Can long-term usage of Nexium cause lichenoid dermatitis?
Long term Nexium unlikely cause of lichenoid dermatitis!
Hi and thank you so much for this query.
I am so sorry to hear about this dermatitis that you have reported. I have reviewed your information fully and the drug Nexium. Though nexium can cause some form of skin reaction, is has not be reported to cause lichenoid dermatitis and I do not think this is the cause of this rash at this time.
However, I am very much in favor of the fact that you get off this medication. Taking nexium for long periods has potential side effects on bones. If I may ask, what are the reasons for you taking this medication for the past 15years? Should I know the reasons why, I may be able to propose some drug treatment for it. Also, if nexium had any contributing effect on this rash, then getting off it would be helpful in making that diagnosis. In this case, we should see a significant decrease after discontinuing the drug.
Most persons with lichenoid dermatitis have no recognizable cause. I will recommend steroids cream over systemic steroids as the side effects would be a lot fewer than taking systemic steroids. Steroid treatment would often be on longterm basis as the cause is not known and the treatment strategy is mainly to suppress cell multiplication at he level of the rash using steroids. I suggest you continue with steroid creams to make sure this condition remains under control.
In all, Nexium is not a probable cause of this condition. I recommend you stay on maintenance treatment with steroid creams after the oral steroids clear the rash as this is the main longterm stay of management.
I hope this helps. I wish you well. Thanks for using our services and feel free to ask for more information and clarifications if need be.
I am now taking probiotics everyday And Nexium only every other. When the heartburn starts on the off days, I drink Aloe Vera. That's all my idea no Dr. If you have other suggestions , I would welcome them.
Thank you for your kind consideration.
Heartburns that require Nexium all the times might benefit from surgery.
Hi and thanks for these follow up details.
It must have been hard being unable to go for days without heartburn. This is clearly of concern and I would suspect that the defect needs surgical correction. This is an indication for surgical correction when medications fail to control this. The problem is often a largely defective lower esophageal sphincter that needs strengthening through a surgical procedure. I will suggest you ask your gastroenterolgist directly about the potential benefits of surgery to correct your reflux disease.
Let me know what your doctor says about the possibility of a surgical approach in addressing your problem. Also, other medications like Ranitidine, Antacids and gastroprotective medications (Sulcrafate) can also help relieve the pain and XXXXXXX you some time off the nexium.
I hope this provides some guideline. I look forward to exchanging more with you on this.
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