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Esomeprazole + mosapride is a fixed-dose combination of two small molecule drugs used primarily for the treatment of gastroesophageal reflux disease (GERD) and related gastrointestinal disorders. Esomeprazole is a proton pump inhibitor (PPI) that suppresses gastric acid secretion by inhibiting the H+/K+ ATPase enzyme in gastric parietal cells. Mosapride is a selective 5-hydroxytryptamine 4 (5-HT4) receptor agonist, classified as a prokinetic agent, which enhances gastrointestinal motility by increasing acetylcholine release from parasympathetic nerve endings, thereby stimulating esophageal peristalsis and accelerating gastric emptying[1][3][6]. The combination has been studied to determine if adding mosapride to esomeprazole improves symptom control or esophageal function in GERD patients; while some studies show improved motility parameters, most evidence suggests no significant additional benefit for symptom resolution compared to PPI monotherapy[1][3][6].
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