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Acid Reflux & Heartburn Treatment

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Esomeprazole Tablets 20mg
Pack Size: 28 tablets
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Swallow your tablets whole with a drink of water. Do not chew or crush the tablets. This is because the tablets contain coated pellets which stop the medicine from being broken down by the acid in your stomach. It is important not to damage the pellets.

  • You can take your tablets at any time of the day.
  • You can take your tablets with food or on an empty stomach.

Nexium is not likely to affect you being able to drive or use any tools or machines. 

You can take your tablets at any time of the day.

You can take your tablets with food or on an empty stomach.

Swallow your tablets whole with a drink of water. Do not chew or crush the tablets. This

is because the tablets contain coated pellets which stop the medicine from being broken down by the acid in your stomach. It is important not to damage the pellets. 

If you have trouble swallowing the tablets:

-  Put them into a glass of still (non-fizzy) water. Do not use any other liquids.

-  Stir until the tablets break up (the mixture will not be clear). Then drink the mixture

straight away or within 30 minutes. Always stir the mixture just before drinking it.

-  To make sure that you have drunk all of the medicine, rinse the glass very well with half

a glass of water and drink it. The solid pieces contain the medicine - do not chew or

crush them.

If you cannot swallow at all, the tablet can be mixed with some water and put into a

syringe. It can then be given to you through a tube directly into your stomach (‘gastric tube’). 

If you take more Nexium than prescribed by your doctor, talk to your doctor or pharmacist straight away.

If you forget to take Nexium

If you forget to take a dose, take it as soon as you remember it. However, if it is almost time for your next dose, skip the missed dose.

Do not take a double dose (two doses at the same time) to make up for a forgotten dose. 

Esomeprazole is a generic drug used to treat certain conditions where there is too much acid in the stomach. It is used to treat gastric and duodenal ulcers, erosive esophagitis, and gastroesophageal reflux disease (GERD). GERD is a condition where the acid in the stomach washes back up into the esophagus. 
Esomeprazole is a proton pump inhibitor (PPI). It works by decreasing the amount of acid produced by the stomach.

Nexium contains a medicine called esomeprazole. This belongs to a group of medicines called ‘proton pump inhibitors’. They work by reducing the amount of acid that your stomach produces. 

Other side effects include:

Common (affects less than 1 in 10 people)

• Headache.

Effects on your stomach or gut: diarrhoea, stomach pain, constipation, wind (flatulence).

Feeling sick (nausea) or being sick (vomiting). 

Tell your doctor or pharmacist if you are taking any of the following medicines:

Atazanavir (used to treat HIV).

Clopidogrel (used to prevent blood clots).

Ketoconazole, itraconazole or voriconazole (used to treat infections caused by a fungus).

Erlotinib (used to treat cancer).

Citalopram, imipramine or clomipramine (used to treat depression).

Diazepam (used to treat anxiety, relax muscles or in epilepsy).

Phenytoin (used in epilepsy). If you are taking phenytoin, your doctor will need to

monitor you when you start or stop taking Nexium.

Medicines that are used to thin your blood, such as warfarin. Your doctor may need to

monitor you when you start or stop taking Nexium.

  • Cilostazol (used to treat intermittent claudication – a pain in your legs when you walk which is caused by an insufficient blood supply).

  • Cisapride (used for indigestion and heartburn).

  • Digoxin (used for heart problems).

  • Methotrexate (a chemotherapy medicine used in high doses to treat cancer) – if you are

    taking a high dose of methotrexate, your doctor may temporarily stop your Nexium

    treatment.

  • Tacrolimus (organ transplantation).

  • Rifampicin (used for treatment of tuberculosis).

St. John’s wort (Hypericum perforatum) (used to treat depression). 

If your doctor has prescribed the antibiotics amoxicillin and clarithromycin as well as Nexium to treat ulcers caused by Helicobacter pylori infection, it is very important that you tell your doctor about any other medicines you are taking. 

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Lansoprazole Capsules 15mg
Pack Size: 28 capsules
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Take ONE Lansoprazole capsules daily, usually in the morning.

You should take lansoprazole at least 30 minutes before food. Do not crush or chew the capsules.

If you feel dizzy, tired, sick, have a headache or problems with your eyesight after taking lansoprazole, do not drive or use any tools or machines. 

Lansoprazole is a well-established treatment for acid reflux and heartburn. It has been used for many years and monitored to ensure all possible side effects are reported and documented. Most people will not experience side effects when taking Lansoprazole however, if you do they can include:

Common (affects more than 1 in 100 people)

  • Headaches
  • Feeling dizzy or tired
  • General feeling of being unwell
  • Diarrhoea
  • Constipation
  • Stomach pains
  • Feeling sick (nausea) or being sick (vomiting)
  • Wind

Less Common (affects less than 1 in 100 people)

  • Dry or sore mouth or throat
  • Skin rash and/or itching
  • Changes in the way your liver is working (shown by a blood test)
  • Depression
  • Joint or muscle pain
  • Fluid retention or swelling
  • Changes in blood cell counts
  • Fracture of the hip, wrist or spine

The following side effects are rare (occur in less than 1 in 1000 patients):

  • Fever
  • Restlessness, drowsiness, confusion, hallucinations, insomnia, visual disturbances, vertigo
  • A change in the way things taste, loss of appetite, inflammation of your tongue (glossitis)
  • Skin reactions such as burning or pricking feeling under the skin, bruising, reddening and excessive sweating
  • Sensitivity to light
  • Hair loss
  • Feelings of ants creeping over the skin (paresthesiae), trembling
  • Anaemia (paleness)
  • Kidney problems
  • Pancreatitis
  • Inflammation of the liver (may be seen as yellow skin or eyes)
  • Breast swelling in males, impotence
  • Candidiasis (fungal infection, may affect skin or the mucosa)
  • Angioedema; You should see your doctor immediately if you experience symptoms of angioedema, such as swollen face, tongue or pharynx, difficulty to swallow, hives and difficulties to breath.

The following side effects are very rare (occur in less than 1 in 10000 patients):

  • Severe hypersensitivity reactions including shock. Symptoms of a hypersensitivity reaction may include fever, rash, swelling and sometimes a fall in blood pressure.
  • Inflammation of your mouth (stomatitis).
  • Colitis (bowel inflammation).
  • Changes in test values such as sodium, cholesterol and triglyceride levels.
  • Very severe skin reactions with reddening, blistering, severe inflammation and skin loss.
  • Very rarely Lansoprazole may cause a reduction in the number of white blood cells and your resistance to infection may be decreased. If you experience an infection with symptoms such as fever and serious deterioration of your general condition, or fever with local infection symptoms such as sore throat/pharynx/mouth or urinary problems you should see your doctor immediately. A blood test will be taken to check possible reduction of white blood cells (agranulocytosis).

Symptoms that seem like GORD (indigestion, nausea, heartburn & reflux) can also be signs of other underlying conditions that require treatment. See your doctor as soon as possible if you experience any of the following:

  • Significant weight loss for no reason.
  • Stomach pain.
  • Problems swallowing.
  • Unexplained vomiting (or vomiting that contains blood).
  • Passing black or blood-stained stools.
  • Severe or persistent diarrhoea.
  • Severe liver problems.

Do not take Lansoprazole and see your doctor if:

  • You are allergic (hypersensitive) to Lansoprazole or any of the other ingredients of these capsules (see 'Ingredients'). Signs of an allergic reaction include: a rash, swallowing or breathing problems, swelling of your lips, face, throat or tongue.
  • You are taking a medicine containing atazanavir (used to treat HIV).

Do not take Lansoprazole if any of the above applies to you. If you are not sure, talk to your doctor or pharmacist.

You should not buy Lansoprazole capsules online if:

  • You have liver problems Your doctor may want to adjust your dose and needs to monitor your blood levels.
  • You need to treat Helicobacter Pylori - you will reuiqre additional medicines and medical supervision.
  • If you are at risk of a fracture of the hip, wrist or spine. This means patients who are unsteady, have a history of falls, are suffering with osteoporosis or those who are taking corticosteroids.
  • Your symptoms have not been investigated by your doctor to rule out any serious causes.
  • You have been taking Lansoprazole for more than one year and you have not had a yearly check-up with your doctor.
  • You suffer with serious diarrhoea, stomach pain or notice blood in your stool whilst taking Lansoprazole capsules - you should see your GP for invesigation.

If you are not sure if any of the above applies to you, talk to your doctor or pharmacist before buying Lansoprazole. Do this even if they applied only in the past.

You should not take Lansoprazole with the following medicines:

  • Ketoconazole, itraconazole, rifampicin (used to treat infections).
  • Digoxin (used to treat heart problems).
  • Theophylline (used to treat asthma).
  • Tacrolimus (used to prevent transplant rejection).
  • Fluvoxamine (used to treat depression and other psychiatric problems).
  • Antacids (used to treat heartburn or acid regurgitation).
  • Sucralfate (used for healing ulcers).
  • St John’s wort sometimes called Hypericum perforatum (used to treat mild depression)

If you are not sure about the other medicines you are taking, talk to your doctor or pharmacist before taking Lansoprazole. 

Pregnancy and breastfeeding

Due to insufficient evidence of the use of Lansoprazole in pregnancy and breastfeeding, the use is not recommended and you should speak to your doctor before use.

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Order in for Next Day Delivery
RRP*: £24.99
Saving: £1.00
Our Price: £23.99
Qty: In Stock 
It’s easy and takes less than 3 minutes
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Takes less than 3 minutes to complete

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Swallow these capsules whole with a glass of water, preferably at the same time each day, in the morning before a meal. If the capsules are to be taken twice a day, then the second dose should be taken before the evening meal. Do not crush or chew the capsules

Taking lansoprazole with food and drink

You should take lansoprazole at least 30 minutes before food.

Driving and using machines

You may feel dizzy, tired, sick, have a headache or problems with your eyesight while taking lansoprazole. If this happens, do not drive or use any tools or machines. 

Lansoprazole is a generic drug used to treat certain conditions where there is too much acid in the stomach. It is used to treat gastric and duodenal ulcers, erosive esophagitis, and gastroesophageal reflux disease (GERD). GERD is a condition where the acid in the stomach washes back up into the esophagus. 
Lansoprazole is a proton pump inhibitor (PPI). It works by decreasing the amount of acid produced by the stomach.
 

Gastro-oesophageal reflux disease (GORD) is a digestive condition that commonly occurs in one in five people. It can affect people of all ages, including children. It is most common in adults aged 40 and over and occurs more in men than in women. 

Acid reflux occurs when stomach acid leaks out of the stomach and into the gullet (oesophagus), which is a long tube that runs from the mouth to the stomach. Acid reflux is most commonly caused by weakening of the lower sphincter muscles of the gullet. 

The common symptoms of GORD (acid reflux) include:

  • Heartburn – a burning pain or discomfort below the breastbone, usually worse after meals,
  • or when bending down, or when lying down
  • An unpleasant taste in the mouth, caused by reflux of acid from the stomach
  • Pain and difficulty in swallowing (dysphagia)

Most people respond well to treatment with medication and some people may require a long-term course of medication to control the symptoms of acid reflux.

Common (affects less than 1 in 10 people)

• headaches, feeling dizzy or tired, or a general feeling of being unwell

• diarrhoea, constipation, stomach pains, feeling sick (nausea) or being sick (vomiting), wind

• dry or sore mouth or throat
• skin rash, itching
• changes in the way your liver is working

(shown by a blood test) 

Do not take lansoprazole and tell your doctor if:

• You are allergic (hypersensitive) to lansoprazole or any of the other ingredients of these capsules (listed in section 6: Further Information)
Signs of an allergic reaction include: a rash, swallowing or breathing problems, swelling of your lips, face, throat or tongue

• You are taking a medicine containing atazanavir (used to treat HIV).

Do not take lansoprazole if any of the above applies to you. If you are not sure, talk to your doctor or pharmacist.

Take special care and check with your doctor before taking lansoprazole if:
• You have liver problems Your doctor may want

to adjust your dose.
• Your doctor may arrange for you to have an

endoscopic examination (where a very small camera is inserted down your oesophagus (food pipe) to look into your stomach). This will help find out what is causing your symptoms. It can help to exclude more serious causes of your symptoms such as stomach cancer.

• Your doctor has given you lansoprazole in addition to other medicines intended for the treatment of Helicobacter pyloriinfection (antibiotics): please also read the package leaflets of these medicines carefully.

• If you take lansoprazole on a long-term basis (longer than 1 year) your doctor will probably ask to see you regularly so he can check how well you are doing. Tell your doctor if you notice any new symptoms or if any of your symptoms are getting worse.

If you are not sure if any of the above applies to you, talk to your doctor or pharmacist before taking lansoprazole. Do this even if they applied only in the past.

Taking a proton pump inhibitor like lansoprazole, especially over a period of more than one year, may slightly increase your risk of fracture in the hip, wrist or spine. Tell your doctor if you have osteoporosis or if you are taking corticosteroids (which can increase the risk of osteoporosis).

Taking lansoprazole with other medicines

Please tell your doctor or pharmacist if you are taking or have recently taken any other medicines, including medicines obtained without a prescription. This includes herbal medicines. This is because lansoprazole can affect the way some other medicines work. Also, some medicines can affect on the way lansoprazole works.

In particular, check with your doctor or pharmacist if you are taking any of the following medicines:
• Ketoconazole, itraconazole, rifampicin (used to

treat infections)
• Digoxin(used to treat heart problems)
• Theophylline (used to treat asthma)
• Tacrolimus (used to prevent transplant rejection) • Fluvoxamine (used to treat depression and

other psychiatric problems)
• Antacids (used to treat heartburn or acid

regurgitation)
• Sucralfate (used for healing ulcers)
• St John’s wort sometimes called Hypericum

perforatum (used to treat mild depression) If you are not sure, talk to your doctor or pharmacist before taking lansoprazole. 

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Losec Capsules 10mg
Pack Size: 28 capsules
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The starting dose of Losec is one 10mg capsule daily. This can be doubled to two 10mg capsules daily if symptoms are not controlled by the lower dose. Losec works best if taken daily for 4-5 days to settle symptoms down.

One or two 10mg Losec capsules daily can also be taken on an as required basis when symptoms flare up.

For people with mild or occasional symptoms Losec (Omeprazole) daily or Zantac (Ranitidine) twice daily for 4-5 days will settle the problem, usually for a few weeks at the time.

Where a short course of Losec (Omeprazole) or Zantac (Ranitidine) for 4-5 days does not control symptoms, or where a person's symptoms return immediately on stopping tablets, it is best to see a GP.

Losec Capsules 20mg
Pack Size: 28 capsules
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Our Price: £27.99
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It’s easy and takes less than 3 minutes
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  • Directions
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Fast, Discreet Delivery

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One tablet daily. Try to take omeprazole at the same time each day to avoid missing any doses. The usual dose is once a day in the morning.

 

You can take your capsules with food or on an empty stomach. 

  • It is recommended that you take your capsules in the morning.

  • You can take your capsules with food or on an empty stomach.

  • Swallow your capsules whole with half a glass of water. Do not chew or crush the capsules.

    This is because the capsules contain coated pellets which stop the medicine from being broken down by the acid in your stomach. It is important not to damage the pellets. 

If you or your child have trouble swallowing the capsules:

  • -  Open the capsules and swallow the contents directly with half a glass of water or put the

    contents into a glass of still (non-fizzy) water, any acidic fruit juice (e.g. apple, orange or

    pineapple) or apple sauce.

  • -  Always stir the mixture just before drinking it (the mixture will not be clear). Then drink

    the mixture straight away or within 30 minutes.

  • -  To make sure that you have drunk all of the medicine, rinse the glass very well with half a

    glass of water and drink it. The solid pieces contain the medicine - do not chew or crush them. 

    If you forget to take a dose, take it as soon as you remember it. However, if it is almost time for your next dose, skip the missed dose. Do not take a double dose to make up for a forgotten dose. 

Gastro-oesophageal reflux disease (GORD) is a digestive condition that commonly occurs in one in five people. It can affect people of all ages, including children. It is most common in adults aged 40 and over and occurs more in men than in women. 

Acid reflux occurs when stomach acid leaks out of the stomach and into the gullet (oesophagus), which is a long tube that runs from the mouth to the stomach. Acid reflux is most commonly caused by weakening of the lower sphincter muscles of the gullet. 

The common symptoms of GORD (acid reflux) include:

  • Heartburn – a burning pain or discomfort below the breastbone, usually worse after meals,
  • or when bending down, or when lying down
  • An unpleasant taste in the mouth, caused by reflux of acid from the stomach
  • Pain and difficulty in swallowing (dysphagia)

Most people respond well to treatment with medication and some people may require a long-term course of medication to control the symptoms of acid reflux.

Losec is not likely to affect your ability to drive or use any tools or machines. Side effects such as dizziness and visual disturbances may occur (see section 4). If affected, you should not drive or operate machinery. 

  • Headache.

  • Effects on your stomach or gut: diarrhoea, stomach pain, constipation, wind (flatulence).

  • Feeling sick (nausea) or being sick (vomiting). 

  • If you are allergic (hypersensitive) to omeprazole or any of the other ingredients of Losec.

  • If you are allergic to medicines containing other proton pump inhibitors (eg pantoprazole,

    lansoprazole, rabeprazole, esomeprazole).

  • If you are taking a medicine containing nelfinavir (used for HIV infection)

    If you are not sure, talk to your doctor or pharmacist before taking Losec.

    Take special care with Losec

    Losec may hide the symptoms of other diseases. Therefore, if any of the following happen to you before you start taking Losec or while you are taking it, talk to your doctor straight away:

  • You lose a lot of weight for no reason and have problems swallowing.

  • Y ou get stomach pain or indigestion.

  • You begin to vomit food or blood.

  • Y ou pass black stools (blood-stained faeces).

  • You experience severe or persistent diarrhoea, as omeprazole has been associated with a small

    increase in infectious diarrhoea.

  • Y ou have severe liver problems. 

    Tell your doctor or pharmacist if you are taking any of the following medicines:

  • Ketoconazole, itraconazole, posaconazole or voriconazole (used to treat infections caused by a

    fungus)

  • Digoxin (used to treat heart problems)

  • Diazepam (used to treat anxiety, relax muscles or in epilepsy)

  • Phenytoin (used in epilepsy). If you are taking phenytoin, your doctor will need to monitor you

    when you start or stop taking Losec

  • Medicines that are used to thin your blood, such as warfarin or other vitamin K blockers. Your

    doctor may need to monitor you when you start or stop taking Losec

  • Rifampicin (used to treat tuberculosis)

  • Atazanavir (used to treat HIV infection)

  • Tacrolimus (in cases of organ transplantation)

  • St John’s wort (Hypericum perforatum) (used to treat mild depression)

  • Cilostazol (used to treat intermittent claudication)

  • Saquinavir (used to treat HIV infection)

  • Clopidogrel (used to prevent blood clots (thrombi))

  • Erlotinib (used to treat cancer)

  • Methotrexate (a chemotherapy medicine used in high doses to treat cancer) – if you are taking a

    high dose of methotrexate, your doctor may temporarily stop your Losec treatment

    If your doctor has prescribed the antibiotics amoxicillin and clarithromycin as well as Losec to treat ulcers caused by Helicobacter pylori infection, it is very important that you tell your doctor about any other medicines you are taking. 

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Losec MUPS Tablets 20mg
Pack Size: 28 tablets
Order in for Next Day Delivery
RRP*: £29.99
Saving: £2.00
Our Price: £27.99
Qty: In Stock 
It’s easy and takes less than 3 minutes
  • Reasons to Shop
  • Similar Products
  • Directions
  • Description
  • Side Effects
  • Warnings

Easy Online Consultations

Takes less than 3 minutes to complete

Price
Guarantee

If you find it cheaper we will refund the difference

Fast, Discreet Delivery

Same day dispatch on orders before 4pm

Safe &
Secure

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UK Doctors & Pharmacists

Run by experienced, registered healthcare professionals

One tablet daily. Try to take omeprazole at the same time each day to avoid missing any doses. The usual dose is once a day in the morning.

 

  1. You can take your capsules with food or on an empty stomach. 

    • It is recommended that you take your capsules in the morning.

    • You can take your capsules with food or on an empty stomach.

    • Swallow your capsules whole with half a glass of water. Do not chew or crush the capsules.

      This is because the capsules contain coated pellets which stop the medicine from being broken down by the acid in your stomach. It is important not to damage the pellets. 

    If you or your child have trouble swallowing the capsules:

    • -  Open the capsules and swallow the contents directly with half a glass of water or put the

      contents into a glass of still (non-fizzy) water, any acidic fruit juice (e.g. apple, orange or

      pineapple) or apple sauce.

    • -  Always stir the mixture just before drinking it (the mixture will not be clear). Then drink

      the mixture straight away or within 30 minutes.

    • -  To make sure that you have drunk all of the medicine, rinse the glass very well with half a

      glass of water and drink it. The solid pieces contain the medicine - do not chew or crush them. 

      If you forget to take a dose, take it as soon as you remember it. However, if it is almost time for your next dose, skip the missed dose. Do not take a double dose to make up for a forgotten dose. 

Losec is the branded version of Omeprazole. Omeprazole is medically equivalent to Losec but is available at a lower price.

 Gastro-oesophageal reflux disease (GORD) is a digestive condition that commonly occurs in one in five people. It can affect people of all ages, including children. It is most common in adults aged 40 and over and occurs more in men than in women. 

Acid reflux occurs when stomach acid leaks out of the stomach and into the gullet (oesophagus), which is a long tube that runs from the mouth to the stomach. Acid reflux is most commonly caused by weakening of the lower sphincter muscles of the gullet. 

The common symptoms of GORD (acid reflux) include:

  • Heartburn – a burning pain or discomfort below the breastbone, usually worse after meals,
  • or when bending down, or when lying down
  • An unpleasant taste in the mouth, caused by reflux of acid from the stomach
  • Pain and difficulty in swallowing (dysphagia)

Most people respond well to treatment with medication and some people may require a long-term course of medication to control the symptoms of acid reflux.

Losec is not likely to affect your ability to drive or use any tools or machines. Side effects such as dizziness and visual disturbances may occur (see section 4). If affected, you should not drive or operate machinery. 

  • Headache.

  • Effects on your stomach or gut: diarrhoea, stomach pain, constipation, wind (flatulence).

  • Feeling sick (nausea) or being sick (vomiting). 

    • If you are allergic (hypersensitive) to omeprazole or any of the other ingredients of Losec.

    • If you are allergic to medicines containing other proton pump inhibitors (eg pantoprazole,

      lansoprazole, rabeprazole, esomeprazole).

    • If you are taking a medicine containing nelfinavir (used for HIV infection)

      If you are not sure, talk to your doctor or pharmacist before taking Losec.

      Take special care with Losec

      Losec may hide the symptoms of other diseases. Therefore, if any of the following happen to you before you start taking Losec or while you are taking it, talk to your doctor straight away:

      • You lose a lot of weight for no reason and have problems swallowing.

      • Y ou get stomach pain or indigestion.

      • You begin to vomit food or blood.

      • Y ou pass black stools (blood-stained faeces).

      • You experience severe or persistent diarrhoea, as omeprazole has been associated with a small

        increase in infectious diarrhoea.

      • Y ou have severe liver problems. 

        1. Tell your doctor or pharmacist if you are taking any of the following medicines:

          • Ketoconazole, itraconazole, posaconazole or voriconazole (used to treat infections caused by a

            fungus)

          • Digoxin (used to treat heart problems)

          • Diazepam (used to treat anxiety, relax muscles or in epilepsy)

          • Phenytoin (used in epilepsy). If you are taking phenytoin, your doctor will need to monitor you

            when you start or stop taking Losec

          • Medicines that are used to thin your blood, such as warfarin or other vitamin K blockers. Your

            doctor may need to monitor you when you start or stop taking Losec

          • Rifampicin (used to treat tuberculosis)

          • Atazanavir (used to treat HIV infection)

          • Tacrolimus (in cases of organ transplantation)

          • St John’s wort (Hypericum perforatum) (used to treat mild depression)

          • Cilostazol (used to treat intermittent claudication)

          • Saquinavir (used to treat HIV infection)

          • Clopidogrel (used to prevent blood clots (thrombi))

        • Erlotinib (used to treat cancer)

        • Methotrexate (a chemotherapy medicine used in high doses to treat cancer) – if you are taking a

          high dose of methotrexate, your doctor may temporarily stop your Losec treatment

          If your doctor has prescribed the antibiotics amoxicillin and clarithromycin as well as Losec to treat ulcers caused by Helicobacter pylori infection, it is very important that you tell your doctor about any other medicines you are taking. 

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Nexium Tablets 20mg
Pack Size: 28 tablets
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RRP*: £39.99
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Swallow your tablets whole with a drink of water. Do not chew or crush the tablets. This is because the tablets contain coated pellets which stop the medicine from being broken down by the acid in your stomach. It is important not to damage the pellets.

  • You can take your tablets at any time of the day.
  • You can take your tablets with food or on an empty stomach.
  1. Nexium is not likely to affect you being able to drive or use any tools or machines. 

    • You can take your tablets at any time of the day.

    • You can take your tablets with food or on an empty stomach.

    • Swallow your tablets whole with a drink of water. Do not chew or crush the tablets. This

      is because the tablets contain coated pellets which stop the medicine from being broken down by the acid in your stomach. It is important not to damage the pellets. 

      • If you have trouble swallowing the tablets:

        • -  Put them into a glass of still (non-fizzy) water. Do not use any other liquids.

        • -  Stir until the tablets break up (the mixture will not be clear). Then drink the mixture

          straight away or within 30 minutes. Always stir the mixture just before drinking it.

        • -  To make sure that you have drunk all of the medicine, rinse the glass very well with half

          a glass of water and drink it. The solid pieces contain the medicine - do not chew or

          crush them.

      • If you cannot swallow at all, the tablet can be mixed with some water and put into a

        syringe. It can then be given to you through a tube directly into your stomach (‘gastric tube’). 

        If you take more Nexium than prescribed by your doctor, talk to your doctor or pharmacist straight away.

        If you forget to take Nexium

        • If you forget to take a dose, take it as soon as you remember it. However, if it is almost time for your next dose, skip the missed dose.

        • Do not take a double dose (two doses at the same time) to make up for a forgotten dose. 

Esomeprazole is a generic drug used to treat certain conditions where there is too much acid in the stomach. It is used to treat gastric and duodenal ulcers, erosive esophagitis, and gastroesophageal reflux disease (GERD). GERD is a condition where the acid in the stomach washes back up into the esophagus. 
Esomeprazole is a proton pump inhibitor (PPI). It works by decreasing the amount of acid produced by the stomach.

Nexium contains a medicine called esomeprazole. This belongs to a group of medicines called ‘proton pump inhibitors’. They work by reducing the amount of acid that your stomach produces. 

  1. Other side effects include:

    Common (affects less than 1 in 10 people)

    • Headache.

    • Effects on your stomach or gut: diarrhoea, stomach pain, constipation, wind (flatulence).

    • Feeling sick (nausea) or being sick (vomiting). 

  1. Tell your doctor or pharmacist if you are taking any of the following medicines:

    • Atazanavir (used to treat HIV).

    • Clopidogrel (used to prevent blood clots).

    • Ketoconazole, itraconazole or voriconazole (used to treat infections caused by a fungus).

    • Erlotinib (used to treat cancer).

    • Citalopram, imipramine or clomipramine (used to treat depression).

    • Diazepam (used to treat anxiety, relax muscles or in epilepsy).

    • Phenytoin (used in epilepsy). If you are taking phenytoin, your doctor will need to

      monitor you when you start or stop taking Nexium.

    • Medicines that are used to thin your blood, such as warfarin. Your doctor may need to

      monitor you when you start or stop taking Nexium.

Page 2 of 8

  • Cilostazol (used to treat intermittent claudication – a pain in your legs when you walk which is caused by an insufficient blood supply).

  • Cisapride (used for indigestion and heartburn).

  • Digoxin (used for heart problems).

  • Methotrexate (a chemotherapy medicine used in high doses to treat cancer) – if you are

    taking a high dose of methotrexate, your doctor may temporarily stop your Nexium

    treatment.

  • Tacrolimus (organ transplantation).

  • Rifampicin (used for treatment of tuberculosis).

  • St. John’s wort (Hypericum perforatum) (used to treat depression). 

    1. If your doctor has prescribed the antibiotics amoxicillin and clarithromycin as well as Nexium to treat ulcers caused by Helicobacter pylori infection, it is very important that you tell your doctor about any other medicines you are taking. 

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Take ONE Omeprazole 20mg capsule daily, usually in the morning.

Omeprazole can be taken with food and drink, or on an empty stomach - it does not matter.

If you forget to take a dose, take it as soon as you remember unless you are nearly due your next dose. You should never take a double dose.

Omeprazole 20mg capsules are used to treat gastro-oesophageal reflux disease (GORD). The symptoms of GORD include indigestion, reflux and heartburn. Omeprazole helps to treat these symptoms by reducing the acid production in the stomach and hence relieve symptoms of heartburn and indigestion that are caused by excess acid.

Omeprazole can be safely used in patients who have been diagnosed with GORD, indigestion, heartburn or reflux by their doctor where their symptoms are steady and have not worsened. Patients who are experiencing any of the symptoms for the first time or who have worsening symptoms should always be examined by their doctor to ensure any underlying causes are treated.

Omeprazole is generally a well-tolerated treatment that has been widely used for many years. It does have the ability to cause side effects in a small number of people. The following side effects have been known to occur:

More Common (less than 10%)

  • Headache
  • Diarrhoea
  • Stomach Pain
  • Constipation
  • Flatulence (wind)
  • Nausea and/or vomiting

Less Common (less than 1%)

  • Swelling of feet and ankles
  • Disturbed sleep (insomnia)
  • Dizziness
  • Tingling
  • Drowsiness
  • Vertigo (feeling unsteady or heaving a spinning feeling)
  • Changes in liver function test results
  • Skin reactions (rash, hives, itching)
  • General feeling of unwell

For a complete list of side effects please ensure you read the product information leaflet enclosed within your treatment.

Symptoms that seem like GORD (indigestion, nausea, heartburn & reflux) can also be signs of other underlying conditions that require treatment. See your doctor If you experience any of the following:

  • Significant weight loss for no reason.
  • Stomach pain
  • Problems swallowing
  • Unexplained vomiting (or vomiting that contains blood)
  • Passing black or blood-stained stools
  • Severe or persistent diarrhoea
  • Severe liver problems

If you are having any blood tests done it is important to let your doctor know that you are taking omeprazole as you may need to stop taking it before some tests.

Taking omeprazole for a sustained peroid of more than one year can cause a small increase in the risk of fractures of the hip, wrist and spine. If you suffer with osteoporosis or take corticosteroids, you should discuss this with your doctor.

You should not take Omeprazole if you are taking a medicine containing nelfinavir (used to treat HIV infection).

If you are taking any of the following medicines, you should discuss taking Omeprazole with your doctor:

  • Ketoconazole, itraconazole, posaconazole or voriconazole (used to treat infections caused by a fungus)
  • Digoxin (used to treat heart problems)
  • Diazepam (used to treat anxiety, relax muscles or in epilepsy)
  • Phenytoin (used in epilepsy). If you are taking phenytoin, your doctor will need to monitor you when you start or stop taking Omeprazole tablets
  • Medicines that are used to thin your blood, such as warfarin or other vitamin K blockers. Your doctor may need to monitor you when you start or stop taking Omeprazole
  • Rifampicin (used to treat tuberculosis)
  • Atazanavir (used to treat HIV infection)
  • Tacrolimus (in cases of organ transplantation)
  • St John’s wort (Hypericum perforatum) (used to treat mild depression)
  • Cilostazol (used to treat intermittent claudication)
  • Saquinavir (used to treat HIV infection)
  • Clopidogrel (used to prevent blood clots)
  • Erlotinib (used to treat cancer)
  • Methotrexate (a chemotherapy medicine used in high doses to treat cancer) - if you are taking a high dose of methotrexate, your doctor may temporarily stop your Omeprazole treatment
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Take the tablets 1 hour before a meal without chewing or breaking them and swallow them whole with some water

  • The active substance is pantoprazole. Each gastro- resistant tablet contains 20mg of pantoprazole (as sodium sesquihydrate).

  • The other ingredients are:
    Mannitol, Sodium carbonate anhydrous, Sodium starch glycolate, Methacrylic acid copolymer, Calcium stearate, Opadry white OY-D-7233 (hypromellose 3cP, titanium dioxide, talc, macrogol, sodium lauryl sulphate), Kollicoat MAE 30 DP yellow (methacrylic acid-ethyl acrylate copolymer dispersion 30%, propylene glycol, yellow iron oxide, titanium dioxide, talc) 

Pantoprazole is a generic drug used to treat certain conditions where there is too much acid in the stomach. It is used to treat gastric and duodenal ulcers, erosive esophagitis, and gastroesophageal reflux disease (GERD). GERD is a condition where the acid in the stomach washes back up into the esophagus. 
Pantoprazole is a proton pump inhibitor (PPI). It works by decreasing the amount of acid produced by the stomach.

Gastro-oesophageal reflux disease (GORD) is a digestive condition that commonly occurs in one in five people. It can affect people of all ages, including children. It is most common in adults aged 40 and over and occurs more in men than in women. 

Acid reflux occurs when stomach acid leaks out of the stomach and into the gullet (oesophagus), which is a long tube that runs from the mouth to the stomach. Acid reflux is most commonly caused by weakening of the lower sphincter muscles of the gullet. 

The common symptoms of GORD (acid reflux) include:

  • Heartburn – a burning pain or discomfort below the breastbone, usually worse after meals,
  • or when bending down, or when lying down
  • An unpleasant taste in the mouth, caused by reflux of acid from the stomach
  • Pain and difficulty in swallowing (dysphagia)

Most people respond well to treatment with medication and some people may require a long-term course of medication to control the symptoms of acid reflux. 

Other side effects are:
Uncommon (affects 1 to 10 users in 1,000):
headache; dizziness; diarrhoea; feeling sick, vomiting; bloating and flatulence (wind); constipation; dry mouth; abdominal pain and discomfort; skin rash, exanthema, eruption; itching; feeling weak, exhausted or generally unwell; sleep disorders; fracture of the hip, wrist or spine. 

Pantoprazole tablets may influence the effectiveness of other medicines, so tell your doctor if you are taking

• Medicines such as ketoconazole, itraconazole and posaconazole (used to treat fungal infections) or erlotinib (used for certain types of cancer) because Pantoprazole tablets may stop these and other medicines from working properly.

• Warfarin and phenprocoumon, which affect the thickening, or thinning of the blood. You may need further checks.

• Atazanavir (used to treat HIV-infection). 

Tell your doctor immediately if you notice any of the following symptoms:
• an unintentional loss of weight
• repeated vomiting

• difficulty in swallowing
• vomiting blood
• you look pale and feel weak (anaemia)
• you notice blood in your stools
• severe and/or persistent diarrhoea as pantoprazole

has been associated with a small increase in infectious diarrhoea. 

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Zantac is best taken at a dose of one 150mg tablet twice daily for 4-5 days to settle symptoms down.

Zantac 150mg tablets can also be taken once or twice daily on an as required basis when symptoms flare up.

Zantac belongs to a class of medicines called H2-receptor antagonists. This medicine works by reducing the amount of acid in your stomach. It is used to treat gastrointestinal ulcers as well as to relieve heartburn and indigestion.

In some cases, however, heartburn, indigestion and other similar symptoms may not be due to ulcers, but to other, more serious conditions. This means that treatment with Zantac could have the unwanted effect of causing a delay in your doctor diagnosing a more serious condition.

Zantac is sometimes used in addition to one or two antibiotics to treat gastrointestinal ulcers caused by H pylori bacteria. This is known as dual therapy when one antibiotic is used and triple therapy when two antibiotics are used.

This combination of medicines kills the bacteria and prevents ulcers from recurring.

Do not share your medicine with other people. It may not be suitable for them and may harm them.

The pharmacy label on your medicine tells you how much medicine you should take. It also tells you how often you should take your medicine. This is the dose that you and your prescriber have agreed you should take. You should not change the dose of your medicine unless you are told to do so by your prescriber.

If you feel that the medicine is making you unwell or you do not think it is working, then talk to your prescriber.

Ranitidine and Losec are widely used and safe medications. Both interact with a few prescription medication, most notably Warfarin and Phenytoin.

The main risk of taking either is the danger of masking the symptoms of a cancer in the stomach or gullet.

For this reason Losec (Omeprazole) or Zantac (Ranitidine) should only be taken after seeing a doctor face-to-face if the following apply.

Those aged 45 years or over:

  • With new onset of symptoms within the last year
  • Where symptoms are worsening or changing

People of any age with heartburn where there is:

  • Unintentional weight loss
  • Anaemia
  • Difficulty or pain on swallowing
  • Vomiting, particularly if there is blood in the vomit
  • Previous gastric ulcer or surgery
  • Jaundice

Those sufferers who have had to take an antacid or acid suppressor continuously for four or more weeks in order to control their symptoms.

Those who have taken an indigestion or heartburn remedy for two weeks with no relief of symptoms.

When to consult a doctor

If a person is not sure about their symptoms or has never seen a doctor about acid problems it is best to see a doctor face-to-face.

Some medication can produce irritation in the stomach and gullet, most notably anti-inflammatory medications. Where a person is taking these drugs they should see their GP to discuss possible alternatives.

Anybody taking regular medication should let their GPknow they are taking occasional Losec (Omeprazole) or Zantac (Ranitidine). The GP may want to monitor the regular medication or adjust the dosages.

Losec (Omeprazole) is well-tolerated and side effects generally mild and reversible. Headache, diarrhoea, nausea, abdominal pain and rash are among adverse side effects reported with Omeprazole.

Similarly Zantac (Ranitidine) does not normally produce sided effects. Headache, feeling dizzy and diarrhoea are the most frequently reported side effects.

Frequency of Acid Indigestion

Almost everybody will experience acid indigestion from time to time. It can be brought on spicy food or by drinks such as wine or acid fruit juice. Most acid indigestion will settle with antacid tablets containing an alkali. These are the familiar chalky tablets or medicines.

Some people are prone to repeated episodes of acid reflux. For these people Losec (Omeprazole) or Zantac (Ranitidine) taken daily for few days will usually settle symptoms for a week or two at a time. Indigestion symptoms can usually be kept under control by taking a Losec (Omeprazole) or Zantac (Ranitidine) tablets on an as required basis.

Like all medicines, Zantac can cause side effects, although not everybody gets them.
The following side effects may happen with this medicine.

Stop taking Zantac and see a doctor straight away, if you notice any of the following serious side effects, you may need urgent medical treatment:
• allergic reactions, the signs may include:

  • -  rash, itching or hives on the skin

  • -  swelling of your face, lips, tongue or other parts of

    the body

  • -  chest pain, shortness of breath, wheezing or having

    trouble breathing

  • -  unexplained fever and feeling faint, especially when

    standing up.

  • kidney problems, which can lead to back pain, fever,

    pain when passing urine, blood in the urine and

    changes in blood tests.

  • severe stomach pain, this may be a sign of something

    called ‘pancreatitis’

  • a slow or irregular heartbeat

    Check with your doctor at your next visit if you notice any of the following:
    Common (affects less than 1 in 10 people)
    • headache (sometimes severe)

    • feeling dizzy
    • diarrhoea.
    Uncommon (affects less than 1 in 100 people)
    • having blurred vision
    • a rash on its own.
    Check with your doctor as soon as possible if you notice any of the following:
    Very rare (affect less than 1 in 10,000 people)
    • false results in blood tests called ‘liver function tests’ • feeling depressed.
    During post-marketing experience, the following have been reported (unknown frequency;

• there can be changes in the level of certain substances

in your blood. This can lead to you feeling unusually tired or short of breath and being more likely to bruise or get an infection 

Zantac is not suitable for everyone and some people should never use it. Other people should only use it with special care. It is important that the person prescribing this medicine knows your full medical history.

Your prescriber may only prescribe this medicine with special care or may not prescribe it at all if you:

  • are allergic or sensitive to or have had a reaction to any of the ingredients in the medicine
  • are elderly
  • are immunosuppressed
  • are middle aged or over and have new or different symptoms of indigestion
  • are taking a non-steroidal anti-inflammatorymedicine
  • have diabetes
  • have had peptic ulcers
  • have kidney problems
  • have lung problems
  • have or have had porphyria

Furthermore the prescriber may only prescribe this medicine with special care or may not prescribe it at all for a child who is under the age of three years or who weighs less than 30 Kg.

As part of the process of assessing suitability to take this medicine a prescriber may also arrange tests:

  • to determine whether or not the medicine is suitable and whether it must be prescribed with extra care

Over time it is possible that Zantac can become unsuitable for some people, or they may become unsuitable for it. If at any time it appears that Zantac has become unsuitable, it is important that the prescriber is contacted immediately.

Alcohol

Alcohol can interact with certain medicines.

In the case of Zantac:

  • there are no known interactions between alcohol and Zantac

Diet

Medicines can interact with certain foods. In some cases, this may be harmful and your prescriber may advise you to avoid certain foods.

In the case of Zantac:

  • there are no specific foods that you must exclude from your diet when taking Zantac

Driving and operating machinery

When taking any medicine you should be aware that it might interfere with your ability to drive or operate machinery safely.

Like all medicinesZantac can cause side effects. You should see how this medicine affects you and then judge if you are safe to drive or operate machinery. If you are in any doubt, talk to your prescriber.

Family planning and pregnancy

Most medicines, in some way, can affect the development of a baby in the womb. The effect on the baby differs between medicines and also depends on the stage of pregnancy that you have reached when you take the medicine.

In the case of Zantac:

  • you should only take this medicine during pregnancy if your doctor thinks that you need it

You need to discuss your specific circumstances with your doctor to weigh up the overall risks and benefits of taking this medicine. You and your doctor can make a decision about whether you are going to take this medicine during pregnancy.

If the decision is that you should not have Zantac, then you should discuss whether there is an alternative medicine that you could take during pregnancy.

Breast-feeding

Certain medicines can pass into breast milk and may reach your baby through breast-feeding.

In the case of Zantac:

  • you should only take this medicine while breast-feeding if your doctor thinks you need it

Before you have your baby you should discuss breast-feeding with your doctor or midwife. They will help you decide what is best for you and your baby based on the benefits and risks associated with this medicine. You should only breast-feed your baby while taking this medicine on the advice of your doctor or midwife.

About Acid Reflux & Heartburn

Acid Reflux & Heartburn Background

The Independent Pharmacy Online Doctor service allows patients who require treatment for acid reflux or heartburn to have a private consultation with a doctor and receive the treatment they require in a safe and discreet manner.

Acid reflux and heartburn are similar conditions that are caused by Gastro-Oesophageal Reflux Disease (GORD). GORD is a very common condition where acid from the stomach leaks out into the oesophagus (gullet) and can travel all the way up to the throat. There are various reasons why someone may suffer from acid reflux or heartburn, the most common being a failure of the lower oesophageal sphincter. This sphincter comprises of a ring of muscles that act as a valve, allowing food to enter the stomach whilst keeping acid from exiting.

If the lower oesophagus sphincter doesn’t close fully, it can let acid to leak up out of the stomach. There are known triggers that can contribute to experiencing acid reflux and heartburn, these include:

  • Being overweight: Carrying extra weight can place increased pressure on your stomach. This pressure can lead to a weakening of the lower oesophagus sphincter.
  • Being pregnant: Fluctuating hormonal levels can weaken the lower oesophagus sphincter.
  • Eating a diet high in fat. The stomach takes longer to dispose of stomach acid after digesting a high-fat meal.
  • Tobacco, coffee, alcohol or chocolate: All these can relax the lower oesophagus sphincter
  • Hiatus hernia: where part of the stomach protrudes up through the diaphragm.
  • Certain medicines: Calcium-channel blockers and nitrates can relax the lower oesophagus sphincter. Non-steroidal anti-inflammatory drugs (NSAIDs) can irritate and inflame the oesophagus lining, leading to acid reflux and heartburn.
  • Stress
  • Eating large meals or lying down after eating a meal

Acid Reflux & Heartburn Symptoms

Acid reflux will involve stomach acid being regurgitated into your throat and mouth. This regurgitation will commonly lead to a sour-bitter, ‘acidy’ taste at the back of your mouth and throat. Heartburn differs slightly as it will present as a discomforting burning pain just below your breastbone. This pain can move into the chest and even into the throat. This pain is usually found to be worse after eating, or when bending over or lying down.

If you are only experiencing acid reflux and heartburn one or two times a month that can be attributed to food and/or drink then it may not be necessary to see a doctor. If the symptoms are new in onset or become more severe and frequent and the use of over-the-counter remedies has proven ineffective then it is then recommended to seek medical advice.

Less common symptoms that can be the result of regurgitated stomach acid include:

  • Nausea
  • A persistent cough that worsens at night
  • Wheezing
  • Chest pain
  • Tooth decay
  • Laryngitis

Acid Reflux & Heartburn Diagnosis

For the majority of cases a doctor will be able to diagnose gastro-oesophageal reflux disease from your symptoms and medical history.

Only in certain circumstances will physical examination be required. These circumstances will include:

  • Pain when swallowing. This is also known as odynophagia.
  • Difficulty when swallowing. This is also known as dysphagia.
  • Symptoms have not improved despite having taken prescription medication.
  • Other serious symptoms such as severe pain, persistent diarrhoea/constipation or blood in the stools.

Further testing can be done using various different methods. These include; endoscopy, manometry, barium swallow test or 24-hour pH monitoring.

  • Endoscopy: This is performed using an endoscope, which is a long flexible tube with a camera and light at one end. This tube is inserted into the throat and can help visually detect any damage to the oesophagus.
  • Manometry: This is performed using a small tube that contains pressure sensors. The device is inserted through the nose and fed down to the lower oesophageal sphincter where it is able to detect the pressure generated by the muscle and how well it is performing.
  • Barium swallow test: This test involves drinking a non-toxic liquid called barium solution. This solution shows up clearly on X-rays. Once the liquid has moved down into the upper digestive system a series of X-rays are taken. These X-rays can then reveal any blockages or problems with the muscles used when swallowing.
  • 24-hour pH monitoring: This test is designed to measure the acidity levels around the oesophagus. It uses a small probe, which is fed down to the oesophagus via the nasal cavity. The probe is connected to a small monitoring device that attaches to your wrist. Every time you become aware of your symptoms you push a button on the device. After 24 hours the probe is removed and the data then analysed.

Acid Reflux & Heartburn Treatment

Acid reflux and heartburn can sometimes be treated using over-the-counter medications, such as:

  • Pepto Bismol
  • Zantac (Ranitidine)
  • Maalox
  • Calcium Carbonate preparations, such as: Bisodol Antacid, Remegel, Rennie and Tums
  • Alginate preparations, such as Gaviscon and Peptac

Most over-the-counter antacid remedies work by neutralising the effects of the stomach acid. Alginate preparations, such as Gaviscon work differently. Alginates provide a protective coating, designed to shield the lining of the stomach and oesophagus from the effects of stomach acid. These work best if taken just after eating a meal.

If over-the-counter acid reflux & heartburn treatments are proving ineffective then you may be prescribed a proton-pump inhibitor. These are also known as PPIs. Proton-pump inhibitors are widely used as they are well tolerated by most patients and rarely produce side effects. PPIs work by reducing the amount of acid produced by the stomach. Examples of PPIs include:

  • Omeprazole (Losec)
  • Esomeprazole (Nexium)
  • Lansoprazole (Zoton)
  • Pantoprazole (Pantoloc)

When prescribing PPIs, such as Omeprazole, you start with the lowest possible dose that will be effective in controlling your symptoms. If you’ve been prescribed Omeprazole 10mg Capsules and finding it ineffective, it is important to inform your prescriber so they can assess and potentially increase your dose. Proton-pump Inhibitors come in a wide variety of strengths and forms:

  • Omeprazole (Losec) capsules, tablets & dispersible tablets: 10mg, 20mg & 40mg.
  • Esomeprazole (Nexium) capsules & tablets: 20mg & 40mg.
  • Lansoprazole (Zoton) capsules, tablets & oro-disperible tablets: 15mg & 30mg.
  • Pantoprazole (Pantoloc) tablets 20mg & 40mg.

Another type of acid reflux and heartburn treatment is H-2 antagonists, such as Ranitidine. Ranitidine blocks the production of stomach acid by a different mechanism to PPIs but with the same acid-reducing effects. Ranitidine is a long-established and effective treatment for acid reflux and heartburn that is well tolerated and normally causes few side effects.

Ranitidine is available over-the-counter as Zantac 75mg tablets. Where the dose of these is too low to be effective, they are available on prescription as Ranitidine 150mg tablets.

If PPIs, such as Omeprazole, and H-2 antagonists, such as ranitidine, have proven ineffective or if the thought of taking medication on a long-term basis is unappealing, then surgery can be an alternative. You should discuss this with your GP.

Acid Reflux & Heartburn Prevention

There are steps you can take which will help reduce the risk of experiencing acid reflux and heartburn. These include:

  • Losing any excess weight may reduce your symptoms as it will relieve the pressure on the stomach.
  • Changing your eating habits to include smaller, more frequent meals as opposed to three large meals. Ensure your final meal of the day is eaten three to four hours before going to bed.
  • Avoid trigger foods, such as alcohol, coffee, chocolate, tomatoes and anything fatty or spicy. If any of these have proven to make your symptoms worse, it is recommended they be avoided.
  • Smoking can irritate the digestive system, making symptoms worse. Giving up smoking will help reduce the risk of developing acid reflux or heartburn.
  • Raising the head of the bed by approximately twenty centimetres (8 inches). This technique can help reduce symptoms in some people. Ensure the bed is stable and sturdy before sleeping in it. Don’t use extra pillows as this can add pressure on the abdomen.
  • If you suspect the acid reflux and heartburn are side-effects of a medicine you are currently taking, it is advised to discuss with your GP whether an alternative is available. It is not recommended to cease taking prescribed medication without first discussing it with you doctor.

*RRP is based on the highest price found for a comparable online service found on 04/09/14.

The Independent Pharmacy is an online pharmacy and online doctor service is owned and operated by ABSM Healthcare Ltd (Company Reg. 08515600) and Red Label Medical Ltd (Company Reg. 08676338). All information that appears on this website is intended for information purposes only and should be used to supplement, not replace, your relationship with your local healthcare professionals. You should consult your doctor if you think you may have a health problem or before you start taking a new medicine. Please ensure you always read the information leaflets supplied with any medicinal products.For more information see our policies and terms and conditions at the bottom of every page. © 2014 ABSM Healthcare Ltd. All rights reserved.
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