Esomeprazole is the generic for Prilosec. Nexium is something else, though It's almost the same thing, according to many doctors and organizations that monitor such things.
When the patents on prilosec started running out, the manufacturer fiddled with the molecules (or something like that) and came up with another product that was almost indentical in its action but just different chemically enough to be eligible for new patent. In order to be able to market it in the US they had to show to the FTC that it was an improvement on the old stuff, so they did tests.
Now here's the devious part. In doing the tests, they somehow managed to set it up so they were comparing the new drug, Nexium, in a 40 mg dosage against Prilosec at 20mg. Since both products are almost identical in how they work, Nexium worked a tiny bit better - no suprise, since it was double strength! So no one really know if Nexium is really any better. Most people who have tried both feel that, in equal dosages, they are identical, although some will say Nexium works slightly better for a fairly small percentage of people. So it's not a case of one being stronger, or better, or anything. Just that when the manufacturer started marketing the new one they saw a chance to make even more money by, rather than just discontinuing the old one, selling it as an OTC, and the FDA caved in (oddly enough even blocking the sale of generic prilosec here).
So always try Prilosec first (which is now available as OTC though not a generic for about $1 a dose while Nexium is $6) and see if it does the job before trying Nexium. You will probably get equally good results.
BTW you can get dirt cheap generic prilosec and nexium, but you got to get if from aboad, so your insurance probably won't reimburse you at all. See my posts a couple weeks ago about generic and Indian nexium
Originally Posted by bara81
the doctor has gave me medication for gerd.
he gave me nexium.
but my insurance is denying it,
its going to cost almost 200/month.
they say there is no generic.
but i looked online...and it says nexium has a generic called "Esomeprazole".
does anyone know on here take the generic?
or where i can get it because CVS says they have no generic.
and how much generic cost,if the insurance doesnt cover it..