Doctor insights on:
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
Gastritis: Yes Nexium (esomeprazole) is a proton pump inhibitor designed to reduce acid production in stomach and facilitate healing of gastritis and ulcers. May want to be checked for h. Pylori, a bacteria associated with gastritis, ulcers and other stomach related issues. ...Read moreSee 1 more doctor answer
Need to see doctor: If you need all these medications, you need to consult a gastroenterologist. ...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
Erosive esophagitis : How long it takes for erosions in the esophagus to heal depends on how large they were to begin with. It can take that long, but they often heal more quickly. People often need to stay on Nexium (esomeprazole) even after erosions are healed, to prevent the GERD that caused the erosions in the first place. Many people need long-term maintenance medications. Good luck. ...Read more
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
Barrett's esophagus: Treating people with reflux may help prevent Barrett’s esophagus and esophageal cancer. Often, reflux is treated using drugs called proton pump inhibitors (PPIs), such as esomeprazole (Nexium®). Avoiding tobacco and alcohol, balanced diet and healthy body weight do help also. ...Read more
Marketing: Nexium (esomeprazole) and Prilosec are equivalent and have the same effect. The Nexium (esomeprazole) is a molecular modification which allows the pharm company to sell the drug as a new and more effective anti-acid. In fact the effect is the same and Prilosec (generic omeprazole) is far cheaper. Save your hard earned money. ...Read more
You can, but...: Carbonated soft drinks are acidic and contain caffeine, so they are bad at causing reflux from several points of view. If you were having reflux bad enough to require Nexium, you might want to consider stopping the soft drinks altogether. Good luck. ...Read moreSee 1 more doctor answer
Yes: They are safe to take together.Get a more detailed answer ›
For a short period: Like nearly all meds Prilosec has many side effects but it is well-tolerated by most. However, it is quite hazardous to take it for a prolonged period of time (more than a few months) as it can lead to very serious, even life-threatening side effects- see http://www.Naturalnews.Com/036336_ppis_acid_reflux_side_effects.Html. ...Read moreSee 1 more doctor answer
Yes for a short time: Geri-lanta (aluminum/magnesium/simethecone) is indicated for upset stomach, heartburn bloating/gas. It works on neutralizing acid in the stomach. Prilosec(omeprazole) suppress acid production.Take ger-lanta after meals/at bedtime as needed for 1-2 weeks and Prilosec 30 minutes before breakfast for at most 2 weeks. If symptoms persist/worsen see a doctor. Side effects headache/diarrhea/constipation. ...Read more
You can: The two medicines work in a different way but for the same purpose . I would not recommend for you to take both of them since you can take care of your problem with one of them whether you have gerd , peptic ulcer disease . There is step up and step down approach of treatment for GI condition the two medications are used . Omeprazole is stronger and more effective then Pepcid (famotidine) . Try Pepcid (famotidine) first. ...Read more
It is pretty quick: Prilosec is a potent ppi drug which stops production of stomach acid within a matter of 2-3 hours. So in that regard you should have relief of acid symptoms within one or two days but you have to continue taking it for several days to 6-8 weeks depending on your symptoms., to obtain maximum benefit. ...Read more
PPI: This medication is a proton pump inhibitor and at its max effectiveness it will inhibit 66% of your acid secretion after five days. This medication is not useful to take on as needed basis, and if you do so, it can cause rebound acidity. In short, five days for it to start working at it's peak potential. ...Read more
Varies: The usual adult dosage of prilosec for duodenal ulcer is 20 mg orally once a day for 4 weeks. For other conditions the recommended dose may vary. The usual adult dose for Zollinger-Ellison Syndrome is initial dose of 60 mg orally once a day up to a maximum dose of 360 mg/day (as 120 mg orally 3 times a day). So a more complete history & exam are needed to answer this question for your case. ...Read more
GERD: Yes. Of course.Get a more detailed answer ›
Depends on symptoms: but usually 2-3 days, with maximal effect by 2-3 weeks ...Read more
It is OK: no problem with the amount of medicine you took ...Read more
Usually not exactly: Patients should try to take the pills 12 hours apart, but in real life, people probably take them 10-14 hours apart. If a patient's doctor feels taking the pills exactly 12 hours apart is very important for that particular patient, she can follow the doctor's recommendations and set her alarm for 12 hours apart. ...Read more
If cutting back from two Prilosec tablets to one a day, is it best to take it in the morning or evening?
Am or pm: When do you most commonly have your symptoms - during the day or in the evening? Do you have any untoward side effects of Prilosec like tiredness? What time of day is it most likely that you would remember to take it? What did you doctor advise? Did md advise dropping the dose? ...Read more
Is it considered a dangerous overdose if I take my perscription Prilosec 20 mg 3 times a day instead of once?
Likely fine...: ... If just done once or twice. If you're using more of it because your symptoms aren't controlled with the prescribed dose, you should definitely let your doctor know. ...Read more