For many people, prescription NEXIUM - once daily - provides 24-hour relief of heartburn symptoms due to acid reflux disease.

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The following information is a summary about NEXIUM. It is not intended to replace a doctor's instructions.

Delayed Release Capsule
Chemical Name: ESOMEPRAZOLE (ess-oh-MEP-ra-zole)

Common uses
This medicine is a proton pump inhibitor (PPI) used to treat heartburn, or gastroesophageal reflux. It may be used in combination with two antibiotics to treat Helicobacter pylori (H. pylori) infection and duodenal ulcers. It may also be used to treat other conditions as determined by your doctor.

Before using
Some medicines or medical conditions may interact with this medicine. INFORM YOUR DOCTOR OR PHARMACIST of all prescription and over-the-counter medicine that you are taking. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you are taking cilostazol, diazepam, digoxin, iron, itraconazole, ketoconazole, sucralfate, or vitamins with iron. Inform your doctor of any other medical conditions, allergies, pregnancy, or breast-feeding. ADDITIONAL MONITORING OF YOUR DOSE OR CONDITION may be needed if you have liver disease. Contact your doctor or pharmacist if you have any questions or concerns about using this medicine.

Directions
Follow the directions for using this medicine provided by your doctor. SWALLOW WHOLE. DO NOT chew, or crush the capsule. Take this medicine at least 1 hour before a meal, unless otherwise directed by your doctor. IF YOU HAVE DIFFICULTY SWALLOWING CAPSULES, you may open the capsule and sprinkle the contents on 1 tablespoon of applesauce. Mix the medicine with the applesauce and swallow immediately. The applesauce should not be hot and should be soft enough to swallow without chewing. Discard any uneaten applesauce/medicine mixture. This medicine may be taken with antacids if your doctor has instructed you to take antacids. STORE THIS MEDICINE at room temperature at 77 degrees F (25 degrees C) in a tightly-closed container, away from heat, light, and moisture. Brief storage between 59 and 86 degrees F (15 and 30 degrees C) is permitted. IF YOU MISS A DOSE OF THIS MEDICINE, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Cautions
BEFORE YOU BEGIN TAKING ANY NEW MEDICINE, either prescription or over-the-counter, check with your doctor or pharmacist. FOR WOMEN: IF YOU PLAN ON BECOMING PREGNANT, discuss with your doctor the benefits and risks of using this medicine during pregnancy. IT IS UNKNOWN IF THIS MEDICINE IS EXCRETED in breast-milk. IF YOU ARE OR WILL BE BREAST-FEEDING while you are using this medicine, check with your doctor or pharmacist to discuss the risks to your baby.

Possible side effects
SIDE EFFECTS, that may go away during treatment, include headache, constipation, cough, or diarrhea. If they continue or are bothersome, check with your doctor. CONTACT YOUR DOCTOR IMMEDIATELY if you experience throat pain, chest pain, severe stomach pain, or coffee-ground vomit. An allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of an allergic reaction include rash, itching, swelling, dizziness, trouble breathing. If you notice other effects not listed above, contact your doctor, nurse, or pharmacist.

Drug interactions
Drug interactions can result in unwanted side effects or prevent a medicine from doing its job. Use our drug interaction checker to find out if your medicines interact with each other. 

If you take too much
If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of overdose may include confusion, drowsiness, blurred vision, fast heartbeat, nausea, excessive sweating, flushing, headache, and dry mouth.

Additional information
If you are taking this medicine for gastric ulcers or reflux disease, your symptoms should improve within 4 to 8 weeks. If your symptoms do not improve or if they become worse, contact your doctor. DO NOT SHARE THIS MEDICINE with others for whom it was not prescribed. DO NOT USE THIS MEDICINE for other health conditions. KEEP THIS MEDICINE out of the reach of children. IF USING THIS MEDICINE FOR AN EXTENDED PERIOD OF TIME, obtain refills before your supply runs out.

             
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Acid Reflux Disease and Your Daily Diet


For people diagnosed with acid reflux disease — whether you're feeling symptoms right now or not — managing your condition will probably mean permanent changes to your diet.

Talk to your doctor about diet changes that you will be able to follow long-term. Learn about the kinds of foods that bother you. Everyone is different and the foods that affect you may not affect someone else.

Changes to your diet should be made sensibly. The object is not to feel deprived, but to avoid those types of foods that cause your acid reflux disease to act up. Some of the more common foods and beverages associated with heartburn and acid reflux disease are:
  • Fried and fatty foods
  • Spicy and heavily seasoned foods
  • Onions
  • Orange juice and tomato juice
  • Alcoholic drinks
  • Coffee
  • Chocolate
  • Peppermint and spearmint
If you're not sure which foods and beverages trigger your acid reflux disease, start keeping a journal. Whenever you feel irritation, write down what you've been eating. Keep the notepad someplace consistent (such as on your refrigerator); that way, you can compile a list of foods and beverages to watch out for.