A member asked:

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

5 doctors weighed in across 4 answers

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!

Answered 4/9/2018

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Dr. Robert Killian answered

Specializes in General Practice

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.

Answered 12/4/2020

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Dr. Clinton Fox answered

Specializes in Family Medicine

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.

Answered 11/11/2015

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Dr. William Coutts ii answered

Specializes in Family Medicine

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.

Answered 7/26/2014

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