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Contraindications Please tell your doctor if you have a history of any of the following before using Nexum 40mg Injection 1 vial: Allergic reaction to Nexum 40mg Injection 1 vial or any other drug or ingredient Systemic Lupus erythematosus (an autoimmune disorder) Liver Impairment Osteoporosis Low levels of magnesium in the body In patients that are due for an endoscopy Precautions Please tell your doctor about any of the following conditions before using Nexum 40mg Injection 1 vial Mild to moderate renal (kidney) impairment Mild to moderate hepatic (liver) impairment Malignant diseases Severe gastrointestinal infections Low levels of Vitamin B12 in the body Interactions With Other Medications Please tell your doctor about the use of the following before using Nexum 40mg Injection 1 vial: Phenytoin (anti-seizure medication) Warfarin (anticoagulant) Clopidogrel (antiplatelet or blood thinner drug) Ketoconazole,itraconazole,voriconazole (antifungal medication) Protease inhibitors Diazepam (sedative) Citalopram,imipramine,clomipramine (antidepressants) Other CYP2C19 substrates CYP3A4 inhibitors or inducers Digoxin Methotrexate (immunosuppressant) Adverse Effects Like most medicines,Nexum 40mg Injection 1 vial has certain side effects which include: Common Adverse Effects These effects are mild and tend to resolve on their own in a couple of days

Prescription-only PPIs include esomeprazole (Nexium) and pantoprazole (Protonix)

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Long-Term Maintenance Over time, if your body can maintain healthy B12 levels through diet or other absorption methods, injections may taper off

That is the reason why the incision hurts more than the others

Scand J Haematol 1964;1:5-15