Doctor insights on:
Personal decision: Carafate is brand of sucralfate which works by coating stomach lining. It is fda approved only for duodenal ulcers. Axid (nizatidine) is brand of h2 receptor blocker, all of which are now available otc. In addition to treating duodenal ulcers, Axid (nizatidine) is also approved for gerd (heartburn) & gastric ulcers, too. Choice depends upon what you need to treat as well as cost (insurance), dosing regimen & side effects. ...Read more
What is the best otc, non-ppi antacid (i.E. Malox, mylanta, pepto bismol, tums, (calcium carbonate) rolaids, etc.)?
Acid reduction...: Non-ppi acid reducers include the h2-blocker class (tagamet=cimetidine; zantac=ranitidine; pepcid=famotidine) as well as antacids (like maalox, mylanta, tums, (calcium carbonate) etc.). The former reduce production of acid while the latter neutralize stomach acid. There are pros ; cons to each, so its not a question of which is best but which is best for you. Can take antacids 1 ; 3 hours after meals ; at bedtime. ...Read moreSee 1 more doctor answer
The answer...: ....To what will help with a distended abdomen depends entirely on the cause of the distention. Probiotics are helpful with a lot of digestive issues, if you take them regularly. The two meds you mention reduce stomach acid and are unlikely to help with distention. If this is happening often, look to your diet for a solution. This problem is often diet related. ...Read more
Why?: What are you trying to treat? If your symptoms are not controlled with one drug, it is time to see your doctor. ...Read more
Does Zantac (ranitidine) works for acid reflux? Would you recommend Zantac (ranitidine) for acid reflux?
Zantac (ranitidine) works 4 GERD: Zantac (ranitidine) was the leading drug in the world when introduced in the early 1980's to treat indigestion. Conventional prescription doses were 300mg twice daily. The drug is effective in suppressing acid, but when used longterm can promote tolerance (so that larger doses are needed over time to block acid). Current over-the-counter dosing is 75mgs. Take along with behavior & diet aimed at reducing gerd. ...Read moreSee 1 more doctor answer
PPI Choices: Nexium, dexilant, (dexlansoprazole) protonix, prilosec, Omeprazole are all in the family called proton pump inhibitors or ppis. In theory, all of these drugs should work equally well and most hospitals stock only one and interchange them. However, occasionally, there is the rare patient that responds to one better than others in the same ppi class. However, i consider the drugs therapeutically equivalent. ...Read more
Not at all: No they are all, as you said PPI's and appear to provide similar relief. Some are more expensive than others and drug companies would like you to believe their PPI works better than the generic. It is my belief that in general, you should stick with generic medications. Do not fall for the marketing hype. ...Read more