Uses

This medicine is used for the following purposes:

• indigestion
• inflammation of stomach
• inflammation of the esophagus
• stomach acid
• stomach acid reflux
• ulcers in stomach or intestines
• ulcers in stomach or intestines

Instructions

Mix the contents of each packet with 15 mL of water, let it sit for 2-3 minutes, then drink it within 30 minutes of mixing.

Drink the medicine. Do not bite the little capsules in the liquid.

Do not eat or drink for 1 hour after taking this medicine.

Store at room temperature in a dry place. Do not keep in the bathroom.

Keep the medicine away from heat and light.

Shake the bottle well before using the medicine.

This medicine can reduce the absorption of other medicines. Talk to your doctor or pharmacist about the best times to use this product.

It is important that you keep taking each dose of this medicine on time even if you are feeling well.

If you forget to take a dose on time, take it as soon as you remember. If it is almost time for the next dose, do not take the missed dose. Return to your normal dosing schedule. Do not take 2 doses of this medicine at one time.

Please tell your doctor and pharmacist about all the medicines you take. Include both prescription and over-the-counter medicines. Also tell them about any vitamins, herbal medicines, or anything else you take for your health.

If your symptoms do not improve or they worsen while on this medicine, contact your doctor.

This medicine may affect the strength of your bones. If you have or are at increased risk for developing osteoporosis (weakening of the bones), your doctor may recommend adding foods containing calcium and vitamin D while on this medicine. Please talk to your doctor for more information.

This medicine may interfere with some lab test results. Be sure to tell all your healthcare providers that you are taking this medicine.

It is very important that you keep all appointments for medical exams and tests while on this medicine.

Cautions

Tell your doctor and pharmacist if you ever had an allergic reaction to a medicine. Symptoms of an allergic reaction can include trouble breathing, skin rash, itching, swelling, or severe dizziness.

Some patients taking this medicine have experienced serious side effects. Please speak with your doctor to understand the risks and benefits associated with this medicine.

Do not use the medication any more than instructed.

Contact your doctor if you notice a change in the amount or darkening of your urine.

Please tell your doctor if you have moderate to severe diarrhea while on this medicine. Do not treat the diarrhea with over-the-counter diarrhea medicine.

Tell the doctor or pharmacist if you are pregnant, planning to be pregnant, or breastfeeding.

Do not take St. John's wort while on this medicine.

Ask your pharmacist if this medicine can interact with any of your other medicines. Be sure to tell them about all the medicines you take.

Please tell all your doctors and dentists that you are on this medicine before they provide care.

Do not start or stop any other medicines without first speaking to your doctor or pharmacist.

Do not share this medicine with anyone who has not been prescribed this medicine.

This medicine can cause serious side effects in some patients. Important information from the U.S. Food and Drug Administration (FDA) is available from your pharmacist. Please review it carefully with your pharmacist to understand the risks associated with this medicine.

Side Effects

The following is a list of some common side effects from this medicine. Please speak with your doctor about what you should do if you experience these or other side effects.

• headaches
• stomach upset or abdominal pain

Call your doctor or get medical help right away if you notice any of these more serious side effects:

• abdominal cramps
• severe or persistent abdominal pain
• bone pain
• severe, watery or bloody diarrhea
• fever
• fast or irregular heart beats
• slow heartbeat
• pain in the joints
• signs of kidney damage (such as bloody or bubbly urine, or changes in urine color or amount)
• muscle cramps
• feeling of numbness or tingling in your hands and feet
• butterfly-shaped rash on nose and cheeks
• seizures
• shortness of breath
• blood in stool

A few people may have an allergic reaction to this medicine. Symptoms can include difficulty breathing, skin rash, itching, swelling, or severe dizziness. If you notice any of these symptoms, seek medical help quickly.

Extra

Please speak with your doctor, nurse, or pharmacist if you have any questions about this medicine.