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Doctor insights on: Acid Reflux On Prilosec

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Should I get 100% relief from acid reflux on Prilosec 40 mg dose?

Should I get 100% relief from acid reflux on Prilosec 40 mg dose?

Nope: Nothing is 100% in medicine. However, you can relieve your symptoms if taking the medicine properly. It's designed to be taken 30 min prior to the largest meal of the day. I usually tell my patients before the evening meal. Should be taken for only 3 months. If you still have problems after that time period, you may need a scope of your upper esophagus/stomach/duodenum. Aka egd. ...Read more

Dr. Suzanne Galli
2 Doctors shared insights

Acid Reflux (Definition)

Technically called GERD, acid reflux is the presence of acidic stomach contents in the esophagus. The acid irritates the esophagus causing heartburn symptoms. The regurgitation or reflux can vary greatly as can the symptoms. Blocking stomach acid with medications can alleviate the burning but medication cannot stop the reflux. Complicated GERD requires surgical treatment ...Read more


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How can I stop acid reflux without using Prilosec or anything similar?

How can I stop acid reflux without using Prilosec or anything similar?

Many choices of RX: Acid reflux is a chronic condition in most people. So it requires a change in lifestyle and medication to relieve symptoms. Your gastroenterologist can help you for the long term control. But there are many antacids of varying potencies and different costs which can stop the acid production like Pepcid or zantac (ranitidine) or neutralize acid like with mylanta or gelusil. Avid aspirin/advil / coffee and alcoh. ...Read more

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I have bronchiectasis caused by acid reflux. On spiriva & prilosec. Both are working but I can't sleep at night. What can I do to sleep without meds?

I have bronchiectasis caused by acid reflux. On spiriva & prilosec. Both are working but I can't sleep at night. What can I do to sleep without meds?

Check O2: Sometimes people with lung disease end up having a sleep disordered breathing or low oxygen at night. This often wakes people up because otherwise, low oxygen can cause brain and other vital organ damage. Avoid sedatives but something like melatonin may be helpful that does not typically affect breathing. Talk to pulmonary/sleep specialist you are seeing. ...Read more

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Which medication is believed by experts to be more effective for heartburn and acid reflux: Prilosec OTC bid or protonix (pantoprazole) 40 mg bid?

Which medication is believed by experts to be more effective for heartburn and acid reflux: Prilosec OTC bid or protonix (pantoprazole) 40 mg bid?

Dose dependency: The class of drugs known as ppi's (proton pump inhibitors) has expanded considerably since Prilosec became available in 1989, & now includes: prilosec, prevacid, aciphex, protonix, zegerid, dexilant, (dexlansoprazole) nexium, as well as generic equivalents. All of these, with minor variation, block acid production at the proton-pump cellular level. Drug half-life & dose roughly determine duration & efficacy. ...Read more

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What are the chances of having throat or esophagal cancer by the age of 25? About 4.5 pack years. Had acid reflux but take prilosec now and its fine

What are the chances of having throat or esophagal cancer by the age of 25? About 4.5 pack years. Had acid reflux but take prilosec now and its fine

Low risk at your age: Your risk of esophageal cancer is low at your age. I hope you are now an ex-smoker. However, if you have H. pylori infection as a cause of your reflux, you remain at risk for esophageal Ca. Take Mastic Gum (from a health food store) for your H. pylori and reflux. 1000 mg/day kills 99% of H. pylori in two weeks. ...Read more

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Can losartan (cozaar) cause severe acid reflux. I already take Prilosec 2x/day it help a little. AR started after beginning cozaar?

Can losartan (cozaar) cause severe acid reflux. I already take Prilosec 2x/day it help a little. AR started after beginning cozaar?

Unlikely: Of over 11, 000 people reporting side-effects with losartan, only 0.12% reported esophageal reflux. I would have my doctor investigate other causes. ...Read more

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I have acid reflux and have tried Prilosec OTC and Zantac (ranitidine) 150 they don't seem to work. What med would you recomend that would work better.

See below: At this point, you should see your doctor for further testing. You could have h. Pylori infection causing gastritis and treatment with antibiotics may relieve you symptoms if that is the cause. ...Read more

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I saw an ENT &was diagnosed w/acid reflux &globus. Was put on prilosec. How long until my acid reflux goes away? Will Prilosec make me gain weight?

I saw an ENT &was diagnosed w/acid reflux &globus. Was put on prilosec. How long until my acid reflux goes away? Will Prilosec make me gain weight?

Family practice: You may have had recurrent sore throats, cough, or loss of voice secondary to acid reflux. Prilosec is used to stop acid production in your stomach. It depends on your symptoms and frequency how long you will need to be on it. Keep your head up at night, don't eat close to bed time. You may want to see a GI dr to see if there are any further damage to the lining of your esophagus and stomach. ...Read more

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Just saw my gp for acid reflux rx, gave me Prilosec 20mg qd. She is suggesting barium swallow or endoscopy. I am leaning towards the scope. Thoughts?

Just saw my gp for acid reflux rx, gave me Prilosec 20mg qd. She is suggesting barium swallow or endoscopy. I am leaning towards the scope. Thoughts?

Scope: Upper endoscopy provides much more information as actually visualizes the surface and allows physician to obtain biopsy samples to screen for acid reflux esophagitis, allergic eosinophilic esophagitis, h pylori gastritis, celiac sprue and much more. ...Read more

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I have acid reflux & I've been taking Prilosec for 3 weeks. Recently I've had headaches, a feeling of something caught in throat and jaw pain. Thoughts?

I have acid reflux & I've been taking Prilosec for 3 weeks. Recently I've had headaches, a feeling of something caught in throat and jaw pain. Thoughts?

Possibly TMJ: Sometimes things are coincidental. Sounds like clenching/ bruxism (night grinding). A dentist will help you sort it out. ...Read more

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Would a Prilosec be ok to take for the acid reflux?

Would a Prilosec be ok to take for the acid reflux?

Sure, but...: Unless you have a known allergy or sensitivity to prilosec, then this drug is a very appropriate choice for gerd management. As proven effective and relatively safe as it may be (it has been commercially available in the usa since 1989), the drug is not meant for prn ("as needed") use--the drug reaches its optimal acid suppression after several days of daily use. ...Read more

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Prilosec isn't working well for my acid reflux is there another medicine that would work better?

Prilosec isn't working well for my acid reflux is there another medicine that would work better?

Maybe: You can take the medication twice a day if necessary. You should also be evaluated by a GI specialist to see if you have a bacteria called h. Pylori that is worsening your reflux. This maybe treated with antibiotics if necessary. If these medications do not work and you have persistent reflux, surgical options are available. ...Read more

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How can I get a nagging acid reflux cough to go away? I am currently taking Prilosec 40mg, once a day, everyday.

How can I get a nagging acid reflux cough to go away? I am currently taking Prilosec 40mg, once a day, everyday.

PPI Rx: It appears that the Omeprazole is ineffective for you unless youare not taking it appropriately. It must be taken before anything is eaten in the morning or it losese 1/2 its effectiveness. If the symptoms still do not improve, I would recommend EGD be performed by a gastroenterologist ...Read more

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Been taking prilosec for about a year for acid reflux. I was thinking about stopping and seeing whether it comes back or not. Is this a good/bad idea?

Acid reflux.: Most people with acid reflux require long-term medication, but if you're doing exceptionally well, it may be worth a trial of stopping it to see how you do. I would follow anti-reflux precautions well, and use antacids such as Tums (calcium carbonate) whenever you feel acid reflux. If your symptoms recur more than 3x per week, you probably need to be back on the medicine. I would discuss this with your G.I doc prior. ...Read more

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Can you take both Prilosec and Zantac (ranitidine) for acid reflux?

Can you take both Prilosec and Zantac (ranitidine) for acid reflux?

Gerd: These medications have differing mechanisms of action and usually it's not necessary to take them together although I don't think it is harmful to do so. Zantac (ranitidine) has a quicker onset of action and thus relieves heartburn quicker, but overall, taking prilosec daily is more effective for most patients but should there be breakthrough heartburn, taking a zantac (ranitidine) in addition for quick relief may help. ...Read more

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I take Prilosec to prevent my acid reflux from occurring. I take 1 OTC version every other day. Is it dangerous to take for 1 yr? Other options?

Depends: There are a lot of serious side effects including osteoporosis, a higher risk for pneumonia and even food allergies, dementia etc but the incidence is not high. Every drug has a risk/benefit ratio. If your discomfort is severe enough, you may need the medication. Weight reduction, avoiding coffee, tea, alcohol, fatty, and spicy food may help. Discuss with doctor if still concerned. ...Read more

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Have acid reflux disease with Barrett's. My 30 mg x 2 daily lansprazole has stopped working. Can I switch to OTC Prilosec 40 mg x 2 daily and try it.

Reflux returned :/: Given your hx of Barrett's, you should schedule an appointment with your GI. S/he may need to look into why Lansoprazole stopped working. A scope may be indicated. Or s/he may increase your dose of Lansoprazole or add a second med. If Lansoprazole isn't working, it's not clear that Omeprazole would work. To avoid risk, however, the first step is to get in to your GI for an evaluation! ...Read more

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I have a question about Prilosec and a upper endoscopy. If I take Prilosec and it stops my acid reflux, would I need to have a upper endoscopy since it might show no acid reflux damage. Other tests?

I have a question about Prilosec and a upper endoscopy. If I take Prilosec and it stops my acid reflux, would I need to have a upper endoscopy since it might show no acid reflux damage. Other tests?

Good question: If your reflux has been long standing and you also have abdominal pain an endoscopy study is warranted to rule out tissue changes in your lower esophagus and to be sure you are not dealing with a cancer problem. Prilosec (omperazole) is a very good medication but it may also be covering up more than reflux discomfort. ...Read more

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What's the difference between acid reflux and erosive acid reflux? I usually get chest pain if I don't eat within an hour of taking prilosec.

What's the difference between acid reflux and erosive acid reflux? I usually get chest pain if I don't eat within an hour of taking prilosec.

GERD: Acid reflux is the term describing spillage of stomach acid into the esophagus. Erosive acid reflux is spillage associated with superficial esophageal lining breaks (erosions). Erosive acid reflux may lead to ulcers that are deeper lesions that can cause pain and difficulty with food digestion. Erosions may be painful as well. ...Read more

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Will Prilosec OTC help with my occasional heartburn/acid reflux?

Prilosec: Prilosec and similar medications tend to be better at preventing acid reflux than in treating it once it has already started. If you have only occasional heartburn, often the best treatment is good old-fashioned chewable antacids, such as Mylanta or Tums (calcium carbonate). If it is frequent, Prilosec might be helpful, but if it doesn't go away, you should see your doctor. Look up anti-reflux measures. Good luck. ...Read more

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Besides acid reflux, are there side effects of stopping prilosec? Specifically related to bowel changes?

Definitely: Will cause increase in acid production. So will get more reflux symptoms than you used to have. This is called a rebound effect after stopping the med. I would titrate it down slowly. To avoid too much of an issue. It will regulate over time. May cause some GI upset mild loose stools but no long term effects ...Read more

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Can honey help with acid reflux? Any suggestions? I can't take Prilosec made my blood pressure drop after taking it a year

Can honey help with acid reflux? Any suggestions? I can't take Prilosec made my blood pressure drop after taking it a year

No real data: No real data on the honey. And Prilosec usually doesn't affect the blood pressure. Other agents such as zantac, tagamet, and, carafate (sucralfate) may a better option ...Read more

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After being diagnosed with acid reflux caused by taking Aleve for 10 days, will this resolve after taking Prilosec or zantac (ranitidine)?

After being diagnosed with acid reflux caused by taking Aleve for 10 days, will this resolve after taking Prilosec or zantac (ranitidine)?

See details: The Naproxen does not cause acid reflux as its actually can cause major esophageal irritation and even esophageal ulcers. Stopping all nsaids is an essential step. The symptom should resolve over time usually with priolosec. Zantac (ranitidine) is less effective. ...Read more

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I have acid reflux really bad, despite taking 40mg nexium (esomeprazole) a day, and Prilosec @ nite, I sometimes still get it BAD, isn't there something to numb it?

I have acid reflux really bad, despite taking 40mg nexium (esomeprazole) a day, and Prilosec @ nite, I sometimes still get it BAD, isn't there something to numb it?

Fixes for heartburn: Short answer: avoid spicy/ greasy foods, tomato-foods, mints, alcohol, tobacco, caffeine, chocolate, late night meals before bed, fizzy drink. Long answer: distinguish acid vs non-acid causes of reflux & rule out motility problems of the esophagus & stomach. What tests have you undergone? What other medications have you tried? Are you sure your "heartburn" is really just reflux of stomach contents ...Read more

Dr. Linda Callaghan
3 Doctors shared insights

Reflux (Definition)

Acid reflux is defined as the presence of acidic gastric contents in the esophagus causing irritation. It's cause is blamed on the a lax gastroesophageal shpincter that permits usch regurgitation. Vesicoureteral reflux is regurgitation (backing up) of urine in the bladder into the ureter ...Read more


Dr. Tri Huynh
847 Doctors shared insights

Omeprazole (Definition)

Omeprazole is the generic equivalent of prilosec, the first oral acid-reducer agent of the proton pump inhibitor ...Read more