Buy Nexium
nexium
$25.50
- Active ingredient: Esomeprazole
- Category: Digestive Health
- Delivery time: Airmail (14-21 days) | EMS trackable (5-9 days)
- Prescription: Included
- Availability: In Stock
Nexium (Esomeprazole) 20mg and 40mg tablets are available from our Singapore pharmacy with reliable delivery. This proton pump inhibitor works by reducing stomach acid production, allowing healing of acid-related damage to the esophagus and stomach. It is ideal for adults suffering from frequent heartburn, GERD, or gastric ulcers who seek long-lasting relief from acid-related discomfort.
Table of contents
- Nexium (Esomeprazole) Buyer and Patient Handbook in Singapore
- What is Nexium?
- Who Should Use Nexium?
- How Does It Work?
- Why Choose Nexium?
- Dosage, Administration, Lifestyle and Dietary Recommendations
- Recommended Dosage
- How to Take
- Missed Dose
- Overdose
- Special Populations
- Lifestyle & Diet
- Precautions and Warnings
- Drug Interactions
- Potential Side Effects
- Common Side Effects
- Less Common Side Effects
- Serious Side Effects
- Who Should Avoid This Medication?
- Storage Instructions
- Nexium Alternatives
- Frequently Asked Questions
- How quickly will Nexium relieve my heartburn?
- Can I take Nexium with coffee or tea?
- Is it safe to use Nexium while drinking alcohol?
- What should I do if I feel no improvement after two weeks?
- Can children use Nexium?
- Does Nexium interact with multivitamins?
- Will Nexium protect me from ulcer bleeding caused by NSAIDs?
- Is long-term use of Nexium linked to any risks?
- Glossary
- Disclaimer
- Nexium Properties
- Nexium Drug Class
- Nexium Connected Conditions
- How to order Nexium from our Pharmacy
- Reviews
- Write your review
Nexium (Esomeprazole) Buyer and Patient Handbook in Singapore
What is Nexium?
Nexium contains the active ingredient esomeprazole and belongs to the proton-pump inhibitor (PPI) class, used to reduce stomach acid. It is indicated for gastro-oesophageal reflux disease (GERD), duodenal ulcers, and erosion of the oesophageal lining. The product is approved by the Health Sciences Authority (HSA) and is available in film-coated pill form.
Who Should Use Nexium?
- Adults with frequent heartburn or acid reflux symptoms
- Patients diagnosed with confirmed gastric or duodenal ulcers
- Individuals requiring protection of the oesophagus before chronic NSA-NSAID therapy
- Those whose physician has assessed that a PPI is appropriate for their condition
How Does It Work?
Nexium blocks the final step of gastric acid production by irreversibly inhibiting the H⁺/K⁺-ATPase enzyme (the “proton pump”) in stomach lining cells. By turning down the “acid faucet,” it allows damaged tissue to heal and reduces the frequency of acid-related discomfort. It has a low potential for abuse, but prolonged use without medical oversight should be avoided.
Why Choose Nexium?
- High potency: Esomeprazole is the S-enantiomer of omeprazole, offering more consistent acid control.
- Convenient dosing: Once-daily tablets provide 24-hour symptom relief for most users.
- Availability: Both brand-name Nexium and bio-equivalent generics are sold in Singapore pharmacies, giving cost-flexibility.
Dosage, Administration, Lifestyle and Dietary Recommendations
Recommended Dosage
- 20 mg once daily for mild-to-moderate GERD
- 40 mg once daily for severe GERD, ulcer healing, or as instructed by a healthcare professional
How to Take
- Swallow the tablet whole with a glass of water.
- Take it before the first meal of the day, preferably in the morning.
Missed Dose
- If you remember within 12 hours, take it immediately.
- If it is later than 12 hours, skip the missed dose and resume the regular schedule; do not double-dose.
Overdose
- Seek immediate medical help if more than the prescribed amount is taken.
- Supportive care (e.g., activated charcoal) is the typical emergency response.
Special Populations
- Elderly: Start with the lowest effective dose; monitor for kidney function.
- Renal impairment: No dosage change needed for mild impairment; severe cases require clinician review.
- Pregnancy & lactation: Considered low risk, but discuss with a healthcare provider.
Lifestyle & Diet
- Avoid taking Nexium with antacids, as they may reduce absorption.
- Grapefruit juice can increase blood levels of PPIs; limit consumption.
- Maintain a balanced diet and avoid late-night heavy meals to enhance symptom control.
Precautions and Warnings
- Do not use for longer than 14 days without professional review, as risk of vitamin B₁₂ deficiency and bone fractures may increase.
- Report persistent abdominal Pain, black stools, or unexplained weight loss promptly.
- Use cautiously in patients with a history of liver disease or severe hepatic impairment.
Drug Interactions
| Drug Class | Risk | Action |
|---|---|---|
| Antiplatelet agents (e.g., clopidogrel) | Reduced antiplatelet effect | Monitor clotting status |
| HIV protease inhibitors | Increased PPI levels | Adjust dose or monitor liver enzymes |
| Methotrexate (high dose) | Decreased clearance | Check renal function regularly |
Potential Side Effects
Common Side Effects
- Headache
- Diarrhoea or constipation
- Nausea
Less Common Side Effects
- Flatulence
- Abdominal pain
- Dry mouth
Serious Side Effects
- Severe allergic reaction (rash, swelling, breathing difficulty) - seek emergency care.
- Persistent Vomiting or diarrhoea - consult a healthcare professional.
- Signs of low magnesium (Muscle Spasms, irregular heartbeat) - obtain medical advice.
Who Should Avoid This Medication?
- Known hypersensitivity to esomeprazole or any component of the tablet
- Severe liver disease without doctor supervision
- Concurrent use of certain antifungal agents (e.g., ketoconazole) unless directed by a clinician
Storage Instructions
- Keep below 30 °C, away from direct sunlight.
- Store in the original container to protect from moisture.
- Keep out of reach of children and pets.
Nexium Alternatives
| Name | Class | Key Difference |
|---|---|---|
| Omeprazole | PPI | Slightly lower acid-control consistency |
| Lansoprazole | PPI | Similar efficacy, different dosing schedule |
| Rabeprazole | PPI | Faster onset of action in some patients |
Frequently Asked Questions
How quickly will Nexium relieve my heartburn?
Most users notice symptom improvement within 1-3 days of consistent daily use.
Can I take Nexium with coffee or tea?
Yes, but excessive caffeine may aggravate reflux; limit intake if symptoms persist.
Is it safe to use Nexium while drinking alcohol?
Occasional moderate alcohol does not interfere with the drug, but heavy drinking can worsen GERD.
What should I do if I feel no improvement after two weeks?
Stop the medication and discuss alternative treatments or further investigation with a healthcare professional.
Can children use Nexium?
Nexium is not approved for routine use in children under 12 years without specific medical guidance.
Does Nexium interact with multivitamins?
Standard multivitamins are generally safe, but calcium-carbonate supplements may reduce absorption; separate intake by at least 2 hours.
Will Nexium protect me from ulcer bleeding caused by NSAIDs?
It reduces stomach acid, which can lower ulcer risk, but a doctor may prescribe additional protective strategies.
Is long-term use of Nexium linked to any risks?
Extended therapy has been associated with vitamin B₁₂ deficiency and bone density loss; periodic monitoring is advised.
Glossary
- Proton-pump inhibitor (PPI): A drug that blocks the final step of acid production in the stomach.
- Enantiomer: One of two mirror-image forms of a molecule; the S-enantiomer of omeprazole is esomeprazole.
- Bio-equivalence: When a generic product shows the same rate and extent of absorption as the brand-name drug.
Disclaimer
The information provided herein is for general educational purposes and does not replace professional medical advice. Off-label uses are not discussed; any decision to start, stop, or change therapy should be made in consultation with a qualified healthcare provider. Our platform offers convenient access to approved medicines in Singapore, but the ultimate responsibility for safe medication use rests with the individual user.
Nexium Properties
- Original Manufacturer: AstraZeneca
- Clinical use: Used for treating acid-related gastrointestinal conditions.
- Spectrum of activity: Reduces gastric acid secretion.
- Mechanism of action: Inhibits the proton pump in gastric parietal cells, reducing acid production.
- Classification: Proton pump inhibitor (PPI)
- Recommended Dosage: 20-40 mg once daily, adjusted based on the condition being treated.
- Basic Side Effects: Headache, Diarrhea, Nausea
- Moderate Side Effects: Abdominal pain, Constipation
- Serious Side Effects: Bone fractures, Acute interstitial nephritis
Nexium Drug Class
Nexium Connected Conditions
How to order Nexium from our Pharmacy
To order Nexium | Esomeprazole on our online pharmacy, all you need to do is select the required dosage and quantity of pills above. The cost of the selected pack will appear automatically. Next, add the chosen amount to your cart by clicking the Add to Cart button. You can either continue shopping for more medications or head to the checkout. At the Checkout, finalize your purchase through our secure payment gateway.
Nexium / Esomeprazole pills are made using high-quality generic ingredients and are subject to strict quality control in line with WHO and Health Sciences Authority (HSA) standards. However, please note that Nexium pills are dispatched from outside Singapore due to prescriptions issued overseas.
Disclaimer: The content on this website is provided solely for informational purposes and is not intended to replace professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider with any questions or concerns regarding your health, and never disregard or delay seeking professional advice based on the information presented here. Use of this website does not create a doctor-patient relationship, and in the event of a medical emergency, please contact your local emergency services immediately. Our website assumes no responsibility or liability for any errors or omissions in the content provided.
Reviews
Started on 40mg for really persistent LPR. The acid reflux is totally gone, which is amazing, honestly. BUT, I feel mentally foggy. Like, constantly struggling to find the right word. I've seen other people call it "PPI brain fog." I'm trying to figure out if I can drop down to 20mg and still get the same relief. If you take it, try to supplement with a good B12 shot or high-quality dietary supplement. It's the only way I can function at work.
The purple pill works, yes, there's no denying that. Heartburn vanished within three days of starting 20mg daily. However, the side effects hit me fast. Extreme dry mouth, especially at night-it wakes me up. Worse, my stomach feels unnaturally empty, almost heavy, and I have slight abdominal cramping after dinner. My doctor just called it "adjustment." But I hate this feeling. I'm currently trying the "user hack" of taking it 30 mins *before* a high-protein meal, not just any meal. Jury's still out.
Been consistently on 40mg for three years due to Gastritis. It saved me from constant agony. The biggest long-term issue is the dependency. If I miss even one dose, the rebound acid attacks are horrific-worse than before I started. My primary strategy now is cycling digestive enzymes and carefully tapering my dose under supervision, hoping to stop it soon. You can't just quit this stuff. Be warned, it's a long-term commitment if you want to stay sane.
I bought a two-month supply (20mg) over the counter for a bad bout of stress-induced GERD. It eliminated the burn completely, allowing me to sleep through the night again. Here's the tip: take it exactly 45 minutes before you eat breakfast. If I waited until I was sitting down with my coffee (yes, still drinking coffee, sadly), it didn't seem to work as well. The downside? Muscle cramps, specifically in my legs, around 3 AM. Magnesium supplementation is mandatory now, I learned that fast.
It works great for my strict hiatal hernia symptoms, but oh my god, the anxiety spike I get is brutal. I never had general anxiety until I started taking 40mg of esomeprazole. I'm always tense now. My GI doc says it's unrelated, but I've tried stopping twice, and both times the crippling anxiety went away then came back when I restarted. I'm splitting the 40mg pill now-20mg in the morning, 20mg at night-to see if smaller doses throughout the day help balance the mood swings. It's slightly better, but exhausting.
Only took it for six months, 20mg a day for duodenal ulcers. It healed the ulcers, which is the main goal, so that's a win. But I developed chronic diarrhea. Not severe, but persistent, annoying, and worrying. My BMs are completely different now, much softer and more frequent. I also feel like I get sick more easily now, like my immune system is lagging. If you're taking it long-term, please invest in high-quality probiotics. It might help mitigate the gut flora destruction.
The reflux relief is 10/10. I haven't had a single burn in nine months since starting 40mg. My main complaint is that it seems to completely halt digestion. I mean, meals just sit there. I get incredibly bloated starting around 1 PM every single day, and I look 6 months pregnant by the evening. The only hack that works is taking digestive enzymes with every major meal, and eating smaller, frequent portions. You basically trade the fire pit for constant, crushing bloating.
I’ve been taking 20mg for 18 months. Absolute necessity for esophagitis relief. The trade-off is the bone density concern. It’s real. I’m making sure to increase my Vitamin D and Calcium intake sharply, and I switched my exercise routine to include more resistance training. Pro tip: Don't take the calcium carbonate supplements at the same time as the Nexium pill; it messes with absorption. Wait at least three hours after your dose. It requires careful management, not just popping a pill and forgetting about it.