Take these Guardium tablets for long-lasting relief that soothes nagging heartburn and acid reflux – so you can get back to enjoying your favourite meals.

Benefits:

• Acid reflux tablets that actively blocks acid pumps in your stomach, to help soothe the burn
• Provides relief that lasts all day and night
• Soothes and calms painful burning in your chest
• Helps to take care of uncomfortable bloating
• Gets rid of the sour taste in your mouth left by acid reflux
• Just one tablet gives you up to 24hrs of ongoing protection

• Over The Counter (OTC)

Each Gastro-Resistant Tablets contains 20mg Esomeprazole. Also contains Lactose and Sucrose. See leaflet for further information.

Adults aged 18 years and over:

It might be necessary to take the tablets for 2-3 consecutive days to achieve improvement of symptoms. You should not take this medication for longer than 2 consecutive weeks and you should stop taking it as soon as your symptoms improved.

If no symptom relief is obtained within 2 weeks of continuous treatment, the patient should be instructed to consult a doctor.

As with other products which block acid production, you shouldn't take Guardium for longer than 14 days.

Talk to your doctor or pharmacist before taking this medicine if you:

• Have had a stomach ulcer or stomach surgery in the past.
• Have been taking treatment continuously for reflux or heartburn for 4 or more weeks.
• Have jaundice (yellowing of skin or eyes) or severe liver problems.
• Have severe kidney problems.
• Are aged over 55 years old and have new or recently changed reflux symptoms, or need to take a non-prescription indigestion or heartburn remedy treatment every day.
• Have ever had a skin reaction after treatment with a medicine that reduces stomach acid, like this one.

Tell your doctor or our pharmacist 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 or 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.
• You get a rash on your skin, especially in areas exposed to the sun.Tell your doctor or our pharmacists as soon as you can, as you may need to stop your treatment with this medicine. Remember to also mention any other side-effects like pain in your joints.

Seek urgent medical attention if you experience chest pain with light-headedness, sweating, dizziness or shoulder pain with shortness of breath. This could be a sign of a serious condition with your heart.

Tell your doctor before taking this medicine, if:

• You are due to have an endoscopy or a urea breath test.
• You are due to have a specific blood test (Chromogranin A)If any of the above apply to you (or you are not sure), talk to your doctor straight away.

Children and adolescents: This medicine should not be used by children and adolescents under 18 years of age.

If you notice any of the following serious side effects, stop taking this medicine and contact a doctor immediately:

• Sudden wheezing, swelling of your lips, tongue and throat or body, rash, fainting or difficulties in swallowing (severe allergic reaction).
• Reddening of the skin with blisters or peeling. There may also be severe blisters and bleeding in the lips, eyes, mouth, nose and genitals. This could be ‘Stevens-Johnson syndrome’ or ‘toxic epidermal necrolysis’, which is very rare.
• Yellow skin, dark urine and tiredness, which can be symptoms of liver problems – this is also very rare.

This medicine may (in very rare cases) affect your white blood cells, leading to immune deficiency. If you have an infection with symptoms such as fever, while feeling very under the weather; or fever with symptoms of local infection, such as pain in the neck, throat or mouth or difficulties in urinating, you must consult your doctor as soon as possible so that a lack of white blood cells (agranulocytosis) can be ruled out by a blood test. It's important for you to give information about your medicine when you see the doctor.

Other side effects include:

Common side effects:

• Headache.
• Effects on your stomach or gut: diarrhoea, stomach ache, constipation, wind (flatulence).
• Feeling sick (nausea) or being sick (vomiting).
• Benign polyps in your stomach.

Uncommon side effects:

• Swelling of the feet and ankles.
• Disturbed sleep (insomnia), feeling sleepy.
• Dizziness, tingling feelings such as “pins and needles”.
• Spinning feeling (vertigo).
• Dry mouth.
• Changes in blood tests that check how the liver is working.
• Skin rash, lumpy rash (hives) and itchy skin.