Esomeprazole Magnesium

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esomeprazole magnesium

Esomeprazole, commonly known as Nexium, is a medication designed to address conditions associated with excessive stomach acid, such as heartburn and acid reflux. It is available both over the counter and through prescription. Esomeprazole is part of the proton pump inhibitors (PPIs) class, working by reducing the production of stomach acid. This not only alleviates symptoms like heartburn, trouble swallowing, and persistent cough but also aids in healing acid damage to the stomach and esophagus. Moreover, it helps in preventing ulcers and may reduce the risk of esophageal cancer. For optimal effectiveness, esomeprazole should be taken at least an hour before meals, and it may take a few days to feel its full benefits. In the interim, other fast-acting antacids can be used for immediate relief. Esomeprazole is also beneficial in lowering the risk of ulcers caused by NSAIDs and Helicobacter pylori infections, as well as treating conditions like gastroesophageal reflux disease (GERD) and Zollinger-Ellison syndrome, which cause excessive stomach acid. When using over-the-counter esomeprazole, it is important to follow the package instructions closely and verify the ingredients, as formulations may vary. Always consult a healthcare professional before starting any new medication regimen to ensure it is appropriate for your specific health needs.
Our Nexium coupons are free to use. You can print the coupon, email it to yourself, or receive the Nexium coupon via text message. To get your free discount, show the pharmacist your Nexium savings card which has the discounted coupon price. Use our filters below to edit the prescription box to match your needs. The Nexium prices will update based on your prescription needs. Above our Nexium coupons, you can change the location to see pharmacy prices in other areas. Our prescription discount card will update online with the specific pharmacy costs associated with your edits. Be sure to text, email, or print the Nexium savings card code that you need after editing the prescription box and location field. Show the discount card to your pharmacist before paying.

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20MG, Esomeprazole Magnesium (30 Capsule Delayed Releases)

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CVS

$19.23

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$8.38

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$8.52

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$15.11

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$65.32

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$19.23

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Nexium dosage forms

The average cost for 30 Capsule Delayed Releases of Nexium (esomeprazole magnesium) at 20MG is $8 with a free coupon. This is 9.73% off the average retail price of $82.22
DosageQuantityPrice fromPer unit
20MG30 Capsule Delayed Releases$8$0.27
40MG30 Capsule Delayed Releases$7.56$0.25

Nexium Warnings

The safety information provided here outlines potential risks and necessary precautions when using this medication. Please read it carefully and consult your healthcare provider if you have any questions or concerns.

  • Masking Serious Conditions: Frequent heartburn may indicate a more serious issue, such as stomach cancer. If your heartburn worsens or recurs after using esomeprazole (Nexium), or if accompanied by poor appetite, unexplained weight loss, or weakness, contact your healthcare provider immediately to rule out other medical problems.

  • Kidney Issues: Some users of proton pump inhibitors (PPIs) like esomeprazole (Nexium) have experienced sudden kidney issues. If you notice changes in urination, nausea, weakness, fever, rash, or joint pain, seek medical advice promptly.

  • Risk of Severe Diarrhea: PPIs, including esomeprazole (Nexium), may increase the risk of a bacterial infection known as Clostridioides difficile (C. diff), which can lead to severe diarrhea. This risk is higher for individuals over 65, those recently hospitalized or in nursing homes, and those with weakened immune systems. To reduce this risk, use the lowest effective dose for the shortest duration. Report any severe diarrhea, fever, abdominal pain, loss of appetite, or nausea to your provider immediately.

  • Bone Fractures: There is an increased risk of fractures in the hip, wrist, or spine with PPIs usage, especially if taken in high doses or for more than a year. If you have a history of fractures or osteoporosis, consult your provider before starting this medication.

  • Serious Skin Reactions: Rare but serious skin reactions such as Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) have been reported with PPIs. Symptoms include fever, body aches, rash, peeling skin, painful blisters, and facial swelling. Seek immediate medical attention if these occur.

  • Lupus Symptoms: Some individuals have developed new or worsening lupus symptoms while on PPIs, which can manifest as joint pain or a rash. These symptoms typically improve within 1 to 3 months after stopping the medication. If you experience such symptoms, discontinue use and contact your provider.

  • Vitamin B12 and Magnesium Deficiency: Long-term use of esomeprazole (Nexium) can lead to deficiencies in vitamin B12 and magnesium. If you've been using the medication for more than a year and notice symptoms like dizziness, muscle weakness, pale skin, fatigue, or tingling in the extremities, consult your healthcare provider.

  • Drug Interactions: Certain medications, such as St. John’s Wort and rifampin (Rifadin), can alter the effectiveness of esomeprazole (Nexium) by affecting its concentration in the body. Avoid these medications while using esomeprazole (Nexium).

Contraindications:

  • Do not use this medication if you have an allergy to PPIs.
  • Avoid if you are taking Edurant (rilpivirine) or rilpivirine-containing medications like Complera, as it may pose serious health risks.

Always consult with your healthcare provider to ensure this medication is appropriate for you, especially if you have existing health conditions or are taking other medications.

Nexium Side Effects

When using this medication, some individuals may experience common side effects such as headaches, abdominal pain, diarrhea, nausea, passing gas, constipation, and dry mouth. These effects are usually mild, but if they persist or worsen, it's advisable to consult with a healthcare provider.

There are other side effects that have been reported, including a large abdomen, weakness, back pain, chest pain, swelling, hot flushes, fatigue, flu-like symptoms such as a stuffy nose and cough, rapid heartbeat, acid reflux, ear ringing or pain, weight changes, trouble sleeping, migraines, and loss of taste. While these are generally non-severe, contacting a healthcare provider is recommended if they cause concern.

Certain side effects are rare but severe, requiring immediate medical attention. These include severe stomach pain or persistent diarrhea, signs of kidney problems such as changes in urination and fever, symptoms of lupus like joint pain and skin rashes that worsen with sun exposure, and serious skin reactions such as blistering or peeling. Additionally, the medication may rarely cause vitamin B-12 deficiency if used long-term, with symptoms such as unusual weakness or numbness in the extremities, and a very serious allergic reaction is possible, marked by symptoms like fever, swollen lymph nodes, rash, and difficulty breathing.

If you notice any other effects not mentioned, or if you experience any of the severe symptoms listed, seeking medical advice promptly is crucial. Remember, most people do not experience serious side effects from this medication, but staying informed and vigilant is important for your health and safety.

Nexium Interactions

Esomeprazole, also known as Nexium, can interact with various medications and supplements. It's important to inform your doctor and pharmacist of all the medications, supplements, and vitamins you're currently taking. Here are some key interactions to be aware of:

  1. Avoid Combining: Do not use esomeprazole with rilpivirine, as using them together is not recommended.

  2. Use with Caution: Some medications might require careful monitoring or dosage adjustments if used with esomeprazole. These include acalabrutinib, amphetamine, Atazanavir, Benzphetamine, bosutinib, Capecitabine, Cilostazol, Citalopram, Clopidogrel, dacomitinib, dasatinib, Dextroamphetamine, Erlotinib, Escitalopram, eslicarbazepine acetate, gefitinib, Ketoconazole, ledipasvir, Lisdexamfetamine, Methamphetamine, Methotrexate, mycophenolate mofetil, nelfinavir, neratinib, nilotinib, Octreotide, pazopanib, pexidartinib, Posaconazole, saquinavir, secretin human, selpercatinib, sunitinib, Tacrolimus, thiopental, velpatasvir, and vismodegib.

  3. Increased Side Effects: Using esomeprazole with Levothyroxine, Risedronate, Voriconazole, or Warfarin may heighten the risk of side effects. Your doctor may need to adjust the dosage or frequency of these medications.

Additionally, esomeprazole reduces stomach acid, which can affect the absorption of certain medications like atazanavir, erlotinib, levoketoconazole, nelfinavir, pazopanib, rilpivirine, sparsentan, and some azole antifungals (such as Itraconazole, ketoconazole, and posaconazole).

Lastly, do not take esomeprazole together with any medications containing Omeprazole, as they are very similar. Inform all your healthcare providers, including lab personnel, that you are taking this medication, as it may interfere with certain laboratory tests, potentially leading to inaccurate results.

Nexium FAQs
What exactly does Nexium do?

Nexium, also known as esomeprazole, is a proton pump inhibitor (PPI) that reduces the amount of acid produced in the stomach. It is commonly used to treat conditions such as gastroesophageal reflux disease (GERD), Zollinger-Ellison syndrome, and erosive esophagitis. It can also be used to promote healing of the esophagus and to prevent gastric ulcers caused by infection with Helicobacter pylori or by the use of nonsteroidal anti-inflammatory drugs (NSAIDs).

Nexium has not been taken off the market. It is still available and commonly prescribed for conditions such as gastroesophageal reflux disease (GERD). However, there may be specific formulations or generic versions that have been discontinued or recalled due to manufacturing issues or safety concerns, but the brand Nexium itself remains available. If there are concerns about a specific product, it is advisable to consult a healthcare professional for the most current information.

Nexium should not be taken by individuals who have a known allergy to esomeprazole or any other component of the medication. Additionally, those with a history of severe liver disease or certain rare conditions like hypomagnesemia should consult a healthcare provider before using Nexium. It is also important for individuals who are pregnant, planning to become pregnant, or breastfeeding to discuss the use of Nexium with their healthcare provider.

Nexium and omeprazole are not the same, but they are similar. Nexium is the brand name for esomeprazole, while omeprazole is a different medication. Both belong to a class of drugs called proton pump inhibitors (PPIs) and are used to treat similar conditions, such as gastroesophageal reflux disease (GERD). However, they are different compounds and may have different effects or dosing requirements for some individuals.

The safety of acid reflux medications can vary depending on individual health conditions and potential interactions with other medications. Generally, antacids like calcium carbonate (Tums) are considered safe for short-term relief. H2 blockers such as ranitidine (Zantac) and famotidine (Pepcid) are also commonly used and have a good safety profile for longer-term use. Proton pump inhibitors (PPIs) like omeprazole (Prilosec) are effective for more severe cases but should be used under medical supervision due to potential long-term side effects. It is important for individuals to consult with a healthcare provider to determine the most appropriate and safe option for their specific situation.