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Active pharmaceutical ingredient

Esomeprazole

Esomeprazole is a proton pump inhibitor (PPI) that effectively reduces gastric acid secretion by inhibiting the H+/K+ ATPase enzyme system in the gastric parietal cells.

Compounded to order
Prescription required
Warwick, Rhode Island

About this ingredient

Esomeprazole is a proton pump inhibitor (PPI) that effectively reduces gastric acid secretion by specifically inhibiting the H+/K+ ATPase enzyme system at the surface of the gastric parietal cell. This mechanism of action makes it a valuable therapeutic agent in the management of conditions such as gastroesophageal reflux disease (GERD), Zollinger-Ellison syndrome, and peptic ulcer disease.

As the S-isomer of omeprazole, esomeprazole offers improved pharmacokinetic properties, including higher bioavailability and a more consistent therapeutic effect. This enhanced efficacy is particularly beneficial for patients who require long-term acid suppression therapy.

Esomeprazole is metabolized primarily in the liver via the cytochrome P450 system, predominantly by CYP2C19 and CYP3A4 isoenzymes. This metabolic pathway can lead to potential drug interactions, especially with medications that are also metabolized by these enzymes.

In clinical practice, esomeprazole is often preferred for its ability to provide sustained acid control, which is crucial for healing erosive esophagitis and maintaining symptom relief in GERD patients. Its use in compounded formulations allows for tailored dosing and delivery methods, enhancing patient compliance and therapeutic outcomes.

Available formulations

Compounded formulations containing this ingredient

Each of these is compounded to order at our Warwick, Rhode Island pharmacy and requires a prescription.

We do not have a patient page for this ingredient yet. That does not mean we cannot make it. Bayview compounds this ingredient to a prescriber's order, and our full compounding formulary lists every preparation we make. Viewing the formulary requires a prescriber account.

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Compounding formulary

Formulas we compound with this ingredient

A sample of preparations from our formulary. Strengths and dose forms are customised to the prescription.

Common questions

Frequently asked questions

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Related

Related active ingredients

Other salt forms of this molecule, and ingredients commonly compounded alongside it.

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Important information

This page describes an active pharmaceutical ingredient, not a finished drug product. Bayview Pharmacy compounds preparations containing it only on a prescriber's order for an individual patient.

Compounded preparations are not FDA-approved, and the FDA has not evaluated them for safety, effectiveness, or manufacturing quality. Nothing on this page is a claim that any preparation is effective for any condition.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Talk to a compounding pharmacist

Our pharmacists work with prescribers to build preparations around a patient's dose, form and tolerances. Ask us what is possible with this ingredient.