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What special precautions should I follow?
Breast-feedingˇXIt is not known whether Nexium passes in human breast milk. Since this medicine has been shown to cause unwanted effects in animals, it may be necessary for you to take another medicin or to stop breast-feeding during treatment. Be sure you have discussed the risks and benefits of the medicine with your doctor.

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

Other Medicines
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.

Proper Use of This Medicine
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.

What side effects may occur?
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

What is this medicine
Nexium relieves heartburn and other symptoms caused by the backflow of stomach acid into the canal to the stomach (the esophagus)+m-a condition known as gastroesophageal reflux disease. It is also pre scribed to heal the damage (erosive esophagitis) that reflux disease can cause.

Prescribed in combination with the antibiotics Biaxin and Amoxil, Nexium is also used to treat the infection t hat causes most duodenal ulcers (ulcers occurring just beyond the exit from the stomach).

Like its sister drug Prilosec, Nexium works by reducing the production of stomach acid.


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