Nexium delayed-release oral suspension

Pronunciation

Generic Name: esomeprazole (ES-oh-MEP-ra-zole)
Brand Name: Nexium

Nexium delayed-release oral suspension is used for:

Treating heartburn or irritation of the esophagus caused by gastroesophageal reflux disease (GERD). It may also be used to prevent stomach ulcers caused by nonsteroidal anti-inflammatory drugs (NSAIDs). It may also be used with certain antibiotics to treat ulcers of the small intestine and to prevent them from coming back. It may also be used to treat conditions that cause your body to make too much stomach acid (eg, Zollinger-Ellison syndrome). It may also be used for other conditions as determined by your doctor.

Nexium delayed-release oral suspension is a proton pump inhibitor (PPI). It works by decreasing the amount of acid produced in the stomach.

Do NOT use Nexium delayed-release oral suspension if:

  • you are allergic to any ingredient in Nexium delayed-release oral suspension or to any similar medicine (eg, omeprazole)
  • you are taking clopidogrel, dasatinib, certain HIV protease inhibitors (eg, atazanavir, nelfinavir), rifampin, rilpivirine, or St. John's wort

Contact your doctor or health care provider right away if any of these apply to you.

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Before using Nexium delayed-release oral suspension:

Some medical conditions may interact with Nexium delayed-release oral suspension. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have low blood potassium or magnesium levels, liver problems, or stomach or bowel cancer
  • if you have osteoporosis (weak bones), a family history of osteoporosis, or other risk factors of osteoporosis (eg, smoking, poor nutrition)

Some MEDICINES MAY INTERACT with Nexium delayed-release oral suspension. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Diuretics (eg, furosemide, hydrochlorothiazide) because the risk of low blood magnesium levels may be increased
  • Voriconazole because it may increase the risk of Nexium delayed-release oral suspension's side effects
  • Ginkgo biloba, rifampin, or St. John's wort because they may decrease Nexium delayed-release oral suspension's effectiveness
  • Anticoagulants (eg, warfarin), cilostazol, diazepam, digoxin, methotrexate, saquinavir, or tacrolimus because the risk of their side effects may be increased by Nexium delayed-release oral suspension
  • Azole antifungals (eg, ketoconazole), clopidogrel, HIV protease inhibitors (eg, atazanavir, nelfinavir), iron, mycophenolate, rilpivirine, or tyrosine kinase inhibitors (eg, dasatinib, erlotinib) because their effectiveness may be decreased by Nexium delayed-release oral suspension

This may not be a complete list of all interactions that may occur. Ask your health care provider if Nexium delayed-release oral suspension may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use Nexium delayed-release oral suspension:

Use Nexium delayed-release oral suspension as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • An extra patient leaflet with detailed instructions for use is available with Nexium delayed-release oral suspension. Talk to your pharmacist if you have questions about this information.
  • Take Nexium delayed-release oral suspension by mouth on an empty stomach at least 1 hour before a meal.
  • You will need to mix Nexium delayed-release oral suspension in a small amount of water before taking your dose. You should use an oral syringe to measure the amount of water needed to mix your dose. Ask your pharmacist for an oral syringe. The recommended amount of water for the mixing of each dose is as follows:
    • If your dose of Nexium delayed-release oral suspension is 2.5 or 5 mg, add 1 teaspoon (5 mL) of water to a container.
    • If your dose of Nexium delayed-release oral suspension is 10, 20, or 40 mg, add 1 tablespoon (15 mL) of water to a container
  • Tear open the medicine packet and add the contents of the packet to the container. Stir well. Allow the mixture to thicken for 2 to 3 minutes. Stir again. Drink the mixture within 30 minutes. If it is not used within 30 minutes, throw away this dose and mix a new dose. If any medicine remains in the glass after drinking, add more water. Stir and then drink right away.
  • If the patient is taking Nexium delayed-release oral suspension through a nasogastric (NG) tube or gastric tube, follow the instructions for use in the extra patient leaflet.
  • If your doctor has instructed you to use more than 1 packet for your dose, follow the mixing instructions provided by your doctor or pharmacist.
  • You may take antacids while you are using Nexium delayed-release oral suspension if you are directed to do so by your doctor.
  • Continue to take Nexium delayed-release oral suspension even if you feel well. Do not miss any doses.
  • If you miss a dose of Nexium delayed-release oral suspension, 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.

Ask your health care provider any questions you may have about how to use Nexium delayed-release oral suspension.

Important safety information:

  • Nexium delayed-release oral suspension may cause drowsiness or dizziness. These effects may be worse if you take it with alcohol or certain medicines. Use Nexium delayed-release oral suspension with caution. Do not drive or perform other possibly unsafe tasks until you know how you react to it.
  • Do not change your dose or stop taking Nexium delayed-release oral suspension without checking with your doctor.
  • Contact your doctor if you have any symptoms of a bleeding ulcer, such as black, tarry stools or vomit that looks like coffee grounds, or if you experience throat pain, chest pain, severe stomach pain, or trouble swallowing.
  • Nexium delayed-release oral suspension may increase the risk of hip, wrist, and spine fractures in patients with weak bones (osteoporosis). The risk may be greater if you use Nexium delayed-release oral suspension in high doses, for longer than a year, or if you are older than 50 years old. Do NOT take more than the recommended dose or use for longer than prescribed without checking with your doctor. Contact your doctor if you have any questions about this information.
  • Low blood magnesium levels have been reported rarely in patients taking PPIs for at least 3 months. In most cases, this effect was seen after a year of treatment. If you will be taking Nexium delayed-release oral suspension for a long time, or if you take certain other medicines (eg, digoxin, diuretics), your doctor may perform lab tests to check for low blood magnesium levels. Seek medical attention right away if you experience symptoms of low blood magnesium levels (eg, dizziness; fast or irregular heartbeat; involuntary muscle movements; jitteriness or tremors; muscle aches, cramps, pain, spasms, or weakness; seizures).
  • Check with your doctor to see whether you should take a calcium and vitamin D supplement while you take Nexium delayed-release oral suspension.
  • Nexium delayed-release oral suspension may interfere with certain lab tests. Be sure your doctor and lab personnel know you are taking Nexium delayed-release oral suspension.
  • Use Nexium delayed-release oral suspension with caution in the ELDERLY; they may be more sensitive to its effects, especially hip, wrist, and spine fractures.
  • Caution is advised when using Nexium delayed-release oral suspension in CHILDREN; they may be more likely to experience drowsiness from Nexium delayed-release oral suspension.
  • Nexium delayed-release oral suspension should be used with extreme caution in CHILDREN younger than 1 month old; safety and effectiveness in these children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using Nexium delayed-release oral suspension while you are pregnant. It is not known if Nexium delayed-release oral suspension is found in breast milk. Do not breast-feed while taking Nexium delayed-release oral suspension.

Possible side effects of Nexium delayed-release oral suspension:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Constipation; diarrhea; drowsiness; dry mouth; gas; headache; nausea; stomach pain.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest or throat; swelling of the mouth, face, lips, or tongue; unusual hoarseness); bone pain; change in the amount of urine produced; chest pain; confusion; dark urine; difficult or painful urination; fast heartbeat; fever, chills, or persistent sore throat; mental or mood changes (eg, depression); red, swollen, blistered, or peeling skin; severe diarrhea; severe stomach pain or cramps; shortness of breath; sluggishness; sore joints; swelling of the hands, ankles, or feet; unusual bruising or bleeding; unusual tiredness or weakness; vision changes; yellowing of the eyes or skin.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

See also: Side effects (in more detail)

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include blurred vision; confusion; fast heartbeat; flushing; increased sweating; severe headache, drowsiness, or nausea.

Proper storage of Nexium delayed-release oral suspension:

Store Nexium delayed-release oral suspension at room temperature, between 68 and 77 degrees F (20 and 25 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep Nexium delayed-release oral suspension out of the reach of children and away from pets.

General information:

  • If you have any questions about Nexium delayed-release oral suspension, please talk with your doctor, pharmacist, or other health care provider.
  • Nexium delayed-release oral suspension is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about Nexium delayed-release oral suspension. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

Issue Date: November 7, 2012
Database Edition 12.4.1.002
Copyright © 2012 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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