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Studije na životinjama pokazale su manju stopu trudnoća i smanjeno preživljavanje kod mladunčadi pacova pri primeni visokih doza. Nema podataka koji se odnose na ljude.Esomeprazol inhibira CYP2C19 metabolički put diazepama. Istovremena primena esomeprazola produžava poluvreme eliminacije i povećava vrednosti PIK diazepama za približno eight