What Are Your Acid Reflux Symptoms?

Take a moment to answer these questions, and then print out the summary sheet and take it to your appointment. It will give your doctor helpful information about your acid reflux symptoms.

  1. I suffer from heartburn     or more days a week.

  2. My heartburn occurs most often:
  3. Here's how my acid reflux symptoms are affecting my daily routine:


  4. I am taking the following over-the-counter and/or prescription heartburn medications:

  5. I have been experiencing side effects from the medication.
  6. I have experienced major change(s) in my life recently.


    If yes, enter what has changed:

  7. In addition to heartburn medicines, I am taking these over-the-counter and/or prescription medications:

Next: About Acid Reflux Disease

Important Safety Information About NEXIUM

In adults 18 and older, side effects with NEXIUM include headache, diarrhea, and abdominal pain.

In children 1 to 17 years of age, side effects with NEXIUM include headache, diarrhea, abdominal pain, nausea, and sleepiness.

Symptom relief does not rule out the presence of other serious stomach conditions.

Before taking NEXIUM, tell your doctor if you are taking atazanavir, nelfinavir, saquinivir, digoxin, iron salts, ketoconazole, voriconazole, cilostazol, or warfarin.

Approved Uses for NEXIUM

NEXIUM is prescribed to treat the symptoms of acid reflux disease, which typically include persistent heartburn on 2 or more days per week, despite treatment and change of diet.

For many people, NEXIUM is also prescribed to heal damage to the esophagus called erosive esophagitis. This damage may be caused over time from stomach acid wearing away the lining of the esophagus. Only a doctor can diagnose this condition. With NEXIUM, most erosions heal in 4 to 8 weeks. Your results with NEXIUM may vary.

Please read the full Prescribing Information and discuss it with your doctor or health care professional.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.FDA.gov/medwatch or call 1-800-FDA-1088.