Nexium mups 20mg taken before or after meals?

Nexium mups 20mg drug with the main ingredient is the active ingredient esomeprazole with proton pump inhibitor effect, indicated for each subject in cases of gastroesophageal reflux disease and peptic ulcer disease. causes of NSAID use. At the same time, this is a drug that has the effect of preventing re-bleeding after endoscopic treatment of acute bleeding due to peptic ulcer, anti-gastric secretion when oral therapy does not respond.

Nexium Mups 20mg is indicated for use in the treatment of the following cases:
Indications for the treatment of gastroesophageal reflux disease (GERD) are:
Treatment of esophagitis caused by reflux reverse. Long-term treatment of patients with treated esophagitis to prevent recurrence. Symptomatic treatment of gastroesophageal reflux disease (GERD). In combination with an appropriate antibacterial regimen to destroy Helicobacter pylori and treat duodenal ulcers infected with Helicobacter pylori or H. Prophylaxis of recurrent peptic ulcer disease in patients with ulcers caused by Helicobacter pylori infection.

Nexium mups 20mg should be taken about 1 hour before the main meal, this is the most appropriate time to take the medicine. You should take the medicine with a full glass of filtered water, or you can replace filtered water with cooled boiled water, but do not take the medicine with carbonated or alcoholic beverages such as beer, wine,...
Before Eat about 1 hour, when you take Nexium mups 20mg, then the active ingredients will have time to dissolve in the stomach lining and the drug will have a good effect. However, the drug will not take effect immediately after you take it. When taking the drug before eating, you will see signs such as heartburn, burning pain in the epigastrium, and esophageal reflux that decreases significantly after eating.
The use of Nexium mups 20mg daily and at the right dose will have a good effect to help you improve the signs of gastric ulcer, esophageal reflux and stomach hot flashes.

3.1. How to take Nexium mups 20mg: Take orally. You should try to swallow the Nexium mups 20mg tablet whole with water. Do not chew or crush the tablet.
For people who are having difficulty swallowing, the tablet can be dispersed in half a glass of non-carbonated water. Do not use in combination with other liquids because the coating that helps the tablet to dissolve in the intestines may be lost. Stir until the tablet is completely dispersed and drink the microparticle dispersion immediately or within 30 minutes. Rinse the glass you just mixed with half a glass of water and drink.
3.2. Dosage of Nexium mups 20mg Adults and adolescents from 12 years of age and older to treat gastroesophageal reflux disease (GERD):
Treatment of esophagitis caused by reflux: take 40mg or 2 Nexium tablets mups 20mg, 1 time / day for 4 weeks. An additional 4 weeks of treatment is recommended for people with esophagitis that has not healed or has persistent symptoms. Long-term treatment for people with esophagitis who have recovered to prevent the risk of recurrence: 20mg ie 1 tablet of Nexium mups 20mg, 1 time / day. Symptomatic treatment of gastroesophageal reflux disease (GERD): 20mg, 1 time / day ie 1 tablet of Nexium mups 20mg in people without esophagitis. If symptoms are not controlled after 4 weeks, the doctor may order further laboratory investigations to confirm the diagnosis. Use in combination with an appropriate antibacterial regimen to eradicate Helicobacter pylori
Treatment of duodenal ulcer with Helicobacter pylori infection: Nexium Mups 20mg, amoxicillin 1g and clarithromycin 500mg, all drugs given twice/ days for a period of 7 days. Prevention and prophylaxis of peptic ulcer recurrence in patients with ulcers infected with helicobacter pylori: Nexium Mups 20 mg, amoxicillin 1 g and clarithromycin 500 mg, all administered twice daily for 7 days. Patients with impaired renal function No dose adjustment of Nexium mups 20mg is required in patients with impaired renal function. Because there is still little experience with the use of the drug in patients with severe renal impairment, caution should be exercised in treating this population.
Patients with impaired liver function No dose adjustment is required in patients with mild to moderate hepatic impairment. In patients with severe hepatic impairment, the maximum dose of Nexium Mups 20mg should not be exceeded.

3.3. Attention when using the drug When using Nexium mups 20mg overdose: 280mg dose is the gastrointestinal symptoms and fatigue. Currently, in experimental and clinical trials, there is no specific antidote. The reason is that the active ingredient esomeprazole- in the main ingredient of the drug is strongly bound to plasma proteins, so it is not easily dialyzable. In case of overdose, the doctor will prescribe symptomatic treatment and use general supportive measures.
When using a missed dose of Nexium mups 20mg, use it as soon as possible. However, if it is almost time for your next dose, you can skip the missed dose and take your next dose at the scheduled time. Note that double the prescribed dose should not be taken.

Nexium Mups 20 mg is contraindicated in the following cases:
History of allergy or hypersensitivity to esomeprazole, benzimidazole subclass or other components of the drug. Nexium mups 20mg should not be used concurrently with nelfinavir, atazanavir. People who are treated with Nexium mups 20mg for a long time (especially those treated for more than 1 year) need periodic and regular health monitoring. If you notice any unusual symptoms during treatment, you should immediately notify your doctor. Nexium mups 20mg contains sucrose, so it is not suitable for people with hereditary problems such as fructose intolerance, poor glucose-galactose absorption or sucrase isomaltase deficiency.
General antacids, including Nexium mups 20mg, can reduce vitamin B12 absorption by reducing or lacking gastric acid. Therefore, people with vitamin B12 deficiency or risk factors for reduced absorption of vitamin B12 should consider before using Nexium mups 20mg for long-term treatment.
Proton pump inhibitors, especially when taken in high doses and for long periods of time (more than 1 year), may slightly increase the risk of fractures such as the hip, wrist and spine, especially in people old age or in the presence of other risk factors. Therefore, elderly individuals at risk of osteoporosis should be cared for according to current clinical guidelines and supplemented with appropriate amounts of vitamin D and calcium.
Ability to drive and use machines: Nexium mups 20mg has little effect on the ability to drive and use machines. Some adverse reactions such as dizziness (uncommon), blurred vision (rare) may occur. If these side effects occur, you should not drive or operate machinery.
For women during pregnancy or lactation: there are currently no studies on this group of subjects during use. So before using Nexium mups 20mg, you should consult with your treating doctor to weigh the benefits and risks of taking the drug.
Knowing the information about the process of taking Nexium mups 20mg will bring better results to the patient.