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GASTRO  35











                  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
                            AND PROTON PUMP
                  binding to the enzyme proton pump that                                     STOMACH ACID (HCl)
                                                  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
                                                                                    +
                                                                     STOMACH ACID (HCl)
                                                                                             HYDROGEN IONS (H )
                  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  –
                                                                     HYDROGEN IONS (H )
                                                                                             CHLORIDE IONS (Cl )
                                                                     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
                                NEXIUM CONTROL GETS
          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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         P4403.14-V111 December OTC Magazine 2025 NI.indd   35
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         P4403.14-V111 December OTC Magazine 2025 NI.indd   35                                                   04/11/2025   16:42:53
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