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NEXIUM provides excellent healing of EE


In GERD patients with moderate-to-severe EE: healing vs lansoprazole through 8 weeks

                  (n=1286; P=.0013)

* Moderate-to-severe EE refers to LA Grades C & D erosive esophagitis

† Post-hoc analysis from a multicenter, randomized, double-blind, parallel-group, 8-week trial comparing oral doses of NEXIUM 40 mg with lansoprazole 30 mg administered once daily to patients with endoscopically diagnosed EE.

± Primary endpoint from a multicenter, randomized, double-blind, parallel-group, 8-week trial comparing oral doses of NEXIUM 40 mg with lansoprazole 30 mg administered once daily to patients with endoscopically diagnosed EE.

Help in healing acid damage

Healing EE in patients with more severe acid damage

NEXIUM is proven effective in the healing of erosive esophagitis (EE).*1-5

93% of patients healed through 8 weeks across all grades with NEXIUM 40 mg QD vs 89% with lansoprazole 30 mg QD (n=5241; P=.0001).

  • NEXIUM 40 mg, NEXIUM 20 mg, and lansoprazole 30 mg are the FDA-approved doses for the healing of EE.

96% of patients healed through 8 weeks across all grades with NEXIUM 40 mg QD vs 92% with pantoprazole 40 mg QD (n=3151; P<.001).

  • NEXIUM 40 mg, NEXIUM 20 mg, and pantoprazole 40 mg are the FDA-approved doses for the healing of EE.

In GERD patients with moderate-to-severe EE: healing vs pantoprazole in Hp-negative patients through 8 weeks

                  (n=555; P=.0013)

Post-hoc analysis of patients with moderate-to-severe EE from the healing phase of a multicenter, randomized, double-blind trial comparing oral doses of NEXIUM 40 mg with pantoprazole 40 mg in healing endoscopically diagnosed EE in Helicobacter pylori–negative patients.

Adapted from Labenz et al and data on file, DA-NEX-36.






Important Information

Approved Uses

Healing of EE
NEXIUM (esomeprazole magnesium) is indicated for the short-term treatment (4 to 8 weeks) in the healing and symptomatic resolution of diagnostically-confirmed erosive esophagitis.

For those patients who have not healed after 4-8 weeks of treatment, an additional 4-8 week course of NEXIUM may be considered.

Maintenance of EE Healing
NEXIUM is indicated for the maintenance of healing of erosive esophagitis. Controlled studies do not extend beyond 6 months.

Symptomatic GERD
NEXIUM is indicated for treatment of heartburn and other symptoms associated with GERD.

Pathological Hypersecretory Conditions
NEXIUM is indicated for the long-term treatment of pathological hypersecretory conditions. Dosage regimens should be adjusted to individual patient needs.

Pediatric Use
NEXIUM is approved for the short-term treatment (up to 8 weeks) of GERD in patients aged 12 to 17 years. Safety and effectiveness for the treatment of symptomatic GERD in patients less than 12 years of age have not been established. Safety and effectiveness for other pediatric uses have not been established.

I.V. Indication
NEXIUM I.V. for Injection is indicated for the short-term treatment (up to 10 days) of GERD adult patients with a history of erosive esophagitis as an alternative to oral therapy in patients when therapy with NEXIUM Delayed-Release Capsules is not possible or appropriate.

When oral therapy is possible or appropriate, intravenous therapy with NEXIUM I.V. for Injection should be discontinued and the therapy should be continued orally.

 

Important Safety Information
NEXIUM and NEXIUM I.V. are contraindicated in patients with known hypersensitivity to any component of the formulation or to substituted benzimidazoles.

The most frequently reported adverse events with NEXIUM include headache, diarrhea, and abdominal pain. Injection site reactions have also been reported with NEXIUM I.V.

In patients aged 12 to 17 years, the most frequently reported adverse events with NEXIUM include headache, diarrhea, abdominal pain, and nausea.

Symptomatic response to therapy does not preclude the presence of gastric malignancy.

Atrophic gastritis has been noted occasionally in gastric corpus biopsies from patients treated long-term with omeprazole, of which NEXIUM is an enantiomer.

As with all PPIs, patients treated concomitantly with warfarin may need to be monitored for increases in INR and prothrombin time. Like other proton pump inhibitors, esomeprazole may interfere with the absorption of drugs where gastric pH is an important determinant of bioavailability (eg, ketoconazole, iron salts, and digoxin).

Concomitant administration of esomeprazole may reduce the plasma levels of atazanavir.

NEXIUM should be used only for the conditions, dosages, and durations specified in the Prescribing Information. Please see full Prescribing Information for NEXIUM.

 
 

NEXIUM and the color purple as applied to the capsule are registered trademarks and Purple Plus is a trademark of the AstraZeneca group of companies.
238402 5/07
Copyright © 2007 AstraZeneca LP. All rights reserved.

This product information is intended for US healthcare professionals only.
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