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    HomeMedication GuideEsomeprazole safety
    Proton pump inhibitor

    Esomeprazole: What to Know Before You Take It

    Also known as Nexium

    A patient-focused safety profile with information from public regulatory sources.

    Reviewed by the OmniRx Health clinical team•Last reviewed Jul 4, 2026

    In plain language

    What Esomeprazole is used for

    Uses treats frequent heartburn (occurs 2 or more days a week) not intended for immediate relief of heartburn; this drug may take 1 to 4 days for full effect

    Read before you decide

    Risks and precautions

    Risks and warnings

    Warnings Allergy alert : Do not use if you are allergic to esomeprazole. Esomeprazole may cause severe skin reactions. Symptoms may include: skin reddening blisters rash If an allergic reaction occurs, stop use and seek medical help right away.

    Medication review

    Esomeprazole drug interactions

    Check this against your full medication list in the Interaction Checker

    FDA safety data

    Most-reported side effects

    Based on 233,118 FAERS reports. Reports do not prove the drug caused the effect.

    chronic kidney disease 35,582acute kidney injury 20,444renal failure 16,270drug ineffective 14,285nausea 13,453gastrooesophageal reflux disease 11,960diarrhoea 11,177drug dose omission 11,126pain 10,713end stage renal disease 10,298malaise 9,980fatigue 9,904
    Explore full FDA safety data

    Regulatory record

    FDA recalls (12)

    Class IIOngoing · May 13, 2025

    Failed Impurities/Degradation Specifications: Out-of-Specification test results obtained for any individual unknown degradation product during Related Compounds testing during long term stability.

    Recalling firm: Zydus Pharmaceuticals (USA) Inc

    Class IIOngoing · May 13, 2025

    Failed Impurities/Degradation Specifications: Out-of-Specification test results obtained for any individual unknown degradation product during Related Compounds testing during long term stability.

    Recalling firm: Zydus Pharmaceuticals (USA) Inc

    Class IIIOngoing · Nov 14, 2024

    Labeling: Not Elsewhere Classified - Wrong NDC number

    Recalling firm: Zydus Pharmaceuticals (USA) Inc

    Class IIITerminated · Oct 23, 2023

    Failed Impurities/Degradation Specifications:Out of Specification result reported for the test of organic impurities for the drug product,at the 18 month time point in long term stability study (25¿C/60% RH).

    Recalling firm: Glenmark Pharmaceuticals Inc., USA

    Class IIITerminated · Jun 21, 2022

    Superpotent Drug: Out of specification for assay at the 12-month timepoint.

    Recalling firm: SUN PHARMACEUTICAL INDUSTRIES INC

    Class IIITerminated · Jun 21, 2022

    Superpotent Drug: Out of specification for assay at the 12-month timepoint.

    Recalling firm: SUN PHARMACEUTICAL INDUSTRIES INC

    Class IITerminated · Dec 17, 2020

    Cross- contamination with other products: The excipient, Crospovidone, NF is contaminated with theophylline

    Recalling firm: CIPLA

    Class IITerminated · Dec 17, 2020

    Cross- contamination with other products: The excipient, Crospovidone, NF is contaminated with theophylline

    Recalling firm: CIPLA

    Class IITerminated · Dec 17, 2020

    Cross- contamination with other products: The excipient, Crospovidone, NF is contaminated with theophylline

    Recalling firm: CIPLA

    Class IIITerminated · Apr 24, 2020

    Discoloration: product contains brown pellets

    Recalling firm: Dr. Reddy's Laboratories, Inc.

    Class IIITerminated · Feb 6, 2019

    Discoloration: Esomeprazole Magnesium DR Capsules (40mg) may contain brown pellets.

    Recalling firm: Dr. Reddy's Laboratories, Inc.

    Class IIITerminated · Jul 2, 2012

    Adulterated Presence of Foreign Tablets/Capsules: Some bottles may contain a small number of Nexium 20 mg capsules intended for the Japanese market in addtion to Nexium 40 mg capsules.

    Recalling firm: ASTRA ZENECA Lp

    Common questions

    Patient questions

    What is Esomeprazole prescribed for?

    Uses treats frequent heartburn (occurs 2 or more days a week) not intended for immediate relief of heartburn; this drug may take 1 to 4 days for full effect

    What are the key warnings and safety precautions for Esomeprazole?

    Warnings Allergy alert : Do not use if you are allergic to esomeprazole. Esomeprazole may cause severe skin reactions. Symptoms may include: skin reddening blisters rash If an allergic reaction occurs, stop use and seek medical help right away.

    Does Esomeprazole interact with other medications or foods?

    Esomeprazole has 2 documented drug interaction(s) and 0 food interaction(s) in clinical databases. Always provide your complete medication list to your clinician.

    This information is educational — not medical advice.

    This page is provided for general educational purposes and summarizes publicly available data from sources such as the U.S. Food & Drug Administration. It is not a substitute for the judgment of a licensed clinician and should not be used to start, stop, or change any medication. It may be incomplete or out of date, and individual circumstances vary. Always talk with your prescriber or pharmacist about your specific medications and health conditions. If you think you may have a medical emergency, call 911.

    Have medication questions?

    A licensed OmniRx provider can review your health history and medication list. Availability and treatment options are determined individually.