Esokem 20 Tablet 15

Esokem 20 Tablet 15 interacts with the following medicines:

• Anticoagulants: Medicines like warfarin might interact with Esokem 20 Tablet 15, potentially leading to an increased risk of bleeding.
• Antifungals: Due to changes in absorption, medications such as ketoconazole could be less effective when taken with Esokem 20 Tablet 15.
• Antiretrovirals: Medications like atazanavir may not work as well when taken with Esokem 20 Tablet 15, as it can impact their absorption.
• Cardiac glycosides: Taking medicines like digoxin with Esokem 20 Tablet 15 can increase the levels of digoxin in your body, which could lead to toxicity.
• Antineoplastics: Concurrent use of medicines like methotrexate and Esokem 20 Tablet 15 can increase blood levels of methotrexate, possibly leading to toxicity.
• Immunosuppressants: Co-administration with Esokem 20 Tablet 15 could increase serum levels of tacrolimus, resulting in an increased risk of nephrotoxicity.

There are no known significant interactions between food and Esokem 20 Tablet 15.

Esokem 20 Tablet 15 interacts with the following diseases:

• Liver Disease: Patients with liver disease should use Esokem 20 Tablet 15 cautiously as it could further stress the liver.
• Osteoporosis or Low Bone Mineral Density: Long-term use of Esokem 20 Tablet 15 may lead to bone fractures in people with these health conditions.
• Hypomagnesemia (Low Magnesium Levels): This condition might be exacerbated by Esokem 20 Tablet 15.
• Vitamin B12 Deficiency: Prolonged use of Esokem 20 Tablet 15 can decrease vitamin B12 absorption, worsening the deficiency.

The daily dose of Esokem 20 Tablet 15 should be taken as directed by your doctor. The dosage may vary based on factors such as the severity of your condition and your response to the medicine. Not exceeding the prescribed dosage is crucial without consulting with your doctor.

If you accidentally take more than your prescribed dose of Esokem 20 Tablet 15, you may experience common symptoms such as headache, nausea, or abdominal pain. In this scenario, it's advisable to inform your doctor about it.

If you forget to take a dose of Esokem 20 Tablet 15, take it as soon as you remember. However, if it's nearly time for your next dose, skip the missed one and resume your usual dosing schedule. Always consult your doctor before making any changes to your dosage.