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Other medical problems
Before using Nexium,

- tell your doctor and pharmacist if you are allergic to Nexium, omeprazole (Prilosec), lansoprazole (Prevacid), or any other drugs.
- tell your doctor and pharmacis t what prescription and nonprescription medications you are taking, especially iron supplements or vitamins that contain iron, ketoconazole (Nizoral), digoxin (Lanoxin), and herbal products.
- te ll your doctor if you have or have ever had liver disease.
- tell your doctor if you are pregnant, plan to become pregnant, or are breast-feeding. If you become pregnant while using Nexium, call your doctor immediately.

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

Why is this drug 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.

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.

How to Use
If you cannot swallow the capsule, add one tablespoon of cool, soft applesauce to an empty bowl, open one Nexium capsule, and carefully sprinkle the pellets onto the applesauce. Mix the pellets with t he applesauce and swallow the entire tablespoonful of applesauce and Nexium pellets immediately. Do not chew the pellets in the applesauce and do not save the pellets and applesauce for another dose
Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Use Nexium exactly as directed. Do not use more or less of it or use it more often than prescribed by your doctor.

Side Effects of This Medicine
Side effects from Nexium can occur. Tell your doctor if any of these symptoms are severe or do not go away:

- headache
- diarrhea
- upset stomach
- flatulence (gas)
- sto mach pain
- constipation
- dry mouth
- change in taste

If you experience any of the following symptoms, call your doctor immediately:

- confusion
- drowsiness < br> - blurred vision
- rapid heartbeat
- sweating
- flushing




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