Adult & adolescent ≥12 yr Erosive reflux esophagitis 40 mg once daily for 4 wk. Additional 4 wk treatment is recommended for patients in whom esophagitis has not healed or who have persistent symptoms.
Long-term management of patients w/ healed esophagitis to prevent relapse 20 mg once daily.
Symptomatic treatment of GERD 20 mg once daily in patients w/o esophagitis. Once symptoms have resolved, may take 20 mg once daily when needed for subsequent symptom control.
Adult In combination w/ an appropriate antibacterial therapeutic regimen for H. pylori eradication & healing of H. pylori-associated duodenal ulcers, & prevention of peptic ulcer relapse in patient w/ H. pylori-associated ulcers 20 mg w/ amoxicillin 1 g & clarithromycin 500 mg, all bd for 7 days.
Healing of gastric ulcers associated w/ NSAID therapy 20 mg once daily for 4-8 wk.
Prevention of gastric & duodenal ulcers associated w/ NSAID therapy in patient at risk 20 mg once daily.
Prevention of gastric &/or duodenal ulcers associated w/ low dose ASA therapy in patient at risk 20 or 40 mg once daily.
Prevention of gastric or duodenal ulcer rebleeding following treatment w/ esomeprazole IV soln by IV infusion 40 mg once daily for 4 wk after IV.
Zollinger-Ellison syndrome Initially 40 mg bd. May be individually adjusted & continued as long as clinically indicated. Doses >80 mg daily should be divided & given bd.
Severe hepatic impairment Max: 20 mg daily.