esorim hp 750mg/500mg/40mg kit - Amoxycillin (750mg) + Clarithromycin (500mg) medicine

Esium-HP Kit: Complete Guide to Uses, Dosage, and Safety

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🏭 Umbrella Biotech 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 22, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: High
Reviewed by
SaathiMed Expert Panel | Oct 22, 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 stool or vomit
  • Severe abdominal pain
  • Chest pain or difficulty breathing
  • Severe headache with visual changes
  • Sudden swelling of face, lips, or throat
  • Yellowing of skin or eyes
  • Decreased urine output
  • Severe or persistent diarrhea

If experiencing severe symptoms, call emergency services immediately.

What is esorim hp 750mg/500mg/40mg kit used for?

This medicine is a combination antibiotic kit containing Amoxycillin 750 mg and Clarithromycin 500 mg, used to treat Helicobacter pylori infection in the stomach. It is taken twice daily with food for 7-14 days as part of a multi-drug regimen.

  • Generic Name: Amoxycillin (750mg) + Clarithromycin (500mg)
  • Manufacturer: Umbrella Biotech
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 esorim hp 750mg/500mg/40mg kit के बारे में (Hindi Summary)

उपयोग: यह दवा एमोक्सिसिलिन 750 मिलीग्राम और क्लैरिथ्रोमाइसिन 500 मिलीग्राम का संयोजन है, जिसका उपयोग पेट में हेलिकोबैक्टर पाइलोरी संक्रमण के इलाज के लिए किया जाता है। यह पेप्टिक अल्सर और गैस्ट्रिटिस के इलाज में मदद करती है। इसे डॉक्टर के निर्देशानुसार भोजन के साथ दिन में दो बार लेना चाहिए।

साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, दस्त, पेट दर्द, धातु जैसा स्वाद, सिरदर्द और त्वचा पर चकत्ते शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन एलर्जी, लीवर की समस्या, और दिल की धड़कन में गड़बड़ी हो सकती है। किसी भी गंभीर लक्षण पर तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। खुराक न छोड़ें और पूरा कोर्स पूरा करें। भोजन के साथ लें ताकि पेट की परेशानी कम हो। शराब का सेवन न करें। गुर्दे या लीवर की बीमारी, दिल की धड़कन की समस्या हो तो डॉक्टर को बताएं।

💡 Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

💊 esorim hp 750mg/500mg/40mg kit Uses & Benefits

  • [{"condition":"Helicobacter pylori eradication","description":"Used as part of combination therapy to eradicate H.
  • pylori infection in patients with peptic ulcer disease or gastric mucosa-associated lymphoid tissue (MALT) lymphoma.","evidence":"Well-established"},{"condition":"Duodenal ulcer associated with H.
  • pylori","description":"Helps heal ulcers by eliminating the underlying H.
  • pylori infection when combined with acid suppression.","evidence":"Well-established"},{"condition":"Gastric ulcer associated with H.
  • pylori","description":"Eradicates H.
  • pylori to promote ulcer healing and reduce recurrence.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Chronic gastritis with H. pylori","description":"Sometimes used to treat chronic gastritis when H. pylori is detected, though primarily indicated for ulcer disease.","evidence":"Limited"}]

Primary treatment for: Helicobacter pylori infection

Also treats: Peptic ulcer disease, Gastric MALT lymphoma, Chronic gastritis

📋 Drug Information

Generic Name(s)Amoxycillin (750mg) + Clarithromycin (500mg)
Brand Nameesorim hp 750mg/500mg/40mg kit
ManufacturerUmbrella Biotech
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassGASTRO INTESTINAL
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep in the original packaging.
Shelf Life24 months from the date of manufacture.
WHO GuidelineWHO recommends H. pylori eradication in patients with peptic ulcer disease. Combination therapy including amoxycillin and clarithromycin is among the recommended regimens.
ICMR GuidelineICMR guidelines recommend triple therapy with a proton pump inhibitor, amoxycillin, and clarithromycin for 14 days in areas with low clarithromycin resistance.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine with food to reduce stomach upset.
2
Complete the full course even if you feel better after a few days.
3
Avoid alcohol during treatment to prevent worsening of side effects.
4
Inform your doctor if you have heart, liver, or kidney problems before starting.
5
Do not share this medicine with others, even if they have similar symptoms.
6
Report any severe diarrhea, rash, or palpitations immediately.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Stomach pain and burning
This medicine is commonly prescribed for H. pylori-related ulcers.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary
❌
Common cold
This medicine is not effective against viral infections.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionAmoxycillin is rapidly absorbed from the gastrointestinal tract; food does not significantly affect absorption. Clarithromycin is also well absorbed; food may slightly delay absorption but does not reduce extent.
DistributionAmoxycillin distributes widely into body tissues and fluids, including gastric mucosa. Clarithromycin distributes extensively into tissues, achieving high intracellular concentrations.
Protein BindingAmoxycillin is about 17-20% protein-bound. Clarithromycin is about 70% protein-bound.
MetabolismAmoxycillin is partially metabolized to inactive penicilloic acid. Clarithromycin is extensively metabolized in the liver by CYP3A4 to an active metabolite, 14-hydroxyclarithromycin.
Half-LifeAmoxycillin half-life is approximately 1-1.5 hours. Clarithromycin half-life is about 3-4 hours, prolonged in renal impairment.
ExcretionAmoxycillin is excreted primarily unchanged in urine. Clarithromycin is excreted in urine and feces, both as parent drug and metabolites.
BioavailabilityAmoxycillin bioavailability is about 80-90%. Clarithromycin bioavailability is about 50-55%.
Onset of ActionAntibacterial effects begin within hours of first dose, but clinical improvement may take 1-2 days.
Peak Plasma TimeAmoxycillin peak plasma concentration occurs 1-2 hours after oral dose. Clarithromycin peak occurs about 2-3 hours after oral dose.
Duration of ActionAntibacterial activity persists for approximately 8-12 hours for amoxycillin and 12-24 hours for clarithromycin, depending on dosing interval.

How It Works

Amoxycillin inhibits bacterial cell wall synthesis by binding to penicillin-binding proteins, leading to bacterial lysis. Clarithromycin binds to the 50S ribosomal subunit, inhibiting protein synthesis and bacterial growth. The combination provides synergistic killing of Helicobacter pylori.

Mechanism Steps

1
Amoxycillin binds PBPs: Amoxycillin binds to penicillin-binding proteins on the bacterial cell wall, inhibiting cross-linking of peptidoglycan.
2
Cell wall lysis: Inhibition of cell wall synthesis leads to osmotic instability and bacterial cell death.
3
Clarithromycin binds 50S ribosome: Clarithromycin binds to the 50S ribosomal subunit, blocking translocation and protein synthesis.
4
Synergistic bacterial killing: The combined action of cell wall disruption and protein synthesis inhibition results in effective eradication of H. pylori.

💡 How to Take esorim hp 750mg/500mg/40mg kit

Strength: Amoxycillin 750 mg and Clarithromycin 500 mg immediate-release tablets in a kit.

1Take one kit (both tablets) twice daily, approximately 12 hours apart.
2Swallow the tablets whole with a full glass of water.
3Take with food to reduce stomach upset.
4Do not crush, chew, or break the tablets.
5Complete the full course as prescribed, even if you feel better.
6If you miss a dose, follow the missed dose instructions.

Dosage Information

Adult DosageThe typical adult dose is one kit containing Amoxycillin 750 mg and Clarithromycin 500 mg, taken twice daily (every 12 hours) for 7 to 14 days as part of a triple or quadruple therapy regimen that includes a proton pump inhibitor. The exact dose and duration must be individualized by a qualified clinician based on the indication, patient's age, weight, renal and hepatic function, and local resistance patterns.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may have reduced renal function; dose adjustment may be necessary. Monitor renal function and for signs of toxicity. Consult a doctor for individualized dosing.
Renal ImpairmentIn patients with creatinine clearance less than 30 mL/min, dose reduction of clarithromycin is recommended. Amoxycillin dose may also need adjustment. Consult a doctor for specific dosing.
Hepatic ImpairmentIn patients with severe hepatic impairment, clarithromycin should be used with caution; dose reduction may be considered. Monitor liver function. Consult a doctor for individualized dosing.
Maximum Daily DoseThe maximum recommended daily dose is Amoxycillin 1500 mg and Clarithromycin 1000 mg, divided into two doses. Do not exceed without medical supervision.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Grapefruit juice
Avoid
May increase drug levels and side effects.

⏰ What to Do If You Miss a Dose

📌 Less than 6 hours since missed dose
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than 6 hours since missed dose
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of esorim hp 750mg/500mg/40mg kit

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food. If persistent, consult doctor.
Diarrhea (Common (5-10%))
Stay hydrated. If severe or bloody, seek medical advice.
Altered taste (Common (5-10%))
Usually resolves after treatment. Chewing sugar-free gum may help.
Abdominal pain (Common (5-10%))
Take with food. If severe, contact doctor.
Headache (Common (5-10%))
Rest and hydrate. Consult if persistent.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek emergency medical help immediately if you experience swelling of face, lips, throat, difficulty breathing, or severe rash.
Clostridioides difficile-associated diarrhea (Rare (<0.1%))
Report severe, persistent, or bloody diarrhea to your doctor immediately.
Liver toxicity (Rare (<0.1%))
Seek medical attention if you notice yellowing of skin or eyes, dark urine, or severe abdominal pain.
QT prolongation and arrhythmias (Rare (<0.1%))
Inform doctor if you have heart palpitations, fainting, or dizziness.

⚠️ Rare Side Effects

Stevens-Johnson syndrome
Seek immediate medical attention for severe blistering rash or mucosal lesions.
Interstitial nephritis
Report decreased urine output or swelling to doctor.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Ergot alkaloids Major
Statins Major
Amiodarone Major
Carbamazepine Moderate
Theophylline Moderate
Oral contraceptives Moderate
Antacids Minor
Rifampicin Minor
Digoxin Moderate

🚨 Major Interactions

  • Warfarin
  • Ergot alkaloids
  • Statins (e.g., simvastatin, atorvastatin)
  • QT-prolonging drugs (e.g., amiodarone, sotalol)

⚡ Moderate Interactions

  • Carbamazepine
  • Theophylline
  • Oral contraceptives

🍷 Alcohol Interaction

Alcohol may worsen gastrointestinal side effects such as nausea and abdominal pain, and may reduce treatment adherence. It is advisable to avoid alcohol during the course of this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known allergy to penicillins or macrolides","History of severe allergic reaction to beta-lactams","Concomitant use with ergot alkaloids","Severe hepatic impairment","History of QT prolongation or ventricular arrhythmias","Concomitant use with certain QT-prolonging drugs"]

⚠️ Warnings & Precautions

["Use with caution in patients with renal impairment; dose adjustment may be needed.","Use with caution in patients with liver disease; monitor liver function.","May cause Clostridioides difficile-associated diarrhea; report severe diarrhea.","May prolong QT interval; caution in patients with cardiac disease.","May reduce efficacy of oral contraceptives; use backup contraception.","Do not use for viral infections; inappropriate use promotes resistance."]

🤱 Lactation Safety

Amoxycillin is excreted in breast milk in small amounts and is generally considered safe. Clarithromycin is also excreted in breast milk; caution is advised. Consult your doctor before breastfeeding while on this medicine.

💊 Overdose Management

Overdose may cause severe nausea, vomiting, diarrhea, and abdominal pain. In case of overdose, seek immediate medical attention. Treatment is symptomatic and supportive. Hemodialysis may be considered for amoxycillin but is not effective for clarithromycin.

⏰ 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 skip doses or stop early, even if you feel better, to prevent antibiotic resistance. Swallow the tablets whole with water; do not crush or chew. Take with food to reduce stomach upset. Avoid alcohol during treatment as it may worsen side effects and reduce effectiveness. Inform your doctor if you have kidney or liver problems, heart rhythm disorders, or myasthenia gravis. Do not share this medicine with others. Complete the full course as directed.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may have reduced renal function and are at higher risk of side effects. Dose adjustment may be needed. Monitor renal and liver function.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy, consult your doctor before taking this medicine. Clarithromycin is not recommended during pregnancy unless clearly needed.

🏥 Post-Surgery Considerations

Inform your surgeon if you are taking this medicine before surgery. It may interact with anesthetics and other medications.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine. It may interact with antibiotics prescribed for dental procedures.

💚 Lifestyle Tips for Better Results

🏃
Eat a balanced diet rich in fruits and vegetables.
🥗
Avoid spicy and acidic foods that can irritate the stomach.
😴
Quit smoking to promote ulcer healing.
💧
Limit alcohol consumption.
🧘
Manage stress through relaxation techniques.
🌞
Get adequate sleep to support recovery.

🏋️ Exercise Considerations

Moderate exercise is generally safe, but if you experience dizziness or fatigue, avoid strenuous activities until you feel better.

🥗 Diet Recommendations

Include probiotic-rich foods like yogurt to support gut health.
Avoid caffeine and carbonated drinks.
Eat smaller, more frequent meals.
Stay well hydrated.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or fatigue in some people. Avoid driving or operating heavy machinery if you experience these effects. Otherwise, normal activities can continue.

🛑 When to Stop This Medicine

Do not stop this medicine without consulting your doctor. Complete the full prescribed course even if you feel better. If you experience severe side effects, contact your doctor immediately for guidance.

📅 Long-Term Use Effects

Long-term use of this combination is not recommended. Prolonged use may lead to antibiotic resistance, gut flora imbalance, and rare liver or heart effects. Regular monitoring may be needed if used for extended periods.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Probiotics

May help reduce antibiotic-associated diarrhea when taken alongside.

Evidence: Moderate
Bismuth-based quadruple therapy

An alternative regimen for H. pylori eradication in case of resistance or allergy.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions are known. However, antibiotics may reduce the efficacy of live bacterial vaccines like typhoid vaccine. Consult your doctor for timing.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ 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

Carry this medicine in its original packaging with a copy of your prescription. Keep it in your hand luggage to avoid temperature extremes. If traveling across time zones, adjust dosing times gradually to maintain 12-hour intervals. Store at room temperature and avoid direct sunlight. Check customs regulations for carrying prescription antibiotics.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 45-year-old man with recurrent stomach pain and diagnosed H. pylori infection
He was prescribed this medicine along with a proton pump inhibitor for 14 days. He took it with food twice daily and completed the course. His symptoms improved significantly, and a follow-up test showed eradication of H. pylori.
💡 Lesson: Adherence to the full course and taking with food improves outcomes and reduces side effects.
👤 A 60-year-old woman with a history of peptic ulcer and H. pylori
She experienced mild nausea and a metallic taste during the first few days but continued the treatment as advised. She avoided alcohol and took the medicine with meals. Her ulcer healed, and she remained symptom-free.
💡 Lesson: Mild side effects are common but manageable; completing the course is essential for cure.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may start feeling better within 2-3 days, but you must complete the full course (usually 7-14 days) to ensure eradication.

Q: Can I take this medicine with food?

A: Yes, take it with food to reduce stomach upset.

Q: What if I miss a dose?

A: If you miss a dose, take it as soon as you remember. If it's almost time for the next dose, skip it and continue your regular schedule. Do not double dose.

🤔 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 esorim hp 750mg/500mg/40mg kit

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Antibiotics can cure the common cold.
    Fact: This medicine is effective only against bacterial infections like H. pylori, not viruses.
  • Myth: You can stop antibiotics once you feel better.
    Fact: You must complete the full course to prevent resistance and ensure eradication.
  • Myth: Taking antibiotics with alcohol is safe.
    Fact: Alcohol can worsen side effects and reduce treatment effectiveness.

🔄 Alternative Options

Generic Alternatives

  • Amoxycillin 750 mg + Clarithromycin 500 mg generic kit

Brand Alternatives

  • Esium-HP kit

📊 Comparison with Similar Medicines

[{"medicine":"Esium-HP kit","composition":"Amoxycillin 750 mg + Clarithromycin 500 mg","dosage_form":"Kit","route":"Oral","primary_use":"H. pylori eradication"},{"medicine":"Amoxycillin + Metronidazole kit","composition":"Amoxycillin 750 mg + Metronidazole 400 mg","dosage_form":"Kit","route":"Oral","primary_use":"H. pylori eradication (alternative)"}]

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