Nexium 40 mg 14 tablets

Isomeprazole tablets 40 mg what is Isomeprazole and what are its indications: • Isomeprazole belongs to a group of medicines called "proton pump inhibitors". They work by reducing the amount of acid produced by your stomach. • This medicine is used for adults for short-term treatment of reflux symptoms (for example, heartburn and acid regurgitation). • Reflux is the backflow of acid from the stomach into the esophagus ("food pipe") which may become inflamed and painful. It may cause symptoms such as chest pain reaching the throat (heartburn) and a bitter taste in the mouth (acidic regurgitation). • Isomeprazole is not intended to provide immediate relief. • You may need to take the capsules for 2-3 consecutive days before feeling better. You should talk to your doctor if you do not feel better or if you feel unwell after 14 days. What you need to know before using Isomeprazole: Do not use Isomeprazole • if you are allergic to Isomeprazole or any other ingredients in this medicine • if you are allergic to medicines containing other proton pump inhibitors (such as Pantoprazole, Lansoprazole, Rabeprazole, or Omeprazole). • if you are taking a medicine containing Nelfinavir (used to treat HIV infection). Precautions and warnings: You should tell your doctor the following: • if you have had a stomach ulcer or stomach surgery in the past. • if you are on continuous treatment for reflux or heartburn for 4 weeks or more. • if you have jaundice (yellowing of the skin or eyes) or severe liver problems. • if you have serious kidney problems. • if you are over 55 years old and have new or recently changed reflux symptoms or need to take over-the-counter indigestion or heartburn treatment daily. • if you have previously had a skin reaction after treatment with a similar drug to Isomeprazole that reduces stomach acid. • if you are scheduled for an endoscopy or a urea breath test. • if you are scheduled for a specific blood test (Chromogranin A). Other medicines and Isomeprazole: • Do not take this medicine if you are taking a medicine containing Nelfinavir (used to treat HIV infection). • You should inform your doctor or pharmacist specifically if you are taking Clopidogrel (used to prevent blood clots). • Do not take this medicine with other medicines that reduce the amount of acid produced in your stomach such as proton pump inhibitors (like Pantoprazole, Lansoprazole, Rabeprazole, Omeprazole) or H2 antagonists (like Ranitidine or Famotidine). Tell your doctor about the medicines you are taking, especially if you are taking: • Ketoconazole and Itraconazole (used to treat fungal infections). • Foriconazole (used to treat fungal infections) and Clarithromycin (used to treat infections). Your doctor may adjust your dose of Isomeprazole if you also have severe liver problems and have been treated for a long time. • Erlotinib (used for cancer treatment). • Methotrexate (for cancer and rheumatic disorders). • Digoxin (used for heart problems). • Atazanavir, Saquinavir (used to treat HIV infection). • Citalopram, Imipramine, or Clomipramine (used for depression). • Diazepam (used for anxiety, muscle relaxation, or epilepsy). • Phenytoin (used to treat epilepsy). • Blood-thinning medicines like Warfarin. Your doctor may need to monitor you when you start or stop taking Isomeprazole. • Cilostazol (used to treat intermittent claudication — a condition where reduced blood flow to leg muscles 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). Risk of low seizure threshold. Children and adolescents: Isomeprazole should usually not be used in children and adolescents under 18 years of age. How to use Isomeprazole: Always take this medicine exactly as prescribed in this leaflet or as your doctor or pharmacist has told you. Ask your doctor or pharmacist if you are not sure. • The recommended dose is one capsule per day. • Do not take more than this recommended dose of one capsule (20 mg) per day, even if you do not feel immediate improvement. • You may need to take the capsules for two or three consecutive days before symptoms of reflux (such as heartburn and acid regurgitation) improve. • The treatment duration is up to 14 days. • When reflux symptoms have completely disappeared, you should stop taking this medicine. • If your reflux symptoms worsen or do not improve after 14 days of treatment, you should consult your doctor. If you have ongoing or long-term recurrent symptoms even after treatment with this medicine, you should contact your doctor. How to take this medicine: • You can take the capsule at any time of the day, with or without food. • Swallow the capsule whole with half a glass of water. Do not chew, crush, or open the capsule. This is because the capsule contains coated beads, which prevent the medicine from being broken down by the acid in your stomach. • It is important not to damage the beads. Possible side effects: Stop using the product and seek medical attention immediately if • Swelling of the face, lips, tongue, or throat which may cause difficulty breathing or swallowing. How to store Isomeprazole: • Keep this medicine out of sight and reach of children. • Do not use this medicine after the expiry date printed on the carton and bottle after EXP. The expiry date refers to the last day of that month. • Do not store above 30°C. • Keep this medicine in the original packaging to protect from moisture. • Do not dispose of medicines via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer needed. These measures will help protect the environment. Product details: Brand: Nexium Quantity: 14 tablets Product form: Tablets Product type: Tablets