Question 1

I take nexium (esomeprazole) 40mg twice daily can i take pepcid complete also? i'm still having acid with food coming up.

Accepted Answer

If your symptoms are so severe you're considering doubling up on acid blockers, you need medical evaluation.  Please see your physician asap.  It looks like you've already had endoscopy, so you already have a gastroenterologist who knows your case.  Please contact this physician for more individualized advice --  and you might consider a good probiotic and some Tums (calcium carbonate) in the meantime.

Question 2

Is it ok to take pepcid 20 mg (in am) and nexium 20 mg (in pm) during same day for severe case of acid reflux?

Accepted Answer

Why do you take both meds at small doses? For severe GERD, you should take maximal dose of Nexium, 40 mg, twice a day until symptom is under control then 40 mg daily then maintenance dose 20-40 mg/day. If you prefer Pepcid you can take 40 mg, daily or 20 mg, twice a day then maintenance dose 20 mg, daily. You should only use combination if either fails to control symptoms at maximal dose.

Question 3

Whats better zantac 150 or pepcid ac 20 along with nexium 22.3 two pills in the morning which i take now. im taking zantac 150 now is pepcid better.

Accepted Answer

The first question is why are you taking 2 medications.  The medications you mentioned  block acid production in the stomach.  Patients who have reflux may need these medications long-term to prevent erosions and ulcers of the esophagus and stomach.  Multiple medications are often prescribed for short-term use especially if the patient has ulcers.  I recommend checking with your healthcare provide

Question 4

I have been taking nexium for a long time for acid reflux but afraid of side effects. can i alternate between pepcid and nexium on weekly basis to minimize chances of side effects?

Accepted Answer

No data. I would put  feet of head of bed on  8 “ blocks as gravity never sleeps. If it helps will feel better in a few days.

Question 5

I have chronic acid reflux problem. i have been taking nexium for a long time. i am thinking about switching between nexium and pepcid on weekly basis to minimize side effects . is that ok?

Accepted Answer

Always a good idea to look for ways of discontinuing/ replacing chronic meds. The best way to do it is by using your gastroenterologist’s opinion, who would be in best position to make recommendations in proper clinical context.

Question 6

There are reports that nexium (taken for acid reflux) can potentially cause kidney problems. are there also similar concerns about pepcid?

Accepted Answer

You're correct in that for past few years there have been concerns about kidney problems from chronic use of ppi meds like nexium, but pepcid is in another class of meds & I haven't heard about an y problems with kidney diseases from its long-term use. Your pharmacist may have more information about this matter though.

Question 7

I have gerd and the excessive bloating and belching is horrible.  my dr. gave me nexium (esomeprazole) and pepcid.  could there be something else going on.

Accepted Answer

Your GERD is not under control because you have not eliminated possible triggers that may make your symptoms worse such as alcohol and tobacco. In fact, there are several foods/ beverages / habits that may make GERD symptoms persistent despite using medications known to be effective.  See link for more info.  http://www.webmd.com/heartburn-gerd/guide/common-causes-acid-reflux-disease

Question 8

I need to know if pepcid and nexium (esomeprazole) are one in the same.  have difficulty swallowing- is pepcid available in liquid form? is it covered by medicare?

Accepted Answer

Pepcid is a H2 blocker,  nexium (esomeprazole) is a proton-pump inhibitor.  Either should work for GERD.  You should call the 800 number on your pharmacy card to ask about coverage.  Since they are both now OTC it is less likely they will be covered.  Nexium (esomeprazole) comes as "granules" that can be dissolved in fluid.

Question 9

I've tried nexium and pepcid for my heartburn but they irritate my stomach and make things worse. are there any acid reducers that woukd be easier on my stomach?

Accepted Answer

I have never seen pepcid or nexium irritate the  stomach lining. You could try taking suicrafate for heartburn relief.

Question 10

Ent thinks i got lpr. nurse practitioner at ent office says take 2 otc nexium (esomeprazole) 20 mg a day while my regular doc says just 1 then take 1 pepcid whotrust?

Accepted Answer

LPR is irritation of the larynx from reflux of stomach enzymes or acid.  Many patients do not experience heartburn.  In our practice we recommend a 1 month trial of TWICE A DAY PPI prior to meals (Nexium, Prilosec) for LPR (usual dose for GERD is once a day).  If symptoms improve, may extend for 2 more months, then wean.

Nexium vs pepcid

I take nexium (esomeprazole) 40mg twice daily can i take pepcid complete also? i'm still having acid with food coming up.

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Is it ok to take pepcid 20 mg (in am) and nexium 20 mg (in pm) during same day for severe case of acid reflux?

Whats better zantac 150 or pepcid ac 20 along with nexium 22.3 two pills in the morning which i take now. im taking zantac 150 now is pepcid better.

I have been taking nexium for a long time for acid reflux but afraid of side effects. can i alternate between pepcid and nexium on weekly basis to minimize chances of side effects?

I have chronic acid reflux problem. i have been taking nexium for a long time. i am thinking about switching between nexium and pepcid on weekly basis to minimize side effects . is that ok?

There are reports that nexium (taken for acid reflux) can potentially cause kidney problems. are there also similar concerns about pepcid?

I have gerd and the excessive bloating and belching is horrible. my dr. gave me nexium (esomeprazole) and pepcid. could there be something else going on.

I need to know if pepcid and nexium (esomeprazole) are one in the same. have difficulty swallowing- is pepcid available in liquid form? is it covered by medicare?

I've tried nexium and pepcid for my heartburn but they irritate my stomach and make things worse. are there any acid reducers that woukd be easier on my stomach?

Ent thinks i got lpr. nurse practitioner at ent office says take 2 otc nexium (esomeprazole) 20 mg a day while my regular doc says just 1 then take 1 pepcid whotrust?

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