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5e9d4b6e4aff97384d3e7e11 Nexium 40 mg Tablet 14pcs https://www.kunooz.com/s/5e5b8eb5e1a30016118f588f/63a1b3bfdd2bbb00190758c6/4892.jpg

What Esomeprazole is and what it is used for:

•Esomeprazole belongs to a group of medicines called ‘proton pump inhibitors’. They work by reducing the amount of acid that your stomach produces.
This medicine is used in adults for the short term treatment of reflux symptoms (for example, heartburn and acid regurgitation).
•Reflux is the backflow of acid from the stomach into the gullet (“foodpipe”) which may become inflamed and painful. This may cause you symptoms such as a painful sensation in the chest rising up to your throat (heartburn) and a sour taste in the mouth (acid regurgitation).
•Esomeprazole is not meant to bring immediate relief. 
•You may need to take the capsules for 2-3 days in a row before you feel better. You must talk to a doctor if you do not feel better or if you feel worse after 14 days.


What you need to know before you use Esomeprazole:

Do not use Esomeprazole:
If   you   are   allergic to Esomeprazole   or any   of   the   other   ingredients in   this medicine
If you are allergic to medicines containing other proton pump inhibitors (e.g. pantoprazole, lansoprazole, rabeprazole or omeprazole).
If you are taking a medicine containing nelfinavir (used to treat HIV infection).


Warnings and precautions:
You   should   let   your   doctor   know:
You have had a stomach ulcer or stomach surgery in the past.
You have been taking treatment continuously for reflux or heartburn for 4 or more weeks.
You have jaundice (yellowing of skin or eyes) or severe liver problems.
You have severe kidney problems.
You are aged over 55 years and have new or recently changed reflux symptoms or need to take a non-prescription indigestion or heartburn remedy treatment every day.
You have ever had a skin reaction after treatment with a medicine similar to Esomeprazole that reduces stomach acid.
You are due to have an endoscopy or a urea breath test.
You are due to have a specific blood test (Chromogranin A). 

Other medicines and Esomeprazole:
•Do not take this medicine if you are also taking a medicine containing nelfinavir (used to treat HIV infection). 
•You should specifically tell your doctor or pharmacist if you are taking clopidogrel (used to prevent blood clots). 
•Do not take this medicine with other medicines that limit the amount of acid produced in your stomach such as proton pump inhibitors (e.g. pantoprazole, lansoprazole, rabeprazole or omeprazole) or an H2 antagonist (e.g. ranitidine or famotidine)

Inform your doctor about the medicines you are taking, especially mention to you doctor if you are taking:
Ketoconazole and itraconazole (used to treat infections caused by a fungus).
Voriconazole (used to treat infections caused by a fungus) and clarithromycin (used to treat infections). Your doctor may adjust your dose of Esomeprazole if you also have severe liver problems and are treated for a long period of time.
Erlotinib (used to treat cancer).
Methotrexate (used to treat cancer and rheumatic disorders).
Digoxin (used for heart problems).
Atazanavir, saquinavir (used to treat HIV infection).
Citalopram, imipramine or clomipramine (used to treat depression).
Diazepam (used to treat anxiety, relax muscles or in epilepsy).
Phenytoin (used to treat epilepsy).
Medicines that are used to thin your blood, such as warfarin. Your doctor may need to monitor you when you start or stop taking Esomeprazole.
Cilostazol (used to treat intermittent claudication – a condition where poor blood supply to the leg muscles causes pain and difficulty in walking).
Cisapride (used for indigestion and heartburn).
Rifampicin (used to treat tuberculosis).
Tacrolimus (in cases of organ transplantation).
St. John’s wort (Hypericum perforatum) (used to treat depression). risk of a lowered threshold for seizures.

Children and adolescents: 
Esomeprazole should normally not be used for children and adolescents under 18 years.

4892
in stockSAR 48.05
NEXIUM
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يستخدم هذا الدواء للبالغين للعلاج قصير الأمد لأعراض الارتجاع (على سبيل المثال ، حرقة المعدة والقلس الحمضي).&bull; الارتجاع هو ارتداد الحمض من المعدة إلى المريء (أنبوب الطعام) والذي قد يلتهب ويؤلم. قد يسبب لك ذلك أعراضًا مثل الإحساس بالألم في الصدر الذي يصل إلى الحلق (حرقة الفؤاد) وطعم لاذع في الفم (قلس حامضي).&bull; إيزوميبرازول ليس المقصود منه أن يقدم راحة فورية.&bull; قد تحتاج إلى تناول الكبسولات لمدة 2-3 أيام متتالية قبل أن تشعر بالتحسن. يجب عليك التحدث إلى الطبيب إذا لم تشعر بتحسن أو إذا شعرت بسوء بعد 14 يومًا.;ما تحتاج إلى معرفته قبل استخدام إيزوميبرازول:لا تستخدم إيزوميبرازول&bull; إذا كان لديك حساسية من إيزوميبرازول أو أي من المكونات الأخرى في هذا الدواء&bull; إذا كنت تعاني من حساسية تجاه الأدوية التي تحتوي على مثبطات أخرى لمضخة البروتون (مثل بانتوبرازول أو لانسوبرازول أو رابيبرازول أو أوميبرازول).&bull; إذا كنت تتناول دواء يحتوي على نلفينافير (يستخدم لعلاج عدوى فيروس نقص المناعة البشرية).;المحاذير والإحتياطات:يجب أن تخبر طبيبك بما يلي:&bull; تعرضت لقرحة في المعدة أو جراحة في المعدة في الماضي.&bull; كنت تتناول علاجًا مستمرًا للارتجاع أو الحرقة لمدة 4 أسابيع أو أكثر.&bull; كنت تعاني من اليرقان (اصفرار الجلد أو العينين) أو مشاكل حادة في الكبد.&bull; لديك مشاكل خطيرة في الكلى.&bull; إذا كان عمرك يزيد عن 55 عامًا ولديك أعراض ارتجاع جديدة أو تغيرت مؤخرًا أو تحتاج إلى تناول علاج عسر الهضم أو علاج حرقة المعدة يوميًا بدون وصفة طبية.&bull; عانيت من قبل من رد فعل جلدي بعد العلاج بدواء مشابه لـ إيزوميبرازول الذي يقلل من حموضة المعدة.&bull; من المقرر أن تخضع للتنظير الداخلي أو اختبار تنفس اليوريا.&bull; من المقرر أن تخضع لفحص دم محدد (كروموجرانين أ).;الأدوية الأخرى و إيزوميبرازول:&bull; لا تتناول هذا الدواء إذا كنت تتناول دواء يحتوي على نلفينافير (يستخدم لعلاج عدوى فيروس نقص المناعة البشرية).&bull; يجب أن تخبر طبيبك أو الصيدلي تحديدًا إذا كنت تتناول عقار كلوبيدوجريل (يستخدم لمنع تجلط الدم).&bull; لا تتناول هذا الدواء مع أدوية أخرى تحد من كمية الحمض المنتجة في معدتك مثل مثبطات مضخة البروتون (مثل بانتوبرازول أو لانسوبرازول أو رابيبرازول أو أوميبرازول) أو مضاد H2 (مثل رانيتيدين أو فاموتيدين)\nأخبر طبيبك عن الأدوية التي تتناولها ، ولا سيما ذكر طبيبك إذا كنت تتناول:&bull; كيتوكونازول وإيتراكونازول (يستخدمان لعلاج الالتهابات التي تسببها الفطريات).&bull; فوريكونازول (يستخدم لعلاج الالتهابات التي تسببها الفطريات) وكلاريثروميسين (يستخدم لعلاج الالتهابات). قد يقوم طبيبك بتعديل جرعتك من إيسوميبرازول إذا كنت تعاني أيضًا من مشاكل حادة في الكبد وتم علاجك لفترة طويلة من الزمن.&bull; إرلوتينيب (يستعمل لعلاج السرطان).&bull; ميثوتريكسات (لعلاج السرطان والاضطرابات الروماتيزمية).&bull; الديجوكسين (يستخدم لمشاكل القلب).&bull; أتازانافير ، ساكوينافير (يستخدم لعلاج عدوى فيروس نقص المناعة البشرية).&bull; سيتالوبرام ، إيميبرامين أو كلوميبرامين (لعلاج الاكتئاب).&bull; ديازيبام (يستعمل لعلاج القلق أو إرخاء العضلات أو الصرع).&bull; الفينيتوين (المستخدم في علاج الصرع).&bull; الأدوية التي تستخدم لتسييل الدم ، مثل الوارفارين. قد يحتاج طبيبك إلى مراقبتك عندما تبدأ أو تتوقف عن تناول إيزوميبرازول.&bull; سيلوستازول (يستخدم لعلاج العرج المتقطع - وهي حالة يؤدي فيها نقص تدفق الدم إلى عضلات الساق إلى الألم وصعوبة في المشي).&bull; سيسابريد (يستخدم لعسر الهضم وحرقة المعدة).&bull; ريفامبيسين (المستخدم في علاج السل).&bull; تاكروليموس (في حالات زراعة الأعضاء).&bull; نبتة سانت جون (Hypericum perforatum) (تستخدم لعلاج الاكتئاب). خطر حدوث عتبة منخفضة للنوبات.;الأطفال والمراهقون:لا ينبغي عادةً استخدام إيسوميبرازول للأطفال والمراهقين الذين تقل أعمارهم عن 18 عامًا."},"metafields":{"benefits":"","how_to_use":"<p>احرص دائمًا على تناول هذا الدواء تمامًا كما هو موصوف في هذه النشرة أو كما أخبرك طبيبك أو الصيدلي. استشر طبيبك أو الصيدلي إذا لم تكن متأكدًا.</p>\n<p>&nbsp;<br />&bull; الجرعة الموصى بها هي كبسولة واحدة في اليوم.<br />&bull; لا تأخذ أكثر من هذه الجرعة الموصى بها من كبسولة واحدة (20 ملغ) في اليوم ، حتى لو لم تشعر بتحسن على الفور.<br />&bull; قد تحتاج إلى تناول الكبسولات لمدة يومين أو ثلاثة أيام متتالية قبل أن تتحسن أعراض الارتجاع (على سبيل المثال ، حرقة المعدة والقلس الحمضي).<br />&bull; تصل مدة العلاج إلى 14 يومًا.<br />&bull; عندما تختفي أعراض الارتجاع تمامًا ، يجب أن تتوقف عن تناول هذا الدواء.<br />&bull; إذا تفاقمت أعراض الارتجاع لديك أو لم تتحسن بعد تناول هذا الدواء لمدة 14 يومًا على التوالي ، يجب عليك استشارة الطبيب. إذا كانت لديك أعراض مستمرة أو طويلة الأمد ومتكررة الحدوث حتى بعد العلاج بهذا الدواء ، يجب عليك الاتصال بطبيبك. تناول هذا الدواء<br />&bull; 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إيزوميبرازول ليس المقصود منه أن يقدم راحة فورية.<br />&bull; قد تحتاج إلى تناول الكبسولات لمدة 2-3 أيام متتالية قبل أن تشعر بالتحسن. يجب عليك التحدث إلى الطبيب إذا لم تشعر بتحسن أو إذا شعرت بسوء بعد 14 يومًا.<br />&nbsp;<br /><b>ما تحتاج إلى معرفته قبل استخدام إيزوميبرازول:</b><br /><b>لا تستخدم إيزوميبرازول</b><br />&bull; إذا كان لديك حساسية من إيزوميبرازول أو أي من المكونات الأخرى في هذا الدواء<br />&bull; إذا كنت تعاني من حساسية تجاه الأدوية التي تحتوي على مثبطات أخرى لمضخة البروتون (مثل بانتوبرازول أو لانسوبرازول أو رابيبرازول أو أوميبرازول).<br />&bull; إذا كنت تتناول دواء يحتوي على نلفينافير (يستخدم لعلاج عدوى فيروس نقص المناعة البشرية).<br />&nbsp;<br /><b>المحاذير والإحتياطات:</b><br /><b>يجب أن تخبر طبيبك بما يلي:<br /></b>&bull; تعرضت لقرحة في المعدة أو جراحة في المعدة في الماضي.<br />&bull; كنت تتناول علاجًا مستمرًا للارتجاع أو الحرقة لمدة 4 أسابيع أو أكثر.<br />&bull; كنت تعاني من اليرقان (اصفرار الجلد أو العينين) أو مشاكل حادة في الكبد.<br />&bull; لديك مشاكل خطيرة في الكلى.<br />&bull; إذا كان عمرك يزيد عن 55 عامًا ولديك أعراض ارتجاع جديدة أو تغيرت مؤخرًا أو تحتاج إلى تناول علاج عسر الهضم أو علاج حرقة المعدة يوميًا بدون وصفة طبية.<br />&bull; عانيت من قبل من رد فعل جلدي بعد العلاج بدواء مشابه لـ إيزوميبرازول الذي يقلل من حموضة المعدة.<br />&bull; من المقرر أن تخضع للتنظير الداخلي أو اختبار تنفس اليوريا.<br />&bull; من المقرر أن تخضع لفحص دم محدد (كروموجرانين أ).<br />&nbsp;<br /><b>الأدوية الأخرى و إيزوميبرازول:</b><br />&bull; لا تتناول هذا الدواء إذا كنت تتناول دواء يحتوي على نلفينافير (يستخدم لعلاج عدوى فيروس نقص المناعة البشرية).<br />&bull; يجب أن تخبر طبيبك أو الصيدلي تحديدًا إذا كنت تتناول عقار كلوبيدوجريل (يستخدم لمنع تجلط الدم).<br />&bull; لا تتناول هذا الدواء مع أدوية أخرى تحد من كمية الحمض المنتجة في معدتك مثل مثبطات مضخة البروتون (مثل بانتوبرازول أو لانسوبرازول أو رابيبرازول أو أوميبرازول) أو مضاد H2 (مثل رانيتيدين أو فاموتيدين)</p>\n<p><br /><b>أخبر طبيبك عن الأدوية التي تتناولها ، ولا سيما ذكر طبيبك إذا كنت تتناول:<br /></b>&bull; كيتوكونازول وإيتراكونازول (يستخدمان لعلاج الالتهابات التي تسببها الفطريات).<br />&bull; فوريكونازول (يستخدم لعلاج الالتهابات التي تسببها الفطريات) وكلاريثروميسين (يستخدم لعلاج الالتهابات). قد يقوم طبيبك بتعديل جرعتك من إيسوميبرازول إذا كنت تعاني أيضًا من مشاكل حادة في الكبد وتم علاجك لفترة طويلة من الزمن.<br />&bull; إرلوتينيب (يستعمل لعلاج السرطان).<br />&bull; ميثوتريكسات (لعلاج السرطان والاضطرابات الروماتيزمية).<br />&bull; الديجوكسين (يستخدم لمشاكل القلب).<br />&bull; أتازانافير ، ساكوينافير (يستخدم لعلاج عدوى فيروس نقص المناعة البشرية).<br />&bull; سيتالوبرام ، إيميبرامين أو كلوميبرامين (لعلاج الاكتئاب).<br />&bull; ديازيبام (يستعمل لعلاج القلق أو إرخاء العضلات أو الصرع).<br />&bull; الفينيتوين (المستخدم في علاج الصرع).<br />&bull; الأدوية التي تستخدم لتسييل الدم ، مثل الوارفارين. قد يحتاج طبيبك إلى مراقبتك عندما تبدأ أو تتوقف عن تناول إيزوميبرازول.<br />&bull; سيلوستازول (يستخدم لعلاج العرج المتقطع - وهي حالة يؤدي فيها نقص تدفق الدم إلى عضلات الساق إلى الألم وصعوبة في المشي).<br />&bull; سيسابريد (يستخدم لعسر الهضم وحرقة المعدة).<br />&bull; ريفامبيسين (المستخدم في علاج السل).<br />&bull; تاكروليموس (في حالات زراعة الأعضاء).<br />&bull; نبتة سانت جون (Hypericum perforatum) (تستخدم لعلاج الاكتئاب). خطر حدوث عتبة منخفضة للنوبات.<br />&nbsp;<br /><b>الأطفال والمراهقون:</b><br />لا ينبغي عادةً استخدام إيسوميبرازول للأطفال والمراهقين الذين تقل أعمارهم عن 18 عامًا.</p>","name":"نيكسيوم 40 مجم 14 قرص"},"EN":{}}},"categories":["wellness","medicines","medications","prescribed-medicines","medication"],"description":"<p><b>What Esomeprazole is and what it is used for:<br /></b><br /><span>&bull;Esomeprazole belongs to a group of medicines called &lsquo;proton pump inhibitors&rsquo;. They work by reducing the amount of acid that your stomach produces.</span><br /><span>&bull;</span><span> </span><span>This medicine is used in adults for the short term treatment of reflux symptoms (for example, heartburn and acid regurgitation).</span><br /><span>&bull;Reflux is the backflow of acid from the stomach into the gullet (&ldquo;foodpipe&rdquo;) which may become inflamed and painful. This may cause you symptoms such as a painful sensation in the chest rising up to your throat (heartburn) and a sour taste in the mouth (acid regurgitation).</span><br /><span>&bull;Esomeprazole is not meant to bring immediate relief.&nbsp;</span><br /><span>&bull;You may need to take the capsules for 2-3 days in a row before you feel better. You must talk to a doctor if you do not feel better or if you feel worse after 14 days.</span><br /><br /><br /><b>What you need to know before you use Esomeprazole:<br /></b><br /><b>Do not use Esomeprazole:</b><br /><span>&bull;</span><span> </span><span>If&nbsp; &nbsp;you&nbsp; &nbsp;are&nbsp; &nbsp;allergic to Esomeprazole&nbsp; &nbsp;or any&nbsp; &nbsp;of&nbsp; &nbsp;the&nbsp; &nbsp;other&nbsp; &nbsp;ingredients in&nbsp; &nbsp;this medicine</span><br /><span>&bull;</span><span> </span><span>If you are allergic to medicines containing other proton pump inhibitors (e.g. pantoprazole, lansoprazole, rabeprazole or omeprazole).</span><br /><span>&bull;</span><span> </span><span>If you are taking a medicine containing nelfinavir (used to treat HIV infection).</span><br /><br /><br /><b>Warnings and precautions:</b><br /><b>You&nbsp; &nbsp;should&nbsp; &nbsp;let&nbsp; &nbsp;your&nbsp; &nbsp;doctor&nbsp; &nbsp;know:<br /></b><span>&bull;</span><span> </span><span>You have had a stomach ulcer or stomach surgery in the past.</span><br /><span>&bull;</span><span> </span><span>You have been taking treatment continuously for reflux or heartburn for 4 or more weeks.</span><br /><span>&bull;</span><span> </span><span>You have jaundice (yellowing of skin or eyes) or severe liver problems.</span><br /><span>&bull;</span><span> </span><span>You have severe kidney problems.</span><br /><span>&bull;</span><span> </span><span>You are aged over 55 years and have new or recently changed reflux symptoms or need to take a non-prescription indigestion or heartburn remedy treatment every day.</span><br /><span>&bull;</span><span> </span><span>You have ever had a skin reaction after treatment with a medicine similar to Esomeprazole that reduces stomach acid.</span><br /><span>&bull;</span><span> </span><span>You are due to have an endoscopy or a urea breath test.</span><br /><span>&bull;</span><span> </span><span>You are due to have a specific blood test (Chromogranin A).&nbsp;</span><br /><br /><b>Other medicines and Esomeprazole:</b><br /><span>&bull;Do not take this medicine if you are also taking a medicine containing nelfinavir (used to treat HIV infection).&nbsp;</span><br /><span>&bull;You should specifically tell your doctor or pharmacist if you are taking clopidogrel (used to prevent blood clots).&nbsp;</span><br /><span>&bull;Do not take this medicine with other medicines that limit the amount of acid produced in your stomach such as proton pump inhibitors (e.g. pantoprazole, lansoprazole, rabeprazole or omeprazole) or an H2 antagonist (e.g. ranitidine or famotidine)</span><br /><br /><b>Inform your doctor about the medicines you are taking, especially mention to you doctor if you are taking:<br /></b><span>&bull;</span><span> </span><span>Ketoconazole and itraconazole (used to treat infections caused by a fungus).</span><br /><span>&bull;</span><span> </span><span>Voriconazole (used to treat infections caused by a fungus) and clarithromycin (used to treat infections). Your doctor may adjust your dose of Esomeprazole if you also have severe liver problems and are treated for a long period of time.</span><br /><span>&bull;</span><span> </span><span>Erlotinib (used to treat cancer).</span><br /><span>&bull;</span><span> </span><span>Methotrexate (used to treat cancer and rheumatic disorders).</span><br /><span>&bull;</span><span> </span><span>Digoxin (used for heart problems).</span><br /><span>&bull;</span><span> </span><span>Atazanavir, saquinavir (used to treat HIV infection).</span><br /><span>&bull;</span><span> </span><span>Citalopram, imipramine or clomipramine (used to treat depression).</span><br /><span>&bull;</span><span> </span><span>Diazepam (used to treat anxiety, relax muscles or in epilepsy).</span><br /><span>&bull;</span><span> </span><span>Phenytoin (used to treat epilepsy).</span><br /><span>&bull;</span><span> </span><span>Medicines that are used to thin your blood, such as warfarin. Your doctor may need to monitor you when you start or stop taking Esomeprazole.</span><br /><span>&bull;</span><span> </span><span>Cilostazol (used to treat intermittent claudication &ndash; a condition where poor blood supply to the leg muscles causes pain and difficulty in walking).</span><br /><span>&bull;</span><span> </span><span>Cisapride (used for indigestion and heartburn).</span><br /><span>&bull;</span><span> </span><span>Rifampicin (used to treat tuberculosis).</span><br /><span>&bull;</span><span> </span><span>Tacrolimus (in cases of organ transplantation).</span><br /><span>&bull;</span><span> </span><span>St. John&rsquo;s wort (Hypericum perforatum) (used to treat depression). risk of a lowered threshold for seizures.</span><br /><br /><b>Children and adolescents:&nbsp;</b><br /><span>Esomeprazole should normally not be used for children and adolescents under 18 years.</span></p>","_updated_by":"5e5ba36356297b5dd7d7df93","Category":"Pharmacy,Pharmacy:OTC,Pharmacy:OTC:Heart Burn Medicines","kunooz_sort_order":0,"whites_sort_order":173,"compare_price_discount":0,"gtin":"5000456007429","location_availability":["all"],"location_availability_mode":"default","original_sort_order":0,"seller_products":[{"publish":"1","inventory_management":"automatic","seller":"65701c7f4061d4c39ab60f36","approve":"approved","substore":["kunooz-express","kunooz"],"product_name":"Nexium 40 mg Tablet 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Available
Prescription Required

Nexium 40 mg Tablet 14pcs

SAR 48.05
This Product is only deliverable in Riyadh

What Esomeprazole is and what it is used for:

•Esomeprazole belongs to a group of medicines called ‘proton pump inhibitors’. They work by reducing the amount of acid that your stomach produces.
This medicine is used in adults for the short term treatment of reflux symptoms (for example, heartburn and acid regurgitation).
•Reflux is the backflow of acid from the stomach into the gullet (“foodpipe”) which may become inflamed and painful. This may cause you symptoms such as a painful sensation in the chest rising up to your throat (heartburn) and a sour taste in the mouth (acid regurgitation).
•Esomeprazole is not meant to bring immediate relief. 
•You may need to take the capsules for 2-3 days in a row before you feel better. You must talk to a doctor if you do not feel better or if you feel worse after 14 days.


What you need to know before you use Esomeprazole:

Do not use Esomeprazole:
If   you   are   allergic to Esomeprazole   or any   of   the   other   ingredients in   this medicine
If you are allergic to medicines containing other proton pump inhibitors (e.g. pantoprazole, lansoprazole, rabeprazole or omeprazole).
If you are taking a medicine containing nelfinavir (used to treat HIV infection).


Warnings and precautions:
You   should   let   your   doctor   know:
You have had a stomach ulcer or stomach surgery in the past.
You have been taking treatment continuously for reflux or heartburn for 4 or more weeks.
You have jaundice (yellowing of skin or eyes) or severe liver problems.
You have severe kidney problems.
You are aged over 55 years and have new or recently changed reflux symptoms or need to take a non-prescription indigestion or heartburn remedy treatment every day.
You have ever had a skin reaction after treatment with a medicine similar to Esomeprazole that reduces stomach acid.
You are due to have an endoscopy or a urea breath test.
You are due to have a specific blood test (Chromogranin A). 

Other medicines and Esomeprazole:
•Do not take this medicine if you are also taking a medicine containing nelfinavir (used to treat HIV infection). 
•You should specifically tell your doctor or pharmacist if you are taking clopidogrel (used to prevent blood clots). 
•Do not take this medicine with other medicines that limit the amount of acid produced in your stomach such as proton pump inhibitors (e.g. pantoprazole, lansoprazole, rabeprazole or omeprazole) or an H2 antagonist (e.g. ranitidine or famotidine)

Inform your doctor about the medicines you are taking, especially mention to you doctor if you are taking:
Ketoconazole and itraconazole (used to treat infections caused by a fungus).
Voriconazole (used to treat infections caused by a fungus) and clarithromycin (used to treat infections). Your doctor may adjust your dose of Esomeprazole if you also have severe liver problems and are treated for a long period of time.
Erlotinib (used to treat cancer).
Methotrexate (used to treat cancer and rheumatic disorders).
Digoxin (used for heart problems).
Atazanavir, saquinavir (used to treat HIV infection).
Citalopram, imipramine or clomipramine (used to treat depression).
Diazepam (used to treat anxiety, relax muscles or in epilepsy).
Phenytoin (used to treat epilepsy).
Medicines that are used to thin your blood, such as warfarin. Your doctor may need to monitor you when you start or stop taking Esomeprazole.
Cilostazol (used to treat intermittent claudication – a condition where poor blood supply to the leg muscles causes pain and difficulty in walking).
Cisapride (used for indigestion and heartburn).
Rifampicin (used to treat tuberculosis).
Tacrolimus (in cases of organ transplantation).
St. John’s wort (Hypericum perforatum) (used to treat depression). risk of a lowered threshold for seizures.

Children and adolescents: 
Esomeprazole should normally not be used for children and adolescents under 18 years.

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Always take this medicine exactly as described in this leaflet or as your doctor or pharmacist have told you. Check with your doctor or pharmacist if you are not sure. 

How much to take:
The recommended dose is one capsule a day.
Do not take more than this recommended dose of one capsule (20 mg) a day, even if you don’t feel an improvement immediately.
You may need to take the capsules for 2 or 3 days in a row before your reflux symptoms (for example, heartburn and acid regurgitation) get better.
The treatment length is up to 14 days.
When your reflux symptoms have completely gone you should stop taking this medicine.
If your reflux symptoms get worse or do not improve after taking this medicine for 14 days in a row, you should consult a doctor. If you have persistent or longstanding, frequently recurring symptoms even after treatment with this medicine, you should contact your doctor. Taking this medicine 
You can take your capsule at any time of the day either with food or on an empty stomach. 
Swallow your capsule whole with half a glass of water. Do not chew, crush or open the capsule. This is because the capsule contains coated pellets, which stop the medicine from being broken down by the acid in your stomach. 
It is important not to damage the pellets.

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