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A 48-year-old female asked:

I have reflux. pepcid (famotidine) used to work. i took prilosec 2 months ago and that worked. what would you recommend for treatment?

4 doctor answers5 doctors weighed in
Dr. Marvin Ott
Emergency Medicine 21 years experience
Ranitidine: Russell, although Prilosec is a stronger acid blocker than Pepcid (famotidine), (famotidine) proton pump inhibitors like Prilosec should not be used long term. They have been associated with bone demineralization and pneumonia. Better is an H2 blocker. Pepcid (famotidine) is one of those, but if it doesn't work anymore, try a different one, like ranitidine. If your symptoms don't improve, see your doctor. Hope this helps!
Dr. Robert Killian
General Practice 29 years experience
Find the cause: No one seems to remember that the goal is to not have reflux. To find the cause and to eliminate it so they these unhealthy antacids can be stopped.
Dr. Clinton Fox
Family Medicine 23 years experience
GERD: You may have to stay on the prilosec or other PPI medication long term. Consider weight loss if needed. Avoid eating then lying down soon after meals. Avoid foods that worsen reflux (caffeine, peppermints, chocolate, spicy foods etc). Consider placing object like a brick under headboard of bed to elevated it slightly and allow gravity to help you. Consider endoscopy to assess problem.
Dr. William Coutts ii
Family Medicine 27 years experience
Stomach infection?: Frequently this is caused by a stomach infection. Go see your family doctor or a gastroenterologist. He/She will take a history , do a physical exam and do some diagnostic test(s). After the diagnosis is found, you may need more extensive treatment. Best wishes.

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