Question 1

is there a more natural alternative for nexium, (esomeprazole) besides prilosec, omeprazole or any other p.p.i medication, i'm highly allergic to them..thanx?

Accepted Answer

Careful: There are many natural alternatives to treating gerd, but make sure your physician is aware of what you are trying.  Here is a link to just a few options.  http://www.foxnews.com/health/2011/11/29/natural-remedies-for-acid-reflux/.

Question 2

i've been on nexium (esomeprazole) 40mg and now omeprazole (2 * 20mg p/d) for several years.

is this safe? 
is it ok to buy over-the-counter and use it (4*10mg)

Accepted Answer

Possibly: This is a problem that necessitates a face-to-face meeting with your doctor.  This will allow him/her to examine you, ask specific questions. And possibly order tests to find out what's wrong and what to do to help you.

Question 3

been diagnosed with gastritis 7/8 months ago omeprazole not working now on oesmaprole nexium (esomeprazole) past 6wks  slight improvement but is this the best  one .

Accepted Answer

Scope: Time to rule out potential causes for omeprazole resistant heartburn (infection, ulcer, malignancy).  Need upper endoscopy

Question 4

can i take nexium (esomeprazole) and omeprazole?

Accepted Answer

NO: Both are same  proton pump inhibitors. Omeprazole came first and when patent ran out the company took out one molecule of no significance and branded nexium (esomeprazole). The effective chemical s-enantiomer esoomprazol is the same in both drugs.

Question 5

which is the best nexium, (esomeprazole) prilosec or omeprazole?

Accepted Answer

The one that works!: Essentially equivalent when taken in similar doses.  There are some differences in metabolism that are important when considering potential drug interactions.

Question 6

why is omeprazole considered a category c drug while nexium (esomeprazole) is category b, if they are equivalent drugs?

Accepted Answer

See below: Because more data and studies have performed in animals and humans if it is b category.

Question 7

is esomeprazole more effective on acid-reflux than omeprazole ?

Accepted Answer

GERD: There isn't much to choose between Omeprazole and esomeprazole.

Question 8

i can't afford nexium (esomeprazole). have to take omeprazole instead. is this as effective for lpr?

Accepted Answer

Equivalent: These are basically equivalent drugs and if you can find Omeprazole at less cost, go for it.

Question 9

diagnosed through upper gi gastritis moved from omeprazole to oesmaprole nexium (esomeprazole) 20mg past 6wks any advice after this?

Accepted Answer

Sure, but consider: PPI's differ as to duration of action, side effects, tolerance, cost/insurance coverage. All PPI's are equally efficacious, so what options exist after you complete your course of esomeprazole depends on your therapeutic response (e.g. symptom resolution, persistence, recurrence?) as well as the cause of your gastritis (e.g. if H.pylori was found, has it been treated to eradication?)

Question 10

my doctor has me taking two 20 mg nexium (esomeprazole) or prilosec a day. if i took the generic omeprazole 20mg would that be the same?

Accepted Answer

Timing is everything: The drugs have an unique action. They blow up the protein that runs acid secretion. The duration of effect is 1) how effective the drug, 2) how long til the stuff grows back and 3) sorta how long the drug is in the system BUT none of these stay around longer than the time it takes for the stuff to grow back. Prilosec=omepr is 1/2 strong as nexium (esomeprazole). Taking them spread out matters most.

Get Virtual Care

For Businesses

About Us

HealthTap Online Primary Care Doctors Accepting New Patients

Doctor answers about:

Esomeprazole magnesium vs omeprazole

A member asked:

Is there a more natural alternative for nexium, (esomeprazole) besides prilosec, omeprazole or any other p.p.i medication, i'm highly allergic to them..thanx?

A member asked:

I've been on nexium (esomeprazole) 40mg and now omeprazole (2 * 20mg p/d) for several years. is this safe? is it ok to buy over-the-counter and use it (4*10mg)

A member asked:

Been diagnosed with gastritis 7/8 months ago omeprazole not working now on oesmaprole nexium (esomeprazole) past 6wks slight improvement but is this the best one .

A member asked:

Can i take nexium (esomeprazole) and omeprazole?

A member asked:

Which is the best nexium, (esomeprazole) prilosec or omeprazole?

A member asked:

Why is omeprazole considered a category c drug while nexium (esomeprazole) is category b, if they are equivalent drugs?

A member asked:

Is esomeprazole more effective on acid-reflux than omeprazole ?

A member asked:

I can't afford nexium (esomeprazole). have to take omeprazole instead. is this as effective for lpr?

A member asked:

Diagnosed through upper gi gastritis moved from omeprazole to oesmaprole nexium (esomeprazole) 20mg past 6wks any advice after this?

A member asked:

My doctor has me taking two 20 mg nexium (esomeprazole) or prilosec a day. if i took the generic omeprazole 20mg would that be the same?

HealthTap Online Primary Care Doctors Accepting New Patients

Telemedicine

Primary Care

Manage Your Conditions

Women's Health

Children's Health

Men's Health

Senior Health

Wellness, Prevention & Lifestyle

Sexual Health

Mental & Behavioral Health

Travel Medicine

Urgent Care

Didn't find what you're looking for?

More of what we treat

Allergies

Antibiotics

Asthma

High Blood Pressure

Prescriptions

Type 2 Diabetes

For Businesses

Company

Health Content

Join Us

Download HealthTap

Questions?