Nexium® in the dosage form of pellets coated with an enteric coating and granules for the preparation of a suspension for ingestion is intended primarily for patients of childhood and those with difficulty swallowing.
Inside. To receive 10 mg of Nexium®, pour the contents of one packet into a beaker containing 15 ml of water. To receive 20 mg of Nexium ®, pour the contents of 2 packets into a glass containing 30 ml of water. To receive 40 mg of Nexium®, pour the contents of 4 packets into a glass containing 60 ml of water. The contents of the glass should be mixed and wait a few minutes to form a suspension. The suspension can be taken orally within 30 minutes after preparation, once again mixed before use. Then again add 15 ml of water to the beaker, stir the leftovers and take them inside. Do not use carbonated water. Pellets and granules can not be chewed or crushed. The suspension can be administered via a nasogastric tube. Instructions for preparation and administration of the drug through the nasogastric tube are given in the section "Administration of the drug through the nasogastric tube".
Children 1-11 years old with a body weight> 10 kg GERD
Treatment of erosive reflux esophagitis: for patients with a body weight of more than 10 kg, but less than 20 kg - 10 mg once a day for 8 weeks. For patients with body weight
20 kg and more - 10 mg or 20 mg once a day for 8 weeks.
Symptomatic treatment GERD: 10 mg once a day to 8 weeks.
The use of esomeprazole in doses greater than 1 mg / kg / day has not been studied.
Adults and children from the age of 12 GERD
Treatment of erosive reflux esophagitis: 40 mg once a day for 4 weeks. It is recommended to have an additional 4-week course of treatment in cases when after the first course of healing the esophagitis does not come or the symptoms remain.
Long-term maintenance treatment after healing of erosive reflux esophagitis to prevent relapse: 20 mg once daily.
Symptomatic treatment of GERD: 20 mg once a day - for patients without esophagitis. If after 4 weeks of treatment the symptoms do not disappear, an additional examination of the patient should be carried out. After eliminating the symptoms, you can go to the drug intake mode "if necessary", i.e. take Nexium® 20 mg once a day with the resumption of symptoms. For patients taking NSAIDs and belonging to the group
risk of developing a stomach or duodenal ulcer, treatment is not recommended in the "if necessary" regime.
Adults
Stomach ulcer and duodenal ulcer As part of a combination therapy for eradication with Helicobacter pylori:
- treatment of duodenal ulcers associated with Helicobacter pylori: Nexium® 20 mg, amoxicillin 1 g and clarithromycin 500 mg. All medications are taken twice a day for 1 week.
- prevention of recurrences of peptic ulcers associated with Helicobacter pylori:
Nexium® 20 mg, amoxicillin 1 g and clarithromycin 500 mg. All medications are taken twice a day for 1 week.
Long-term acid-suppressing therapy in patients who underwent bleeding from a peptic ulcer (after intravenous use of drugs that reduce the secretion of the glands of the stomach, to prevent relapse)
Nexium® 40 mg once a day for 4 weeks after the end of intravenous therapy with drugs that reduce the secretion of the glands of the stomach.
Patients taking long-term NSAIDs:
- healing of gastric ulcer associated with the intake of NSAIDs: Nexium® 20 mg or 40 mg once daily. The duration of treatment is 4-8 weeks.
- prevention of gastric ulcer and duodenal ulcer associated with the administration of NSAIDs: Nexium® 20 mg or 40 mg once daily.
Conditions associated with pathological hypersecretion of the gland of the stomach, including Zollinger-Ellison syndrome and idiopathic hypersecretion: The recommended initial dose is Nexium® 40 mg twice daily.In the future, the dose is selected individually, the duration of treatment is determined by the clinical picture of the disease. There is an experience of using the drug in doses up to 120 mg twice a day.
Children under the age of 1 year or with a body weight of less than 10 kg: due to lack of data on efficacy and safety, do not use Nexium ® in children under 1 year old or with a body weight of less than 10 kg.
Renal failure: dose adjustment is not required. However, experience with Nexium® in patients with severe renal insufficiency is limited; Therefore, when prescribing the drug, such patients should be careful (see section "Pharmacokinetics").
Hepatic failure: with mild and moderate hepatic insufficiency, dose adjustment is not required. For patients with severe hepatic insufficiency do not exceed the maximum daily dose - 10 mg for patients aged 1-11 years and 20 mg for patients over 12 years.
Elderly patients: dosage adjustment is not required.
Administration of the drug through the nasogastric tube:
1. To administer 10 mg of Nexium®, pour the contents of one packet into a beaker containing 15 ml of water.
1. To administer 20 mg of Nexium®, pour the contents of 2 packets into a glass,
containing 30 ml of water.
2. To administer 40 mg of Nexium®, pour the contents of 4 packets into a glass,
containing 60 ml of water.
3. Stir the contents of the beaker and wait for a few minutes to form a suspension.
4. Stir the suspension again and draw it into the syringe.
5. The suspension should be administered immediately or within 30 minutes after preparation.
6. Inject another 15 ml (for a dose of 10 mg), or 30 ml (for a dose of 20 mg), or 60 ml (for a dose of 40 mg) of water into the syringe, shake the syringe and inject the suspension residues into the nasogastric tube.
Unused suspension should be disposed of.