Nexium Lawsuit

People who filed Nexium lawsuits claim the drug caused them to develop kidney injuries and chronic kidney disease. As of February 2025, 11,974 Nexium and Prilosec lawsuits claimed AstraZeneca knew the drug could cause kidney problems but failed to warn the public. AstraZeneca agreed to settle the cases in 2023.

Last Modified: February 3, 2025
Fact Checked
Legally Reviewed

Drugwatch.com content is legally reviewed for accuracy and quality.

Examples of trusted legal reviewers include qualified mass torts lawyers and certified paralegals.

Drugwatch.com writers gather lawsuit information by studying court records, watching lawsuit proceedings and speaking with experienced attorneys.

Why Trust DrugWatch?

Drugwatch.com has been empowering patients for more than a decade

Drugwatch.com has provided reliable, trusted information about medications, medical devices and general health since 2008. We’ve also connected thousands of people injured by drugs and medical devices with top-ranked national law firms to take action against negligent corporations.

Our team includes experienced medical writers, award-winning journalists, researchers and certified medical and legal experts. Drugwatch.com is HONCode (Health On the Net Foundation) certified. This means the high-quality information we provide comes from credible sources, such as peer-reviewed medical journals and expert interviews.

The information on Drugwatch.com has been medically and legally reviewed by more than 30 expert contributors, including doctors, pharmacists, lawyers, patient advocates and other health care professionals. Our writers are members of professional associations, including American Medical Writers Association, American Bar Association, The Alliance of Professional Health Advocates and International Society for Medical Publication Professionals.

About Drugwatch.com

  • Assisting patients and their families since 2008.
  • Helped more than 12,000 people find legal help.
  • A+ rating from the Better Business Bureau.
  • 5-star reviewed medical and legal information site.
Learn More About Us

Testimonials

"Drugwatch opened my eyes to the realities of big pharmacy. Having a family member with major depression and anxiety, I was looking for information on her medications. I found information that was very helpful, that her psychiatrist never told her."
Marianne Zahren Patient’s Family Member
  • Google Business Rating
  • BBB A+ Rating Logo

Nexium Lawsuit Status

AstraZeneca agreed in October 2023 to pay $425 million to settle pending Prilosec and Nexium lawsuits in a federal multidistrict litigation. This MDL contains mostly Prilosec and Nexium lawsuits, along with a smaller number of claims about Prevacid. 

Our legal partners are currently not accepting Nexium lawsuit cases, but we will continue to provide any relevant updates we garner from our partners or our research below.

Nexium Lawsuit Timeline

  • June 2024
    There were 12,769 Nexium, Prilosec and Prevacid lawsuits pending in the MDL out of 18,668 originally filed. Some cases for plaintiffs that died have been dismissed. According to our research, the MDL remains open, though no new activity has occurred in the MDL since April 2024 when Judge Cecchi issued a stay in the MDL. This could mean other defendants in the MDL are potentially discussing settlements ahead of any potential trials.
  • April 2024
    Judge Claire Cecchi issued a text order in the MDL that stayed all pending deadlines until further order of the Court, according to our research of the MDL docket. This includes all proceedings for the trial of Conaway v. Takeda Pharma. Co. Ltd., et al., which was supposed to go to trial in October 2024 — though this case is not related to Nexium, this case is in the same MDL that covers all proton pump inhibitor lawsuits. Takeda manufactures Prevacid and Protonix, which are also at issue in this MDL.
  • October 2023
    AstraZeneca agreed to settle Nexium lawsuits for $425 million. According to our research, the settlement is supposed to cover about 11,000 lawsuits for Nexium and Prilosec.
  • February 2023
    Judge Claire C. Cecchi moved the Rieder bellwether test trial from March 2023 to June 5, 2023 “or 30 days after the Court decides summary judgment and Daubert motions, whichever is later.”
  • January 2023
    Lawyers speculate a global settlement could take place in 2023.
  • June 2022
    Cases in the Nexium, Prilosec and Prevacid MDL are up to 13,000. Lawyers expect the first PPI bellwether trial of James Rieder in September 2022. Trial two and three will follow through March 2023.
Show More

Many attorneys have stopped accepting these claims because of the AstraZeneca settlement. Though so far, other companies in the MDL haven’t yet finalized a settlement for the other PPI drugs.

Why Did People File Nexium Lawsuits?

People who filed Nexium lawsuits claimed the drug can cause chronic kidney disease and end-stage kidney failure, according to our legal partners and our court document research. Plaintiffs alleged drugmaker AstraZeneca knew since the early 2000s that its medication could harm people’s kidneys. Despite knowing the dangers, the company marketed Nexium as safe and effective.

We analyzed one Nexium lawsuit filed in Illinois by Harry Mason. According to this case, “Defendants had received numerous case reports of kidney injuries in patients that had ingested Nexium by as early as 2004. These reports of numerous kidney injuries put Defendants on notice as to the excessive risks of kidney injuries related to the use of Nexium.”

AstraZeneca also faces similar allegations in Prilosec lawsuits. These proton pump inhibitor cases are consolidated in the same New Jersey multidistrict litigation as Nexium cases.

“Defendants had received numerous case reports of kidney injuries in patients that had ingested Nexium by as early as 2004. These reports of numerous kidney injuries put Defendants on notice as to the excessive risks of kidney injuries related to the use of Nexium.”

Injuries Named in Nexium Lawsuits

Injuries outlined in Nexium lawsuits center around kidney injury, according to our legal partners. We had received criteria from them when they used to take these cases. Studies show long-term use of Nexium, Prilosec and other proton pump inhibitors can cause kidney problems.

PPI lawsuits alleged studies of Nexium and other proton pump inhibitors show an association with a “20% to 50% higher risk of incident chronic kidney disease.” AstraZeneca continued to say Nexium posed no risks to kidneys.

Nexium Lawsuit Injuries
  • Acute kidney injury
  • Chronic kidney disease
  • End-stage renal failure
  • Interstitial nephritis

These injuries can be serious. For example, in our review of Harry Mason’s case, we found he suffered kidney failure after Nexium use and required a kidney transplant. Other proton pump inhibitor lawsuits are also pending against the makers of Prevacid in a multidistrict litigation in New Jersey.

Nexium Kidney Claims in Lawsuits
No Warnings
  • Defendants knew or had reason to know Nexium could cause kidney problems since the 2000s
  • Defendants failed to provide any warnings regarding kidney disease
  • AstraZeneca continued to sell Nexium even if they knew the risk
Nexium Kidney Damage
  • A higher risk of kidney damage was seen with PPIs vs. H2 blockers
  • Nexium and other PPIs associated with hip fracture, community-acquired pneumonia, Clostridium difficile infection, acute interstitial nephritis and acute kidney injury
PPI Studies
  • Study: Acute kidney injuries increased by 250% in elderly patients who were newly prescribed Nexium and other PPIs
  • Study: Long-term use of PPIs associated with 20% to 50% higher risk of chronic kidney disease

Nexium Lawsuit Settlements

In October 2023, AstraZeneca agreed to a $425 million settlement to resolve about 11,000 U.S. lawsuits that accused its heartburn medications Nexium and Prilosec of causing chronic kidney disease.

Depending on the severity of kidney injuries, we’ve seen that lawyers estimate Nexium settlement payouts could range from $20,000 for minor injuries to $150,000 for more serious injuries. However, this doesn’t guarantee an exact settlement amount for anyone. We caution plaintiffs who look at these general predictions as a guarantee. Your lawyer is the best person to ask when it comes to determining settlement amounts.

Nexium Lawsuits Filed Over Bone Injuries

Our research has shown that the most recent kidney injury lawsuits weren’t the first to be filed against Nexium. Previously, consumers filed Nexium bone injury lawsuits against AstraZeneca. Plaintiffs claimed the drug caused loss of bone density, bone deterioration and bone fractures, according to court documents we examined.

One of the plaintiffs we read about, Ginny Begin, snapped a leg while walking. Less than two years later, she broke the same bone and three ankle bones in the same leg walking down the stairs. She alleged this occurred because Nexium interfered with her ability to absorb calcium, thereby speeding up bone loss.

“Despite knowing Nexium causes bones to severely deteriorate and break, AstraZeneca marketed and sold Nexium without warning consumers of the significant risks of bone deterioration and fractures. [Ginny] Begin continues to suffer severe pain from leg and ankle injuries that never fully healed,” her attorney Jason A. Gibson said in a press release from 2011.

Timeline of Nexium Bone Fracture Lawsuits
  • 2011
    First Nexium lawsuit filed against AstraZeneca. It claimed the drug led to a woman’s bone fractures.
  • 2012
    A federal court panel combined 47 lawsuits. It centralized the multidistrict litigation in a California federal court.
  • 2012
    MDL panel identified more than 1,000 lawsuits.
  • 2014
    Judge closed the MDL in favor of AstraZeneca.
Show More

In December 2012, the U.S. Judicial Panel on Multidistrict Litigation created a PPI litigation MDL in the Central District of California to merge Nexium bone injury lawsuits representing more than 1,000 plaintiffs.

“Despite knowing Nexium causes bones to severely deteriorate and break, AstraZeneca marketed and sold Nexium without warning consumers of the significant risks of bone deterioration and fractures. [Ginny] Begin continues to suffer severe pain from leg and ankle injuries that never fully healed.”
Jason A. Gibson Attorney

But in October 2014, U.S. District Judge Dale S. Fischer entered judgment in favor of defendants AstraZeneca and McKesson Corporations and against all plaintiffs. According to our research, the court questioned the reliability of the expert testimony and said without it, the plaintiffs could not establish their cases. We’ve seen this happen in other MDLs like the Mirena MDL, for example. Judges threw out key experts, and it left plaintiffs without evidence they needed to continue litigation.

The Nexium bone fracture plaintiffs appealed, but on Jan. 4, 2017, MDL-2404 IN RE: Nexium (Esomeprazole) Products Liability Litigation officially closed, according to our research on the U.S. Judicial Panel on Multidistrict Litigation website.

Stricter Warnings & Undisclosed Settlement

Still, we found some plaintiffs were successful in Nexium cases, including a class-action suit from 2014 that forced the FDA to require stricter warnings on the labels of Nexium and other proton pump inhibitors. Because of this case, Nexium labels now clearly state reduced bone density and risk of bone fractures are a possible severe side effect.

Has There Been a Recall on Nexium?

We haven’t found any recalls related to Nexium and kidney injuries. But in 2020, Dr. Reddy’s Laboratories recalled 1,752 bottles of its generic, esomeprazole magnesium, because they failed quality testing of due to discoloration and brown pellets contained in the bottles.

In 2015, AstraZeneca recalled more than >34,000 bottles of Nexium after a retail pharmacist found another drug, Seroquel, in an unopened bottle.

We’ve also reported on NDMA contamination from Zantac, another PPI drug used to control stomach acid.

Fortunately, PPIs were not recalled for contamination with this cancer-causing chemical. Zantac made with ranitidine was recalled in 2019 and pulled off the market in 2020 because of NDMA contamination. NDMA is classified as a probable carcinogen in humans.

Please seek the advice of a medical professional before making health care decisions.