Domrex 10mg/20mg Tablet: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Irregular heartbeat, palpitations, or fainting
- Severe allergic reaction with swelling of face, lips, or throat
- Yellowing of skin or eyes, dark urine, or severe fatigue
- Uncontrollable muscle spasms or stiffness
- Blood in vomit or black, tarry stools
- Severe abdominal pain or persistent vomiting
- Signs of electrolyte imbalance such as muscle cramps or weakness
If experiencing severe symptoms, call emergency services immediately.
What is neutraflux capsule sr used for?
This medicine is a combination of Domperidone and Esomeprazole used to treat acid reflux and improve stomach emptying. It reduces heartburn, nausea, and bloating. Take it on an empty stomach before breakfast, usually once daily, as prescribed by your doctor.
- Generic Name: Domperidone (10mg) + Esomeprazole (20mg)
- Manufacturer: Stedman Pharmaceuticals Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 neutraflux capsule sr के बारे में (Hindi Summary)
उपयोग: यह दवा डोम्पेरिडोन और एसोमेप्राजोल का संयोजन है, जिसका उपयोग एसिड रिफ्लक्स, हार्टबर्न, मतली, उल्टी और पेट की गैस जैसी समस्याओं के इलाज के लिए किया जाता है। यह पेट के खाली होने की गति को बढ़ाती है और पेट में एसिड का उत्पादन कम करती है। इसे सुबह नाश्ते से 30-60 मिनट पहले खाली पेट लेना चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में सिरदर्द, दस्त, मतली, पेट दर्द, गैस और मुँह सूखना शामिल हैं। कभी-कभी दिल की धड़कन अनियमित हो सकती है, स्तनों में दर्द या सूजन हो सकती है, और मांसपेशियों में अकड़न हो सकती है। गंभीर दुष्प्रभावों में एलर्जी, लीवर की समस्या और दिल की लय में गड़बड़ी हो सकती है। कोई भी असामान्य लक्षण दिखने पर तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। इसे चबाएं या तोड़ें नहीं, पूरा निगल लें। इसे खाली पेट, भोजन से 30-60 मिनट पहले लें। दवा लेते समय शराब न पिएं। अगर आपको चक्कर या नींद आती है तो वाहन न चलाएं। दिल, लीवर या किडनी की बीमारी हो तो डॉक्टर को बताएं। बिना सलाह के लंबे समय तक इसका सेवन न करें।
💊 neutraflux capsule sr Uses & Benefits
[{"condition":"Gastroesophageal reflux disease (GERD) with delayed gastric emptying","description":"This medicine helps reduce acid reflux symptoms such as heartburn and regurgitation while also improving stomach emptying, which can alleviate bloating and nausea.","evidence":"Well-established"},{"condition":"Functional dyspepsia with acid reflux","description":"Used to relieve postprandial fullness, early satiety, and epigastric pain associated with impaired gastric motility and acid exposure.","evidence":"Moderate"},{"condition":"Gastroparesis with acid-related symptoms","description":"The Domperidone component helps accelerate gastric emptying, while Esomeprazole reduces acid-related mucosal injury.","evidence":"Limited"}]
Off-label uses: [{"condition":"Nausea and vomiting of pregnancy","description":"Sometimes prescribed off-label for severe nausea and vomiting in pregnancy, but safety data are limited and use requires careful risk-benefit assessment.","evidence":"Limited"},{"condition":"Diabetic gastroparesis","description":"May be used off-label to improve symptoms of gastroparesis in diabetic patients, though evidence is not robust.","evidence":"Limited"}]
Primary treatment for: Gastroesophageal reflux disease (GERD)
Also treats: Functional dyspepsia, Gastroparesis, Peptic ulcer disease
📋 Drug Information
| Generic Name(s) | Domperidone (10mg) + Esomeprazole (20mg) |
| Brand Name | neutraflux capsule sr |
| Manufacturer | Stedman Pharmaceuticals Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | GASTRO INTESTINAL |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
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. This action enhances gastric motility and accelerates gastric emptying without significant central nervous system effects because it does not readily cross the blood-brain barrier. Esomeprazole is a proton pump inhibitor that irreversibly inhibits the H+/K+-ATPase enzyme in gastric parietal cells, thereby suppressing both basal and stimulated gastric acid secretion. Together, they reduce acid exposure and improve gastric emptying, providing relief from reflux and dyspeptic symptoms.
Mechanism Steps
💡 How to Take neutraflux capsule sr
Strength: Tablet containing Domperidone 10 mg and Esomeprazole 20 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one tablet taken orally once daily, preferably on an empty stomach 30 to 60 minutes before breakfast. However, the dose and frequency may vary depending on the specific condition being treated, its severity, and the patient's response. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the prescribed dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the side effects of this medicine, particularly QT prolongation and extrapyramidal symptoms. Use with caution and consider lower initial doses. Dose must be individualized by a qualified clinician based on renal and hepatic function. |
| Renal Impairment | Dose adjustment may be required in patients with severe renal impairment. Domperidone is not recommended in severe renal impairment. Esomeprazole does not require dose adjustment in renal impairment. Consult a clinician for individualized dosing. |
| Hepatic Impairment | This medicine is contraindicated in severe hepatic impairment. In mild to moderate hepatic impairment, dose reduction may be necessary. Esomeprazole dose should not exceed 20 mg daily in severe hepatic impairment. Consult a clinician for individualized dosing. |
| Maximum Daily Dose | The maximum recommended daily dose is one tablet (Domperidone 10 mg + Esomeprazole 20 mg) per day. Do not exceed this dose unless directed by a clinician. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of neutraflux capsule sr
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Ketoconazole | Major | |
| Clopidogrel | Major | |
| Warfarin | Moderate | |
| Diazepam | Moderate | |
| Phenytoin | Moderate | |
| Atazanavir | Moderate | |
| Antacids | Minor | |
| Iron supplements | Minor | |
| Vitamin B12 | Minor | |
| Grapefruit juice | Moderate |
🚨 Major Interactions
- Ketoconazole, itraconazole, clarithromycin, ritonavir
- QT-prolonging drugs (e.g., amiodarone, sotalol, haloperidol)
- Clopidogrel
- Methotrexate
⚡ Moderate Interactions
- Warfarin
- Diazepam
- Phenytoin
- Atazanavir, nelfinavir
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine. Alcohol can increase stomach acid production, irritate the stomach lining, and worsen symptoms of GERD. It may also increase the risk of central nervous system side effects such as dizziness and drowsiness. Additionally, alcohol may exacerbate the risk of QT prolongation associated with Domperidone.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to Domperidone, Esomeprazole, or any component of the formulation","Prolactin-releasing pituitary tumor (prolactinoma)","Severe hepatic impairment","Known QT prolongation or congenital long QT syndrome","Concurrent use with strong CYP3A4 inhibitors such as ketoconazole, itraconazole, clarithromycin, ritonavir","Gastrointestinal obstruction, perforation, or bleeding","Severe renal impairment (Domperidone component)"]
⚠️ Warnings & Precautions
["Use with caution in patients with cardiovascular disease or risk factors for QT prolongation.","Avoid in patients with electrolyte disturbances (hypokalemia, hypomagnesemia).","May cause drowsiness; avoid driving or operating machinery until you know how it affects you.","Long-term use of Esomeprazole may increase risk of bone fractures, hypomagnesemia, and vitamin B12 deficiency.","Domperidone may increase prolactin levels; monitor for signs of hyperprolactinemia.","Use with caution in elderly patients due to increased risk of side effects.","Do not use for longer than recommended without medical supervision."]
🤱 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 generally considered compatible with breastfeeding. Consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
Overdose may cause symptoms such as drowsiness, confusion, extrapyramidal reactions, and QT prolongation. There is no specific antidote. Treatment should be symptomatic and supportive, including ECG monitoring and correction of electrolyte imbalances. Contact a poison control center or emergency department immediately if overdose is suspected.
⏰ 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 take a double dose to make up for a missed one.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not crush, chew, or break the tablet; swallow it whole with a glass of water. It is best taken on an empty stomach, at least 30 to 60 minutes before a meal, to maximize the effect of Esomeprazole. Avoid alcohol while taking this medicine as it may worsen stomach irritation and increase the risk of side effects. Do not drive or operate heavy machinery if you experience dizziness or drowsiness. Inform your doctor if you have a history of heart problems, liver disease, or kidney disease. Do not use this medicine for longer than recommended without medical advice. Keep out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at higher risk of QT prolongation, extrapyramidal symptoms, and electrolyte imbalances. Use with caution and monitor closely. Dose adjustment may be necessary based on renal and hepatic function.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, consult your doctor before taking this medicine. Domperidone is generally avoided in pregnancy unless clearly needed. Esomeprazole may be used if indicated. Discuss risks and benefits with your healthcare provider.
🏥 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 postoperative recovery. Inform your surgeon if you are taking this medicine.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine, as it may increase the risk of bleeding during dental procedures due to acid suppression effects on platelet function. No specific precautions are usually required, but good oral hygiene is important.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid vigorous exercise immediately after taking this medicine, especially if you experience dizziness or drowsiness. Moderate physical activity is generally safe and can help with digestion.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause drowsiness or dizziness in some people. Avoid driving or operating heavy machinery until you know how it affects you. It is generally safe to continue desk work, but take breaks if you feel dizzy.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. If you experience serious side effects such as irregular heartbeat or severe allergic reactions, seek immediate medical attention. Your doctor will determine the appropriate duration of treatment based on your condition.
📅 Long-Term Use Effects
Long-term use of this medicine may lead to vitamin B12 deficiency, hypomagnesemia, bone fractures, and increased risk of infections due to acid suppression. Domperidone may cause hyperprolactinemia with prolonged use. Regular monitoring of electrolytes, vitamin B12, and prolactin levels is advised. Periodic review of the need for continued therapy is recommended.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Dietary changes, weight loss, and elevating the head of the bed can help manage GERD symptoms.
Evidence: Well-establishedH2 blockers or other PPIs may be used as alternatives if this combination is not suitable.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are known. However, long-term acid suppression may slightly reduce the immune response to certain oral vaccines. Consult your doctor before vaccination.
📦 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
When traveling, carry this medicine in its original packaging with a copy of your prescription. Store it at room temperature and protect it from extreme heat or moisture. If crossing time zones, consult your doctor about adjusting the dosing schedule. Keep it in your carry-on luggage to avoid loss. Check local customs regulations for prescription medicines before travel.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Domperidone starts working within 30-60 minutes, while Esomeprazole may take up to 4 days for full acid suppression.
A: It is best taken on an empty stomach, at least 30 minutes before a meal.
A: Take it as soon as you remember, but if it's almost time for the next dose, skip the missed dose and continue with your regular schedule.
A: Consult your doctor; use only if clearly needed and benefits outweigh risks.
🤔 Common Patient Concerns
🔄 Substitutes for neutraflux capsule sr
View AllAlternative brands with exact same active ingredient:
-
omecap dm 10 mg/20 mg capsuleIntas Pharmaceuticals Ltd ₹6.80 85.9% CHEAPER
-
eszone-d tabletZeelab Pharmacy Pvt Ltd ₹20.00 58.4% CHEAPER
-
emezole d capsuleEcon Healthcare Pvt Ltd ₹30.95 35.6% CHEAPER
-
essum d 10mg/20mg tabletMedivolks Pharma ₹54.38 13.1% COSTLIER
-
hisopro d 10mg/20mg capsuleMancop Remedies ₹65.53 36.3% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be taken anytime without regard to meals.
Fact: It should be taken on an empty stomach before a meal for best effect. - Myth: This medicine is safe for long-term use without monitoring.
Fact: Long-term use requires periodic monitoring for side effects such as vitamin B12 deficiency and bone fractures. - Myth: This medicine can be used for immediate relief of heartburn.
Fact: It is not for immediate relief; it works over time to reduce acid production and improve motility.
🔄 Alternative Options
Generic Alternatives
- Domperidone + Esomeprazole combination generics may be available.