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Is it safe to take Nexium beyond two weeks during pregnancy?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I am six weeks pregnant. I have struggled with GERD and esophagitis for years and my gastroenterologist put me on Nexium, which is the only thing that helps. I usually do a two-week treatment every year. My pregnancy is exacerbating the GERD. I just finished a two-week Nexium treatment and today my symptoms are worse than ever, and the acid is constantly in my throats and mouth. Is it safe to continue taking the Nexium beyond two weeks while pregnant?

Answered by Dr. Noushif. M

Education:

MBBS

Professional Bio:

Dr. Noushif M. is a skilled General Surgeon specializing in surgical and medical Gastroenterology. He has expertise in managing gastrointestinal disorders, performing advanced laparoscopic surgeries, and treating conditions such as hernias, gallstones, and digestive tract diseases. With a focus on minimally invasive techniques and evidence-based care, Dr. Noushif is committed to delivering precise, patient-centered treatment for optimal recovery and long-term digestive health.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

Yes, the symptoms can get exacerbated during pregnancy. Nexium is a relatively safe acid-suppressing drug in pregnancy. You can continue it when you have symptoms. The other alternative is the tablet Ranitidine. You can add tablet Ondansetron 4 mg twice daily for a week, 30 minutes before food. This also helps in reducing reflux. The other safe alternative is the Doxylamine tablet. Avoid heavy meals; rather, take short, frequent feeds. Stay upright or move around for one hour after feeds. Do not lie immediately after food. Avoid reflux promoting foods like excess coffee.

I hope this helps.

Kindly revert if there is any query.

Thank you.

Answered by Dr. Noushif. M
Medically reviewed by iCliniq medical review team
Published At November 19, 2017
Reviewed At June 24, 2025

Education:

MBBS

Professional Bio:

Dr. Noushif M. is a skilled General Surgeon specializing in surgical and medical Gastroenterology. He has expertise in managing gastrointestinal disorders, performing advanced laparoscopic surgeries, and treating conditions such as hernias, gallstones, and digestive tract diseases. With a focus on minimally invasive techniques and evidence-based care, Dr. Noushif is committed to delivering precise, patient-centered treatment for optimal recovery and long-term digestive health.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Noushif M. is a skilled General Surgeon specializing in surgical and medical Gastroenterology. He has expertise in managing gastrointestinal disorders, performing advanced laparoscopic surgeries, and treating conditions such as hernias, gallstones, and digestive tract diseases. With a focus on minimally invasive techniques and evidence-based care, Dr. Noushif is committed to delivering precise, patient-centered treatment for optimal recovery and long-term digestive health.

This doctor is not available for online consultations on the platform anymore.

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