• It is used for the treatment of symptoms resulting from the reflux of acid, bile and pepsin
• into the oesophagus such as acid regurgitation, heartburn and indigestion, for example
• following meals or during pregnancy, and for symptoms of excess stomach acid
• (hyperacidity).
• Can also be used to treat the symptoms of gastro-esophageal reflux during concomitant
• treatment with or following withdrawal of acid suppressing therapy.

What is gastro-esophageal reflux:

• Gastroesophageal reflux occurs when stomach acid frequently flows back into the tube connecting your
• mouth and stomach (esophagus). This backwash (acid reflux) can irritate the lining of your esophagus.
• Many people experience acid reflux from time to time

What you need to know before you take Sodium alginate, sodium bicarbonate, calcium Carbonate:

Do not take Sodium alginate, sodium bicarbonate, calcium carbonate if:

• Hypersensitivity to sodium alginate, sodium bicarbonate, calcium carbonate or the esters of
• hydroxybenzoates (parabens)
• Warnings and precautions
• This product is considered high in sodium. This should be particularly taken into account for
• those on a low salt diet (e.g. in some cases of congestive heart failure and renal
• impairment).
• Caution if you have reduced kidney function or on a controlled potassium diet.
• Care needs to be taken if you have hypercalcaemia, nephrocalcinosis and recurrent calcium
• containing renal calculi.
• Taking this product can mask the symptoms of other more serious, underlying medical
• Contains methyl parahydroxybenzoate (E218) and propyl parahydroxybenzoate (E216)
• which may cause allergic reactions (possibly delayed).

Other medicines and Sodium alginate, sodium bicarbonate, calcium carbonate:

• Tell your doctor or pharmacist about all medicines you take, including prescription and over-the-counter medicines, vitamins and herbal supplements.

Due to the presence of calcium and carbonates which act as an antacid, a time-interval of 2 hours should be considered between intake of this product and the administration of other medicinal products, especially:

• H2-antihistaminics (cimetidine, famotidine, nizatidine and ranitidine)
• Tetracyclines (doxycycline, minocycline)
• Digoxin
• Fluoroquinolones (ciprofloxacin, levofloxacin, moxifloxacin)
• Iron salts
• Thyroid hormones (levothyroxine)
• Ketoconazole
• Beta -blockers (atenolol, metoprolol, propanolol)
• Pregnancy and breastfeeding
• It can be used during pregnancy and if breastfeeding if clinically needed.
• Driving and using machines
• It has no or negligible influence on the ability to drive and use machines.