<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi, I have been taking roaccutane for just over 6 months now and have never had an issue with it. Recently about 6 weeks ago I also started taking Nexium due to GERD and inflammation in my esophagus unrelated to the roaccutane. I had a blood test done this week and my liver enzymes are higher than normal and my dermatologist wants me to stop the roaccutane. Could the Necium be affecting my liver?? I dont want to stop the roaccutane as I still have 2 and a half months to go before my treatment is ended. I am also almost finished my dose of Nexium. Thank you.  <response>: Hi, Welcome to Chat Doctor forum. You are using accurate since 6 months, it has a side effect of hepatic toxicity. More over on long term usage. That is why the doctor has stopped accurate, to prevent the liver damage. You have developed G.E.R.D. also due to the accurate only, so for that you have to use the medium till you get the relief of the G.E.R.D. Avoid taking spices, junk foods, and oily foods. Also avoid UN timely foods to avoid the gastric irritation. Wishing for a quick and complete recovery. Thank you. 