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Before Using This Medicine
The presence of other medical problems may affect the use of Nexium. Make sure you tell your doctor if you have any other medical problems, especially:
- Liver disease or a history of liver diseas e¡XThis condition may cause Nexium to build up in the body

Overdose
Any medication taken in excess can have serious consequences. There have been some reports of Nexium overdoses. If you suspect an overdose, seek medical attention immediately.

Symptoms of Ne xium overdose may include:
- Blurred vision, confusion, drowsiness, dry mouth, flushing, headache, nausea, rapid heartbeat, sweating

Possible food and drug interactions when taking this medication
If Nexium is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is especially important to check with your doctor before combining Nexium with the foll owing:

- Diazepam (Valium)
- Digoxin (Lanoxin)
- Iron salts (Ferro-Sequels)
- Ketoconazole (Nizoral)
- Warfarin (Coumadin)

There's no problem, however, with com bining antacids and Nexium; no unwanted interaction will result.

Why is this medication prescribed?
Nexium is in a class of drugs called proton pump inhibitors. It works by decreasing the amount of acid made in your stomach. Nexium is used to treat your esophagus, the area between your throat and st omach that has become irritated, painful, and swollen from too much acid in your stomach.

It is used to treat heartburn, acid indigestion, sour stomach, and other conditions in which the stom ach makes too much acid. Nexium also is used in combination with antibiotics to treat ulcers.

Side Effects of This Medicine
Rare side effects may include:
- itching, leg and body swelling, liver problems, loss of appetite, loss of taste, lymph node problems, menstrual problems, migraine, mouth and throat problems, nau sea, nervousness, nosebleed, pain, painful joints and muscles, painful urination, prickly or burning sensation, rash, rectal problems, rigidity, ringing in the ears, runny nose, sensitivity to touch, sinus problems, sleep disorders, sleepiness, sore throat, stomach bleeding, stomach pain, stomach upset, sweating, swelling, taste changes, thirst, tremors, urinary tract infection, vaginitis, vertigo , vision changes, vomiting, weakness, weight changes, worsening of arthritis, worsening of asthma, worsening of depression

How to Use
Nexium comes as delayed-release (long-acting) capsule to take by mouth. For inflamed esophagus and other conditions in which the stomach makes too much acid, one capsule is usually taken once a day fo r 4 to 8 weeks. It may be used for up to 6 months after your symptoms have improved.

For ulcers, one capsule is usually taken in combination with antibiotics once a day for 10 days.

Nexium should be swallowed whole and taken at least 1 hour before meals. Nexium may be taken with water, orange juice, apple juice, or yogurt.


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