What are the most effective heartburn medications? Learn about the 7 best options for treating acid reflux and GERD, including OTC and prescription options like Famotidine, Omeprazole, and Esomeprazole.

The 7 Best Heartburn Medications of 2023

Heartburn is a prevalent condition affecting over 60 million Americans monthly. The primary causes are acid reflux and gastroesophageal reflux disease (GERD), a chronic form of acid reflux. To alleviate these symptoms, various medications are available, ranging from over-the-counter (OTC) to prescription options. This comprehensive article explores the 7 best heartburn medications in 2023, analyzing their uses, side effects, and suitability for different health conditions.

Famotidine (Pepcid): Most Effective Heartburn Medication

Famotidine, commonly known as Pepcid, is an H2 blocker that works by reducing the amount of acid produced in the stomach. Pepcid is a viable option for treating heartburn as it is relatively fast-acting, with relief typically experienced within an hour, and its effects can last for 10-12 hours. Pepcid is available both OTC and by prescription, making it accessible to a wide range of patients. For an OTC pack, the average cost is typically under $10. The most common side effects of famotidine include headache and gastrointestinal issues such as constipation, diarrhea, nausea, and abdominal pain.

Omeprazole (Prilosec): Best OTC Heartburn Medication

Omeprazole, commonly known as Prilosec, is a proton pump inhibitor (PPI) that reduces the amount of acid produced by the stomach. Prilosec OTC is considered sufficient in controlling symptoms for the majority of heartburn cases and has been the #1 doctor-recommended frequent heartburn relief medicine for 14 years. The main benefits of Prilosec OTC include the ease of the dosing schedule, with only one pill per day for 14 days, and its effectiveness in lowering frequent heartburn episodes. Prilosec OTC prices can vary, but the medication provides long-term relief from heartburn after the 14-day treatment. The most common side effects are headache and abdominal pain.

Esomeprazole (Nexium): Best Heartburn Medication for GERD

Esomeprazole, commonly known as Nexium, is a PPI used to combat GERD and, therefore, heartburn by reducing the creation of acid in the stomach. Nexium is frequently prescribed at a 40 mg dose, but a 20 mg OTC version is now available at an affordable price. Because GERD is a more severe form of acid reflux, a higher-dose PPI like Nexium is a beneficial choice for relieving heartburn. Studies have shown that patients treated with Nexium tend to have faster symptom relief compared to other PPIs. Nexium is usually covered by both insurance and Medicare, and the most common side effect is abdominal pain, which occurs in 5% of patients.

Mylicon: Best Heartburn Medication for Gas Relief

Mylicon is an antacid that contains the active ingredient simethicone, which helps to break up gas bubbles in the digestive system. This makes it particularly effective for relieving heartburn that is accompanied by excessive gas. Mylicon works quickly, typically within 30 minutes, and is available in both chewable tablet and liquid gel form. The medication is generally well-tolerated, with the most common side effects being mild gastrointestinal discomfort and constipation.

Calcium Carbonate (TUMS): Best Heartburn Medication for Occasional Use

Calcium carbonate, commonly known as TUMS, is an antacid that provides fast-acting relief for occasional heartburn. TUMS work by neutralizing stomach acid, providing almost immediate relief. They are inexpensive, readily available, and safe for long-term use. However, TUMS are best suited for occasional heartburn, as they do not provide long-term control of acid production like H2 blockers or PPIs. The most common side effects of TUMS include constipation and abdominal pain.

Maalox: Best Heartburn Medication for Soothing Relief

Maalox is an antacid that contains a combination of aluminum hydroxide and magnesium hydroxide. This formulation provides a soothing and cooling effect to the esophagus and stomach, making it particularly effective for relieving the discomfort associated with heartburn. Maalox works quickly, typically within 5-10 minutes, and is available in both liquid and tablet forms. The most common side effects are mild gastrointestinal discomfort, such as diarrhea or constipation.

Sodium Bicarbonate: Best Heartburn Medication for Immediate Relief

Sodium bicarbonate, more commonly known as baking soda, is a natural antacid that can provide rapid relief for heartburn. When taken, it quickly neutralizes stomach acid, providing almost instant relief. Sodium bicarbonate is inexpensive, readily available, and can be used as an effective short-term solution for occasional heartburn. However, it is not recommended for long-term use, as it can have potential side effects such as gas, bloating, and abdominal pain.

In conclusion, the 7 best heartburn medications in 2023 offer a range of options to address the various needs and health conditions of individuals suffering from acid reflux and GERD. From fast-acting and long-lasting H2 blockers like Famotidine (Pepcid) to more comprehensive and effective PPIs like Omeprazole (Prilosec) and Esomeprazole (Nexium), these medications provide relief and management for both occasional and chronic heartburn. Additionally, antacids like Mylicon, TUMS, Maalox, and sodium bicarbonate offer alternative solutions for specific symptom relief. By understanding the unique benefits and drawbacks of each medication, individuals can make informed decisions to find the most suitable option for their heartburn needs.

7 Best Heartburn & Acid Reflux Medications in 2023

Heartburn is a condition that 60 million Americans experience at least once per month. The main causes of heartburn include acid reflux and gastroesophageal reflux disease (GERD), a chronic form of acid reflux. The best medication for heartburn includes classes of heartburn medications: antacids, histamine-2 (h3) blockers, and proton pump inhibitors (PPIs).

To avoid these symptoms, you can take various kinds of medications—  from over-the-counter (OTC) to prescription. If you need medical attention, consider signing up for Mira, an affordable alternative to health insurance that allows you to get 24/7/365 virtual care access, in-person urgent care, lab tests and more for only $45/month

Best Heartburn Medications 

There are three main classes of heartburn medications: antacids, histamine-2 (h3) blockers, and proton pump inhibitors (PPIs). These different forms of heartburn medications all have unique benefits, side effects, and each one tends to be better suited for specific health condition needs. We have compiled a list of the best heartburn medications for different needs to analyze these components better. These seven best heartburn medications include:

• Famotidine (Pepcid)
• Omeprazole (Prilosec)
• Esomeprazole (Nexium)
• Mylicon
• Calcium carbonate (TUMS)
• Maalox
• Sodium Bicarbonate

Famotidine: Most Effective Heartburn Medication

If you’re in search of a strong relief from heartburn that is relatively cost-effective, Famotidine (commonly known as Pepcid) may be the right option for you. Pepcid is an h3 blocker that works by lowering the levels of acid produced in the stomach. Through this, Pepcid is not only effective in relieving heartburn but also in treating acid reflux. 

Pepcid is a viable option in treating heartburn, as it is relatively fast-acting and long-lasting. On average, after taking Pepcid, individuals report noticing relief of heartburn within an hour, and typically, the effects of famotidine last for 10 to 12 hours after an initial dose. Pepcid is also a medication that can be purchased OTC or as a prescription. This unique flexibility of Pepcid allows it to be relatively accessible for all patients while also being capable of coming in higher doses for those who need more intense care. For an OTC pack of Pepcid, the average cost is typically under $10. 

Famotidine is best taken with a glass of water. Additionally, it can be taken with or without food. The most common side effects of famotidine include a headache or gastrointestinal pain (constipation, diarrhea, nausea, abdominal pain).

Omeprazole: Best OTC Heartburn Medication

Omeprazole, commonly known as Prilosec, is a PPI that reduces the quantity of food-digesting acid made by the cells within the lining of your stomach. In fact, Prilosec was one of the first and strongest PPIs created to combat acid reflux. According to Dr. Ghouri, Prilosec OTC “is usually sufficient in controlling symptoms in a majority of [heartburn] cases” and has been the #1 Doctor Recommended frequent heartburn relief medicine for 14 years.

There are various benefits to using Prilosec OTC, most notably the ease of the dosing schedule and the effectiveness in lowering frequent piques of heartburn in individuals. When taking Prilosec OTC, you only have to take one pill per day for 14 days. Although it may take between one to four days to experience the full effect, Prilosec OTC begins to work, and individuals notice relief on the first day of treatment. After the fourteenth day, acid production should grow to be controlled consistently.

Prilosec OTC prices tend to vary, from being $18.44 on Amazon to $85.90 on Walmart. Despite the slightly higher cost than Pepcid, Prilosec OTC provides long-term relief from heartburn following the 14 days. Similar to Pepcid, the common side effects produced are only a headache and abdominal pain. 

Esomeprazole: Best Heartburn Medication for GERD

Esomeprazole, commonly known as Nexium, is a PPI used to combat GERD and, therefore, heartburn by reducing the creation of acid in the stomach. Nexium is prescribed frequently as 40 mg. However, it recently became available for 20 mg doses of OTC at an affordable price.

Because GERD tends to be a more severe form of acid reflux, a PPI such as Nexium at a higher dose is a beneficial choice in relieving heartburn. In comparison to other PPIs, studies have shown that patients treated with Nexium also tend to have faster symptom relief than patients treated with other PPIs such as Prilosec. Another benefit of Nexium is that the prescription is usually covered by both insurance and medicare.

Typically, Nexium is taken every day for anywhere from 10 days to six months. The most common side effects of Nexium include abdominal pain, which occurs in 5% of individuals, followed by constipation in 2% of people.

Nexium vs. Prilosec,

Source: https://www. singlecare.com/blog/nexium-vs-prilosec/ 

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Mylicon: Best Heartburn Medication for Children

Unlike the other medications, mylicon is actually an anti-foaming agent that can act as an antacid for children ages 2-11. Mylicon has an active ingredient, Simethicone, that gently breaks up gas bubbles in the stomach. Additionally, it contains Calcium Carbonate, which is an antacid.

Mylicon was specifically designed to soothe discomfort from gas, acid, indigestion, overeating, and bloating. It is a fast-acting medication you can pick up OTC and typically costs only $11 for 15 milliliters. For most children, Mylicon starts working in just minutes following consumption.

The only potential side effect of Mylicon is loose stools. However, only use Mylicon for your child as directed and no more than 12 times per day. See below for the suggested doses of Mylicon to give your child.

Source: https://www.mylicon.com/faq/#:~:text=How%20does%20it%20work%3F,antacid%20quickly%20neutralizes%20stomach%20acid. 

Calcium Carbonate: Best Heartburn Medication for Pregnancy 

Unfortunately, heartburn is a medical issue that bothers many women at a higher incidence during pregnancy. To combat these symptoms, OTC antacids such as Calcium Carbonate (TUMS) tend to be best. TUMS work by neutralizing the acid present within the stomach, which aids in taking away heartburn.

Doctors often recommend an OTC medication such as TUMS for pregnant individuals because it does not contain magnesium or high sodium levels. Medications with magnesium can interfere with contractions later on in pregnancies, and antacids with high sodium levels can cause a high level of fluid buildup in tissues. TUMS is also a great option because they tend to work instantly. The only downside TUMS presents is that they tend to wear off quickly.

TUMS typically does not pose any major side effects. The only main side effects associated with TUMS are belching and gas. TUMS is also available OTC at a relatively cheap cost— ranging anywhere from $1.98 at Walmart to $23.68 on Amazon, making this option enticing for pregnant individuals. 

Maalox: Best Heartburn Medication for Immediate Relief

Maalox is an antacid used for very fast-acting relief from heartburn. In Maalox, Simethicone is used to help destroy gas bubbles within the gut, and aluminum and magnesium work to reduce acid levels in the stomach. This form of heartburn medication only works on existing stomach acid.

Maalox usually works within five minutes of consumption. However, the catch is that it will only work for 30 minutes to 60 minutes at the most. Thus, if you continue to experience symptoms for up to two weeks following your initial date of taking Maalox, you may need a stronger heartburn medication.

Typically, Maalox should be taken after meals or around bedtime. The most common side effects of Maalox include constipation and diarrhea. If these side effects persist for over two weeks, though, you may consider contacting a physician. 

Sodium Bicarbonate: Most Affordable Heartburn Medication

Sodium Bicarbonate is an OTC medication that assists with neutralizing the levels of acid in your stomach due to its alkaline pH properties, which can help relieve heartburn. In particular, though, Sodium Bicarbonate is the cheapest antacid available, costing only $3.34 on the GoodRx site. This price is 59% off the retail price of Sodium Bicarbonate, which is $8.16.

Through this low cost, individuals who suffer from heartburn can seek medical help at an affordable price. However, individuals who use Sodium Bicarbonate to help with heartburn should use it with care. Typically, doctors recommend only using it when symptoms first appear temporarily. This is because other issues could harm the body if the body becomes too alkaline.

The most common side effects of Sodium Bicarbonate include gas, bloating, cramps, and increased thirst. Doctors advise that children the age of six should only use Sodium Bicarbonate as a medication if prescribed.  

Heartburn Medication Frequently Asked Questions (FAQs)

Heartburn is a complex medical issue that may cause many individuals to know that they are experiencing heartburn. To better grasp heartburn and the medications available, take a look at these commonly asked questions and answers below. 

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What are the long-term effects of heartburn? 

Long-term acid reflux may lead to GERD, which is a more chronic form of acid reflux. Over time, this can damage the esophagus, leading to a condition known as Barrett’s esophagus, which is typically a precursor to esophageal cancer. On average, less than 10% of GERD patients have some form of esophageal cancer.

What can trigger heartburn?

Certain foods and beverages can trigger heartburn in individuals. These include but are not limited to spicy foods, onions, citrus products, chocolate, peppermint, alcohol, and fried foods. Additionally, individuals who are pregnant or overweight may also have a higher risk of experiencing heartburn. 

Are there any alternatives to relieving heartburn besides medications?

There are various steps you could take to relieve heartburn without medication. To begin, you could make sure to stand up straight or elevate your body following the heartburn. Additionally, you could wear loose clothing, chew gum, or try sipping apple cider vinegar.

Are there any long-term effects of heartburn medication?

Occasionally, long-term use of heartburn medication can be associated with a higher chance of having dementia, chronic kidney disease, or heart attacks. Before taking any medication, make sure you know the side effects and the allotted amount of time you should take it.

Bottom Line

Heartburn is a medical condition with unpleasant symptoms that many individuals have to battle at some point in their life. Between antacids, h3 blockers, and PPIs, though, many heartburn medications are available. Each category has a plethora of heartburn medications. The difficult part is narrowing down which is best for you. If you don’t have a pre-existing medical condition and look into the best OTC medication, Prilosec might be for you. However, if you’re currently pregnant, you may opt to start with TUMS. 

If you believe you will need a prescription for heartburn medication, Mira could be a great avenue for you to obtain this medical care. By joining Mira today, you will have access to up to 80% off prescriptions, lab testings, and urgent care visits. 

Madeline is a Senior at UCLA majoring in Human Biology & Society with a minor in Spanish. She’s currently a Healthcare Research Analyst at Mira, writing content for the blog to help the public better understand certain medical issues, technologies, testings, and the importance of healthcare.

TopicHealth Tips

OTC Heartburn and Acid Reflux Medications

Heartburn is a common and uncomfortable symptom, affecting more than 15 million Americans daily. Thankfully, there are many treatment options available, including prescription and over-the-counter (OTC) medications. 

In this article, I’ll describe the causes of heartburn and the OTC medications available. I’ll also cover the side effects of heartburn medication and how to use heartburn medication safely. Finally, I’ll explain when you should see a healthcare provider for more personalized care.

Over-the-counter Medications for Heartburn

Over-the-counter (OTC) medications can help treat heartburn, but it may take a little trial and error to figure out what works best for you. If you still experience symptoms after two weeks, see your healthcare provider or doctor, who may recommend prescription medication.

OTC treatment options include:  

Histamine-2 (h3) blockers

These medicines, available both by prescription and OTC, help reduce the amount of acid your stomach produces, which can help alleviate heartburn. h3 blockers don’t work as quickly to reduce heartburn as antacids, but the effect can last longer. Examples of h3 blockers include famotidine (Pepcid AC), nizatidine (Axid AR), and ranitidine (Zantac 75). 

Antacids 

OTC antacids are usually the first-line recommendation for acid reflux and heartburn. They work by neutralizing acids in your stomach and can provide fast, short-term relief. Antacids are available in multiple forms—chewables, dissolving tablets, and liquids.

Some examples of antacids include calcium carbonate (Tums), loperamide (Imodium), simethicone (Mylanta), and sodium bicarbonate (Alka-Seltzer).

Proton pump inhibitors (PPIs) 

PPIs are especially effective at reducing stomach acid to treat symptoms of indigestion and heartburn. Your doctor may recommend PPIs if antacids or h3 blockers have failed to resolve your symptoms.

Recently, some PPIs have become available OTC, including esomeprazole (Nexium) and omeprazole (Prilosec). Other PPIs, like Dexlansoprazole (Dexilant) and Rabeprazole (AcipHex), are only available with a prescription. 

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OTC vs Prescription GERD Medications

Most people try out OTC medications before seeing a healthcare provider for prescription GERD medications. Some OTC medications, including antacids like Alka-Seltzer, Maalox, and Mylanta, can provide immediate relief if you’re already experiencing heartburn or indigestion, and other medications, like h3 blockers, can lower your risk of experiencing it in the first place.  

Prescription medications like proton pump inhibitors (PPIs) can also lower your risk of experiencing it and may provide longer-lasting relief than some OTC medications, though those may work more immediately. Talk to your healthcare provider about your needs and which may work best for you.

The best prevention of Heartburn is dietary modifications. Controlling the amount of fried, spicy, citrus, and irritative foods in one’s diet can greatly improve digestive health. These foods irritate the stomach and esophagus thus causing reflux.  Not laying back after eating, not smoking and staying hydrated can also help digestion and preventing GERD and heartburn.

Side Effects of Heartburn Medication

Like most medicines, heartburn medications may cause side effects. Though rare, the most commonly reported side effects of antacids and acid-reducing medications are:

• Headaches
• Nausea
• Constipation
• Diarrhea

If you experience one or more of the above side effects while taking an antacid or acid-reducing medication, they will likely go away on their own. If side effects persist, reach out to your doctor. Side effects of proton pump inhibitors (PPI) may be more serious.

Research shows that long term use of PPIs can lead to kidney problems, including kidney failure. Experts recommend using PPIs only when necessary and not as a regular medication.

Additionally, you should not take PPIs if you are elderly, immunocompromised, postmenopausal, or have been treated for a Clostridium difficile (C. diff) infection in the past. Talk to your healthcare provider before taking any OTC heartburn medication.

Which Heartburn Medication is Best?

There’s no one-size-fits-all medication for any ailment. You’ll want to talk to your healthcare provider about whether an OTC antacid, h3 blocker, or proton pump inhibitor (PPI) is best for you. They’ll talk about how severe your symptoms are, how frequently you experience them, and whether your goal is immediate relief, prevention, or to reduce severity of symptoms. 

How to Use Heartburn Medication Safely

Before starting any new medication, talk to your healthcare provider to ensure that it’s safe to use. If you do start using one of these medications, it’s important to take it exactly as directed on the label.

Do not exceed the amount or timing recommended. If your symptoms continue even after taking medication, reach out to your provider.

What is Heartburn and Acid Reflux?

Heartburn can be a symptom of many different conditions, including gastroesophageal reflux disease (GERD), acid reflux, and pregnancy.  Generally, heartburn is an uncomfortable burning feeling in your chest that can move up and down your throat.

Other signs of heartburn can include:

• Regurgitation, or the feeling of fluid or food coming up into the chest
• Chest pain or burning that worsens when lying down or bending over
• Bitter, hot, sour, or acidic taste in the mouth
• Pain or discomfort that appear after a large or spicy meal
• Difficulty swallowing
• Pain that can move into your throat, but doesn’t usually radiate to your shoulders, neck and arms

For some, heartburn is triggered by lifestyle and diet habits. You are more at risk for developing heartburn if you:

• Eat large portions of food
• Eat spicy, fatty, or greasy foods
• Eat acidic foods such as tomatoes or citrus
• Eat close to bedtime
• Drink large amounts of caffeinated, alcoholic, or carbonated drinks
• Experience stress
• Smoke
• Wear tight-fitting clothes

However, heartburn can also be caused by other conditions, including:

• Anxiety or depression
• Acid reflux 
• Gastroesophageal reflux disease (GERD)
• Pregnancy
• Hiatal hernia

Heartburn, acid reflux, and GERD

Though the terms are sometimes used interchangeably, heartburn, acid reflux, and GERD have distinct meanings. Heartburn refers to the symptom that can be caused by acid reflux or GERD.

Acid reflux refers to the condition when stomach acid flows back up into the mouth through the esophagus. This occurs when the valve at the end of the esophagus doesn’t close properly when food enters the stomach.

GERD is chronic acid reflux, a condition in which stomach acid persistently leaks back up into your esophagus. Everyone can get heartburn and acid reflux from time to time, but GERD is a chronic condition that can lead to more serious problems if not treated.

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When to See a Healthcare Professional

Many cases of mild heartburn can be managed at home and with OTC medication. But if you experience any of the below symptoms, reach out to your doctor or healthcare provider immediately:

• Unintentional weight loss or loss of appetite
• Bloody vomit
• Frequent vomiting
• Black, tarry stool
• Severe, constant stomach pain 
• Difficulty swallowing that gets progressively worse
• Fatigue or weakness
• Shortness of breath, sweating, or chest pain that radiates to the neck, jaw, or arm
• Chest pain with stress or exertion
• Yellowing of the skin or eyes
• Heartburn symptoms that last longer than two weeks

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Frequently Asked Questions

What medication relieves heartburn the fastest?

Antacids provide the fastest, short-term relief from heartburn. Histamine (h3) blockers and PPIs don’t work as quickly as antacids, but their effects can last longer.

Is it safe to take heartburn medication when pregnant?

Heartburn is common throughout pregnancy, especially during the third trimester. Over-the-counter (OTC) antacids may help relieve symptoms, but it’s important to speak with your doctor or OBGYN first to ensure that they are safe to use.

Diet and lifestyle changes—eating smaller, more frequent meals and avoiding greasy or spicy foods—may also provide relief.

Is it OK to take heartburn medication every day for extended periods?

Speak to your healthcare provider before taking any medication regularly. Research shows that prolonged use of proton pump inhibitors (PPIs) can lead to serious kidney problems, including kidney failure, or may increase your risk of some infections.

K Health articles are all written and reviewed by MDs, PhDs, NPs, or PharmDs and are for informational purposes only. This information does not constitute and should not be relied on for professional medical advice. Always talk to your doctor about the risks and benefits of any treatment.

K Health has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions,
and medical associations. We avoid using tertiary references.

• Acid Reflux. (n.d.).
  https://gi.org/topics/acid-reflux/

• Antacids and Acid Reducers: OTC Relief for Heartburn and Acid Reflux. (2020).
  https://familydoctor.org/antacids-and-acid-reducers-otc-relief-for-heartburn-and-acid-reflux/

• Gastroesophageal Reflux Disease (GERD). (n.d.).
  https://gastro.org/practice-guidance/gi-patient-center/topic/gastroesophageal-reflux-disease-gerd/

• Over-The-Counter (OTC) Heartburn Treatment. (2021).
  https://www.fda.gov/drugs/information-consumers-and-patients-drugs/over-counter-otc-heartburn-treatment

• Popular heartburn drugs linked to gradual yet ‘silent’ kidney damage. (2017).
  https://medicine.wustl.edu/news/popular-heartburn-drugs-linked-gradual-yet-silent-kidney-damage/

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Vitamins and minerals can affect well-being, resistance to infections, and body performance. If you notice that you get tired quickly and lose your temper easily, there is a possibility that you have a lack of magnesium in your body ^[9] . To suspect a magnesium deficiency, take the test on the Magne B6 ^® website. By replenishing magnesium deficiency, Magne B6 ^® helps reduce irritability, fatigue and may help with minor sleep disturbances ^[10] .

Pain

Pain is one of the most common reasons for seeking medical care in the world. The percentage of people suffering from chronic pain is as high as 30% ^[11] , and there are even more cases of acute pain syndromes.

Our No-shpa ^® selectively acts on smooth muscle spasm as the main cause of abdominal pain ^[12] , gently relaxing tense muscles ^[13] . No-shpa ^® Duo due to the fixed combination of drotaverine and paracetamol can also help with menstrual pain ^[14] . And the drug Baralgin ^® M is used for severe pain, including headache and toothache, when other methods of therapy are not indicated, as well as for fever resistant to other methods of treatment ^[15] .

The functioning of the digestive system

The digestive system plays an important role in maintaining the health of the whole body – in addition to the basic functions of digesting food and providing the body with energy, it also affects the normal functioning of the immune system, the condition of the skin, hair, etc. ^[16-19] .

Festal ^® , Guttalax ^® , Maalox ^® and Phosphalugel are just some of our portfolio of products that support the functioning of the gastrointestinal tract.

Digestive problems can occur as a result of dietary errors, changes in the usual diet, eating new or unfamiliar foods, for example, while traveling. So, almost every 5th inhabitant of the planet is faced with symptoms such as heaviness, bloating, a feeling of fullness ^[20] . Festal ^® is a multicomponent enzyme preparation that helps to combat these symptoms, and also promotes the production of its own enzymes ^[21] .

Constipation can be another possible manifestation of gastrointestinal dysfunction, affecting about 10% of children and 12–19% of adults ^[22,23]. Guttalax ^® in our portfolio is a laxative to combat constipation ^[24] .

Maalox ^® and Phosphalugel help manage heartburn, another common symptom of digestive problems that affects 18-46% of ^{patients [25, 26]} .

Allergy

In Russia, the prevalence of allergic diseases ranges from 17.5% to 30% ^[27] . Allergies can knock us out of our usual rhythm, and itching, sneezing and a runny nose do not always allow us to enjoy everyday life.

We understand the needs of people suffering from allergies and provide Zodak ^® , which can relieve a variety of allergy symptoms ^[28] and allow you to return to normal life.

Coughs and colds

About 20–40 million people a year fall ill with SARS in Russia, of which 40–60% are children ^[29] . In cases where diseases of the respiratory system are accompanied by sputum, it is possible to use the drug Lazolvan. Ambroxol as part of the drug Lazolvan ^® has a triple action: thins phlegm, clears the airways and restores their function ^[30] . Tramazolin in the preparation Lazolvan ^® Reno relieves nasal congestion ^[31] , which can also occur during a cold.

Each person’s health is an individual value, but at the same time it has a great social and social significance. By looking after your well-being, you help create a healthy society and form the habit of taking care of yourself in future generations. We support you on this journey as our mission is to help people around the world live fuller, healthier lives.

OTC sites

Essentiale forte N

Magne B6

No-shpa

Lazolvan

Maalox, Guttalax, Festal, Phosphalugel

1. Global Self Care Federation. Socio-economic aspects of self-care. Summary, 2022. (selfcarefederation.org)
2. Berbner-Gryshchenko O. “Second heart” of man. News magazine “Neue Zeiten”, 2016
3. Liver: anatomy and functions. Johns Hopkins University. URL: Liver: Anatomy and Functions | Johns Hopkins Medicine (hopkinsmedicine. org)
4. Analytics Center of the Expert magazine. Research: nosology “Hepatitis”. URL: Report on nosology “Hepatitis” (expertnw.com)
5. Diagnosis and treatment of non-alcoholic fatty liver disease. Edited by Academician of the Russian Academy of Sciences, Professor V. T. Ivashkin, Moscow, 2015
6. Instructions for medical use of the drug Essentiale ^® forte N. RU P N011496/01
7. E. V. Frolova, The Role of Vitamins and Microelements in Human Life. URL: “The role of vitamins and microelements in human life” | City Center for Medical Prevention (gcmp.ru)
8. Analytical review of the All-Russian Public Opinion Research Center. URL: VCIOM. News: Pandemic increased vitamin intake (wciom.ru)
9. Akarachkova E. S. Magnesium deficiency. Cases from the practice of a neurologist. Regular issues of “RMJ” No. 26 dated 11/24/2010 p. 1628
10. Instructions for medical use of the medicinal product Magne B6 ^® , coated tablets (Reg. No. P N013203/01), Magne B6 ^® , oral solution (Reg. No. P N013203/02) , Magne B6 ^® forte, film-coated tablets (Reg. LSR-007053/09).
11. Chronic pain: an update on burden, advanced approaches and new advances. Koen S.P. The Lancet, Vol. 397, no. 10289, 2021
12. Hand. for practitioners / V. T. Ivashkin, T. L. Lapina and others: under the general. ed. V. T. Ivashkina. — M.: Litterra, 2003. — 1046 p.
13. Instructions for medical use of the drug No-shpa ^® (tablets), RU P N011854/02
14. Instructions for medical use of the drug No-shpa ^® Duo, RU LSR-000858/10
15. Instructions for medical use of the drug Baralgin ^® M, tablets, RU P N011538/01
16. Zarifyan A.G., Kononets I.E., Naumova T.N., Makimbetova Ch.E. Physiology of digestion. Kyrgyz State Medical Academy. Bishkek, 2008
17. E.S. Bliss, E. Whiteside. The gut-brain relationship, human gut microbiota and its impact on the development of obesity. Frontiers in Physiology, 9, 900. 2018
18. Yu.A. Kopanev. The relationship between the function of local immunity and intestinal microbiocenosis, the possibility of immunocorrection of dysbacteriosis. Medical scientific and practical portal lvrach.ru. 2009
19. N. G. Korotkiy, N. M. Narinskaya, and S. V. Belmer. Skin manifestations of the pathology of the digestive system. Medical scientific and practical portal lvrach.ru. 2014
20. P. Moayedi, ACG and CAG Clinical Guidelines: Management of Dyspepsia. Am J Gastroenterol, 2017; 112(7):988-1013
21. Instructions for medical use of the drug Festal ^® (RU P N014796 / 01) bile components in the composition of Festal ^® contribute to the release of lipase by the pancreas
22. Ivashkin V.T., Maev I.V., Sheptulin A.A., Trukhmanov A.S., Poluektova E.A., Baranskaya E.K., Shifrin O.S., Lapina T.L., Osipenko M.F., Simanenkov V.I., Khlynov I.B. Clinical guidelines of the Russian gastroenterological association for the diagnosis and treatment of adult patients with chronic constipation. 2017; 27(3):75-83. DOI: 10.22416/1382-4376-2017-27-3-75-83
23. I. Koppen, M. Wriesman, M. Saps, Prevalence of Functional Defecation Disorders in Children: A Systematic Review and Meta-Analysis. J Pediatr, 2018;198:121-30
24. Instructions for medical use of the drug Guttalax ^® drops for oral administration 7.5 mg / ml (RU P N015238 / 01), the drug Guttalax ^® tablets 5 mg (RU LP-000834), the drug Guttalax ^® Express, rectal suppositories 10 mg (RU P N014230/01)
25. Ivashkin V.T., Maev I.V., Trukhmanov A.S. etc. Gastroesophageal reflux disease. Clinical recommendations // Russian Gastroenterological Association. 2014. Moscow. 23 p.
26. Instructions for the medical use of the drug Maalox ^® (RU P N014986/01, P N014986/02, P N016126/01), instructions for the medical use of the drug Phosphalugel (RU P N012655/01)
27. Russian Association of Allergists and Clinical Immunologists, Federal clinical guidelines for the diagnosis of allergic diseases, 2015
28. According to the instructions for medical use of the drug Zodak ^® film-coated tablets reg.