I have been trying to avoid taking Nexium on a regular basis, but recently the pulmo mentioned, that having too much acid can aspirate to the lungs and can make it predispose to bacteria. Since I dont know where I got my MAC, I am now taking Nexium regularly.

I am taking supplements and prescribed medications which I want to properly spaced to get the maximum effectiveness, especially the antibiotics.

I am just wondering if Vit B12 and R-Lipoic can be taken together with the Nexium.

Anyone taking it at the same time and still get the same as much effectiveness as taken separately?

By the way, I have to mention this. My stomach is really weak to antibiotics. It makes me nauseated and vomit. But, taking regular Kefir and other probiotics, I dont experience nausea. Thank you Mrs.D for introducing Kefir.

Take the B12 right when you get up. Wait 1/2 hr and then take the lipoic. Nexium takes hours to get going on the other hand.

You can take it every day at the same time, say, before lunch.
It is enteric coated, and doesn't release until it hits the intestines.
The inert ingredients might impair the B12, but not the lipoic IMO.
http://www.rxlist.com/nexium-drug.htm

B12 is best taken away from fiber, and even though Nexium is a small amount of fiber, it may attract the micrograms of B12.

I take my Synthroid first thing in the morning. I had been taking B12 and R-Lipoic at the same time. Now, I will hve to separate them. Perhaps, I can just shorten to 30 minutes (instead of 1 hour) the gap between Synthroid and B12. Is it fine Mrs. D to take Nexium before bedtime with milk instead of before lunchtime. Unless, Nexium could be taken with Gabapentin at lunchtime (1 take gaba 3x a day).

Oh my, I could not catch up with my medication schedules

Thank you Mrs.D - as always!

You can still do it your way. Just separate that Nexium with its "cellulose fibers" away from the B12 and the thyroid.

The lipoic has a small amount of cellulose in it too. It doesn't matter when you take the lipoic...say before lunch, etc is okay.