Doctor insights on:
Gerd Otc Medications
Do the ppi's such as Nexium (esomeprazole) and other prescription ppi's work to help laryngopharyngeal reflux?
Is there any over-the-counter acid reflux medicine stronger than Pepcid (famotidine) complete and prilose otc?
Sure...: Pepcid (famotidine) is an H2 blocker. That class of drugs relative to acid suppression is exceeded by the proton pump inhibitor (PPI) class, of which Prilosec was the first. Many subsequent PPI's have been introduced with longer durations of action. Although we can't endorse particular products on HealthTap, ask your pharmacist to recommend another PPI. Better yet, see your gastroenterologist for the right Rx. ...Read more
Depends on cause: Gerd (movement of stomach contents into esophagus) can result from: 1) inappropriate relaxation of lower esophageal sphincter, gastroparesis (sluggish stomach emptying, partial gastric outlet obstruction), ineffective esophageal peristalsis, inadequate salivary production. Limit consumption of: caffeine & fizzy drinks, dietary fats, tomato products, chocolate, tobacco, alcohol, bedtime snacks. ...Read more
Yes: Symptoms of gastroesophageal reflux disease occur when stomach acid contacts the lower esophagus. Over the counter antacids will neutralize this acid. Some OTC antacids are combined with medication that decreases the production of acid in the stomach making the combination more effective in reducing reflux symptoms. ...Read moreSee 11 more doctor answers
Will taking an OTC medicine such as Prilosec or zegerid interfere with prescription meds such as metformin?
Yes!: Several OTC medications can help with symptoms of chronic sinusitis, including: 1. Nasal saline irrigations to flush out mucus 2. Nasal saline spray to moisturize the nose 3. Nasal saline gel for moisturization 4. Nasal steroid sprays (currently Flonase and Nasacort) to reduce inflammation 5. "Cold meds" (antihistamines, mucus reducers, decongestants, and cough suppressants) depending on symptoms ...Read moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
Proton pump inhibito: Omeprazole belongs to the class of proton pump inhibitors. Other options include pantoprazole & lansoprazole among others (http://www.drugs.com/drug-class/proton-pump-inhibitors.html). A step down in strength are H2 blockers (http://www.drugs.com/drug-class/h2-antagonists.html). Basic start is calcium carbonate such as Tums & Rolaids. Of course, try lifestyle options 1st. http://goo.gl/s1Ukdf ...Read moreSee 1 more doctor answer
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
Is taking PPI like Nexium (esomeprazole) only solution for containing effects of chronic acid reflux?
OTC Meds & Addiction: Virtually all of the otc pain medications in the us do not activate the disease of addiction. While the otc pain medications may not activate addiction or cause physical dependence, they are still extremely dangerous if taken in excess and can cause liver and kidney failure and intestinal bleeding. Some countries like canada do have otc pain medications that can activate addiction (codeine). ...Read moreSee 3 more doctor answers