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Esomeprazole Sodium Solution Reconstituted — prescription drug image

Esomeprazole Sodium

Esomeprazole Sodium 40MG

What is Esomeprazole Sodium?

Esomeprazole Sodium is a proton pump inhibitor (PPI) used to reduce the production of stomach acid, effectively treating gastroesophageal reflux disease (GERD) and other acid-related conditions. By inhibiting the H+/K+ ATPase enzyme in gastric parietal cells, it alleviates symptoms such as heartburn, regurgitation, and esophagitis, promoting mucosal healing.

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What is Esomeprazole Sodium ?

Esomeprazole Sodium is a proton pump inhibitor (PPI) used to reduce the production of stomach acid, effectively treating gastroesophageal reflux disease (GERD) and other acid-related conditions. By inhibiting the H+/K+ ATPase enzyme in gastric parietal cells, it alleviates symptoms such as heartburn, regurgitation, and esophagitis, promoting mucosal healing.
  • Severe diarrhea that does not go away, stomach cramps or pain, nausea, vomiting, loss of appetite, weight loss
  • Seizures, dizziness, fast or uneven heartbeat, muscle cramps or twitching
  • Joint pain, rash on your cheeks or arms that gets worse in the sun
  • Unusual bleeding, bruising, tiredness, or weakness
  • Fever, swelling in your body, unusual weight gain, changes in how much or how often you urinate, blood in the urine
  • Unusual tiredness or weakness
  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
  • Blistering, peeling, red skin rash
  • Dry mouth, increased thirst, confusion, numbness and tingling around the mouth, fingertips, or feet
  • Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, liver disease, lupus, stomach or bowel cancer, or osteoporosis.
  • This medicine may cause the following problems:Kidney problems, including acute tubulointerstitial nephritisIncreased risk of broken bones in the hip, wrist, or spine (more likely if received several times per day or longer than 1 year)Serious skin reactions, including Stevens-Johnson syndrome, toxic epidermal necrolysis, acute generalized exanthematous pustulosis, and drug reaction with eosinophilia and systemic symptoms (DRESS)LupusFundic gland polyps (abnormal growth in the upper part of your stomach)
  • This medicine can cause diarrhea. Call your doctor if the diarrhea becomes severe, does not stop, or is bloody. Do not take any medicine to stop diarrhea until you have talked to your doctor. Diarrhea can occur 2 months or more after you stop taking this medicine.
  • Tell any doctor or dentist who treats you that you are using this medicine. This medicine may affect certain medical test results.
  • Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.
  • Severe diarrhea that does not go away, fever
  • Stomach pain, nausea, vomiting, weight loss
Is esomeprazole sodium the same as Nexium?
They're related but not identical. Esomeprazole sodium is the injectable (IV) form of esomeprazole — the same active molecule as oral Nexium (esomeprazole magnesium) — but it's a different salt, given by a different route (IV infusion/injection instead of a swallowed capsule or tablet), and it's approved for a narrower, short-term set of uses. It was originally sold as Nexium I.V. and is now supplied almost entirely as generic esomeprazole sodium.
What is esomeprazole sodium injection used for?
It's FDA-approved for two situations: short-term IV treatment of GERD with erosive esophagitis in adults and children 1 month to 17 years old, as an alternative when oral esomeprazole isn't possible or appropriate; and, in adults, reducing the risk of rebleeding from a gastric or duodenal ulcer after it has been treated during an endoscopy for acute bleeding.
How is esomeprazole sodium given (IV administration)?
It's given by a healthcare professional as an intravenous infusion or injection, typically in a hospital or clinical setting. The specific dose, infusion rate, and length of treatment are determined by the prescriber based on the condition being treated and the patient's needs — it is not a medication patients self-administer at home.
What is the difference between esomeprazole sodium and esomeprazole magnesium?
Esomeprazole sodium is the salt form used in the injectable (IV) product, reserved for short-term hospital or clinical use for GERD with erosive esophagitis and for reducing rebleeding risk after treatment of a bleeding ulcer. Esomeprazole magnesium is the salt form in oral Nexium capsules/tablets, used more broadly for GERD, healing and maintaining erosive esophagitis, H. pylori eradication (with antibiotics), certain acid hypersecretion conditions, and reducing NSAID-related ulcer risk. Same active drug, different salt, route, and approved uses.
What are the side effects of esomeprazole sodium injection?
The most common side effects reported in at least 1% of patients are headache, flatulence, nausea, abdominal pain, injection site reaction, diarrhea, dry mouth, dizziness or vertigo, constipation, and itching. The label also carries warnings about kidney inflammation, C. difficile diarrhea risk, bone fracture risk with long-term or high-dose use, severe skin reactions, lupus, low magnesium with prolonged use, an interaction that can reduce clopidogrel's effectiveness, and stomach polyps with long-term use. This isn't a complete list — talk with your care team about your full health history.
How much does Esomeprazole Sodium cost without insurance?
The price of Esomeprazole Sodium without insurance varies by pharmacy, dosage, and quantity. Rx.com compares cash prices at more than 60,000 US pharmacies so you can find the lowest price near you. Many people save up to 74% off retail prices with a free Rx.com coupon.
What are the common side effects of Esomeprazole Sodium?
Common side effects of Esomeprazole Sodium may include: Severe diarrhea that does not go away, stomach cramps or pain, nausea, vomiting, loss of appetite, weight loss, Seizures, dizziness, fast or uneven heartbeat, muscle cramps or twitching, Joint pain, rash on your cheeks or arms that gets worse in the sun, Unusual bleeding, bruising, tiredness, or weakness, Fever, swelling in your body, unusual weight gain, changes in how much or how often you urinate, blood in the urine. This is not a complete list — consult your pharmacist or doctor for full side effect information.
Is there a generic version of Esomeprazole Sodium?
Generic versions may be available for Esomeprazole Sodium. Generics contain the same active ingredients as brand-name drugs and are typically 80–90% cheaper. Search Esomeprazole Sodium on Rx.com to compare generic and brand prices at pharmacies near you.
What is the cheapest pharmacy for Esomeprazole Sodium?
The cheapest pharmacy for Esomeprazole Sodium depends on your location and dosage. Rx.com compares prices at CVS, Walgreens, Walmart, Kroger, Costco, and thousands of independent pharmacies. Enter your ZIP code on Rx.com to find the lowest price for Esomeprazole Sodium near you.

Esomeprazole Sodium Coupons & Prices

Esomeprazole Sodium 40MG

Esomeprazole Sodium Solution Reconstituted — prescription drug image
Prescription
Esomeprazole Sodium 40mg (1)
your area ·

If you're comparing prices for an esomeprazole sodium coupon, keep in mind this is the injectable (IV) form of esomeprazole — a proton pump inhibitor typically given by a healthcare professional in a hospital or clinical setting rather than picked up as a take-home prescription. A generic version is available from multiple manufacturers, but injectable-drug pricing can still vary by pharmacy and supplier. Enter your ZIP code above and Rx.com compares pricing across more than 60,000 U.S. pharmacies so you can see today's price before you fill.

What Is Esomeprazole Sodium?

Esomeprazole sodium is the injectable (IV) form of esomeprazole, the S-isomer of omeprazole, in the proton pump inhibitor (PPI) drug class. It's formulated as a sodium salt supplied as a powder that a healthcare professional reconstitutes and administers by IV infusion or injection. Like other PPIs, it works by blocking the stomach's acid-producing pumps, reducing the amount of acid the stomach makes.

The product was originally introduced by AstraZeneca under the brand name Nexium I.V. Today it's supplied almost entirely as generic esomeprazole sodium for injection, including versions from manufacturers such as Gland Pharma and Eugia US.

Esomeprazole Sodium Cost and Savings

Esomeprazole sodium for injection is available as a generic, supplied by multiple manufacturers rather than under one dominant brand. Because it's most often given by a healthcare professional during a hospital stay or an outpatient infusion visit, the cost is typically billed through that facility and your insurance rather than picked up like a retail prescription. If you or a caregiver do need to price or fill an outpatient order, cost can still vary by pharmacy and supplier, so it pays to compare.

Enter your ZIP code above to compare pricing across pharmacies in the Rx.com network. Rx.com does not have a manufacturer savings card on file for esomeprazole sodium injection.

Esomeprazole Sodium vs. Oral Esomeprazole, Nexium, and Other PPIs

Esomeprazole sodium injection and oral esomeprazole (the generic of Nexium) deliver the same active PPI molecule, but they are different salts, given by different routes, for different FDA-approved uses. The oral tablet/capsule form is used for a broader range of conditions, including GERD, erosive esophagitis healing and maintenance, and — combined with antibiotics — H. pylori eradication. The injectable sodium form is reserved for short-term IV use when oral therapy isn't possible or appropriate, and for reducing rebleeding risk in adults after endoscopic treatment of a bleeding gastric or duodenal ulcer.

Other medicines in the same PPI class include omeprazole, pantoprazole, and lansoprazole. All work by reducing stomach acid production, though route of administration, approved patient ages, and specific indications differ — ask your care team which option fits your situation.

Safety Information

Esomeprazole sodium injection does not carry an FDA boxed warning. The current injection label includes warnings about acute kidney inflammation (acute tubulointerstitial nephritis) that can occur at any point during treatment, an increased risk of Clostridioides difficile-associated diarrhea, bone fracture risk with long-term or high-dose use, severe cutaneous adverse reactions, cutaneous and systemic lupus erythematosus, low magnesium levels (hypomagnesemia) with prolonged use, reduced effectiveness of clopidogrel when taken together, an interaction with St. John's Wort or rifampin that can lower esomeprazole levels, interference with diagnostic tests for neuroendocrine tumors, an interaction with high-dose methotrexate, and stomach (fundic gland) polyps with long-term use. It can also mask symptoms of stomach cancer, so tell your care team about any concerning symptoms before starting treatment.

  • Headache
  • Flatulence
  • Nausea
  • Abdominal pain
  • Injection site reaction
  • Diarrhea
  • Dry mouth
  • Dizziness or vertigo
  • Constipation
  • Itching (pruritus)

This is general information, not medical advice. Talk to your doctor, nurse, or pharmacist about your specific treatment plan and any interactions with your other medications.

Sources & accuracy

This Esomeprazole Sodium information was written and reviewed against authoritative U.S. medical sources — MedlinePlus (U.S. National Library of Medicine), DailyMed, and FDA prescribing information — and checked for accuracy. It is provided for education and is not a substitute for professional medical advice.

Verify the official label: Esomeprazole Sodium on DailyMed (FDA)

Reviewed against FDA labeling · Last reviewed July 2026

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Medical disclaimer: This information is provided for general educational purposes only and is not medical advice. It is not a substitute for professional diagnosis or treatment. Always consult a licensed physician, pharmacist, or other qualified healthcare provider before starting, stopping, or changing any medication or treatment. Never disregard professional medical advice or delay seeking it because of something you read here. If you think you may have a medical emergency, call your doctor or 911 immediately.