| The most frequent symptoms of GERD are so
common that they may not be associated with a disease. Self-diagnosis
can lead to mistreatment. Consultation with a physician is essential to
proper diagnosis and treatment of GERD.
Persistent heartburn is the most frequent—but not the only—symptom
of GERD. (The disease may be present even without apparent symptoms.)
Heartburn is so common that it often is not associated with a serious
disease, like GERD. All too often, GERD is either self- treated or mistreated.
GERD is a chronic disease. Treatment usually must be maintained on a
long-term basis, even after symptoms have been brought under control.
Issues of daily living, and compliance with long-term use of medication
need to be addressed as well. This can be accomplished through follow-up,
support, and education.
Nexium
Purchasing Information
Package |
Price |
Consultation
Special |
Purchase |
| 30 Tablets (20
mg) |
$209 |
FREE!!! |
 |
| 60 Tablets (20
mg) |
$359 |
FREE!!! |
 |
| 90 Tablets (20
mg) |
$519 |
FREE!!! |
 |
| 30 Tablets (40
mg) |
$229 |
FREE!!! |
 |
| 60 Tablets (40
mg) |
$389 |
FREE!!! |
 |
| 90 Tablets (40
mg) |
$539 |
FREE!!! |
 |
NEXIUM is a type of medicine known as an acid pump inhibitor
(also known as a proton pump inhibitor, or PPI). The lining of your stomach
contains millions of special cells that produce acid via "acid pumps."
It is the job of these pumps to produce the acid that helps in the digestion
of food.
NEXIUM works by decreasing the acid produced by these
acid pumps. NEXIUM turns off (deactivates) some of the
pumps to keep acid production under control. By reducing acid production
in the stomach, NEXIUM reduces the amount of acid backing
up into the esophagus and causing reflux symptoms. But don't worry, you
still have enough acid to take care of digestion.
Prolonged acid reflux can, over time, slowly wear away or erode the delicate
lining of your esophagus. Only a doctor can determine if you have this
damage. NEXIUM can help heal this damage. In clinical
tests, up to 94% of patients were healed with NEXIUM.
Your results may vary. Talk to your doctor about prescription NEXIUM.
PRESCRIBED FOR: Esomeprazole is approved for the treatment
of gastroesophageal reflux disease (GERD) and in combination with amoxicillin
and clarithromycin (Biaxin) for the treatment of patients with ulcers
and H. pylori infection. Since it is very similar to omeprazole, it also
is likely that it will be used for the treatment of Zollinger-Ellison
syndrome.
DOSING: For GERD, 20 or 40 mg of esomeprazole is given
once daily for 4-8 weeks.
For the treatment of H. pylori, 40 mg is administered once daily in combination
with amoxicillin and clarithromycin for 10 days.
Esomeprazole capsules should be administered one hour before meals, swallowed
whole and should not be crushed or chewed. Patients with difficulty swallowing
can open the capsule and mix the pellets with applesauce. The applesauce
should not be hot and the pellets should not be chewed or crushed.
DRUG INTERACTIONS: Esomeprazole potentially can increase
the concentration in blood of diazepam (Valium) by decreasing the elimination
of diazepam in the liver. Esomeprazole may have fewer drug interactions
than omeprazole.
The absorption of certain drugs may be affected by stomach acidity. Therefore,
esomeprazole and other PPIs that reduce stomach acid also reduce the absorption
and concentration in blood of ketoconazole (Nizoral) and increase the
absorption and concentration in blood of digoxin (Lanoxin). This may lead
to reduced effectiveness of ketoconazole or increased digoxin toxicity,
respectively.
PREGNANCY: Use of esomeprazole in pregnant women has
not been adequately evaluated.
NURSING MOTHERS: Esomeprazole has not been adequately
studied in nursing women.
SIDE EFFECTS: Esomeprazole, like other PPIs, is well-tolerated.
The most common side effects are diarrhea, nausea, vomiting, headaches,
rash and dizziness. Nervousness, abnormal heartbeat, muscle pain, weakness,
leg cramps and water retention occur infrequently.
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