Nexium Control 20mg Gastro-resistant Tablets 28s

Adults over 18 years:

• The recommended dose is one tablet a day.
• You can take your tablet at any time of the day either with food or on an empty stomach.
• Swallow your tablet whole with a glass of water. Do not chew or crush the tablet. This is because the tablet contains coated pellets, which stop the medicine from being broken down by the acid in your stomach. It is important not to damage the pellets.
• Alternatively, put the tablet in a glass of still (non-fizzy) water. Do not use any other liquids. Stir until the tablet breaks 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.
• Do not take more than this recommended dose of one tablet (20mg) a day, even if you don't feel an improvement immediately.
• You may need to take the tablets for 2 or 3 days in a row before your reflux symptoms (for example, heartburn and acid regurgitation) get better.
• The treatment length is up to 14 days.
• When your reflux symptoms have completely gone you should stop taking this medicine.

If your reflux symptoms get worse or do not improve after taking this medicine for 14 days in a row, you should consult a doctor. If you ha ve persistent or longstanding, frequently recurring symptoms even after treatment with this medicine, you should contact your doctor

• Active Ingredient: Esomeprazole 20mg (as magnesium trihydrate).
• Other Ingredients: Glycerol monostearate 40-55, hyprolose, hypromellose, iron oxide (reddish-brown) (E172), iron oxide (yellow) (E172), magnesium stearate, methacrylic acid ethylacrylate copolymer (I:I) dispersion 30 per cent, cellulose microcrystalline, synthetic paraffin, macrogol 6000, polysorbate 80, crospovidone (Type A), sodium stearyl fumarate, sugar spheres (sucrose), talc, titanium dioxide (E171) and triethyl citrate.

• Nexium Control 20mg Gastro-resistant Tablets contain sugar spheres, which contain sucrose, a type of sugar. If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.

Do not take Nexium Control 20mg Gastro-resistant Tablets:

• If you are allergic to esomeprazole or any of the other ingredients of this medicine.
• If you are allergic to medicines containing other proton pump inhibitors (e.g. pantoprazole, lansoprazole, rabeprazole or omeprazole).
• If you are taking other medicines that limit the amount of acid produced in your stomach such as proton pump inhibitors (e.g. pantoprazole, lansoprazole, rabeprazole or omeprazole) or an H2 antagonist (e.g. ranitidine or famotidine).
• If you are taking a medicine containing nelfinavir (used to treat HIV infection).
• If you under 18 years of age.
• If you are breastfeeding.

Talk to your doctor or pharmacist before taking Nexium Control 20mg Gastro-resistant Tablets if:

• You have had a stomach ulcer or stomach surgery in the past.
• You have been taking treatment continuously for reflux or heartburn for 4 or more weeks.
• You have jaundice (yellowing of skin or eyes) or severe liver problems.
• You have severe kidney problems.
• You are aged over 55 years and have new or recently changed reflux symptoms or need to take a non-prescription indigestion or heartburn remedy treatment every day.
• You are pregnant. As a precautionary measure, you should preferably avoid the use of Nexium Control 20mg Gastro-resistant Tablets during pregnancy. 

Tell your doctor immediately before or after taking this medicine, if you notice any of the following symptoms, which could be a sign of another, more serious, disease:

• You lose a lot of weight for no reason.
• You have problems or pain when swallowing.
• You get stomach pain or signs of indigestion such as nausea, fullness, bloating especially after food intake.
• You begin to vomit food or blood, which may appear as dark coffee grounds in your vomit.
• You pass black stools (blood-stained faeces).
• You have severe or persistent diarrhoea; esomeprazole has been associated with a small increased risk of infectious diarrhoea.

Tell your doctor before taking this Nexium Control 20mg Gastro-resistant Tablets if:

• You are due to have an endoscopy or a urea breath test.
• You are due to have a specific blood test (Chromogranin A).

Tell your doctor or pharmacist if you are taking, have recently taken or might take any other medicines. This is because this medicine can affect the way some medicines work and some medicines can have an effect on it. In particular:

• Clopidogrel (used to prevent blood clots).
• Ketoconazole and itraconazole (used to treat infections caused by a fungus).
• Voriconazole (used to treat infections caused by a fungus) and clarithromycin (used to treat infections). Your doctor may adjust your dose of Nexium Control 20mg Gastro-resistant Tablets if you also have severe liver problems and are treated for a long period of time.
• Erlotinib (used to treat cancer).
• Methotrexate (used to treat cancer and rheumatic disorders).
• Digoxin (used for heart problems).
• Atazanavir, saquinavir (used to treat HIV infection).
• Citalopram, imipramine or clomipramine (used to treat depression).
• Diazepam (used to treat anxiety, relax muscles or in epilepsy).
• Phenytoin (used to treat epilepsy).
• 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 Control 20mg Gastro-resistant Tablets.
• Cilostazol (used to treat intermittent claudication – a condition where poor blood supply to the leg muscles causes pain and difficulty in walking).
• Cisapride (used for indigestion and heartburn).
• Rifampicin (used to treat tuberculosis).
• Tacrolimus (in cases of organ transplantation).
• St. John's wort (Hypericum perforatum) (used to treat depression).