Nexium (Esomeprazole)

(℞) Prescription Required

Top Brand Choice
Top Generic Choice

Esomeprazole 20mg

Product of United Kingdom
Manufactured by: UK Various Generics
*Product image for reference use only.
Select Quantity
Esomeprazole 20mg
Product of United Kingdom
Manufactured by UK Various Generics
Top Brand Choice
Top Generic Choice

Esomeprazole 40mg

Product of United Kingdom
Manufactured by: UK Various Generics
*Product image for reference use only.
Select Quantity
Esomeprazole 40mg
Product of United Kingdom
Manufactured by UK Various Generics
Top Brand Choice
Top Generic Choice

Nexium 20mg

Product of Canada
Manufactured by: AstraZeneca
*Product image for reference use only.
Select Quantity
Nexium 20mg
Product of Canada
Manufactured by AstraZeneca
Top Brand Choice
Top Generic Choice

Nexium 40mg

Product of Canada
Manufactured by: AstraZeneca
*Product image for reference use only.
Select Quantity
Nexium 40mg
Product of Canada
Manufactured by AstraZeneca
Top Brand Choice
Top Generic Choice

Esomeprazole 20mg

Product of Canada
Manufactured by: Teva Pharmaceuticals
*Product image for reference use only.
Select Quantity
Esomeprazole 20mg
Product of Canada
Manufactured by Teva Pharmaceuticals
Top Brand Choice
Top Generic Choice

Esomeprazole 40mg

Product of Canada
Manufactured by: Teva Pharmaceuticals
*Product image for reference use only.
Select Quantity
Esomeprazole 40mg
Product of Canada
Manufactured by Teva Pharmaceuticals
Top Brand Choice
Top Generic Choice

Nexium 20mg

Product of Sweden
Manufactured by: AstraZeneca
*Product image for reference use only.
Select Quantity
Nexium 20mg
Product of Sweden
Manufactured by AstraZeneca
Top Brand Choice
Top Generic Choice

Nexium 40mg

Product of Turkey
Manufactured by: AstraZeneca
*Product image for reference use only.
Select Quantity
Nexium 40mg
Product of Turkey
Manufactured by AstraZeneca
Select your dosage

Get Nexium Coupon

Free Nexium Coupon

Get $10 Discount with Nexium Coupon Code NEX10

Save an extra $10 off your Nexium prescription when you order online.

Simply enter the Nexium coupon code NEX10 at checkout.

This coupon code can apply to either brand or generic Nexium.

*Coupon codes cannot be combined and are for one-time use only

Order Canadian Pharmacy Nexium 40mg and 20mg Online

Nexium, and Nexium generic options, is a prescription drug used in adults to treat problems caused by too much acid in the stomach know as GERD. It is also used to promote healing of erosive esophagitis.

American citizens can save money by buying Nexium online from a registered pharmacy. See the Nexium reviews for more insight about our pharmacy. Then, use the 'Check Prices' above to begin searching for, and finding, the best Nexium price you'll find on the Web.

Below, you'll find valuable information about Nexium.

Nexium (Esomeprazole) Medication Information

Uses

Nexium (esomeprazole) belongs to a group of drugs known as proton pump inhibitors (PPIs).  PPIs work by reducing the amount of acid in your stomach.  

Excess stomach acid can damage the stomach lining or esophagus, causing a burning sensation known as heartburn.  Nexium is prescribed to adults, children, and infants for many conditions related to stomach acid.  A few examples include:

  • Acid reflux (aka gastroesophageal reflux disease or GERD)
  • Heal or prevent ulcers of the stomach or esophagus
  • H. Pylori stomach infection, along with antibiotics

Dosage

Nexium (esomeprazole) comes in several dosage forms and strengths:*

  • Capsule: 20 mg and 40 mg
  • Packets for oral suspension: 2.5 mg, 5 mg, 10 mg, 20 mg, and 40 mg

Take Nexium exactly as prescribed by your doctor, at least 1 hour before a meal.  

Instructions for using Nexium packets are available online and in the product packaging.

*Nexium is also available in an injectable (intravenous) form that is primarily used in hospitals. The information in this article pertains to the oral dosage forms of Nexium (capsule and suspension).   

Precautions

Nexium may not be safe for people with the following medical history or conditions:

  • Kidney problems including acute interstitial nephritis
  • Problems with diarrhea
  • Bone fractures
  • Specific forms of Lupus erythematosus (an autoimmune disorder)
  • Low magnesium levels in your blood
  • Liver problems
  • Pregnant or plan to become pregnant
  • Breastfeeding
  • Allergic reaction to the ingredients of Nexium (esomeprazole) or any other PPI

Side Effects

Like all medications, Nexium may cause side effects.  The most common side effects of Nexium are mild, but severe side effects are also possible. 

Common side effects may include:

  • Headache
  • Diarrhea
  • Stomach pain
  • Dry mouth

Serious allergic reactions can rarely occur with Nexium and require emergency medical care.  Signs of a severe allergic reaction may include:

  • Itchy or red rash
  • Face swelling
  • Trouble breathing
  • Throat tightness

Long-term Nexium use (over three months to over a year) may increase the risk of specific side effects:

  • Low vitamin B-12 levels
  • Low magnesium levels
  • Bone fractures
  • Stomach growths

Your doctor will prescribe Nexium if the benefits outweigh the risks of severe side effects.  Your doctor may recommend vitamin supplements while you’re taking Nexium.  For more information about the side effects of Nexium, talk with your doctor or pharmacist. 

Interactions

Some potential drug interactions might cause harmful effects with Nexium. A few examples include:

  • Cilostazol
  • Clopidogrel
  • Diazepam
  • Digoxin
  • Iron
  • Ketoconazole
  • Methotrexate
  • Rifampin
  • St. John's Wort
  • Warfarin

Talk with your doctor or pharmacist before taking any medications or herbal supplements with Nexium.

Storage

Store Nexium at room temperature between 68°F and 77°F (20°C and 25°C). 

Pharmacists Tips

  • Take Nexium at least 1 hour before eating. Nexium won’t work if you eat food with it.  
  • If you miss a dose, take it as soon as possible.  If it is almost time for your next dose, skip the missed dose.  Don’t take two doses of Nexium at the same time.

Nexium FAQs

If I have trouble swallowing pills, can I open Nexium capsules?

Yes.  You can open Nexium capsules and sprinkle the granules onto a tablespoonful of applesauce right before taking it.  Don’t chew or crush the granules or save it for later.  Then wait at least an hour to eat any other food.  You can drink water.

 

I’ve seen Nexium 24HR being sold over-the-counter.  Is there a difference between Nexium 24HR and prescription Nexium?

The over-the-counter Nexium 24HR contains the same active ingredient as prescription (Rx) Nexium (esomeprazole).  But, Nexium 24HR is a 20-mg capsule and is only approved for use in adults with frequent heartburn.  Rx Nexium is available in multiple strengths of capsules and packets, and it is approved for many acid-related conditions in adults, children, and infants.

Related Medication

Citations

  1. Nexium Prescribing Information.  Wilmington, DE: AstraZeneca Pharmaceuticals LP; 2019. https://www.azpicentral.com/nexium/nexium.pdf  Accessed November 24, 2020.

PharmD Medical Writer

Author: Dr. Patricia Weiser, PharmD

Patricia Weiser, PharmD, is a licensed pharmacist and medical writer.  She has clinical experience in community and hospital pharmacy.  Patricia is a 2007 graduate of the University of Pittsburgh. She resides in Pennsylvania with her husband and two daughters.

View Linkedin profile

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Back to top