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Nexium decreases the amount of acid backing up into the esophagus and causing reflux symptoms. Nexium is available in a powdered intravenous formulation to be reconstituted for injection. Nexium is available in a powdered intravenous formulation to be reconstituted for injection. Use this medication. What should you watch for while taking Esomeprazole? What should my health care professional know before I take Esomeprazole? For while taking Esomeprazole? Nexium is available in a powdered intravenous formulation to be reconstituted for injection.