Thank you for your question! Atrantil contains a very small amount of peppermint, which we do understand has the potential to cause heartburn and/or reflux. In order to allow Atrantil to be most effective and to prevent symptoms of reflux, we highly recommend taking Atrantil WITH food. If you do have a reaction, we suggest taking an over the counter product such as Zantac to help with symptoms. Most of our customers who suffer from this are able to take Atrantil with no adverse effects when taking it with a full meal or if taken with an over the counter reflux medicine, such as Zantac.
If your symptoms persist or worsen, please speak with your primary care physician for other alternatives. Please let us know if we can be of further assistance.
Thank you and best wishes
Support Team