Drug intelligence / Profile preview

esomeprazole + levosulpiride

Development stage
Unknown
Lead developer
ARB Remedies
Modality
Small Molecules
Administration
Oral
01

Overview

EZICO-L is a fixed-dose combination small molecule pharmaceutical developed by ARB Remedies for the treatment of gastroesophageal reflux disease (GERD). It consists of esomeprazole, a proton pump inhibitor (PPI), and levosulpiride, a prokinetic agent. Esomeprazole reduces gastric acid secretion by covalently binding to and irreversibly inhibiting the H+/K+ ATPase enzyme system (the proton pump) in the gastric parietal cells. Levosulpiride acts as a selective antagonist at dopamine D2 and D3 receptors in the gastrointestinal tract, which enhances the release of acetylcholine, thereby increasing lower esophageal sphincter tone and promoting gastric emptying. This dual mechanism addresses both acid overproduction and impaired motility, providing relief from symptoms such as heartburn and regurgitation. The product is approved and marketed in capsule form, typically featuring a sustained-release formulation of levosulpiride.

Brand names
EZICO-L
Other names
Esomeprazole and Levosulpiride SR Capsules
02

Targets

HTR4 (5-Hydroxytryptamine receptor 4)DRD2 (Dopamine D2 Receptor)ATP4A (Potassium–transporting ATPase alpha chain 1)DRD3 (Dopamine receptor D3)

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