with chronic heartburn and regurgitation
He was prescribed this medicine after lifestyle changes and antacids failed to control his symptoms. Within a week, his heartburn reduced significantly, and he could sleep through the night. He learned to take it before breakfast and avoid late-night meals.
💡 Lesson: Taking the medicine as prescribed and making dietary adjustments can greatly improve GERD symptoms.
👤 A 60-year-old woman with diabetic gastroparesis and nausea
She experienced frequent nausea and early fullness. Her doctor added this medicine to her regimen. After two weeks, her nausea decreased, and she could eat smaller, more frequent meals without discomfort. She was monitored for heart rhythm and electrolyte levels.
💡 Lesson: This medicine can help with motility-related symptoms, but regular monitoring is important, especially in elderly patients.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may start feeling relief from heartburn and nausea within a few hours, but full effects on acid suppression may take 1-2 days.

Q: Can I take it with other medicines?

A: Some medicines can interact. Always inform your doctor about all medications you are taking.

Q: Is it safe during pregnancy?

A: Consult your doctor. The safety of this combination during pregnancy is not well established.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for davaindia domperidone+esomeprazole 30mg/40mg capsule sr

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can be taken for any stomach pain.
    Fact: It is specifically for acid-related and motility disorders; it is not a general painkiller.
  • Myth: It is safe to take indefinitely.
    Fact: Long-term use should be under medical supervision due to potential side effects.

🔄 Alternative Options

Generic Alternatives

  • Domperidone + Esomeprazole generic capsules

Brand Alternatives

  • Amrizol-DSR Capsule

📊 Comparison with Similar Medicines

[{"medicine":"Domperidone + Esomeprazole","composition":"Domperidone 30 mg + Esomeprazole 40 mg","onset":"30-60 minutes","duration":"24 hours","notes":"Combines prokinetic and acid-suppressive effects."},{"medicine":"Domperidone + Pantoprazole","composition":"Domperidone 30 mg + Pantoprazole 40 mg","onset":"1 hour","duration":"24 hours","notes":"Similar efficacy; Pantoprazole may have fewer interactions."}]

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