Information about nexium side effects





 

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Home › Drugs by Condition › G › Gastroesophageal Reflux Disease ›
Nexium › Side Effects Print  Save or Share
Nexium Side Effects
===================

Generic Name: esomeprazole
Please note - some side effects for Nexium may not be reported. Always
consult your doctor or healthcare specialist for medical advice. You
may also report side effects to the FDA at
http://www.fda.gov/medwatch/ or 1-800-FDA-1088 (1-800-332-1088).

Side Effects of Nexium - for the Consumer
-----------------------------------------
Nexium I.V.

All medicines may cause side effects, but many people have no, or
minor, side effects. Check with your doctor if any of these most
COMMON side effects persist or become bothersome when using Nexium
I.V.:
Constipation; diarrhea; dry mouth; gas; headache; nausea; pain,
swelling, or redness at the injection site; stomach pain.

Seek medical attention right away if any of these SEVERE side effects
occur when using Nexium I.V.:
Severe allergic reactions (rash; hives; itching; difficulty
breathing; tightness in the chest; swelling of the mouth, face,
lips, or tongue; unusual hoarseness); chest pain; fast heartbeat;
fever, chills, or sore throat; red, swollen, blistered, or peeling
skin; unusual bruising or bleeding; unusual tiredness.

Nexium Delayed-Release Capsules
All medicines may cause side effects, but many people have no, or
minor, side effects. Check with your doctor if any of these most
COMMON side effects persist or become bothersome when using Nexium
Delayed-Release Capsules:

Constipation; diarrhea; dry mouth; gas; headache; nausea; stomach
pain.
Seek medical attention right away if any of these SEVERE side effects
occur when using Nexium Delayed-Release Capsules:

Severe allergic reactions (rash; hives; itching; difficulty
breathing; tightness in the chest; swelling of the mouth, face,
lips, or tongue; unusual hoarseness); chest pain; dark urine; fast
heartbeat; fever or chills; persistent sore throat; red, swollen,
blistered, or peeling skin; severe stomach pain; unusual bruising
or bleeding; unusual tiredness; yellowing of the eyes or skin.
Nexium Suspension

All medicines may cause side effects, but many people have no, or
minor, side effects. Check with your doctor if any of these most
COMMON side effects persist or become bothersome when using Nexium
Suspension:
Constipation; diarrhea; dry mouth; gas; headache; nausea; stomach
pain.

Seek medical attention right away if any of these SEVERE side effects
occur when using Nexium Suspension:
Severe allergic reactions (rash; hives; itching; difficulty
breathing; tightness in the chest; swelling of the mouth, face,
lips, or tongue; unusual hoarseness); chest pain; dark urine; fast
heartbeat; fever or chills; persistent sore throat; red, swollen,
blistered, or peeling skin; severe stomach pain; unusual bruising
or bleeding; unusual tiredness; yellowing of the eyes or skin.

Top
Side Effects by Body System
---------------------------

Gastrointestinal
Gastrointestinal (GI) side effects have included bowel irregularity,
aggravated constipation, dyspepsia, dysphagia, dysplasia, epigastric
pain, eructation, esophageal disorder, frequent stools,
gastroenteritis, GI hemorrhage, rectal disorder, increased appetite,
anorexia, ulcerative stomatitis, and vomiting. Pancreatitis has also
been reported.

Nervous system
Nervous system side effects have included confusion, dizziness,
hypoesthesia, insomnia, migraine aggravation, paresthesia, sleep
disorder, somnolence, tremor, and vertigo.

Cardiovascular
Cardiovascular side effects have included hypertension, angioedema,
tachycardia, chest pain, and substernal chest pain.

Musculoskeletal
Musculoskeletal side effects have included arthralgia, aggravation of
arthritis, arthropathy, cramps, fibromyalgia syndrome, hernia,
hypertonia, polymyalgia rheumatica, and back pain. Myalgia and hip
fracture have also been reported.

An increased risk of hip fracture has been reported in a cohort study.
The risk was significantly increased among patients prescribed
long-term high PPIs.
Hematologic

Hematologic side effects have included anemia, hypochromic anemia,
cervical lymphadenopathy, epistaxis, leukocytosis, leukopenia, and
thrombocytopenia. Agranulocytosis and pancytopenia have also been
reported.
Hepatic

Hepatic side effects have included bilirubinemia, abnormal hepatic
function, and increase in SGOT and SGPT. Hepatitis, with or without
jaundice, has also been reported.
Metabolic

Metabolic side effects have included glycosuria, hyperuricemia,
hyponatremia, increased alkaline phosphatase, excessive thirst,
vitamin B12 deficiency, and weight increase/decrease.
Genitourinary

Genitourinary side effects have included abnormal urine, albuminuria,
cystitis, dysuria, hematuria, micturition frequency, moniliasis,
genital moniliasis, impotence, dysmenorrhea, menstrual disorder,
vaginitis, and polyuria.
Psychiatric

A 42-year-old female with previously normal sexual function
experienced loss of libido during esomeprazole therapy. She had been
prescribed 40 mg esomeprazole twice daily for one month for symptoms
of acid reflux disease. Over a 10 week period, she experienced a
decline in sexual function until she could no longer respond sexually.
After discontinuation of esomeprazole, her symptoms improved but did
not return to what she considered normal.
Psychiatric side effects have included apathy, confusion, aggravated
depression, and nervousness. At least one case of loss of libido has
been reported.

Respiratory
Respiratory side effects have included aggravated asthma, coughing,
dyspnea, larynx edema, pharyngitis, rhinitis, and sinusitis.

General
General side effects including hot flushes, fatigue, fever, flu-like
disorder, leg edema, malaise, pain, earache, tinnitus, otitis,
parosmia, taste loss, taste perversion, and enlarged abdomen have been
reported.

Ocular
Ocular side effects have included abnormal vision, conjunctivitis, and
visual field defect. Blurred vision has also been reported.

Dermatologic
Dermatologic side effects have included acne, dermatitis, pruritus,
erythematous rash, maculopapular rash, skin inflammation, and
increased sweating. Alopecia and erythema multiforme have also been
reported. Duodenitis, esophagitis, esophageal stricture, esophageal
ulceration, esophageal varices, gastric ulcer, gastritis, hernia,
benign polyps or nodules, Barrett's esophagus, and mucosal
discoloration have also been reported.

Endocrine
Endocrine side effects have included goiter.

Hypersensitivity
Hypersensitivity side effects have rarely included allergic reactions
(less than 1%). Toxic epidermal necrolysis (some cases fatal) and
Stevens-Johnson syndrome have also been reported.

Immunologic
Immunologic side effects have included anaphylactic reaction or shock.

Renal
A 63-year-old female with dyspepsia experienced acute interstitial
nephritis coincident with esomeprazole therapy. She presented to the
hospital with a 1-month history of nausea and intermittent vomiting.
Three weeks before presentation, she was empirically prescribed
esomeprazole for the treatment of dyspepsia. A week before
presentation, she stopped taking this drug, as she suspected it was
exacerbating the malaise, nauseas, and vomiting. On day 4 of
admission, a renal biopsy showed acute interstitial nephritis.
Prednisolone therapy was continued for 4 weeks. Supportive dialysis
was needed for 4 days, by which time renal function had improved.
However, at follow-up 8 months later, serum creatinine levels remained
abnormal.

Renal side effects including at least two cases of interstitial
nephritis have been reported.
Top

More Nexium resources
---------------------
Nexium Advanced Consumer (Micromedex) - Includes Dosage
 Information

Nexium Detailed Consumer Information (PDR)
Nexium Consumer Overview

Nexium Delayed-Release Capsules MedFacts Consumer Leaflet (Wolters
 Kluwer)
Esomeprazole Professional Patient Advice (Wolters Kluwer)

Esomeprazole MedFacts Consumer Leaflet (Wolters Kluwer)
Nexium Prescribing Information (FDA)

Nexium I.V. Consumer Overview
Disclaimer: Every effort has been made to ensure that the information
provided is accurate, up-to-date, and complete, but no guarantee is
made to that effect. In addition, the drug information contained
herein may be time sensitive and should not be utilized as a reference
resource beyond the date hereof. This information does not endorse
drugs, diagnose patients, or recommend therapy. This drug information
is a reference resource designed as supplement to, and not a
substitute for, the expertise, skill , knowledge, and judgement of
healthcare practitioners in patient care. The absence of a warning for
a given drug or drug combination in no way should be construed to
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appropriate for any given patient. Drugs.com does not assume any
responsibility for any aspect of healthcare administered with the aid
of information provided. The information contained herein is not
intended to cover all possible uses, directions, precautions,
warnings, drug interactions, allergic reactions, or adverse effects.
If you have questions about the drugs you are taking, check with your
doctor, nurse, or pharmacist.

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