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Just say no to Nexium
=====================
11 Mar
2003

I love ranting against Nexium. My housestaff know this is a pet peave.
I am not alone!!! Medicare Head Tells Doctors Not to Prescribe Nexium
Thomas Scully, who heads the federal Centers for Medicare and
Medicaid Services tore into the company over the purple pill,
suggesting to doctors at an American Medical Association
conference that the company was using the drug to rip off
consumers and the government.

“You should be embarrassed if you prescribe Nexium, because you’re
screwing your patients and you’re screwing the taxpayers,” Scully
said.
AstraZeneca gained Food and Drug Administration approval for
Nexium (esomeprazole) in February, 2001. The new drug was widely
seen as an important new revenue stream after a similar
AstraZeneca ulcer drug, Prilosec, lost its patent exclusivity.

Scully, who was integral in formulating the Bush Administration’s
plan to finance a prescription drug benefit for Medicare
beneficiaries, accused the company of “coming up with games” that
keep patients paying for new, high-priced drugs.
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Related posts:
1. My personal crusade against AstraZeneca – just say no to Nexium

2. Nice story about Nexium
3. Top search items that reached medrants in the last year

4. NY Times on direct to consumer advertising (DCA)
5. Drug prices increasing – duh!

Related posts brought to you by Yet Another Related Posts Plugin.
In: Pharma

20 Responses to Just say no to Nexium
-------------------------------------
Avatar

DB's Medical Rants » NY Times on direct to consumer advertising (DCA)
October 12th, 2004 at 1:38 pm

... ™ve lost respect for the pharmaceutical industry Thoughts on
pharmaceutical developments Just say no to Nexium The problem with
Nexium is that the advertising actually wo ...
Avatar

Alex Chernavsky
March 12th, 2003 at 7:17 am

Dr. Michael Lascelles (of Sydney, Australia) writes an excellent blog
about abuses in the pharmaceutical industry. The blog is called
“Pharma Watch”. See the link below:
Pharma Watch

Avatar
mike lascelles

March 13th, 2003 at 7:07 am
Thanks Alex! Yes the world is slowly beginning to realise that Nexium
is a crock of shit. It’s like launching the latest Ford and saying
it’s better because it’s left hand drive instead of right hand drive.
That’s the only difference between Nexium and Prilosec.

Avatar
Ted Collins

March 13th, 2003 at 12:19 pm
Unfortunately, Wisconsin is rushing to join Michigan and other states
in a preferred drug list plan than requires prior authorization for
generic omeprazole and NO prior authorization for Nexium. Thanks Mr
Scully for bring some common sense to this issue.

Avatar
Kathleen Weaver

March 13th, 2003 at 11:11 pm
Yeah, but I was prescribed Nexxium a year ago, when Prilosec stopped
working for me! Told by a gastric guy that it wasn’t uncommon. And it
took a double dose of Nexxium to do what a triple dose of Prilosec
couldn’t do any more.

The whole GERD thing is so frustratingbut, whatever little tweak was
done, works for me.
I did super with no problems, when I was prescribed Prilosec, plus
Propulsid. Lost weight, was able to descrease Prilosec. Then … because
so many people were making mistakes with Propulsid, it was pulled off
the market. FYI: The treament I was getting while on Propulsid was
instrumental in my losing weight, as I could sleep all night.

And yes, got the cardio workup and warned to double check ANY
medication before I was put on it. Why were the other doctors too
lazy?
Anyway, with Propulsid, sympthoms got worse and finally Prilosec
stopped working. I’ve begged doctors to jump through the hoops to get
it back for me, but to no avail. Part of the reason I’ve had trouble
with weight gain, is I keep waking up from the GERD.

Believe me, I’d love to be without any medication for GERD.
Avatar

Debra-Lynn
March 19th, 2003 at 10:53 am

An endoscopy the other day revealed “very mild” gastritis (probably
from taking Advil on an empty stomach), also “very mild” esophogial
irritation from a bout with heartburn that I had during a particularly
stressful period several months ago. The doc, who is does a great job
with the endoscopy, does not do such a good job with followup and
simply gave my husband on the way out a script for Nexium, with little
direction. I have so many questions! First of all, I have lowish
platelets, around 100,000. Does Nexium, like Tagamet, interfere with
platelet counts. Secondly, is this drug really necessary??? If both
problems are “mild,” and if I really don’t even feel heartburn
anymore, can’t I a)change my behaviors and cure the gastritis and
b)assume that the esophagial damage is from an old problem and that
the esophagus will heal itself, given time? By the way, I am a
47-year-old woman who takes no scripts, who hates taking
pharmaceuticals and likes to believe she can heal herself holistically
— until something life-threatening comes along, at which point I will
be grateful for life-saving drugs. I don’t see this situation as a
life-threatening one. Thanks for listening and for whatever advice you
can offer.
Avatar

Hortense Jones
May 28th, 2003 at 9:31 am

On Nexium 3 days when nausea, diarrhea and vomiting started. This is
3rd day off and I still have nausea 24/7..Never had the problem with
over the counter Zantac. How do I get back to “normal” (It’s Wednesday
can’t get hold of MD.I’m controlled hyperstensive, 63 year old
female.Help!
Avatar

Anonymous
June 17th, 2003 at 2:16 pm

I was diagnosed with GERD on 5/6/03, and given Nexium. I also made
major life changes at the same time: eliminated all caffeine, alcohol,
etc.) I soon started having symptoms that had not been present prior
to the doctor’s appointment, the most serious was waking up at night
with severe chest and stomach pains. I also experienced loss of
appetite, and a loss of eight pounds in the month I took the drug. I
had multiple trips to my primary doctor and the GI doctor, plus an ER
visit with severe chest pains and high BP. No one considered my
symptoms to be related to the Nexium; the focus was totally on
possible heart attack. A diagnostic test on 5/28/03 (EGD) showed a
small hiatal hernia, but no erosion in the esophagus. Since stopping
the Nexium, the severe pains have stopped, but I continue to have a
major acid rebround problem. My concerns are multiple: is there
permanent damage in my stomach related to the use of Nexium. Where can
I get assistance/information about this situation, since my primary
doctor and GI doctor are non-responsive? I have searched the web, but
haven’t found the information I need yet. Does anyone have any
suggestions?
Thank you for your assistance.

Avatar
Dr. JEM

June 20th, 2003 at 12:05 am
The only use for Nexium is cutting it in half and taking half a day.
This method is even cheaper than prescribing omeprazole. Although, I
am sticking to prescribing omeprazole for fears patients will just
take the whole pill.

I think banning the ability of a drug company to market an isomer as a
“new product” is the only sensible thing to do.
Avatar

John Jensen
June 28th, 2003 at 5:02 pm

The current tv ads where they show how this food you are ordering is
going to cause you so much heartburn and goes on to explain how this
phony pill will make things better.
Anyway you all know how inconsiderate this ad is to true acid reflux
sufferers. It should be yanked off the air and this Nexium company
censured.
And there are others just as despicable!!.
Don’t buy this product!!!!
Avatar

Judith
June 28th, 2003 at 10:37 pm

Hi..after reading some of the comments, I can say that we all have the
same problems; doctors giving you a pill and not following up with
treatment. I had several things wrong at the same time, and when
Nexium didn’t fix the problem, I was assumed to be depressed and had
chronic headaches, so I was treated for depression instead of stomach
problems and guess what, nothing got better, after 4 years of being
more depressed and having nausea so bad, I lost my job, and couldn’t
work…so I finally changed doctors and found out that I had 3 different
types of ulcers and were hard to detect, so finally I did get some
releif, and I was given nexium without follow up and had terrible
headaches. The nausea is releived but now other problems, doctors will
not admit that the medication is just about as bad as the cure, and if
you complain about systoms that are controling you, instead of the
other way around and you want the doctor to do something, it’s the
same thing; your depressed, you have too much stress and then they
send you away to someone else with out figuring out what the problems
are, that quite often the doctor creates with the medication that he
gives you. What do you think????Judith
Avatar

karen
July 1st, 2003 at 11:16 am

I have been taking nexium and have not had any of the problems
mentioned by others. It is the only thing that has helped me with my
heartburn. But I also do not want to have to take this for the rest of
my life. I had never been given any kind of test to even check for
ulcers. I was just told that treatment is the same and we do not test
anymore. I had to argue with them in order to get a barium test done.
I do not understand how the doctors can prescribe this without
checking you out. A friend of mine had a similar problem and her
doctor tested her and found her positive for h.pylori and she was
treated and has not had a problem since with heartburn or acid reflux.
My doctor tells me that h.pylori is not associated whatsoever with
this. After doing internet research I see that h.pylori is associated
with ulcers that can eventually lead to acid problems in the stomach
which eventually can lead to heartburn and acid reflux. So what is the
deal. Are we just supposed to take the pill forever and not question
any further? If anybody has any better insight please let me know. My
husband has suffered from this for years and I did not develope the
problem until after we were together and I have found out the h.pylori
is contracted from person to person from someone who is infected. It
can be passed through kissing. It sounds to me like most of us could
have been exposed to this at one time or another. But getting someone
to test for the bacteria is a little harder to do.
Avatar

Anonymous
July 2nd, 2003 at 3:43 pm

I would like to know if there is any benefit or harm in taking advice
from a physician that it is okay to take Nexium twice a day and also
10 mg of Metoclopramide twice a day. It seems like overkill to me.
aag@wideopenwest.com
Avatar

Tony
July 29th, 2003 at 1:21 pm

Nexium has worked for me better than all of the OTC drugs and prilosec
combined. It is a pain to have to take a drug every day, but I can eat
and sleep in comfort again. Let them make their money, they earned it.
Avatar

karmen
August 8th, 2003 at 6:47 am

nexium once a day healed my esophagitis from gerd when prilosec did
nothing. However, I am holding out on the hope that if I loose the 20
lbs I,ve gained in the last two years, maybe I won’t need it.
Avatar

Joe
September 8th, 2003 at 3:20 pm

Nexium works great for me but I’ve noticed a 10 pound weight gain in
the two months since starting it. I don’t do anything different than I
did before but my doctor says “exercise more.” I walk a fair bit.
Frustrating.
Avatar

Curtis Haig
September 23rd, 2003 at 7:43 pm

I’ve had chest pains and upper back pain for over 3 months and after a
positive barium test for acid reflux was prescribed nexium 40mg 2x a
day + 10mg reglan 1x a day, After 2 weeks still having chest pain and
back pain was given a mammography and 24ph test both showed neg. 3
weeks later still on nexium had sudden severe gastritis. Doc doesn’t
know what caused it. Wonder if it was because i was on such a high
dose of nexium for so long. Doc did an endoscopy and saw no signs of
acid reflux so now says stop taking.
Avatar

Anonymous
September 30th, 2003 at 4:07 am

yes i have a problem with doctors prescribing medication without
testing you futher. given you medicine anytype can make the problem
worse
Avatar

Roxanne
October 22nd, 2003 at 2:30 pm

Nexxium worked immediately and completely for getting rid of my acid
reflux. When I took Prilosec, it really bothered my stomach for two
days then I felt some relief, and the OTC crap didnt do anything for
me. I havent had any side effects whatsoever with Nexxium sofar but
feel better than I have in years.
Avatar

Susan
November 13th, 2003 at 9:02 am

I have been taking Nexium for alomst a year now. Have not had any
problems with the medication. The doctor has not followed up with any
further testing for ulcers. I have a flare-up only when I go on a
spicy food binge.
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