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Nexium Mups 40mg is an oral medication for the treatment of stomach ulcers with the main active ingredient being Esomeprazole. Refer to the article below to learn about how to use nexium mups 40mg.
1. What is Nexium mups 40mg?
Nexium Mups is a product of AstraZeneca (Sweden). The drug is prepared in the form of gastric juice resistant film-coated tablets with the main active ingredient being Esomeprazole 40mg and is used in the treatment of diseases such as gastroesophageal reflux disease (GERD), peptic ulcers and duodenal ulcers. Zollinger Ellison syndrome.
2. What are the effects of Nexium mups 40mg?
Nexium Mups is indicated for use in the following cases:
Adults
Treatment of gastroesophageal reflux disease (GERD): Treatment of esophagitis caused by reflux. Long-term treatment of patients with healed esophagitis to prevent recurrence. Symptomatic treatment of gastroesophageal reflux disease (GERD). In combination with an appropriate antibacterial regimen for the eradication of Helicobacter pylori: Healing of duodenal ulcers infected with Helicobacter pylori. Prevention of recurrence of peptic ulcers in ulcer patients infected with Helicobacter pylori. Patients requiring continuous non-steroidal anti-inflammatory drug (NSAID) therapy: Healing of gastric ulcers caused by NSAID therapy. Prevention of NSAID-induced gastric and duodenal ulcers in at-risk patients. Prolonged treatment after intravenous prophylaxis of peptic ulcer rebleeding. Treatment of Zollinger Ellison syndrome. Adolescents 12 years of age and older
Treatment of gastroesophageal reflux disease (GERD): Treatment of erosive reflux esophagitis. Long-term treatment of patients with healed esophagitis to prevent recurrence. Symptomatic treatment of gastroesophageal reflux disease (GERD).
3. Mechanism of action of the drug nexium mups 40mg
Esomeprazole is a weak base that is concentrated and converted to the active form in the highly acidic environment of the secretory tubules of parietal cells, where it inhibits the H+K+-ATPase pump and both basal and stimulated secretions.4. How to use nexium mups 40mg
4.1. How to take Nexium Mups film-coated tablets for oral administration, swallow the tablets whole with liquid, do not chew or crush the tablets.
If the patient has difficulty swallowing, the tablet can be dispersed in half a glass of non-carbonated water.
Note do not take the medicine with other liquids, because the coating that helps the drug to dissolve in the intestines can be dissolved. Stir until the tablet is completely dispersed and drink the suspension containing the microparticles immediately or within 30 minutes. Rinse the glass with half a glass of water and drink. Do not mix or crush these microparticles.
For patients unable to swallow, the tablet can be dispersed in non-carbonated water and administered through a nasogastric tube.
4.2 Dosage of Nexium mups 40mg Dosage in the treatment of gastroesophageal reflux disease (GERD):
Treatment of erosive reflux esophagitis: 40 mg, once a day for 14 weeks. Long-term treatment of patients with healed esophagitis to prevent recurrence: 20mg once daily. Symptomatic treatment of gastroesophageal reflux disease (GERD): 20 mg, 1 time / day. Dosage in combination with an appropriate antibacterial regimen for the eradication of Helicobacter pylori: Nexium Mups 20 mg and in combination with amoxicillin 1 g and clarithromycin 500 mg, all given twice daily for 7 days.
Dosage in case of prolonged treatment after intravenous treatment to prevent re-bleeding from peptic ulcers: 40mg once daily for 4 weeks.
Dosage in case of Zollinger Ellison syndrome:
Recommended starting dose 40mg, 2 times/day. Then adjust according to individual patient response. Clinical data suggest that the majority of patients are controlled on doses of 80-160 mg/day. When the daily dose is greater than 80 mg, the dose should be divided into 2 times/day. Note: The above dosage is for reference only. The specific dose depends on the condition and the progression of the disease. To get the right dose, you need to consult your doctor or healthcare professional.
Nexium Mups is contraindicated in the following cases:
History of hypersensitivity to esomeprazole, benzimidazole subgroups or other ingredients in the formulation. Esomeprazole should not be used concurrently with nelfinavir, atazanavir.
5. Be careful when using nexium mups 40mg
When any alarming symptom is present (such as significant unintentional weight loss, recurrent vomiting, dysphagia, hematemesis or melena) and when gastric ulcer is suspected or present Malignancy should be excluded because treatment with Nexium Mups may relieve symptoms and delay diagnosis. Esomeprazole, as well as other antacids, can decrease the absorption of vitamin B12. Severe hypomagnesemia has been reported in patients treated with proton pump inhibitors for at least 3 months and in most cases for 1 year. Proton pump inhibitors, especially when used in high doses and for long periods of time (>1 year), may slightly increase the risk of hip, wrist, and spine fractures, particularly in elderly patients or when presence of other risk factors.
6. Side effects of nexium mups 40mg
When using Nexium Mups, you may experience unwanted effects (ADRs).
Common, ADR > 1/100
Neurological: Headache. Gastrointestinal: Abdominal pain, constipation, diarrhea, bloating, nausea/vomiting. Uncommon, 1/1000 < ADR < 1/100
Metabolism, nutrition: peripheral edema. Psychiatry: Insomnia. Nervous system: Dizziness, paresthesia, somnolence. Ears and labyrinth: Dizziness. Digestion: Dry mouth. Skin, subcutaneous tissue: Dermatitis, itching, rash, urticaria. Musculoskeletal, connective tissue: Fractures of the hip, wrist and spine. Rare/very rare, ADR < 1/1000
Hematology: Leukopenia, thrombocytopenia, agranulocytosis, pancytopenia. Immune: Hypersensitivity reactions such as fever, angioedema, anaphylactic/anaphylactoid reactions. Metabolism, nutrition: Reduce blood sodium. Psychiatric: Agitation, confusion, depression, temper, hallucinations Neurological: Taste disturbance. Eyes: Blurry vision. Respiratory: Bronchospasm. Skin, subcutaneous tissue: Baldness, photosensitivity, erythema multiforme, Stevens - Johnson syndrome, toxic epidermal necrolysis. Musculoskeletal, Connective Tissue: Joint pain, myalgia, muscle weakness. Urinary nephropathy: Interstitial nephritis. Reproduction, mammary glands: Gynecomastia. General site: Difficulty staying, increased sweating. When experiencing side effects of the drug, it is necessary to stop using it and notify the doctor or go to the nearest medical facility for timely treatment.
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