Avoid Tight Fitting Clothes
Things cinched tightly about your waist or middle can worsen heartburn. If you have super tight jeans on, when you sit down, the waistband is going to sink into your abdomen region. Same goes for tight belts-and even shirts can be a problem for some. This is because all of the above puts extra pressure on your lower esophageal sphincter, which make it more likely stomach contents, will push through and youll experience reflux.
Drug Interactions Of Protonix Vs Nexium
Protonix and Nexium, like other PPIs, interact with many of the same medications. These PPIs should be monitored or avoided with other drugs that are dependent on stomach acidity for absorption. Drugs that are dependent on stomach acidity for absorption include iron salts, erlotinib, ketoconazole, and mycophenolate mofetil.
Protonix and Nexium can also interact with antiretroviral drugs, or drugs that are often used to treat HIV. PPIs can increase or decrease blood levels of antiretroviral drugs, which can lead to an increased risk of toxicity or decreased effectiveness with antiretroviral drugs.
The use of Protonix or Nexium with warfarin may increase the risk of bleeding.
Nexium should be monitored or avoided with diazepam since it can increase blood levels of diazepam and lead to an increased risk of adverse effects. The use of Nexium and clopidogrel together should also be avoided. Nexium can decrease how well clopidogrel works in the body, which can increase the risk of blood clots.
Consult a healthcare professional for other possible drug interactions
Welcome To Prilosec 20 Mg Capsules
Take this medication by mouth as directed by your doctor, usually once daily before a meal. This medication may also be given through a tube into the stomach . Dosage and length of treatment are based on your medical condition and response to treatment. In children, the dosage is also based on weight.
Prilosec OTC is a 14-day regimen that can be used up to three times a year, but not more often than every 4 months. If you need to use Prilosec OTC for more than the three indicated 14-day courses of treatment, consult with your doctor.
The active ingredient omeprazole works to fight heartburn differently from treatments like acid controllers/H2s or antacids. One of the best benefits of omeprazole is experiencing heartburn relief for 24 hours after only taking 1 pill a day.* But its not the only benefit. Omeprazole is a proton pump inhibitor and PPIs are the strongest class of frequent heartburn medicines.
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What Can I Take Instead Of Nexium
In addition to taking a PPI or another medication for your symptoms, you can make dietary changes. Some foods that can help reduce acid are bananas, melon, whole grains, yogurt, lean proteins, and green vegetables .
Also, try to avoid foods that are fried, high in fat, or spicy. Other irritating foods and drinks to avoid include pineapples, citrus fruit/juices, tomatoes/tomato products, garlic, onions, alcohol, carbonated beverages, coffee, tea, chocolate, and mint. Keeping a food diary may help you to narrow down which foods and beverages help or hurt your symptoms.
Smoking + Alcohol = Heart On Fire
Smoking cigarettes and drinking alcohol can set you up for terrible reflux. The nicotine and alcohol both work to weaken your LES, making it that much easier for stomach contents and acid to splash up into your esophagus. Alcohol is also going to irritate your stomach in general. The solution? Quit smoking, and drink less Doing both will improve your health overall, in addition to relieving acid reflux.
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Nexium & Prilosec Recalls & Warnings
As of this time, there has not been a recall of Nexium or Prilosec related to kidney damage. However, the investigation into these drugs, from a legal standpoint, are still at the early stages. It often takes many years tens of thousands of hours of attorney time and the expense of many millions of dollars before all the facts come out that will lead to a recall.
Treating Heartburn And Gastro
Heartburn is a feeling of burning pain in your lower chest, behind the breastbone. It comes from acid backing up from your stomach to your throat. You may have seen ads on American channels for heartburn drugs, such as pantoprazole , omeprazole , esomeprazole or lansoprazole . These drugs are called PPIs . They keep the stomach from making too much acid.
In most cases, you dont need a PPI for heartburn. You can get relief from a less powerful drug. And when you do need a PPI, you should take the lowest dose for as short a time as possible. Heres why:
Do you need a PPI?
PPIs are powerful drugs. Studies suggest that more than half of the people who take PPIs probably do not need them. Simple heartburn can be relieved with antacids or other less powerful drugs.
- Do you have heartburn every now and thenafter a big, spicy meal, for example? This kind of heartburn is uncomfortable, but it is not serious. You dont need a PPI. You can usually get relief from an antacid, like Rolaids or Tums, or an H2 blocker, such as Pepcid AC or Zantac.
- Have you had heartburn more than twice a week for several weeks? Then you may have GERD . This is when acid made in the stomach backs up into your throat. Over time, it damages the lining of your esophagus . If your health care provider thinks you have GERD, you may need a PPI.
PPIs have risks.
If you need a PPI, taking a low dose for less than a year is probably safe. But taking a PPI for a year or longer has been linked to:
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What Are The Side Effects Of Esomeprazole
With any medication, there are risks and benefits. Even if the medication is working, you may experience some unwanted side effects.
Contact your doctor immediately if you experience any of the following:
- Allergic reactions: Rash, hives, difficulty breathing, swelling of face, lips, tongue, or throat
- Severe stomach pain, diarrhea that is watery or bloody
- Kidney problems: Blood in your urine, rapid weight gain, urinating more or less than usual
- Low magnesium: Irregular heart rate, muscle cramps, tremors
- New or worsening symptoms of lupus: Joint pain, skin rash on your arms or cheeks that gets worse in the sunlight
The following side effects may get better over time as your body gets used to the medication. Let your doctor know immediately if you continue to experience these symptoms or if they worsen over time.
Interactions Between Esomeprazole And Other Medications
Esomeprazole may interact with certain medications or supplements. Always let your doctor and pharmacist know about any other medications or supplements that you are currently taking. The list below does not include all possible drug interactions with esomeprazole . Please note that only the generic name of each medication is listed below.
Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.
Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
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Coverage And Cost Comparison Of Nexium Vs Prilosec
Both Nexium and Prilosec are usually covered by insurance and Medicare Part D. Usually, the prescription generic version is covered. The OTC versions are usually only covered under certain insurance. Copays vary by plan.
The out-of-pocket price for 30 capsules of generic Nexium 40 mg can be over $300. You can pay under $50 by using a SingleCare card at participating pharmacies
What You Need To Know:
- GERD: Nexium takes around 8 weeks on average to heal GERD-related esophagitis.
- Uncomplicated H. pylori-induced ulcers: Nexium may take 2-4 weeks to heal small uncomplicated h. pylori-induced ulcers.
- For complicated, h. pylori-indued ulcers , Nexium takes 12 weeks or more to heal such ulcers.
- For NSAID-induced ulcers: Nexium takes 4-8 weeks to heal the ulcers.
- Chronic gastritis and laryngopharyngeal reflux take up to 6 months to heal.
The below table summarizes how long Nexium takes to heal different conditions:
|Average time Nexium takes to heal:|
|1. GERD-related esophagitis.|
|3. Peptic ulcers: h. pylori-related, uncomplicated, or small||2 weeks.|
|4. Peptic ulcers: h. pylori-related, complicated , or large in size||4-12 weeks|
|6. Non-h. pylori, Non-NSAID ulcers.||4 weeks .|
|2 weeks up to 6 months or longer according to the severity|
|8. Laryngopharyngeal reflux .|
References to different periods are mentioned below in this article, each under its section.
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Low Vitamin B12 And Magnesium Levels
- Risk factors: Taking esomeprazole for a long period of time
Rarely, esomeprazole can cause low levels of blood magnesium or vitamin B12. This can happen with as little as 3 months of use, but more commonly occurs after you’ve been using esomeprazole for a year or more. Your healthcare provider can do a blood test to see if you need to take a vitamin or mineral supplement while taking esomeprazole .
Nexium Vs Prilosec: Differences Similarities And Which Is Better For You
| | | | | | |
Are you experiencing heartburn? If so, youre not alonemore than 60 million Americans experience heartburn at least once a month, and many of these patients have heartburn symptoms every day.
Nexium and Prilosec are two medications in a drug class called proton pump inhibitors, or PPIs. PPIs work by blocking and decreasing acid production, thereby preventing heartburn and achieving acid control.
These drugs are approved by the FDA. They are used to treat symptoms of gastroesophageal reflux disease and other gastrointestinal conditions. Although both Nexium and Prilosec are PPIs, they do have some differences, which we discuss below.
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What Other Medications Interact With Nexium
Nexium has several drug-drug interactions, some of which are more significant than others.
Nexium can interact with:
You can avoid some of these interactions by separating the doses by several hours. Others may require a dose adjustment, a drug substitution, or the temporary discontinuation of one of the drugs.
To avoid interactions, always tell your healthcare team about any drugs you take, including prescription, OTC, herbal, nutritional, or recreational drugs.
How Does Nexium Work
The mucous membrane of the stomach consists of various highly specialized cells. Parietal cells are responsible for acid production and its delivery to the gastric juice. Using a specific transporter, acidic protons are released into the gastric juice in exchange with potassium ions . Nexium binds specifically to this transporter and irrevocably blocks it. This reduces the acidity of the gastric juice.
Interesting: Structure of the gastric mucosaThe gastric mucosa consists of different, highly specialized cellsMain cells form enzymes , which are important for the breakdown and digestion of proteins that we ingest through foodSide cells form a slimy protective shield for the gastric mucosa, so that it is protected from the digestive enzymes and the acidic gastric juiceParietal cells release acidic protons into the gastric juice and are therefore responsible for the acidity of the gastric juice. They also produce the protein intrinsic factor, which is necessary for the absorption of vitamin B12 from food
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Are Protonix And Nexium The Same
Protonix and Nexium are two PPI medications that can treat GERD, hypersecretory conditions, and peptic ulcers. However, they contain different active ingredients and come in different formulations. Protonix contains pantoprazole and Nexium contains esomeprazole. Protonix can treat GERD in adults and children aged 5 years and older while Nexium can treat GERD in adults, children, and infants aged one month and older.
Healing The Erosions In Your Esophagus With Nexium
By | Submitted On June 11, 2007
Nexium has come as a wonderful relief in treating heartburn in acid reflux disorders. Acids are released in the stomach for digestion of food. When some of this acid persistently flows back into the food tube, the esophagus, its lining get damaged leading to a condition known as erosive esophagitis.
You suffer from persistent heartburn. Changing diets also do not help. Just one pill a day of Nexium can relieve you of the pain and agony of severe and continuous heartburn.
Nexium generically is esomeprazole magnesium and is available as a Delayed- Release capsule for oral administration. If you are having typical heartburn symptoms on 2 or more days per week in spite of treatment and diet change, you need to consult a doctor to find out whether you are suffering from acid reflux disease.
Only a Doctor can confirm whether the lining of your esophagus has been damaged due to back flow of stomach acids in this food pipe for frequent relaxes of the lower esophageal sphincter. If this lining has been eroded, you have the condition known as erosive esophagitis and your heartburn is due to this cause.
Nexium administration can heal these erosions in the esophagus in 4 to 8 weeks. However, results may vary depending on your age and extent of damage. Nexium therapy is often associated with minor side effects.
. Her articles are available for syndication . Reprinting individual articles is permissible provided no changes are made.]
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What Are The Main Differences Between Nexium And Prilosec
Nexium is known by its generic name of esomeprazole, and Prilosec is known by its generic name of omeprazole. The generic names sound similar for a reasonesomeprazole is a chemical isomer of omeprazole. Both drugs are made up of the same chemicals but are arranged in different ways.
Both Nexium and Prilosec are available in brand and generic, and as prescription drugs and over-the-counter as Nexium OTC and Prilosec OTC. The dosage and length of treatment vary by age and the condition being treated.
|Main differences between Nexium and Prilosec|
Coverage And Cost Comparison Of Protonix Vs Nexium
Most Medicare and insurance plans will cover the generic version of Protonix, pantoprazole. Medicare copays could range from $0 to $17 for pantoprazole. Without insurance, the average cash price of Protonix is $522. However, with a Protonix coupon from SingleCare, the generic cost is about $11.
Some Medicare and insurance plans may cover Nexium or its generic version, esomeprazole. Medicare copays for esomeprazole could range from $1 to $41. The average retail price of Nexium is $478 depending on the quantity and strength prescribed. With a SingleCare Nexium coupon, the average price could be reduced to approximately $27.
Frequency is not based on data from a head-to-head trial. This may not be a complete list of adverse effects that can occur. Please refer to your doctor or healthcare provider to learn more.Source: DailyMed , DailyMed
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When Is It Time To Talk To Your Doctor
If you experience heartburn or regurgitation more than once a week, its time to talk with your doctor, Dr. Dumot says.
People should be evaluated if they have chronic acid reflux to make sure their medical treatments are adequate, safe and correct and to determine if they have had damage to the esophagus, Dr. Dumot says.
If medications dont provide relief, further treatment options might include procedures intended to repair or replace the valve that connects the stomach and esophagus, which is often the culprit for acid reflux.
- LINX® Reflux Management System
How To Take Nexium
Adults and children as young as 1 month of age can use Nexium. Depending on your treatment goals, you might take Nexium for anywhere from 10 days to up to six months .
Nexium comes in two different forms, each with specific indications and dosing instructions.
Take the delayed-release capsules at least one hour before a meal, usually once a day, in the morning. Swallow the capsules whole do not chew or crush them.
Children and adults who have trouble swallowing pills can open the capsule and sprinkle the contents over applesauce and consume it that way. This must be taken right after mixing do not save for later use. Do not mix Nexium with any other food except applesauce. Other types of foods have not been evaluated with Nexium, so it is not known whether they might interfere with the drugâs absorption.
For patients with nasogastric feeding tubes, mix the contents of the Nexium capsule with 50 milliliters of water and inject it into the tube with a syringe. Specifically, instructions state it should only be administered this way with a catheter-tipped syringe.
You can take Nexium delayed-release granules the same way as Nexium capsules. Mix the granules with water to create a liquid suspension.
The amount of water used to dissolve the granules varies by the dose:
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