NEXIUM 20 MG ( ESOMEPRAZOLE ) 28 FILM-COATED TABLETS

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NEXIUM 20 MG ( ESOMEPRAZOLE ) 28 FILM-COATED TABLETS

Esomeprazole (oral route)

Esomeprazole is used to treat conditions where there is too much acid in the stomach. It is used to treat duodenal and gastric ulcers, erosive esophagitis, gastroesophageal reflux disease (GERD), and Zollinger-Ellison syndrome, a condition wherein the stomach produces too much acid. Esomeprazole is also used with antibiotics (eg, amoxicillin, clarithromycin) to treat ulcers that are caused by the H. pylori bacteria. This medicine is also used to prevent stomach ulcers and stomach irritation in patients taking NSAIDs (eg, aspirin, ibuprofen) for long periods of time.

What it is & how it works?

A proton pump inhibitor (PPI)
Reduces stomach acid production

Main uses

GERD (acid reflux)
Stomach & duodenal ulcers
Erosive esophagitis
Zollinger–Ellison syndrome (excess acid)
H. pylori ulcers (used with antibiotics like Amoxicillin + Clarithromycin)
Prevention of ulcers in people taking NSAIDs (e.g., Ibuprofen, Aspirin)

Key precautions

Do NOT use with Rilpivirine
Use caution if you have:
- Liver disease
- Osteoporosis
- Low magnesium
- Vitamin B12 deficiency
Long-term use may cause:
- Bone fractures
- Low magnesium
- Vitamin B12 deficiency
- Stomach polyps

Important interactions

Interacts with many drugs (e.g., clopidogrel, warfarin, some antivirals, antifungals)
Always tell your doctor about all medications & supplements

How to take it?

Take at least 1 hour before meals
Follow the full course, even if you feel better
If treating H. pylori, take it with antibiotics

Serious side effects (seek medical help)

Kidney problems (changes in urine, swelling)
Severe diarrhea (possibly infection-related)
Allergic reactions (rash, swelling, breathing trouble)
Severe skin reactions
Low magnesium (muscle cramps, irregular heartbeat, seizures)

Common side effects

Bad taste
Drowsiness
Mild digestive issues (gas, fullness)

Special populations

Children: Safe for some ages, but limited data under 1 month
Elderly: More sensitive to effects
Breastfeeding: Risk unclear—consult doctor

Bottom line

Effective for acid-related conditions
Generally safe when used short-term and correctly
Long-term use requires monitoring due to potential risks

Patient Disclaimer: This medication is prescribed to reduce stomach acid and treat conditions such as acid reflux, ulcers, and related disorders. It should be taken exactly as directed by your healthcare provider.

Do not take this medication if you are allergic to esomeprazole or similar drugs. Inform your doctor about all medical conditions you have, especially liver disease, osteoporosis, low magnesium levels, or vitamin B12 deficiency, as well as all medications, supplements, or herbal products you are using.

Take this medicine at least 1 hour before meals and complete the full course of treatment, even if you start to feel better. Do not change your dose or stop taking this medication without consulting your doctor.

Long-term use may increase the risk of bone fractures, low magnesium levels, or vitamin B12 deficiency. Your doctor may monitor you if prolonged treatment is needed.

Seek medical attention immediately if you experience severe diarrhea, persistent stomach pain, signs of an allergic reaction (such as rash, swelling, or difficulty breathing), unusual fatigue, or changes in urination.

This medication may interact with other drugs. Do not take it with certain medications (such as rilpivirine) unless approved by your doctor.

If you are pregnant, planning to become pregnant, or breastfeeding, consult your healthcare provider before using this medication.

Keep this medicine out of reach of children and store it at room temperature away from heat and moisture.

This information does not replace professional medical advice. Always follow the instructions provided by your healthcare provider.