• Strongest, longest-acting PPI available
• 24-hour protection from acid reflux & heartburn
• Faster healing of erosive oesophagitis
• Once-daily convenience
• Proven first-line therapy worldwide

1. Take one Nexum 20mg capsule every morning
2. Swallow whole with water before breakfast
3. If prescribed twice daily (e.g., severe cases or H. pylori), take second dose before dinner
4. Continue full course even when symptoms disappear
5. Do not double dose if one is missed – take the next at usual time

Q1: How is Nexum different from omeprazole?
A1: Nexum is pure S-isomer esomeprazole – stays active longer and gives stronger acid control.

Q2: When will my heartburn stop?
A2: Most people feel relief from day 1; complete 24-hour control by day 3–4.

Q3: Can I take it at night instead?
A3: Morning before food is best, but evening works if that’s your routine.

Q4: Is it safe for long-term use?
A4: Yes – widely used for years in GERD and Barrett’s oesophagus when monitored.

Q5: Can I open the capsule if I can’t swallow it?
A5: Yes – pellets can be mixed with a tablespoon of applesauce or water (do not chew).

• Take 30–60 minutes before food for maximum effect
• Swallow whole – do not crush or chew the capsule
• Long-term use (>8 weeks) only under doctor supervision
• Report severe diarrhoea or sudden bone/joint pain
• Keep away from children