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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.

What side effects can this medication cause?
Rare side effects may include:
- Abnormal sense of smell, acne, allergic reaction, anemia, apathy, back pain, black stools, blood disorders, blood in urine, burping, change in bowel habits, chest pain, chills, confusion, constipation, coughing, cramps, difficulty breathing, difficulty swallowing, dizziness, dry mouth, ear infection, earache, enlarged abdomen, enlarged thyroid gland, eye infec tion, facial swelling, fast or irregular heartbeat, fatigue, fever, flu-like symptoms, flushing, frequent or increased urination, fungal infections, general feeling of illness, hernia, hiccups, high b lood pressure, hives, hot flushes, impotence, inability to sleep, increased appetite, indigestion,

Overdosage
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

What Is It
Nexium is in a class of drugs called proton pump inhibitors. It works by decreasing the amount of acid made in your stomach. Nexium is used to treat your esophagus, the area between your throat and st omach that has become irritated, painful, and swollen from too much acid in your stomach.

It is used to treat heartburn, acid indigestion, sour stomach, and other conditions in which the stom ach makes too much acid. Nexium also is used in combination with antibiotics to treat ulcers.

Precautions Before Using This Medicine
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.

Proper Use of This Medicine
If you are taking Nexium for your esophagus and other conditions in which the stomach makes too much acid, your symptoms should improve within 4 to 8 weeks. If your symptoms continue, or if they worse n, call your doctor. Your doctor may continue treatment for another 4 to 8 weeks.

If you are taking Nexium for your ulcer, your symptoms should improve within 10 days. If ulcer symptoms do no t improve, or if they worsen, call your doctor.

Do not stop taking Nexium without talking to your doctor.


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