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Esomeprazole Side Effects

The most commonly reported side effects of esomeprazole include chronic kidney disease, acute kidney injury, and renal failure, based on 218,113 FDA adverse event reports from 2004 to 2025. 4.6% of reports found the drug to be ineffective.

Esomeprazole side effects

Percentages show how often each reaction appears relative to total reports for esomeprazole.

1
Chronic Kidney Disease16.0%34,876
2
Acute Kidney Injury8.7%18,923
3
Renal Failure6.9%15,126
4
End Stage Renal Disease4.6%10,120
5
Drug Ineffective4.6%10,013
6
Renal Injury4.2%9,125
7
Nausea3.7%8,051
8
Gastrooesophageal Reflux Disease3.5%7,668
9
Off Label Use3.4%7,375
10
Pain3.3%7,210
11
Diarrhoea3.3%7,134
12
Fatigue3.0%6,566
13
Drug Dose Omission2.9%6,279
14
Malaise2.8%6,069
15
Headache2.7%5,805

These are voluntary reports and do not establish that esomeprazole caused these reactions.

Report severity

69.8%Serious152,267 reports
29.8%Hospitalizations65,061 reports
8.1%Fatal17,732 reports

Seriousness is determined by the reporter, not by OpenClaim.

Esomeprazole drug interactions

Other drugs that appear in adverse event reports alongside esomeprazole. Drugs flagged as a suspected cause appear in the first column. Drugs taken at the same time but not suspected appear in the second.

Also suspected

1
Omeprazole19.1%41,553
2
Lansoprazole14.6%31,871
3
Pantoprazole-sodium13.9%30,370
4
Dexlansoprazole8.7%19,015
5
Naproxen3.3%7,232
6
Adalimumab3.2%6,944
7
Rabeprazole-sodium2.9%6,222
8
Lenalidomide1.9%4,171
9
Rosuvastatin1.7%3,742
10
Prednisone1.4%2,982
11
Etanercept1.3%2,936
12
Methotrexate1.2%2,596
13
Pregabalin1.2%2,581
14
Sodium-oxybate1.2%2,561
15
Acetaminophen1.1%2,399

Taken alongside

1
Acetaminophen13.8%30,130
2
Aspirin13.6%29,614
3
Furosemide10.0%21,847
4
Levothyroxine-sodium9.8%21,452
5
Ergocalciferol9.1%19,804
6
Atorvastatin-calcium9.0%19,719
7
Amlodipine8.7%19,027
8
Albuterol7.9%17,137
9
Prednisone7.8%16,974
10
Lisinopril7.7%16,839
11
Metoprolol7.5%16,307
12
Gabapentin7.2%15,597
13
Metformin6.5%14,229
14
Fluticasone6.3%13,747
15
Simvastatin6.1%13,385

Co-occurrence in adverse event reports does not establish a drug interaction. Patients often take multiple medications, and these lists reflect prescribing patterns rather than causal relationships. Consult a healthcare provider about potential drug interactions.

Who reports esomeprazole side effects

55.8% of esomeprazole adverse event reports involve female patients and 31.8% involve male patients. The largest age group is adult at 56%. These figures reflect who reports side effects, not underlying risk.

Sex

Female55.8%
Male31.8%
Unknown12.4%

Age group

< 20.4%
2–110.6%
12–170.7%
18–6456.0%
65+42.3%

What is esomeprazole used for

Conditions and purposes for which patients were taking esomeprazole when the adverse event was reported.

Abdominal DiscomfortAbdominal DisorderAbdominal DistensionAbdominal HerniaAbdominal OperationAbdominal PainAbdominal Pain LowerAbdominal Pain UpperAbdominal RigidityAbdominal SymptomAbdominal Wall HaemorrhageAccident At WorkAccidental ExposureAccidental Exposure To ProductAchlorhydria

Showing 15 of 1,371 indications

Esomeprazole brand names and reporting trend

Esomeprazole is sold under brand names including Nexium, Esomeprazole Sodium, Esomeprazole Strontium.

Brand names

Nexium27,891
Esomeprazole Sodium3,126
Esomeprazole Strontium23

Quarterly reports (20042025)

20052010201520202025

An upward trend reflects increased FAERS reporting overall, not necessarily increased risk.

Taking esomeprazole with another medication?

Ask OpenClaim about your specific drug combination. Get a sourced report using FDA data, drug labels, and medical literature.