• 22.21 mg esomeprazole hemimagnesium 1.5 water

• Glycerol Monostearate 40-50%
• hyprolose
• Hypromellose 2910
• Iron(III) oxide hydrate, black
• magnesium stearate
• Methacrylic acid ethyl acrylate copolymer (1:1) dispersion 30%
• cellulose, microcrystalline
• hard paraffin
• Macrogol 6000
• Polysorbate 80
• crospovidone
• sodium stearyl fumarate
• Sugar Starch Pellets
• talc
• titanium dioxide
• triethyl citrate

For the short-term treatment of reflux symptoms in adults.

NEXIUM Control indigestion ingredients tablets 14 pcs indication

• The medicine contains the active substance esomeprazole. It belongs to a group of medicines called 'proton pump inhibitors'. These work by reducing the amount of acid your stomach produces.
• This medicine is used for the short-term treatment of acid reflux symptoms (e.g. heartburn and acid regurgitation) in adults.
• Reflux is the backflow of acid from the stomach into the esophagus (the passage between the throat and stomach), which can cause inflammation and pain. This can cause symptoms such as B. cause a painful feeling in the chest that rises in the throat (heartburn) and a sour taste in the mouth (acid regurgitation).
• The drug is not intended for immediate relief. It may be necessary to take the tablets for 2 to 3 days in a row before you feel better. If you do not feel better or if you feel worse after 14 days, contact your doctor.

NEXIUM Control indigestion ingredients tablets 14 pcs dosage

• Always take this medicine exactly as described here or as directed by your doctor or pharmacist. Check with your doctor or pharmacist if you are not sure.
• The recommended dose is
  • The recommended dose is one tablet per day.
  • Do not take more than the recommended dose of one tablet (20 mg) per day, even if you do not see an immediate improvement.
  • You may need to take the tablets for 2-3 consecutive days before your reflux symptoms (e.g. heartburn and acid regurgitation) improve.
  • The duration of treatment is up to 14 days.
  • Stop taking this medicine when you are completely free of symptoms.
  • If your reflux symptoms get worse or do not improve after taking this medicine for 14 consecutive days, contact your doctor.
• If you have persistent or long-lasting, regularly recurring symptoms even after treatment with this medicine, you should contact your doctor.

• If you take more than you should
  • If you take more than recommended, contact your doctor or pharmacist immediately.
  • You may experience symptoms such as diarrhoea, abdominal pain, constipation, nausea, vomiting and weakness.

• If you forget to take a dose
  • If you forget to take a dose, take it as soon as you remember on the same day. Do not take a double dose to make up for a forgotten dose.

• If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

NEXIUM Control indigestion ingredients tablets 14 pcs way

• 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. The tablet should not be chewed or crushed. This is important because the tablet contains coated pellets, which prevent the medicine from being broken down by acid in the stomach. It is important not to damage the pellets.
• Alternative way of application
  • Place the tablet in a glass of still (non-carbonated) water. Do not use other liquids.
  • Stir until the tablet breaks up (the liquid will not be clear). Then drink the liquid immediately or within 30 minutes. Always stir the mixture immediately before drinking.
  • To ensure you have drunk all of the mixture, rinse the glass by filling it halfway with water and drink it up. The solid parts contain the medicine - do not chew or crush them.

side NEXIUM Control indigestion ingredients tablets 14 pcs effects

• Like all medicines, this medicine can cause side effects, although not everybody gets them.
• If you notice any of the following serious side effects, stop taking the medicine and contact a doctor immediately:
  • Sudden wheezing, swelling of the lips, tongue and throat, skin rash, fainting or difficulty swallowing (severe allergic reaction, this has been seen rarely).
  • Reddening of the skin with blistering or peeling of the skin. Severe blistering and bleeding from the lips, eyes, mouth, nose and genitals can also occur. This could indicate "Stevens-Johnson syndrome" or "toxic epidermal necrolysis". These have been observed very rarely.
  • Yellow skin, dark-colored urine, and tiredness can be signs of liver problems. This was rarely observed.
• Talk to your doctor as soon as possible if you notice any of the following signs of an infection: This medicine can very rarely affect the white blood cells and lead to an immune deficiency. If you have an infection with symptoms such as fever with a greatly reduced general state of health, or fever with symptoms of local infection such as pain in the neck, throat or mouth, or difficulty urinating, you must see your doctor as soon as possible so that a Absence of white blood cells (agranulocytosis) can be ruled out by a blood test.
• It is important that you tell your doctor about the medicines you are currently taking.
• Other side effects are:
  • Common (affects 1 to 10 users in 100)
    • Headache.
    • Effects on the stomach or intestines: diarrhoea, abdominal pain, constipation, wind (flatulence).
    • nausea or vomiting.
  • Uncommon (affects 1 to 10 users in 1,000)
    • Swelling of the feet and ankles.
    • Trouble sleeping (insomnia), tiredness.
    • Dizziness, tingling like "pins and needles".
    • spinning sensation (vertigo).
    • dry mouth.
    • Changes in the results of blood tests that measure liver function.
    • Rash, hives (hives) and itching.
  • Rare (affects 1 to 10 users in 10,000)
    • Blood disorders such as B. Reduction in the total number of white blood cells or platelets. This can cause weakness and bruising, or increase the incidence of infection.
    • Low levels of sodium in the blood. This can cause weakness, nausea (vomiting) and muscle cramps.
    • Excitement, confusional states, depression.
    • taste changes.
    • Visual disturbances such as blurred vision.
    • Sudden wheezing or shortness of breath (bronchospasm).
    • Inflammation inside the mouth.
    • An infection called "thrush" that can affect the gastrointestinal tract and is caused by a fungus.
    • hair loss (alopecia).
    • Skin rash from sun exposure.
    • Joint pain (arthralgia) or muscle pain (myalgia).
    • General malaise and reduced drive.
    • Increased sweating.
  • Very rare (affects less than 1 in 10,000 people)
    • Low number of red blood cells, white blood cells and platelets (a disease called pancytopenia).
    • Aggressiveness.
    • Seeing, feeling and hearing things that are not there (hallucinations).
    • Severe liver dysfunction leading to liver failure and brain damage.
    • muscle weakness.
    • severe kidney problems
    • Male breast enlargement.
  • Not known: (cannot be estimated from the available data)
    • Low levels of magnesium in the blood. This can manifest itself as exhaustion, nausea (vomiting), convulsions, tremors and abnormal heart rhythms (arrhythmias). If your blood magnesium levels are very low, your blood calcium and/or potassium levels may also be low.
    • Inflammation of the gut (leading to diarrhea).
• If you get any side effects, talk to your doctor or pharmacist. This also applies to side effects that are not specified.

NEXIUM Control indigestion ingredients tablets 14 pcs interactions

• Taking with other medicines
  • Tell your doctor or pharmacist if you are taking/using, have recently taken/used or might take/use any other medicines. This is important because this medicine can affect the way some medicines work and some medicines can have an effect on this medicine.
  • Do not take this medicine if you are also taking a medicine containing nelfinavir (used to treat HIV infection).
  • In particular, tell your doctor or pharmacist if you are taking clopidogrel (used to prevent blood clots).
  • Do not take this medicine with other medicines that decrease the production of acid in your stomach, such as proton pump inhibitors (e.g. pantoprazole, lansoprazole, rabeprazole or omeprazole) or H2-antagonists (e.g. ranitidine or famotidine).
  • You can take this medicine with antacids (e.g. magaldrate, alginic acid, sodium bicarbonate, aluminum hydroxide, magnesium carbonate, or combinations of these) if you need to.
  • Tell your doctor if you are taking any of the following medicines:
    • 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). If you have severe liver problems or are being treated for a long time, your doctor may need to adjust your dose.
    • erlotinib (used to treat cancer)
    • methotrexate (used to treat cancer and rheumatoid diseases).
    • 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 used to thin the blood, such as warfarin. Your doctor may need to do check-ups when you start and stop taking the medicine.
    • cilostazol (used to treat intermittent limping, known as intermittent claudication, where poor blood flow to the muscles of the legs causes pain and difficulty walking)
    • cisapride (used for indigestion and heartburn)
    • rifampicin (used to treat tuberculosis)
    • Tacrolimus (in organ transplant cases)
    • St. John's Wort (Hypericum perforatum) (used to treat depression)

Contraindications

• The drug must not be taken
  • 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 a medicine containing nelfinavir (used to treat HIV infection).
• Do not take this medicine if any of the above apply to you. If you are not sure, talk to your doctor or pharmacist before taking this medicine.

pregnancy and breast feeding period

• As a precautionary measure, you should avoid taking the drug during pregnancy if possible. You should not take this medicine while breast-feeding.
• If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor for advice before taking this medicine.

patient NEXIUM Control indigestion ingredients tablets 14 pcs notes

• Warnings and Precautions
  • Talk to your doctor or pharmacist before taking this medicine if:
    • you have had a stomach ulcer or stomach surgery in the past.
    • You have been on ongoing treatment for reflux or heartburn for 4 weeks or more.
    • you have jaundice (yellowing of the skin or eyes) or severe liver problems.
    • If you have severe kidney problems.
    • You are over 55 years of age and you have new or recently changed symptoms of acid reflux or you take non-prescription medicines to treat indigestion or heartburn every day.
  • Tell your doctor straight away, before or after taking this medicine, if you notice any of the following symptoms, which could be signs of other, more serious medical conditions:
    • You lose a lot of weight for no apparent reason.
    • You have trouble or pain swallowing.
    • You get stomach pains or signs of indigestion such as nausea, bloating, gas, especially after eating.
    • You start vomiting food or blood, which may look like dark coffee grounds in the vomit.
    • You pass black stools (bloody feces).
    • you have severe or persistent diarrhea; Esomeprazole is associated with a slightly increased risk of infectious diarrhea.
  • See a doctor straight away if you experience chest pain with lightheadedness, sweating, dizziness, or shoulder pain with shortness of breath. This could be a sign of a serious heart condition.
  • Before taking this medicine, tell your doctor if:
    • you are scheduled to have an endoscopy or urea breath test.
    • you are scheduled to have a certain blood test (chromogranin A).
  • If any of the above applies to you (or you are not sure), contact your doctor immediately.
• children and young people
  • This medicine should not be used by children and adolescents under 18 years of age.

• Ability to drive and use machines
  • The medicine is unlikely to affect your ability to drive or use machines. However, side effects such as dizziness and visual disturbances may occasionally occur. If you are affected, you should not drive or use machines.