Is there a nexium alternative that does not cause tinnitis?

Yes, there are alternatives to Nexium (esomeprazole) that may not cause tinnitus as a side effect. Some options include other proton pump inhibitors like omeprazole or lansoprazole, as well as H2 blockers like ranitidine or famotidine. However, individual reactions to medications can vary, so it's essential to consult with a healthcare provider to find the most suitable option for your specific situation.