Compare Nexium vs. Tums
Head-to-head comparisons of medication uses, side effects, ratings, and more.
Nexium (esomeprazole) gives you long-lasting heartburn relief but has some risks if used long term.
Tums (Calcium carbonate) gives quick relief for heartburn, but does not last all day. Talk to your doctor or pharmacist about other medicines if you need additional relief.
- Most people can take Nexium (esomeprazole) without any noticeable day-to-day side effects.
- Nexium (esomeprazole) lasts longer than other types of antacids (like Zantac, Pepcid, or Tums), and you only need to take it once a day.
- You can take it in combination with a quick-acting antacid (like Maalox or Tums) if you need quicker relief.
- Nexium (esomeprazole) is inexpensive, with over-the-counter and generic options.
- Coupons are available for the brand name - speak to your doctor or pharmacist.
- The packet form is a good option if you have trouble swallowing pills.They can be mixed with water for easier swallowing.
- Tums (Calcium carbonate) is an effective, first-line medication for hearburn.
- Tums (Calcium carbonate) starts working in seconds.
- Has minimal side effects.
- Available in chewable form.
- Is inexpensive and readily available over-the-counter.
- Coupons are available – speak to your doctor or pharmacist.
- Doesn't start working right away like antacids (Tums, Rolaids, or Maalox).
- It can take several days or weeks to start feeling benefits.
- May not be the best choice for patients 65 years of age and older due to risk of bone fractures and severe diarrhea.
- Because Tums (Calcium carbonate) only lasts for 1 to 2 hours, you may need additional doses.
- May increase calcium levels too much in people with kidney or thyroid conditions.
- May have a chalky taste.
- H. Pylori bacterial infection
- Prevention and treatment of NSAID-induced gastric ulcers
- Chewable tablet
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- Stomach cancer
- Kidney injury
- Severe diarrhea
- Being treated at a hospital
- Bone fractures
- High dose Nexium (esomeprazole)
- Long-term treatment with Nexium (esomeprazole)
- Low bone mineral density
- Aged 65 years or older