Welcome to HCM!
Thanks for posting your query. I am happy to address your questions. The antacid is already been given in the form of rabeprazole
to take care of nausea as well. The sporolac can be given before the meals as it will prevent gastric upsets. She can be added TusQ- X which has terbutaline
(which will benefit her as well). Hope I have answered your query. If you have any further questions, I will be happy to help. Thanks