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Proper Use of This Medicine
Take Nexium at least one hour before meals. Be careful to swallow it whole. If you have trouble swallowing capsules, you can open the capsule and carefully pour the pellets onto one tablespoon of appl esauce. The applesauce should not be hot. Mix in the pellets, then swallow the applesauce immediately, without chewing.

What special precautions should I follow?
Older adults¡XThis medicine has been tested and has not been shown to cause different side effects or problems in older people than it does in younger adults.

Symptoms of 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

Other Medicines
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.

What side effects may occur?
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


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