Description:

S-Eramep 20mg Gastro-Resistant Capsules (Omeprazole BP 20mg) is a proton pump inhibitor (PPI) that reduces stomach acid production by irreversibly inhibiting the H⁺/K⁺ ATPase enzyme in gastric parietal cells. It is used to treat and prevent conditions caused by excess acid, such as gastroesophageal reflux disease (GERD), heartburn, acid indigestion, peptic ulcers (gastric/duodenal), erosive esophagitis, NSAID-induced ulcers, and as part of H. pylori eradication regimens (with antibiotics). The gastro-resistant (enteric-coated) formulation protects the drug from stomach acid degradation, allowing release in the intestine for better efficacy. It is a common generic option in Ghana for acid-related disorders.

Prescription:

Prescription-only (requires a doctor’s prescription in Ghana; available through pharmacies but not over-the-counter for most indications due to potential risks with long-term use).

Therapeutic Category:

Proton Pump Inhibitor (PPI) / Anti-ulcer Agent / Gastric Acid Suppressant.

Active Ingredients/Composition:

• Active ingredient: Omeprazole 20 mg per capsule (as gastro-resistant/enteric-coated pellets or granules). Other ingredients (excipients, typical for BP formulations): Sugar spheres, mannitol, hypromellose, methacrylic acid copolymer, talc, triethyl citrate, titanium dioxide, gelatin capsule shell, and approved colors (exact list on product label; enteric coating ensures delayed release).

Vitamins: None.

Minerals: None (trace amounts possible in excipients, but not as supplements).

Variant:

• S-Eramep 20mg Gastro-Resistant Capsules (standard 20mg strength). Related variants: Other omeprazole generics in Ghana (e.g., 10mg, 40mg capsules or IV forms); similar brands like Omezole, Omesk, Omeprazole BP generics, or higher strengths (40mg) for severe cases.

Consume Type:

Oral – Gastro-resistant capsule (swallow whole with water; do not crush, chew, or open to preserve enteric coating and prevent premature release in stomach).

Directions/Usage:

Take as prescribed by a doctor; typically once daily.

• Standard adult dose: 20 mg once daily (often in the morning, before a meal).
• Duodenal ulcer: 20 mg once daily for 4 weeks (may extend to 8 weeks).
• GERD/erosive esophagitis: 20 mg once daily for 4–8 weeks.
• Prevention of NSAID ulcers: 20 mg once daily.
• H. pylori eradication: 20 mg twice daily with antibiotics (e.g., amoxicillin + clarithromycin) for 7–14 days. Use the lowest effective dose/shortest duration; follow exactly and do not stop abruptly without advice.

Common Side Effects:

Common (often mild):

• Headache
• Nausea, abdominal pain, diarrhea, constipation, flatulence
• Dizziness
• Dry mouth Other: Rash, fatigue. Rare/serious (seek immediate help): Severe diarrhea (C. difficile risk), bone fractures (long-term), low magnesium (hypomagnesemia), vitamin B12 deficiency (prolonged use), kidney issues, or severe allergic reactions.

Package Type:

Blister packs (commonly 10 capsules per strip, packs of 10×10 = 100 capsules or smaller like 1×10/2×10/3×10; varies by supplier in Ghana).

Storage Advice:

Store below 25-30°C in a cool, dry place, away from direct sunlight, heat, and moisture. Keep in original packaging, tightly closed, and out of reach of children.

Safety Advice:

• Consult doctor before use if pregnant (avoid unless necessary), breastfeeding, have liver impairment, osteoporosis risk, or low magnesium history.
• Long-term use (>1 year) may increase risks of fractures, infections, or nutrient deficiencies—regular monitoring advised.
• May interact with drugs like clopidogrel, warfarin, diazepam, or antifungals—informed doctor of all medications/supplements.
• Not for immediate heartburn relief (takes 1–4 days for full effect); use antacids if needed short-term.
• Seek medical help if symptoms persist/worsen or new issues arise (e.g., black stools, vomiting blood).

Product Substitutes:

Other omeprazole 20mg gastro-resistant capsules available in Ghana include:

• Omezole 20mg Capsules
• Omesk 20mg Capsules
• Generic Omeprazole BP 20mg (various importers, e.g., Glenmark, Vega)
• Branded like Losec or local generics (e.g., from Unicom Chemist listings). Alternatives (other PPIs): Pantoprazole (e.g., Pantoloc), Esomeprazole (Nexium generics), Lansoprazole, or Rabeprazole—consult doctor for switch.

Manufacturer/Marketer:

Likely an Indian generic manufacturer (common for such BP-compliant products imported to Ghana); marketed/distributed locally by importers/pharmacies (e.g., Scab Pharmacy Limited in Accra handles S-Eramep sales).

Country of Origin:

India