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So, I recently started taking mg over the counter pills a day instead of the mg tablet …my pharmacist said this should be the same thing. It isn t working! I have had acid reflux and heartburn worse than I ve had in 2 years. Can the over the counter pills really be THAT different, or is it a coincidence that my symptoms have flared up at the same time I switched over? I haven t changed my diet or anything else in my lifestyle recently and I have been under no stress recently. Has anyone else shared this type of complaint?
Doc does that when he has switch meds or sometimes just when I get same pills with different manufacturers. Ask your g. First thou I hope you find relief. Nope not working ovc nexium.. My ins. I ve been taking 2 nexium and its a joke!!! As a former pharmaceutical rep and manager 30 years in the industry, I can tell you that generics ONLY have the same amount of active ingredients, which does not make the product work the same.
Separate studies have to show that the fillers, the other ingredients and delivery system in the pill, deliver the drug consistently and at proper therapeutic levels for clinical efficacy to the FDA. Even though the manufacturer still has its name on the pill, they often cut costs by changing the fillers; therefore, altering the original efficacy. This fluctuation is what gives side effects and below therapeutic doses. Also, the pharmacy companies make a tremendous amount of profit selling generics they know are not the same, while telling you they are; therefore, being biased towards their stockholders.
While a manufacturer s price is limited under FDA guidelines, but is more consistent in it s effect. Did 20 mg prescription nexium work for you? If it didn t you might try taking 3 of the OTC nexiums all at the same time and see if that works. I was told this by my Dr. Much more controlled. You can have major reflux!! Also, the fillers in the medicine can be whatever the manufacturer wants, versus the well studied fillers used for efficacy during FDA trails. Generics are only required to have the same principal ingredients, not fillers delivery systems.
Even by the ones having the manufacturers name on the generic. They usually hire a generic producer that has less quality standards and only profit in mind. I was in pharmaceutical sales for over 40 years, and this was well known. We even sold against generics using this rationale. No one knows my body like ME!!! Well it is NOT. I have been taking it for 2 mos. The medications are not the same.
Revseb, the OTC, as well as all the generics, has ferrous oxide in it, a form of iron. Many of us cannot handle that. Point out that your body cannot handle the iron. I ll keep you in my prayers. They are two different manufacturers. We too are going through s dilemma trying to decide what to do for Barrett s Esophagus since our Medicare RX plan does not have Nexium on formulary! It is s but daunting to switch to generic or otc after getting amazing healing with Nexium RX.
Obviously, check with your Dr first, but it might help you to in addition to taking 2 of the 20 mg pills daily to take the dose twice daily or just one 20 mg pill for the second dose. I would consider fighting, again, except that due to the fact that I m on Medicare now it would be pretty much moot. I d end up in the doughnut hole and paying for a significant percentage of my prescriptions myself regardless. I do think however that we should all be fighting for a law to prevent manufacturers and insurance companies from being able to do these sorts of things to people.
We aren t a numbers game. We are living, breathing, feeling lives. Ethics seems to be a concept which is long forgotten and doesn t apply in politics and big business. THAT is what we need to be fighting so that we don t have to keep continuing to fight these unethical battles. There is a difference in the fillers which make up the delivery system, and in the 10 to 20 percent the FDA allows, which when both combined, can mean a significant difference in how much, and whether or not the drug is reaching it s target in the same manner as the original formula.
Both of these will affect a person. If the drug has the same active ingredients but isn t able to reach the receptor s in the same way the original formula does, then it will seem ineffective. It may be time for you to change brands. That happens sometimes when you go off and try to go again. I too am having the identical issue when switching from Rx to OTC. Am taking mg per day, and it is not working for me either.
Has anyone has success with alternative generics? I finally had my GERD under control, so this is very frustrating. I am having the same thing! I have breakthrough heartburn everyday now and germ at night. Before switching, I had it under contriol. There has to be some difference. I too can t afford the prescription dose. It is a dollars a month for me withrescrition copay. I am having problems too, after 20 yeas on Nexium 40 mg , I started two of the over the counter Nexium 24, expecting good results at a cheaper price.
All of the symptoms that I had twenty years ago are coming back. How can this be. I am physician. I don t understand unless the 20mg are not really 20mg and it is some kind of deception. I don t think it is neurotic because I actually expected no difference, just less money. I am been very surprised and alarmed by the return of the symptoms. Do I get a new GI work up or try to find a way to get the prescription Nexium back? I wish knew the truth and don t go through a work up due to mis labeling of a drug.
I m having the same issues as you all are. Generic aciphex raberprozale works very well but I prefer nizatidine only because is an h2 blocker and all but 2 meds work for me. Raditadine and omeprozale. I am so glad that i found this site. I have been having the same problems with switching to over the counter Nexium from a script because insurance won t pay for it anymore, even with a Doctor s preauthorization the copay is way too much for most people to swallow. I found that the generic did not agree with me and then I had an allergic reaction to Dexilant which was suggested and would be covered by insurance.
I too have had pharmacists and Doctors tell me the over the counter Nesium was the same but its not. One of them did confess that they don t work the same. Why Nexium is so expensive is beyond me, they are only hurting themselves by shutting out insurance plans and customers like us with exorbitant pricing. Insurance companies will be sorry they did not cover this drug when Doctors need to order an Endoscopy for all of us having continued problems.
I was luckily able to switch to the generic of Nexium when it came out without issue - but from my reading, I understand that Nexium used a patented delivery mechanism different than the generic. Even though the medicine and total amount is equal, prescription Nexium, to my knowledge, contains small beads of the medicine within the main pill each encapsulated in their own enteric coating for delayed release. I do not believe the generic has this. So the difference may be 40mg all at once vs 40mg delivered consistently over 24 hours.
I have been taking Nexium 40 mg. I had the same problem that I had with most other proton pump inhibitors before starting Nexium Plus there was break through on the acid because taking it the second time was not on a totally empty stomach and not as affective. I went back to the RX but I have now been having problems with it. The same reaction.
I know that the delivery system was different in the OTC and now I am wondering if they have also changed the delivery on the RX version. Really frustrating. It is iron. Some of us have a real problem with it, others have no problem at all. If you are using the OTC take 2 in the morning, rather than using it 2x a day.
That will give you the same amount of active ingredient as the RX. Sometimes when you get out of whack, it takes a while to get back. Watch what you eat, avoid things that can cause problems like salad, excess veggies, dairy, etc.
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I have been taking over the counter Nexium for 1 month now. I have taken Rx nexium for several?
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At first I shrugged it off. This had been my first visit with an orthopedic specialist, and he, Dr. The pain made me squirm and yelp, but he knew what he was doing. He promptly diagnosed me with frozen shoulder, a debilitating inflammation of the shoulder capsule. But back to the drugs.
Initially, Indian pharmaceutical company Ranbaxy held exclusive marketing approval to sell generic Nexium in the U. Cash paying Americans are left with the following domestic options: You might be able to, but you need to ask your doctor, pharmacist, or other healthcare provider. I asked my local pharmacist if I could just take OTC Nexium instead, and without hesitation she said I could, but that it may not be as effective and that it comes as a tablet rather than a capsule. The OTC version also has different inactive ingredients, I was told, so if you are allergic to any of those, you should stick with the 40 mg version. Even if Nexium is covered, it might be a tier 2 or 3 drug, which could result in your co-pay being higher than the OTC cost. But if you need to stick with prescription-strength 40 mg Nexium, it is available from international online pharmacies:
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Today we are going to tell you about the great medication, named Nexium. The main substance of these tablets is Esomeprazole. The main concept of Nexium is healing of ulcer and other stomach-related diseases, including using in the eradication of Helicobacter Pylori. Many gastroenterologists believe that Nexium in is the best preparation that modern medicine can use to reduce the acids that your stomach produces. Person, who takes these pills, should take them every day, usually twice a day. Available dosages include the following options:.
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