Special medical uses of NEXIUM 20 mg tablets treatment of esophagitis: esophagitis is an inflammation that damages the lining of the esophagus and symptoms of esophagitis include: difficulty swallowing, painful swallowing, chest pain, especially behind the breastbones, feeling it when eating and the food you swallow gets stuck in the esophagus (food impaction) treatment of Helicobacter pylori: used with specific antibiotics to treat Helicobacter pylori treatment of gastric and duodenal ulcers treatment of acid reflux: acid reflux from the stomach to the esophagus which may become inflamed and painful. This may cause symptoms like a feeling of pain in the chest reaching the throat and a bitter taste in the mouth. How to use NEXIUM 20 mg tablets the recommended dose is one capsule per day. Do not take more than this recommended dose of one capsule per day, even if you do not feel improvement immediately. You may need to take the capsules for two or three consecutive days before symptoms of reflux (for example) improve. The treatment duration for gastric ulcers is up to 14 days. When the symptoms of reflux completely disappear, you should stop taking this medication. If your reflux symptoms worsen or do not improve after taking this medication for 14 consecutive days, you should consult a doctor. If you have persistent or long-term recurring symptoms even after treatment with this medication, you should contact your doctor. You can take the capsule at any time of the day, whether with food or on an empty stomach. Swallow the capsule whole with half a glass of water. Do not chew, crush, or open the capsule. This is because the capsule contains coated beads, which prevent the medication from being broken down by the acid in your stomach. It is important not to damage the beads. Be aware that the dose may vary in some cases, so you should follow the instructions of your doctor or pharmacist. Try to take the tablet at the same time each day so you remember. If you take more than the prescribed dose, you should contact your doctor or nearest hospital for medical advice. If you forget to take the medication, do not worry; take the treatment when you remember if it is close to the time of the original dose. If it is closer to the next dose, just take the next specified dose at the correct time. Do not take a double dose to make up for the missed one. If you have other questions about using this medication, talk to your doctor or pharmacist. Side effects of NEXIUM 20 mg tablets headache, chest pain, high blood pressure, dizziness, anxiety, insomnia, fever, fatigue, nausea, vomiting, abdominal pain, indigestion, diarrhea or constipation. Using NEXIUM 20 mg tablets during pregnancy and breastfeeding: used during pregnancy only if the benefits outweigh the harms and under medical supervision. It is unknown whether the drug is excreted in breast milk, but due to its harmful effects on the human body, breastfeeding should be avoided during treatment. Useful tips for patients with gastrointestinal ulcers or reflux: the following tips are helpful for patients with reflux and ulcers: It is recommended that patients with reflux lose weight and get rid of excessive obesity, as studies have shown that excessive obesity causes reflux and bloating. Avoid eating foods that cause reflux and gastritis, including "fatty foods containing high levels of fats and oils, spicy foods with spices, citrus fruits like lemon, orange, and tomatoes, mint, chocolate, onions." Stay away from carbonated drinks, alcohol, coffee, or any drinks containing caffeine. It is possible to elevate the head of the bed during sleep. Do not take any medications except under the supervision of your treating doctor, as some side effects of medications affect stomach health and cause reflux and gastrointestinal ulcers. Quit smoking or being in places with smokers, as some studies have shown that nicotine in cigarettes relaxes muscles and causes pain and reflux in the esophagus. Wearing loose clothing is one of the most important precautions recommended for patients with reflux to prevent pain and severe inflammation. Follow a healthy diet that includes vitamins and essential nutrients for body health, including vegetables and fruits. Divide daily meals into five small portions to prevent bloating and reflux, and this also helps avoid obesity and fat accumulation in the body. You can use the Helicy Check device to test for Helicobacter pylori at home. Warnings and precautions while using NEXIUM 20 mg tablets: do not use Esomeprazole if you are allergic to Esomeprazole or any other ingredients in this medication. If you are allergic to other proton pump inhibitors (such as Pantoprazole, Lansoprazole, Rabeprazole, Omeprazole). If you are taking a medication containing Nelfinavir (used to treat HIV infection). You should inform your doctor of the following: past gastric ulcer or stomach surgery. You have been taking treatment for reflux or heartburn for 4 weeks or more. You suffer from jaundice (yellowing of the skin or eyes) or severe liver problems. You have serious kidney problems. If you are over 55 and have new or recent reflux symptoms or need to take over-the-counter treatment for indigestion or heartburn daily. If you have previously reacted with a skin reaction after treatment with a similar drug to Esomeprazole that reduces stomach acid. You are scheduled for a specific blood test (Chromogranin). Do not take this medication if you are taking a drug containing Nelfinavir used to treat HIV infection. You should inform your doctor or pharmacist immediately if you are taking Clopidogrel, used to prevent blood clots. Do not take this medication with other drugs that limit acid production in your stomach, such as proton pump inhibitors (like Pantoprazole, Lansoprazole, Rabeprazole, Omeprazole) or H2 antagonists (like Ranitidine or Famotidine). How to store NEXIUM 20 mg tablets: Store at 30°C. Keep in the original packaging to protect from moisture. Keep this medication out of reach of children and their view. Do not use this medication after the expiration date printed on the box/blister/label. The expiration date refers to the last day of the month. Do not dispose of medicines by pouring them into wastewater or household waste. Ask your pharmacist about disposal procedures for unused medicines. For more information about Esomeprazole, consult your doctor or pharmacist through the Tawakkalna app of the Saudi Food and Drug Authority.
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