Nexium 20 mg 14 tablets

Nexium 20 mg 14 tablets:

• Esomeprazole belongs to a group of medicines called 'proton pump inhibitors'. They work by reducing the amount of acid your stomach produces.
• This medication is used in adults for short-term treatment of reflux symptoms (eg, heartburn, acid regurgitation).
• Reflux is the reflux of acid from the stomach into the esophagus (“food pipe”), which may become inflamed and painful. This may cause symptoms such as pain in the chest that radiates to the throat (heartburn) and a sour taste in the mouth (acid regurgitation).
• Esomeprazole is not intended to provide immediate relief.

How to use esomeprazole:

• Always take this medicine exactly as prescribed in this leaflet or as your doctor or pharmacist has told you. Consult your doctor or pharmacist if you are not sure.

• The recommended dose is one capsule per day.
• Do not take more than this recommended dose of one capsule (20 mg) per day, even if you do not feel better right away.
• You may need to take the capsules for two or three days in a row before your reflux symptoms (for example, heartburn, acid regurgitation) improve.
• The duration of treatment is up to 14 days.
• When reflux symptoms completely disappear, you should stop taking this medication.
• If your reflux symptoms get worse or do not improve after taking this medication for 14 days in a row, you should consult your doctor. If you have persistent or long-lasting symptoms that occur frequently even after treatment with this medicine, you should contact your doctor.
• You can take the capsule at any time of the day either with food or on an empty stomach.
• Do not chew, crush, or open the capsule. This is because the capsule contains coated pellets that are important not to destroy, which prevents the medicine from being broken down by the acid in your stomach.

Warnings and precautions:

You should tell your doctor about the following:

• Have had a stomach ulcer or stomach surgery in the past.
• You have been taking continuous medication for reflux or heartburn for 4 weeks or more.
• You suffer from jaundice (yellowing of the skin or eyes) or severe liver problems.
• You have serious kidney problems.
• If you are over 55 years old and you have new or recently changed reflux symptoms or need to take a daily over-the-counter indigestion or heartburn remedy.
• You have previously had a skin reaction after treatment with a medicine similar to esomeprazole, which reduces stomach acidity.
• You are scheduled to undergo endoscopy or a urea breath test.
• You are due to undergo a specific blood test (chromogranin A).
• Esomeprazole should not usually be used in children and teenagers younger than 18 years.
• Do not use esomeprazole if you are allergic to esomeprazole or any of the other ingredients in this medication.

Other medicines and esomeprazole:

• Do not take this medicine if you are taking a medicine containing nelfinavir (used to treat HIV infection).
• You should specifically tell your doctor or pharmacist if you are taking clopidogrel (used to prevent blood clots).
• Do not take this medication with other medications that limit the amount of acid produced in your stomach such as a proton pump inhibitor (such as pantoprazole, lansoprazole, rabeprazole, or omeprazole) or an H2 antagonist (such as ranitidine or famotidine).

Tell your doctor what medicines you are taking, especially tell your doctor if you are taking:

• Ketoconazole and itraconazole (used to treat infections caused by fungi).
• Voriconazole (used to treat infections caused by fungi) and clarithromycin (used to treat infections).
• Your doctor may adjust your dose of esomeprazole if you also have severe liver problems and have been treated for a long period of time.
• Erlotinib (used to treat cancer).
• Methotrexate (to treat cancer and rheumatic disorders).
• Digoxin (used for heart problems).
• Atazanavir, saquinavir (used to treat HIV infection).
• Citalopram, imipramine or clomipramine (to treat depression).
• Diazepam (used to treat anxiety, muscle relaxation or epilepsy).
• Phenytoin (used to treat epilepsy).
• Medicines used to thin the blood, such as warfarin. Your doctor may need to monitor you when you start or stop taking esomeprazole.
• Cilostazol (used to treat intermittent claudication – a condition in which a lack of blood flow to the leg muscles causes pain and difficulty walking).
• Cisapride (used for indigestion and heartburn).
• Rifampicin (used to treat tuberculosis).
• Tacrolimus (in cases of organ transplantation).
• St. John's wort (used to treat depression). Risk of a low seizure threshold.

Possible side effects:

Stop using the product and seek immediate medical attention if

• Swelling of the face, lips, tongue, or throat, which may cause difficulty breathing or swallowing.

the components:

• Esomeprazole 20 mg.