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34  GASTRO











                                                                                                                              AN INCREASING NUMBER OF PATIENTS

                                                                                                                              WITH HEARTBURN NEED YOUR ADVICE                                                        6


                                                                                                                              Main drivers for increased prevalence include:       6,7










                                                                                                                                     LIFESTYLE                 AGE                   OBESITY                SEASONAL
                                                                                                                                                                                                             EVENTS
                                                                                                                                   Certain food and     In 2022, 19% of people    In 2022 to 2023,       Occasions such as
                                                                                                                                   drink can trigger     in the UK were aged    64% of adults in England   Christmas, Easter, Eid,
                                                                                                                                 heartburn or make it     65 or over. This is   were estimated to be   or summer barbecues
                                                                                                                                worse including coffee,   projected to increase    overweight or living   may trigger increased
                                                                                                                                alcohol, chocolate and    to 27% by 2072. 8        with obesity. 9       rates of heartburn.
                                                                                                                                 fatty or spicy foods.
                     THE POWER OF NEXIUM CONTROL

                     FOR HEARTBURN RELIEF                                                                                     THE SCIENCE OF NEXIUM CONTROL


                                                                                                                              Acid reflux, a cause of heartburn, occurs                           GASTRIC PARIETAL CELL
                     Frequent heartburn (i.e. that occurs more than once a week)                                              when the lower oesophageal sphincter                                 AND PROTON PUMP
                                                                                                 1
                     can significantly impact a patient’s quality of life.         2,3                                        relaxes, allowing excess stomach acid                                                                          STOMACH ACID (HCl)
                                                                                                                              (HCl) to enter the oesophagus.
                     Proton Pump Inhibitors (PPIs) treat heartburn by targeting the source of excess stomach acid,            Stomach acid is formed by the binding                                                                                        +
                     and are recommended by NICE guidelines as a first-line treatment for frequent heartburn. 4               of hydrogen (H+) and chloride (Cl-) ions                                                                       HYDROGEN IONS (H )
                                                                                                                              produced by the gastric parietal cells                                                                         CHLORIDE IONS (Cl )
                                                                                                                                       GASTRIC PARIETAL CELL
                                                                                                                                                                                                                                                          –
                                                                                                                                        AND PROTON PUMP
                                                                                                                              lining the stomach. 10          GASTRIC PARIETAL CELL
                                                                                                                                                               AND PROTON PUMP
                                                                                                                              Nexium Control works by irreversibly                STOMACH ACID (HCl)                                         NEXIUM CONTROL
                                                                                                                                       GASTRIC PARIETAL CELL
                                                                                                                              binding to the enzyme proton pump that                                     STOMACH ACID (HCl)
                                                                                                                                        AND PROTON PUMP
                                                                                                                                                              GASTRIC PARIETAL CELL
                                                                                                                                                               AND PROTON PUMP
                                              7s tablets          14s tablets     14s capsules       28s tablets              allows the gastric parietal cells to secrete        HYDROGEN IONS (H )    NEXIUM CONTROL GETS                  PROTON PUMP
                                                                                                                                                                                                +
                                                                                                                                                                                                         HYDROGEN IONS (H )
                                                                                                                                                                                  STOMACH ACID (HCl)
                                                                                                                              H+ ions, preventing it from working.               BEFORE                 TO WORK IN 1 HOUR*  +
                                                                                                                                       GASTRIC PARIETAL CELL
                                                                                                                                                                                                         STOMACH ACID (HCl)
                                                                  New to PPIs                     Value for recurrent                   AND PROTON PUMP
                       Patient need          New to PPIs                         Easy to swallow                              This can start to work in 1 hour,* and              CHLORIDE IONS (Cl )
                                                                                                                                                                                               –
                                                                looking for value                     sufferers                                                                   HYDROGEN IONS (H )     CHLORIDE IONS (Cl )
                                                                                                                                                                                                +
                                                                                                                                                                                                                       –
                                                                                                                              reduces the production of stomach acid              STOMACH ACID (HCl)     HYDROGEN IONS (H )
                                                                                                                                                                                                                       +
                                                                                                                              for up to 24 hours to provide long-lasting          NEXIUM CONTROL  –
                                                                                                                              heartburn relief. 11                                CHLORIDE IONS (Cl ) +  NEXIUM CONTROL  –
                                                                                                                                                                                                         CHLORIDE IONS (Cl )
                                                                                                                                                                                  HYDROGEN IONS (H )
                                                                                                                                                                                  PROTON PUMP
                                                                                                                                             NEXIUM CONTROL GETS
                                                                                                                      BEFORE   *full effect may take 2-3 days.                    NEXIUM CONTROL         PROTON PUMP
                                                                                                                                              TO WORK IN 1 HOUR*
                                                                                                                                                                                               –
                                                                                                                                             BEFORE                 NEXIUM CONTROL GETS   CHLORIDE IONS (Cl )  NEXIUM CONTROL
                                                                                                                                                                     TO WORK IN 1 HOUR*
                                                                                                                              References: 1. Farup C, et al. Arch Intern Med. 2001 Jan 8;161(1):45-52. 2. Kulig M et al. Aliment Pharmacol Ther. 2003;18:767-76. 3. Ware JE Jr,
                                                                                                                                                                                  PROTON PUMP
                                                                                                                              Sherbourne CD. Med Care. 1992;30:473-83. 4. NICE guidelines CG184 Sept 2014. 5. Boardman HF, Heeley G. The role of the pharmacist in the selection
                                                                                                                                                                                                         PROTON PUMP
                                                                                                                                             NEXIUM CONTROL GETS
                                                                                                                                                                                  NEXIUM CONTROL
                                                                                                                      BEFORE  and use of over-the-counter proton-pump inhibitors. Int J Clin Pharm. 2015 Oct;37(5):709-16. 6. Yamasaki T, et al. JNM Journal. 2018; 24(4). 7. HSE.
                                                                                                                                              TO WORK IN 1 HOUR*
                       Active ingredient                               Esomeprazole                                           Heartburn and acid reflux. 2021. Available at: https://www2.hse.ie/conditions/heartburn-and-acid-reflux/ . Accessed September 2024. 8. House of
                                                                                                                                                                    NEXIUM CONTROL GETS
                                                                                                                                              BEFORE
                                                                                                                                                                     TO WORK IN 1 HOUR*
                                                                                                                              Commons Library. The UK’s changing population. July 2024. Available at: https://commonslibrary.parliament.uk/the-uks-changing-population.
                                                                                                                                                                                  PROTON PUMP
                                                                                                                              Accessed October 2025. 9. Gov.uk. Obesity Profile: short statistical commentary May 2024. Available at: https://www.gov.uk/government/
                                                                                                                                             NEXIUM CONTROL GETS
                                               Trial pack                                                             BEFORE  statistics/update-to-the-obesity-profile-on-fingertips/obesity-profile-short-statistical-commentary-may-2024 . Accessed October 2025. 10. Hsu
                                                                                                                                              TO WORK IN 1 HOUR*
                                                                                                                              M, Safadi AO, Lui F. Physiology, Stomach. 2023 Jul 17. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan. 11. National Center
                       Pack size role   Start here for those using   Complete 14-day   Complete 14-day   Value & convenience   for Biotechnology Information (2024). PubChem Compound Summary for CID 9568614, Esomeprazole. Retrieved July 17, 2024 from https://pubchem.
                                                                                                                              ncbi.nlm.nih.gov/compound/Esomeprazole.
                                          PPIs for the first time  treatment pack  treatment pack  For recurrent sufferers
                                             1 week supply                                                                    Product information: Nexium Control 20 mg gastro-resistant tablets and Nexium Control 20mg gastro-resistant hard capsules.
                                                                                                                              Active ingredient: Esomeprazole Indications: The short-term treatment of reflux symptoms (e.g. heartburn and acid regurgitation) in adults.
                                                                                                                              Legal category: GSL: 14s capsules, 7s tablets, and 14s tablets P: 28s tablets. PL holder: Haleon UK Trading Limited, The Heights, Weybridge,
                                                                                                                              Surrey, KT13 0NY, U.K.
                                                                                                                              Information about these products, including adverse reactions, precautions, contraindications, and method of use can be found at:
                                                                                                                              https://www.medicines.org.uk/emc/product/819/smpc, https://www.medicines.org.uk/emc/product/14465/smpc
                                                                                                                              https://www.medicines.org.uk/emc/product/3660/smpc
                                                                                                                              Trade marks are owned by or licensed to the Haleon group of companies. PM-GB-NEX-25-00032.
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