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Doctor insights on: Taking Nexium Esomeprazole

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How long should you be taking nexium (esomeprazole)?

How long should you be taking nexium (esomeprazole)?

Depends: Some people should be on discrete courses of Nexium, and some people need it long term. It really depends on what the diagnosis is that you are trying to treat. When it is needed, it is OK to take it long term, with medical supervision to watch out for side effects. Good night. ...Read more

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Is taking Nexium (esomeprazole) over the long term dangerous to my health?

Is taking Nexium (esomeprazole) over the long term dangerous to my health?

Nexium (esomeprazole): No but having chronic Reflux disease / gastritis is. The reason for this is something called Barrets esophagus. If your gastritis or reflux is severe enought for you to need nexium (esomeprazole) every day. Try finding ways of changing your diet for this not be as bad as it is.

I would recommend for you to read about Barrets esophagus. This might not be your case but this comes from 400 limit characters ;) ...Read more

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I been having acid almost every day I am taking Nexium (esomeprazole) 24 hours but some days don't work?

Common issue: Nexium (esomeprazole) may not be effective 24/7 drug for you.
Please see the doctor and try different brand, along with dietary changes. ...Read more

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When taking Nexium (esomeprazole) (20mgbid), will it be ineffective if an oss'l day is skipped? Canprevacid sub1day

Yes: If you are taking nexium/prevacid for gerd or other non-bleeding gastrointestinal issues, it won't make a lot of difference if you miss a dose on rare occasion. And substituting Nexium (esomeprazole) with Prevacid should be ok generally. If you are taking either medicine for prevention of gastrointestinal bleeding or because of advanced liver disease, you should not skip a dose. Either way, ask your dr. ...Read more

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I stopped taking Nexium (esomeprazole) a week ago and feel horrible. I started back up 3 days ago and only feel very slightly better. How long will it take?

Seriously?: Why are you taking Nexium (esomeprazole)? Who told you to take it and for what reason? How long will WHAT take??? Did you know that if you do indeed have a diagnosis for which Nexium (esomeprazole) is indicated for treatment, you shouldn't take it for more than 8 weeks? If you do, you can cause gastric mucosal atrophy. I think you should see your doctor. ...Read more

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I am 70 and have a small barrett's segment. Am now taking Nexium (esomeprazole) 40 mg. I have been untreated apparently for sometime. Not happy- very anxious.

I am 70 and have a small barrett's segment.  Am now taking Nexium (esomeprazole) 40 mg.
I have been untreated apparently for sometime. Not happy- very anxious.

Worry about Barretts: It is normal to worry. It is, in face, probably normal to be angry that this is happening. But, you are on the right treatment. Nexium (esomeprazole) is very powerful and a great tool to back this risk of esophageal cancer back a bit.

It sounds like you are now connected to a good professional who will keep you monitored appropriately. ...Read more

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Been taking Nexium (esomeprazole) 40mg for around 7 years 29 years old its all that works if I drop to 20 mg will that help keep the long term side effects away?

Been taking Nexium (esomeprazole) 40mg for around 7 years 29 years old its all that works if I drop to 20 mg will that help keep the long term side effects away?

If you lower or stop: An acid-blocker you will experience a rebound effect. You will make more acid for a while. Please do what your doctor asks. You may be able to supplement or transition to DGL, a type of licorice tablet that is used to coat the stomach and esophagus so acid does not make you uncomfortable. Peace and good health. ...Read more

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29years old been taking Nexium (esomeprazole) 8years everything I try that's all that works my gastroenologist said that it is a safe drug if I don't take it its bad?

29years old been taking Nexium (esomeprazole) 8years everything I try that's all that works my gastroenologist said that it is a safe drug if I don't take it its bad?

Not safe over years: Nexium (esomeprazole) is safe for short-term use. However, it can be quite hazardous to take it for a prolonged period (more than a few months) as it can lead to very serious, even life-threatening side effects- see http://www.naturalnews.com/036336_PPIs_acid_reflux_side_effects.html
& http://chriskresser.com/what-everybody-ought-to-know-but-doesnt-about-heartburn-gerd
There are safer alternatives. ...Read more

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Is it safe to quit taking Nexium (esomeprazole) after being on it 5 years?

Yes, but : Taper off slowly so to avoid rebound reflux. Use every other day for a few weeks and then every 3 days for a few weeks and then stop. That being said, if you have barrett's esophagus it is probably best to continue. ...Read more

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Are there any long term side effects to taking Nexium (esomeprazole) daily?

Controversial: A few studies have shown that calcium and magnesium absorption may be affected by long term Nexium (esomeprazole) (ppi) use. One must weigh the risks vs benefits for any chronic medication. The lowest effective dose should be taken. Overall, compared to many other medications ppi's are generally safe. ...Read more

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What are side effects of taking nexium (esomeprazole) long term say over 8 weeks or so?

PPI side effects: Nexium is brand of esomeprazole which is just left sided version of omeprazole (commonly known as Prilosec in the States). They're members of Proton Pump Inhibitor class used to treat stomach ulcers & heartburn. Long term use can increase risk for osteoporosis, heart rhythm issues, diarrhea & even pneumonia. Chat w/your doc to be sure you really need medication. Try lifestyle modification instead ...Read more

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Can someone with Barrett's esophagus ever stop taking nexium (esomeprazole) all together?

Can someone with Barrett's esophagus ever stop taking nexium (esomeprazole) all together?

Barrett's.: Barrett's is a change in the esophagus in response to longstanding reflux. It is a precancerous change which requires frequent surveillance EGDs to make sure cancer is not developing. If Barrett's is found, the abnormal areas can be ablated so that they do not progress to cancer. Have you been scoped lately? Barrett's can come back again and again. Get an EGD. And take your medication!! ...Read more

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I have been taking Nexium (esomeprazole) for a year now. Is this ok? If I stop I get acid reflux.

Needs to be tapered: Esomeprazole needs to be tapered to prevent recurrence of heartburn. Decrease to every other day and use ranitidine 150 mg to cover symptoms until you are off completely. ...Read more

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Just started taking Nexium (esomeprazole) tonight but I'm having pain, can I take Zantac 30 min. after taking Nexium (esomeprazole)?

Nexium (esomeprazole) works fast: But the most rapid relief might be with antacids like Tums (calcium carbonate) or Rolaids. Good luck ...Read more

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I've been taking Nexium (esomeprazole) for approximately 5 years, for acid reflux, is there any consequence on taking this pill for so much tiime?

I've been taking Nexium (esomeprazole) for approximately 5 years, for acid reflux, is there any consequence on taking this pill for so much tiime?

Some concerns:: Long-term acid suppression may allow helicobacter to flourish. Recent studies suggest long-tern ppi use may increase risk of osteoporosis; so getting adequate dietary calcium 7 vitamin d3 & weight-bearing exercise are very important preventives. Ppi's may also predispose to clostridium difficile-related diarrhea. If one has difficult-to-control diarrhea, one should see doc 2 b checked. ...Read more

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I'm so scared after reading a new article about the consequences of taking ppi; I've been taking Nexium (esomeprazole) for 5 years consecutively what can I do?

For what indication?: You're right, we're slowly seeing more and more evidence that long term ppi treatment in linked to various undesirable or unanticipated side effects. For certain conditions, one has to weight the risk from being on vs. Off chronic ppi. For reflux and esophagitis in those whose symptoms are controlled, its suggested that patient's get off after 2 or so months. ...Read more

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29 years old been taking Nexium (esomeprazole) for 7 years 40mg what will be better to start drop to 20mg or skip a day in doses and will this help in the long run?

Evaluate: I have questions for you. Why is a 27 yr old, minimal medications, taking nexium (esomeprazole)? Has your condition (presumably GERD) been adequately evaluated? I can't tell you if reducing nexium (esomeprazole) will help, but I can say that it is most important to discover and correct the reason you need the nexium (esomeprazole). Please see a good Dr. ...Read more

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Is it ok to take a probiotic while on nexium (esomeprazole), (esomeprazole) if so when is the best time to take probiotic pill, before or after taking nexium (esomeprazole)?

Yes: I'd take it in the morning. Typically, Nexium (esomeprazole) is best taken at night (basal levels of acid are highest at night, so Nexium (esomeprazole) should have its greatest effect, so the theory goes...). So if you take the probiotic during the day, direct effects of either substance on the other is minimized. ...Read more

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