Nexium (esomeprazole)

GENERIC:

Esomeprazole 40mg - 100's
Esomeprazole 40mg - 200's
Esomeprazole 40mg - 30's

BRAND:

Nexium is used to treat gastroesophageal reflux disease (GERD), a condition in which backward flow of acid from the stomach causes heartburn and injury of the esophagus (food pipe between the mouth and stomach). Nexium is used to treat the symptoms of GERD, allow the esophagus to heal, and prevent further damage to the esophagus. It is also used with other medications to prevent stomach ulcers. Nexium is in a class of medications called proton pump inhibitors. It works by decreasing the amount of acid made in the stomach.

How should this medicine be used?
Nexium comes as a delayed-release (long-acting) capsule to take by mouth. It is usually taken once a day at least one hour before a meal. To help you remember to take Nexium, take it around the same time every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take Nexium exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.
Swallow the capsules whole; do not split, chew, or crush them. If you cannot swallow the capsule, put one tablespoon of cool, soft applesauce in an empty bowl. Open one Nexium capsule and carefully sprinkle the pellets onto the applesauce. Mix the pellets with the applesauce, and swallow the entire tablespoonful of the applesauce and pellet mixture immediately. Do not chew the pellets in the applesauce. Do not save the pellets and applesauce for later use.
Your doctor will tell you how long you will need to take Nexium. If you are taking Nexium for GERD, you may take it for 4-8 weeks or longer. If you are taking Nexium to treat an ulcer, you may take it with other medications for 10 days.
Your doctor will tell you how long it will take to feel the full benefit of Nexium. Call your doctor if your symptoms worsen or do not improve during this time. Continue to take Nexium even if you feel well. Do not stop taking Nexium without talking to your doctor.

What special precautions should I follow?
Before taking Nexium,
• tell your doctor and pharmacist if you are allergic to Nexium, lansoprazole (Prevacid), omeprazole (Prilosec), pantoprazole (Protonix), rabeprazole (AcipHex), or any other medications.
• tell your doctor and pharmacist what prescription and nonprescription medications, vitamins, nutritional supplements, and herbal products you are taking. Be sure to mention anticoagulants ('blood thinners') such as warfarin (Coumadin). Your doctor may need to change the doses of your medications or monitor you carefully for side effects.
• If you are taking digoxin (Lanoxin, Lanoxicaps), iron supplements, vitamins that contain iron, or ketoconazole (Nizoral), you should take these medications at least 2 hours before taking Nexium.
• tell your doctor if you have or have ever had liver disease.
• tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while taking Nexium, call your doctor.
• You may take antacids with Nexium. If you feel you need an antacid, ask your doctor to recommend one and to tell you when and how to take it.

What special dietary instructions should I follow?
Talk to your doctor about your diet. Some foods and drinks can make your symptoms worse. Your doctor can tell you which foods and drinks you should avoid or eat/drink only in small quantities.

What should I do if I forget a dose?
Take the missed dose as soon as you remember it. However, if it is almost time for the next dose, skip the missed dose and continue your regular dosing schedule. Do not take a double dose to make up for a missed one.
What side effects can this medication cause?
Nexium may cause side effects. Tell your doctor if any of these symptoms are severe or do not go away:
• headache
• diarrhea
• upset stomach
• gas
• stomach pain
• constipation
• dry mouth
Some side effects can be serious. The following symptoms are uncommon, but if you experience any of them, call your doctor immediately:
• hives
• skin rash
• itching
• difficulty breathing or swallowing
• swelling of the face, throat, tongue, lips, eyes, hands, feet, ankles, or lower legs
• hoarseness.
Nexium may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.
Some patients who took a medication similar to Nexium for a long time developed a condition in which the stomach muscles weaken and shrink. It is not known if taking Nexium increases your risk of developing this condition. Laboratory animals who were given Nexium developed stomach tumors. It is not known if Nexium increases the risk of tumors in humans. Talk to your doctor about the risks of taking Nexium.

What storage conditions are needed for this medication?
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Throw away any medication that is outdated or no longer needed. Talk to your pharmacist about the proper disposal of your medication.