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Take the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not take extra medicine to make up the missed dose.
seizure (convulsions);

tacrolimus;
How should I take Nexium?

Overview
Taking a proton pump inhibitor such as Nexium may increase your risk of bone fracture in the hip, wrist, or spine . This effect has occurred mostly in people who have taken the medicine long term or at high doses, and in those who are age 50 and older. It is not clear whether Nexium is the actual cause of an increased risk of fracture.


Take Nexium exactly as prescribed by your doctor. Follow all directions on your prescription label. Do not take this medicine in larger or smaller amounts or for longer than recommended.
antifungal medication - ketoconazole, voriconazole; or
Slideshow

mycophenolate mofetil;


Store at room temperature away from moisture and heat.
Your pharmacist can provide more information about Nexium.


clopidogrel;


Professional


See also: Dosage Information (in more detail) What happens if I miss a dose?
Do not crush or chew a delayed-release capsule. However to make swallowing easier, you may open the Nexium capsule and sprinkle the medicine into a spoonful of pudding or applesauce. Swallow right away without chewing. Do not save the mixture for later use.
Call your doctor if your symptoms do not improve or if they get worse while you are taking this medicine.
warfarin (Coumadin, Jantoven);

iron-containing medicines (ferrous fumarate, ferrous gluconate, ferrous sulfate, and others);
low levels of magnesium in your blood.

HIV/AIDS medication - atazanavir, nelfinavir, saquinavir.
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Important information
Heartburn is often confused with the first symptoms of a heart attack. Seek emergency medical attention if you have chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, and a general ill feeling.

Nexium is not for immediate relief of heartburn symptoms.
What should I avoid while taking Nexium?

Nexium can cause unusual results with certain medical tests, and you may need to stop using the medicine for a short time before a test. Tell any doctor who treats you that you are using this medicine.

This list is not complete and other drugs may interact with esomeprazole. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor.


symptoms of low magnesium - dizziness, confusion; fast or uneven heart rate; tremors (shaking) or jerking muscle movements; feeling jittery;muscle cramps, muscle spasms in your hands and feet; cough or choking feeling.


To make sure Nexium is safe for you, tell your doctor if you have:

Call your doctor at once if you have:





More Pregnancy Warnings
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

St. John's wort;

Interactions

Get emergency medical help if you have signs of an allergic reaction to Nexium: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.


If you use Nexium for longer than 3 years, you could develop a vitamin B-12 deficiency. Talk to your doctor about how to manage this condition if you develop it.



You should not use Nexium if you are allergic to esomeprazole or to similar medicines such as lansoprazole (Prevacid), omeprazole (Prilosec, Zegerid), pantoprazole (Protonix), or rabeprazole (AcipHex).

See also: Side effects (in more detail) What other drugs will affect Nexium?
Dosage
Side Effects
severe liver disease;
Tell your doctor about all medicines you use, and those you start or stop using during your treatment with Nexium, especially:


erlotinib;



Breastfeeding Warnings
More about Nexium (esomeprazole) Side Effects During Pregnancy or Breastfeeding Dosage Information Drug Images Drug Interactions Support Group Pricing & Coupons En Espanol 96 Reviews - Add your own review/rating Generic Availability
Add to My Med List


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Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Drug Images


Nexium should be taken at least one hour before a meal.
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User Reviews
low bone mineral density (osteopenia); or
Nexium (esomeprazole) is a proton pump inhibitor that decreases the amount of acid produced in the stomach.
osteoporosis;
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Nexium only for the indication prescribed.
Take each dose with a full glass (8 ounces) of water.
Follow all directions on your medicine label and package. Tell each of your healthcare providers about all your medical conditions, allergies, and all medicines you use.
headache, drowsiness;


kidney problems - urinating more or less than usual, blood in your urine, swelling, rapid weight gain; or


Nexium is used to treat symptoms of gastroesophageal reflux disease (GERD) and other conditions involving excessive stomach acid such as Zollinger-Ellison syndrome . It is also used to promote healing of erosive esophagitis (damage to your esophagus caused by stomach acid).

mild diarrhea;


Consumer resources Nexium Nexium delayed-release capsules Nexium suspension Nexium Oral (Advanced Reading) Professional resources Nexium (FDA) More (2) » Other formulations Nexium IV Related treatment guides Barrett's Esophagus GERD Helicobacter Pylori Infection Erosive Esophagitis Duodenal Ulcer Prophylaxis More (3) »

cilostazol;
methotrexate;

What is Nexium?

nausea, stomach pain, gas, constipation; or
What happens if I overdose?

Common Nexium side effects may include:


This medicine can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or bloody, call your doctor. Do not use anti-diarrhea medicine unless your doctor tells you to.

It is not known whether Nexium will harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant.


Generic Name: esomeprazole (oral) (ee so MEP ra zol) Brand Names: Esomeprazole Strontium, NexIUM


Looking Ahead: Pharma Projections for 2016 - And Beyond
It is not known whether esomeprazole passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.



Before taking this medicine


Where can I get more information?


Take this medicine for the full prescribed length of time. Your symptoms may improve before the condition is fully treated.
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.









Nexium can be given through a nasogastric (NG) feeding tube. Open the capsule and sprinkle the medicine into a 60-milliliter syringe. Mix in 50 milliliters of water. Place the plunger into the syringe and shake the mixture well. Make sure there are no medicine granules stuck in the tip of the syringe. Attach the syringe to the NG tube and push the plunger down to empty the syringe into the tube. Then flush the tube with more water to wash the contents down.

Support Group Q & A



severe stomach pain, diarrhea that is watery or bloody;
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This medicine is usually given for 4 to 8 weeks only. Your doctor may recommend a second course of treatment if you need additional healing time.
Nexium may also be given to prevent gastric ulcer caused by infection with helicobacter pylori (H. pylori), or by the use of nonsteroidal anti-inflammatory drugs (NSAIDs).

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