How Much to Take: The physician will the tell the patient how many tablets should be taken and how long to take them for. This will depend on the patient's condition, how old the patient is and how well the liver works.
To Treat Heartburn Caused by Gastro-oesophageal Reflux Disease: Adults and Children Aged 12 Years and Above: If the physician has found that the food pipe (gullet) has been slightly damaged, the usual dose is one tablet of Esomeprazole Actavis 40 mg once a day for 4 weeks. The physician may tell the patient to take the same dose for a further 4 weeks if the gullet has not yet healed.
The usual dose once the gullet has healed is one tablet of Esomeprazole Actavis 20 mg once a day.
If the gullet has not been damaged, the usual dose is one tablet of Esomeprazole Actavis 20 mg each day. Once the condition has been controlled, the physician may tell the patient to take the medicine as and when needed, up to a maximum of one tablet of Esomperazole Actavis 20 mg each day.
If the patient has severe liver problems, the physician may give the patient a lower dose.
To Treat Ulcers Caused by Helicobacter pylori Infection and to Stop Them from Coming Back: Adult and Young People Aged 12 or Above: The usual dose is one tablet of Esomeprazole Actavis 20 mg twice a day for one week.
The physician will also tell the patient to take antibiotics, for example amoxicillin and clarithromycin.
To Treat Stomach Ulcers Caused by NSAIDs (Non-steroidal Anti-Inflammatory Drugs): Adults Aged 18 and Above: The usual dose is one tablet of Esomperazole Actavis 20 mg once a day for 4 to 8 weeks.
To Treat Too Much Acid in the Stomach Caused by a Growth in the Pancreas (Zollinger-Ellison Syndrome): Adults Aged 18 and Above: The usual dose is one tablet of Esomeprazole Actavis 40 mg twice a day.
The physician will adjust the dose depending on the needs of the patient and will also decide how long the patient may need to take Esomeprazole Actavis for. The maximum dose is 80 mg twice a day.
To Be Used as Prolonged Treatment After Prevention of Rebleeding of Ulcers with Intravenous Esomeprazole: Adults Aged 18 Years and Above: The usual dose is one tablet of Esomeprazole Actavis 40 mg once a day for 4 weeks.
Administration: The patient can take Esomeprazole Actavis at any time of the day.
The patient can take Esomeprazole Actavis with food or on an empty stomach.
Swallow the tablets whole with a drink of water. Do not chew or crush. This is because the tablets contain coated pellets which stop the medicine from being broken down by the acid in the stomach. It is important not to damage the pellets.
What to do if the patient has trouble in swallowing the tablets: Put them into half a glass of still (non-fizzy) water. Do not use any other liquids.
Stir until the tablets break up (the mixture will not be clear). Then drink the mixture straight away or within 30 minutes. Always stir the mixture just before drinking it.
To make sure that the patient has drunk all the medicine, rinse the glass very well with half a glass of water and drink it. The solid pieces contain the medicine- do not chew or crush them.
If the patient cannot swallow at all, the tablet can be mixed with some water and put into a syringe. It can then be given to the patient through a tube directly into the stomach (gastric tube).
Children Under the Age of 12 Years: Esomeprazole Actavis should not be used in children younger than 12 years. More appropriate pharmaceutical forms of this medicine may be available.
Older People: Dose adjustment is not required in the elderly.
If the patient takes more Esomeprazole Actavis than necessary: If the patient takes more Esomeprazole Actavis than prescribed by the physician, talk to the physician or pharmacist straight away.
If the patient forgets to take Esomeprazole Actavis: If the patient forgets to take a dose, take it as soon as remembered. However, if it is almost time for the next dose, skip the missed dose.
Do not take a double dose (two doses at the same time) to make up for a forgotten dose.
If the patient has any further questions on the use of this medicine, ask the physician or pharmacist.