Esomeprazole works best if taken on an empty stomach at least one hour before a meal. Nexium is usually taken once a day at least one hour before a meal. Along with their useful effects Esomeprazole can cause unwanted side effects, which usually improve as your body adjusts to the new medicine. Nexium is a type of medicine known as an acid pump inhibitor which works by decreasing the acid produced by acid pumps. Because Nexium is likely to appear in breast milk you will need to choose between taking Nexium or breastfeeding your baby.
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