Dexlansoprazole works by inhibiting the proton pumps in the stomach lining that are responsible for producing gastric acid. By blocking these pumps, it effectively reduces the production of acid. This process helps prevent acid reflux, which can lead to symptoms like heartburn, regurgitation, and chest discomfort, especially in those with GERD. Additionally, it promotes healing in the esophagus by reducing the acid exposure that can cause erosion or ulcers.
What makes Dexlansoprazole special is its dual delayed-release formulation. This allows the medication to work over an extended period, providing long-lasting relief with just one dose per day.
While Dexlansoprazole is generally well-tolerated, it may cause side effects in some individuals. Common side effects include:
- Headache: A mild headache can occur in some individuals.
- Diarrhea: Some people experience loose stools or diarrhea during treatment.
- Abdominal Pain: Mild stomach discomfort or bloating can occur, especially when starting the medication.
- Nausea: Nausea may also be experienced by some individuals.
Less common but more serious side effects include:
- Bone Fractures: Long-term use of proton pump inhibitors like Dexlansoprazole can increase the risk of bone fractures, particularly in individuals with other risk factors for bone loss.
- Kidney Problems: In rare cases, Dexlansoprazole can affect kidney function, leading to conditions like acute kidney injury.
- Low Magnesium Levels: Prolonged use can result in low magnesium levels, which may cause muscle spasms, irregular heartbeat, or seizures.
If you experience any severe side effects, contact your healthcare provider immediately.
- Pregnancy and Breastfeeding: Dexlansoprazole should be used during pregnancy only if necessary. It passes into breast milk, so consult with your doctor if you are breastfeeding before taking this medication.
- Long-Term Use: Long-term use of Dexlansoprazole may increase the risk of certain health issues, such as fractures, kidney problems, or low magnesium levels. Regular monitoring by a healthcare provider is important.
- Liver Disease: If you have a history of liver disease, your doctor may adjust your dose, as Dexlansoprazole is metabolized in the liver.
- Infections: PPIs like Dexlansoprazole can increase the risk of infections like Clostridium difficile-associated diarrhea and other gastrointestinal infections.
Always discuss your full medical history with your doctor before starting Dexlansoprazole.
Dexlansoprazole may interact with other medications, including:
- Clopidogrel: Dexlansoprazole may reduce the effectiveness of clopidogrel, a medication used to prevent blood clots.
- Methotrexate: Combining Dexlansoprazole with methotrexate can increase the levels of methotrexate in the blood, which may lead to toxicity.
- Warfarin: There may be an increased risk of bleeding if Dexlansoprazole is used alongside blood-thinning medications like warfarin.
- Ketoconazole and itraconazole: These antifungal medications may not be absorbed as effectively when taken with Dexlansoprazole due to its effect on stomach acid levels.
Always inform your doctor about all the medications you’re taking, including over-the-counter drugs and supplements, to prevent any dangerous interactions.
For most individuals, the typical dosage for treating GERD or erosive esophagitis is 30 mg once daily, though it can be increased to 60 mg for more severe cases. Your healthcare provider will determine the best dosage based on your condition and individual response.
If you’re using Dexlansoprazole for maintenance therapy, the dose is typically reduced to 30 mg once daily.
For children, Dexlansoprazole is usually only prescribed for children who are 12 years or older, and the doctor will adjust the dosage based on age and condition severity.
Dexlansoprazole is a prescription medication, which means it can only be obtained with a doctor’s prescription. If you suffer from GERD or other acid-related disorders, consult with your healthcare provider to see if Dexlansoprazole is the right treatment for you. Your doctor will consider your medical history and any other medications you’re taking before prescribing this medication.