Page 51 - P4403.14-V111 December OTC Magazine 2025 - Digital 1
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GASTRO  51












            AN INCREASING NUMBER OF PATIENTS

            WITH HEARTBURN NEED YOUR ADVICE                                                        6

            Main drivers for increased prevalence include:       6,7









                                                                                          SEASONAL
                   LIFESTYLE                 AGE                   OBESITY
                                                                                           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
                                                                              +
                                                               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  –
                                                                                       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
                           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.
            Accessed October 2025. 9. Gov.uk. Obesity Profile: short statistical commentary May 2024. Available at: https://www.gov.uk/government/
                                                                PROTON PUMP
                           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
 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.
 Pack size role  PPIs for the first time  treatment pack  treatment pack  For recurrent sufferers  ncbi.nlm.nih.gov/compound/Esomeprazole.
 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.
                                                                                                     29/10/2025   14:12
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