Used For:

• GERD / Acid reflux Heartburn Peptic (gastric & duodenal) ulcers H. pylori–associated ulcers (used with antibiotics) Erosive esophagitis Preventing ulcers in patients taking NSAIDs long-term Zollinger–Ellison syndrome (excess acid production) Chronic gastritis and dyspepsia

Contraindications:

• Avoid use in: Known allergy to Esomeprazole, omeprazole, or other PPIs Severe liver disease (dose adjustment needed) Combination with certain drugs (risk of interactions): Clopidogrel (reduces its effect) Nelfinavir (antiviral) Rilpivirine, warfarin (needs caution)

Side Effects:

• Common Headache Nausea, vomiting Diarrhea or constipation Gas / bloating Stomach discomfort Dry mouth Dizziness Less common Joint or muscle pain Vitamin B12 deficiency (long-term use) Low magnesium (prolonged use)

Precautions:

• Take on an empty stomach, 30 minutes before breakfast. Do not crush or chew the tablet. Long-term use (>3–6 months) should be monitored due to risk of: Vitamin B12 deficiency Low magnesium Calcium deficiency Use cautiously in kidney disease Avoid in patients on clopidogrel unless advised Pregnant or breastfeeding women should consult a doctor.

Dietary Restrictions:

• Avoid / Limit Spicy, oily, fried foods Excess tea/coffee Citrus fruits if they worsen symptoms Tomato-based foods Sodas and carbonated drinks Alcohol Chocolate Late-night meals Recommended Eat small, frequent meals Avoid lying down 2–3 hours after meals Maintain healthy weight Drink plenty of water