Guardium contains esomeprazole 20mg, a prescription-strength proton pump inhibitor (or PPI for short) to control acid production in your stomach. This treatment reduces the amount of acid produced by your stomach, which in turn protects your stomach and reduces the symptoms of indigestion (dyspepsia) and acid reflux (gastro-oesophageal reflux).

Swallow one tablet daily with water once a day. You may not notice improvements immediately, and sometimes it can take 2 or 3 days for you to notice the full effect.
Do not crush or chew the tablet because it has a special coating to protect it from your stomach acid.

Do not use esomeprazole containing products if you are allergic to esomeprazole or any of the ingredients.

Talk to your doctor or pharmacist if you are taking:

• Ketoconazole and itraconazole, used for fungal infections
• Voriconazole and clarithromycin used to treat infections
• Erlotinib used to treat cancer
• Methotrexate, used to treat cancer and rheumatic disorders
• Digoxin, used for heart problems
• Atazanavir or saquinavir, used to treat HIV
• Citalopram, imipramine, or clomipramine, used to treat depression
• Diazepam, used to treat anxiety, relax muscles, or for epilepsy
• Phenytoin, used for epilepsy
• Blood thinners, such as warfarin
• Cilostazol, used to treat intermittent claudication
• Cisapride, used for indigestion and heartburn
• Rifampicin, used to treat tuberculosis
• Tacrolimus, used in cases of organ transplantation
• St. John’s wort, used to treat depression

or if you are over 55 years old and suffering from new or worsening symptoms.

If your symptoms worsen or are no better after using this medicine for 14 days in a row please speak with your doctor for further advice.