



Neksium 20 Tablet
Manufacturer
Pfizer Ltd
Salt Composition
Esomeprazole (20mg)
Key Information
Short Description
Neksium 20 Tablet is used to treat conditions related to excessive stomach acid production, such as gastroesophageal reflux disease (GERD), peptic ulcer disease, and Zollinger-Ellison syndrome.
Dosage Form
Tablet
Introduction
Neksium 20 Tablet can also be used to prevent stomach ulcers caused by certain medications such as nonsteroidal anti-inflammatory drugs (NSAIDs). Take the medicine as per your doctor's prescription. The dose will depend on what you are being treated for but it is usually the lowest dose for the shortest time that is needed to treat your condition. It is usually taken on an empty stomach preferably in the morning or at least 1 hour prior to meal. Continue taking the medicine even if your symptoms disappear until the doctor say it is okay to stop. If you are taking this medicine for a long time your doctor may carry out regular tests to check your levels of magnesium which can fall with this medicine.
Directions for Use
Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Neksium 20 Tablet is to be taken empty stomach.
Safety Information
Side Effects
Headache Constipation or diarrhea Stomach pain And feeling or being sick.
Alcohol Warning
Caution is advised when consuming alcohol with Neksium 20 Tablet. Please consult your doctor.
Breastfeeding Warning
Information regarding the use of Neksium 20 Tablet during breastfeeding is not available. Please consult your doctor. Caution should be exercised when Neksium 20 Tablet is administered to breastfeeding women.
Pregnancy Warning
Information regarding the use of Neksium 20 Tablet during pregnancy is not available. Please consult your doctor.
Interacting Medicines
Atazanavir Cilostazol Indinavir Nelfinavir
How it works
Neksium 20 Tablet is a proton pump inhibitor (PPI). It works by reducing the amount of acid in the stomach which helps in relief of acid related indigestion and heartburn.
Quick Tips
It is a well-tolerated medicine and provides relief for a long time. Avoid excessive intake of carbonated beverages/soft drinks Avoid citrus juices Avoid fried food Avoid caffeinated beverages like tea and coffee. Avoid alcohol and smoking. Avoid eating late at night or before bedtime. Inform your doctor if you get watery diarrhea Fever or stomach pain that does not go away. Long-term use of Neksium 20 Tablet can cause weak bones and a deficiency of minerals such as magnesium. Take adequate dietary intake of calcium and magnesium or their supplements as prescribed by your doctor.
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Frequently asked questions
What is the best time to take Neksium 20 Tablet?
Usually, Neksium 20 Tablet is taken once a day, first thing in the morning. If you take Neksium 20 Tablet twice a day, take one dose in the morning and one dose in the evening. The tablets should be swallowed whole (remember not to chew or crush) and taken at least 1 hour before a meal with some water.
Can I take Neksium 20 Tablet with domperidone?
Yes, Neksium 20 Tablet can be safely taken with domperidone. No harmful effects have been reported clinically. A fixed-dose combination of these two medicines is also available. Domperidone works by increasing gut motility and Neksium 20 Tablet decreases stomach acid production. This combination is very effective in the treatment of reflux esophagitis associated with acidity, heartburn, intestinal and stomach ulcers.
Can I take antacids along with Neksium 20 Tablet?
Yes, you can take antacids along with Neksium 20 Tablet. Take it 2 hours before or after you take Neksium 20 Tablet.
Can I take Neksium 20 Tablet for a long term?
Neksium 20 Tablet is usually prescribed for short-term use only. However, if needed, such as for treating peptic ulcer disease and Zollinger Ellison syndrome (ZES), Neksium 20 Tablet may be prescribed for a long-term duration as well. Long-term use may carry an increased risk of side effects and must be discussed with the doctor. Please use Neksium 20 Tablet as advised by your doctor and under their supervision.
What are the long-term side effects of Neksium 20 Tablet?
If Neksium 20 Tablet is used for more than 3 months, certain long-term side effects may occur. The most important of these is low magnesium levels in your blood which may make you feel tired, confused, dizzy, shaky or lightheaded. You may also have muscle twitches or irregular heartbeat. If the use is further prolonged for more than a year, you may have an increased risk of bone fractures, stomach infections and vitamin B12 deficiency. Vitamin B12 deficiency can cause anemia, which may result in feelings of fatigue, weakness, or pallor. Additionally, you may experience palpitations, shortness of breath, lightheadedness, indigestion, loss of appetite, flatulence (gas) or nerve problems such as numbness, tingling, and difficulty walking.
Can I stop taking Neksium 20 Tablet if I feel better?
If you have been taking Neksium 20 Tablet for a long time, stopping it abruptly may lead to increased acid production and worsening of your symptoms. Therefore, it is essential to discuss any dose changes or whether you wish to discontinue Neksium 20 Tablet with your doctor.
Can Neksium 20 Tablet cause weight gain?
Weight gain is reported in less than 1% of patients taking Neksium 20 Tablet, but the exact cause remains unknown. One possible explanation is increased food intake once reflux symptoms are relieved. Lifestyle modifications such as proper diet and exercise can help to prevent weight gain.
Is Neksium 20 Tablet safe to use?
Yes, Neksium 20 Tablet is generally considered relatively safe to use. The majority of patients who take it do not experience any side effects. It is important to follow the prescribed dosage and follow the instructions provided by your doctor for optimal results.
Can I take alcohol with Neksium 20 Tablet?
No, alcohol intake is not recommended with Neksium 20 Tablet. Alcohol itself does not affect the working of Neksium 20 Tablet; however, it can increase acid production. This may further worsen your symptoms.
Can I take alcohol with Neksium 20 Tablet?
No, alcohol intake is not recommended with Neksium 20 Tablet. Alcohol itself does not affect the working of Neksium 20 Tablet; however, it can increase acid production. This may further worsen your symptoms.