Nexium

Brand Name: Nexium
Generic Name: Esomeprazole (es oh me' pray zol)
Drug Class: MISCELLANEOUS GI DRUGS

Why is Nexium prescribed?

Esomeprazole (Nexium) is in a class of drugs called proton pump inhibitors. Nexium works by decreasing the amount of acid made in your stomach. Nexium is used to treat your esophagus, the area between your throat and stomach that has become irritated, painful, and swollen from too much acid in your stomach.

Nexium is used to treat heartburn, acid indigestion, sour stomach, and other conditions in which the stomach makes too much acid. Nexium also is used in combination with antibiotics to treat ulcers.

Nexium is sometimes prescribed for other uses; ask your doctor or pharmacist for more information.

How should Nexium be used?

Nexium comes as delayed-release (long-acting) capsule to take by mouth. For inflamed esophagus and other conditions in which the stomach makes too much acid, one capsule is usually taken once a day for 4 to 8 weeks. It may be used for up to 6 months after your symptoms have improved.

For ulcers, one capsule is usually taken in combination with antibiotics once a day for 10 days.

Nexium should be swallowed whole and taken at least 1 hour before meals. Nexium may be taken with water, orange juice, apple juice, or yogurt.

If you cannot swallow the capsule, add one tablespoon of cool, soft applesauce to 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 applesauce and Nexium pellets immediately. Do not chew the pellets in the applesauce and do not save the pellets and applesauce for another dose.

Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use Nexium exactly as directed. Do not use more or less of it or use it more often than prescribed by your doctor.

If you are taking Nexium for your esophagus and other conditions in which the stomach makes too much acid, your symptoms should improve within 4 to 8 weeks. If your symptoms continue, or if they worsen, call your doctor. Your doctor may continue treatment for another 4 to 8 weeks.

If you are taking Nexium for your ulcer, your symptoms should improve within 10 days. If ulcer symptoms do not improve, or if they worsen, call your doctor.

Do not stop taking Nexium without talking to your doctor.

What special precautions should I follow?

Before using Nexium,

tell your doctor and pharmacist if you are allergic to Nexium, omeprazole (Prilosec), lansoprazole (Prevacid), or any other drugs.
tell your doctor and pharmacist what prescription and nonprescription medications you are taking, especially iron supplements or vitamins that contain iron, ketoconazole (Nizoral), digoxin (Lanoxin), and herbal products.
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 using Nexium, call your doctor immediately.

What special dietary instructions should I follow?

Talk to your doctor about your diet. Some foods and beverages can make your symptoms worse. Your doctor can tell you which foods you should avoid or eat 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 Nexium cause?

Side effects from Nexium can occur. Tell your doctor if any of these symptoms are severe or do not go away:

headache
diarrhea
upset stomach
flatulence (gas)
stomach pain
constipation
dry mouth
change in taste

If you experience any of the following symptoms, call your doctor immediately:

confusion
drowsiness
blurred vision
rapid heartbeat
sweating
flushing

What storage conditions are needed for Nexium?

Keep Nexium 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.

In case of emergency/overdose

In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.

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