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Reflux Advice Please


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#1 summer

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Posted 19 October 2007 - 11:39 PM

Does anyone know what the maximum of Nexium I can take in one day?.
My reflux has been pretty bad the last couple of nights, I have been prescribed 40mg pellets which I think are slow released.

Anyway I took 80mg last night and another 80mg tonight in one hit, so I hope it does the trick and I am ok.

Take care
Celia

#2 jefa

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Posted 20 October 2007 - 04:20 AM

Nexium is the proprietary name for the drug esomeprazole which is a proton pump inhibitor. This works by turning off production of acid in the stomach. If you already have some acid in your stomach before you take it, it doesn't get rid of this acid, it just keeps your stomach from producing any more. By the same token, any acids or acid forming foods will add to the problem.

You should not double the dosage of your medication unless your doctor advises you to do so. It may interact negatively with other drugs you are taking and can have an impact on your kidneys and liver. Please read this Medline Plus article on esomeprazole (Nexium). If the prescribed dosage is not doing the trick, you may need to be looking at other solutions. Take the pill on an empty stomach. Avoid acid or acid producing foods and use otc antacids to deal with the acid you ingest.
Warm wishes,
Jefa

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#3 Gidget

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Posted 20 October 2007 - 04:23 AM

Celia,
I'm not sure what the maximum is. I can take 120 mg to 160mg. per day. Plus I can take Reglan to help push the food through the stomach and reduce the acid. As it sounds like your problem is at night, you might want to try elevating your head and not eating after 6-7PM. Also don't drink anything as I was finding that even a glass of water was aggrevating the situation. Also, I find that taking something like a couple of "Tums" at bedtime works better than the Nexium as the Nexium does give me diahrea if I take too much of it. Good luck. Gidget

#4 Sweet

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Posted 20 October 2007 - 05:17 AM

I'm really sorry you are having an increased problem requiring more meds. The best thing to do is give your doctor a quick call, tell his/her nurse what is going on an ask him/her this question. It would be easy to give you the range of what is an acceptable dosage, but each of our bodies are different and what is OK for one person isn't OK for the next.

Give you doctor a call hon.
Warm and gentle hugs,

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#5 Kamlesh

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Posted 20 October 2007 - 12:10 PM

Hi Celia,

I have taken up to 80mg of Nexium. I have found Aciphex to be lot more effective than Nexium. My insurance company dragged their feet to approve it, but my GI specialist insisted for it as that was only drug helped me.
Take care!
Kind regards,

Kamlesh


#6 eah

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Posted 20 October 2007 - 01:08 PM

I was told that 40 mg x 2 per day was the maximum dosage of Nexium. I was also told to supplement it with over the counter tums. I had some unpleasant side effects from Nexium so I recently switched to Pepcid. It is not as good, but no side effects.

Hope this helps.

EH
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#7 Patty

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Posted 20 October 2007 - 02:00 PM

hi Celia,
I take 80mg of prilisec a day, 40 mg in the am and 40 in the PM. This is how my GI told me to take it. Hope that this helps.
Hugs,
Patty

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#8 summer

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Posted 21 October 2007 - 06:14 PM

Thanks everyone for replying to my post, I live in Australia and am not familiar with "TUMs", is it an antacid?

Thanks
Celia :unsure:

#9 bookworm

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Posted 21 October 2007 - 07:36 PM

Celia,
Tums is an over-the-counter, chewable antacid. I sometimes chew one in addition to my daily Prilosec or Nexium.

Mary in Texas

#10 debonair susie

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Posted 22 October 2007 - 09:54 AM

Like Patty, I also take Prilosec on the 40mg in the am and PM. I asked that it be increased from 40mg/day and as a result, it seemed to have reversed the Barrett's Esophagus I had been diagnosed with, which was a real coups!

Yes, I also take Tums on the rare occasions I need to, usually at night... then I get more instant relief.

Hugs, Susie
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