Safely Buy Nexium Granules for Oral Suspension from Canada Prescriptions Plus.

Indications

Nexium granules for oral suspension contain the active ingredient esomeprazole and are used to treat various conditions related to excessive stomach acid production

Use and Dosage

Take esomeprazole at around the same time(s) every day. Follow the directions on your prescription label carefully and ask your doctor or pharmacist to explain any part you do not understand. Take esomeprazole exactly as directed. Do not take more or less of it or take it more often than or for a longer period than prescribed by your doctor or stated on the package.

Swallow the capsules whole; do not split, chew, or crush them. If you cannot swallow the capsule, put 1 tablespoon of cool, soft applesauce in an empty bowl. Open one esomeprazole capsule and carefully sprinkle the pellets onto the applesauce. Mix the pellets with the applesauce and swallow the entire tablespoonful of the applesauce and pellet mixture immediately. Do not crush or chew the pellets in the applesauce. Do not save the pellets and applesauce for later use.

If you are taking the granules for oral suspension, you will need to mix them with water before use. If you are using the 2.5- or 5-mg packet, place 1 teaspoonful (5 mL) of water in a container. If you are using the 10-, 20-, or 40-mg packet, place 1 tablespoonful (15 mL) of water in a container. Add the contents of the powder packet and stir. Wait 2 to 3 minutes to allow the mixture to thicken and stir the mixture again. Drink the entire mixture within 30 minutes. If any of the mixture is stuck in the container, pour more water into the container, stir, and drink all the mixture immediately.

The granules, and the contents of the prescription delayed-release capsules, can both be given through a feeding tube. If you have a feeding tube, ask your doctor or pharmacist how you should take the medication. Follow those directions carefully.

Do not take nonprescription esomeprazole for immediate relief of heartburn symptoms. It may take 1 to 4 days for you to feel the full benefit of the medication. Call your doctor if your symptoms get worse or do not improve after 14 days or if your symptoms return sooner than 4 months after you finish your treatment. Do not take nonprescription esomeprazole for longer than 14 days or treat yourself with esomeprazole more than once every 4 months without talking to your doctor.

Continue to take prescription esomeprazole, even if you feel well. Call your doctor if your symptoms worsen or do not improve during this time. Do not stop taking esomeprazole without talking to your doctor.

Side Effects

Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Serious side effects include:

• Severe stomach pain, diarrhea that is watery or bloody
• Seizure (convulsions)
• Kidney problems– fever, rash, nausea, loss of appetite, joint pain, urinating less than usual, blood in your urine, weight gain
• Low magnesium–dizziness, fast or irregular heart rate, tremors (shaking) or jerking muscle movements, feeling jittery, muscle cramps, muscle spasms in your hands and feet, cough or choking feeling
• New or worsening symptoms of lupus–joint pain, and a skin rash on your cheeks or arms that worsens in sunlight.

Taking esomeprazole long-term may cause you to develop stomach growths called fundic gland polyps. Talk with your doctor about this risk.

If you use esomeprazole for longer than 3 years, you could develop a vitamin B-12 deficiency. Talk to your doctor about how to manage this condition if you develop it.

Common side effects of esomeprazole may include:

• Headache
• Diarrhea
• Nausea, stomach pain, gas, constipation
• Dry mouth

This is not a complete list of side effects and others may occur.

Cautions

• Heartburn can mimic early symptoms of a heart attack. Get emergency medical help if you have chest pain that spreads to your jaw or shoulder, and you feel anxious or light-headed.
• You should not use this medicine if:
  • You had breathing problems, kidney problems, or a severe allergic reaction after taking esomeprazole in the past
  • You are allergic to esomeprazole or to similar medicines such as lansoprazole, omeprazole, pantoprazole, rabeprazole, Dexilant, Nexium, Prevacid, Protonix, and others
• Tell your doctor if you have ever had:
  • Severe liver disease
  • Lupus
  • Osteoporosis or low bone mineral density (osteopenia)
  • Low levels of magnesium in your blood
• You may be more likely to have a broken bone in your hip, wrist, or spine while taking a proton pump inhibitor long-term or more than once per day. Talk with your doctor about ways to keep your bones healthy.
• Ask a doctor before using this medicine if you are pregnant or breastfeeding.

Forms and Strengths

Nexium Granules for Oral Suspension is available in the following forms and strengths:

• Nexium Granules for Oral Suspension Sachet:
  • 10 mg

FAQ

What happens if I miss a dose?

Use the medicine as soon as you can but skip the missed dose if it is almost time for your next dose. Do not use two doses at one time.

What happens if I overdose?

Seek emergency medical attention.

What should I avoid while taking esomeprazole?

Esomeprazole can cause diarrhea, which may be a sign of a new infection. If you have diarrhea that is watery or bloody, call your doctor before using anti-diarrhea medicine.

Resources:

1. https://www.accessdata.fda.gov/drugsatfda_docs/label/2014/022101s014021957s017021153s050lbl.pdf
2. https://medlineplus.gov/druginfo/meds/a699054.html
3. https://www.drugs.com/mtm/esomeprazole.html#before-taking