Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. 4PH 40mg Tablet is to be taken on an empty stomach.

- Alcohol : CONSULT YOUR DOCTOR

It is not known whether it is safe to consume alcohol with 4PH 40mg Tablet. Please consult your doctor. | - Pregnancy : SAFE IF PRESCRIBED

4PH 40mg Tablet is generally considered safe to use during pregnancy. Animal studies do not indicate harmful effects. However, there are limited human studies. | - Breast feeding : CONSULT YOUR DOCTOR

Information regarding the use of 4PH 40mg Tablet during breastfeeding is not available. Please consult your doctor. | - Driving : SAFE

4PH 40mg Tablet does not usually affect your ability to drive. | - Kidney : CONSULT YOUR DOCTOR

There is limited data available on the use of 4PH 40mg Tablet in patients with kidney disease. Please consult your doctor. | - Liver : CAUTION

4PH 40mg Tablet should be used with caution in patients with severe liver disease. Dose adjustment may be needed.

If you miss a dose of 4PH 40mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

What is the best time to take 4PH 40mg Tablet?::: Usually, 4PH 40mg Tablet is taken once a day, first thing in the morning. If you take 4PH 40mg Tablet twice a day, take 1 dose in the morning and 1 dose in the evening. The tablets should be swallowed whole (remember not be chewed or crushed) and taken at least 1 hour before a meal with some water.| Can I take antacids along with 4PH 40mg Tablet?::: Yes, you can take antacids along with 4PH 40mg Tablet. Take it 2 hours before or after you take 4PH 40mg Tablet.| Can I take 4PH 40mg Tablet for a long term?::: 4PH 40mg Tablet is usually prescribed for short-term use only. However, if need arises, such as for treating peptic ulcer disease and Zollinger-Ellison syndrome (ZES), 4PH 40mg Tablet may be prescribed for a long-term duration as well. Long-term use may carry an increased risk for side effects and must be discussed with the doctor. Please use 4PH 40mg Tablet as advised by your doctor and under their supervision.| Can I stop taking 4PH 40mg Tablet if I feel better?::: If you have been taking 4PH 40mg Tablet for a long time, stopping it abruptly may lead to increased acid production, thereby worsening your symptoms. Therefore, you must discuss any dose changes or if you wish to come off 4PH 40mg Tablet.| What are the long term side effects of 4PH 40mg Tablet?::: If 4PH 40mg Tablet is used for more than 3 months, certain long-term side effects may be seen. The most important of these is low magnesium levels in your blood, which may make you feel tired, confused, dizzy, or shaky. You may also have muscle twitches or an irregular heartbeat. If the use is further prolonged for more than a year, you may have an increased risk of bone fractures, stomach infections, and vitamin B12 deficiency. Vitamin B12 deficiency can make you anemic, as a result of which you may feel more tired, weak, or pale. Additionally, you may have palpitations, shortness of breath, lightheadedness, indigestion, loss of appetite, flatulence (gas), or nerve problems such as numbness, tingling, and problem in walking.| Can I take alcohol with 4PH 40mg Tablet?::: No, alcohol intake is not advised with 4PH 40mg Tablet. Alcohol itself does not affect the working of 4PH 40mg Tablet, but it can increase the acid production. This may further cause worsening of your symptoms.

4PH 40mg Tablet is a proton pump inhibitor (PPI). It works by reducing the amount of acid in the stomach which helps in relief of acid related indigestion and heartburn.

-Erlotinib (Oral Route): Severe

Do not consume Erlotinib with Esomeprazole. Esomeprazole may reduce blood levels of Erlotinib.

| -Methotrexate (Injection Route): Severe

Please consult with your doctor. Doctor may monitor liver function and blood cell counts. Concurrent use may increase the risk of serious side effects of Methotrexate.

| -Methotrexate (Injection Route): Severe

Please consult with your doctor. Doctor may monitor liver function and blood cell counts. Concurrent use may increase the risk of serious side effects of Methotrexate.

| -Methotrexate (Injection Route): Severe

Please consult with your doctor. Doctor may monitor liver function and blood cell counts. Concurrent use may increase the risk of serious side effects of Methotrexate.

| -Methotrexate (Injection Route): Severe

Please consult with your doctor. Doctor may monitor liver function and blood cell counts. Concurrent use may increase the risk of serious side effects of Methotrexate.

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