Doctor insights on:
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
Pt driven: There is no definitive answer here. The answer is patient driven. Both these meds are in the same class of PPI (Proton Pump Inhibitors) and are oth at 40mg. Some pateints may feel the nexium (esomeprazole) works better, whereas others feel the protonix does. Depending on what your insurance covers and which one makes you fee better is the one for you. Diet with avoidance of triggers is most important. ...Read more
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
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
Yes, but not for all: Protonix belongs to a class of antacid medication called proton-pump-inhibitor such as the famous purple pill, prilosec. Some examples: prilosec, nexium, prevacid, aciphex, dexilant, (dexlansoprazole) and protonix--they differ slightly, but generally have similar efficacy. One may work for one person, but not another. So, if it is not working for you, consult doc for a change. Good luck. ...Read more
Any interactions plaquenil methotrexate motrin800 Tylenol500 folic acid prilosec aspirin lopressor cartia imdur ambian singulair xyzal (levocetirizine) melatonin ?
Too many: You are taking so many drugs that it is difficult to tell whether drug interaction may occur. Even if you run a profile in Epocrates , it is impossible to tell whether a combination with another drug may lead to interaction. Thus you will require close monitoring by your doctor and be on the lookout for any adverse effects. ...Read more
Apples & oranges: Both medications are acid blockers, but their similarity ends there. Famotidine is an h2-receptor blocker that diminishes acid production, whereas Pantoprazole is a proton pump inhibitor that nearly extinguishes acid output. If you have acid reflux, less acid means better relief--so Pantoprazole would be a better rx choice. No drug is perfect, so discuss pros & cons of each drug with your doctor. ...Read more
Is Nexium (esomeprazole) 40mg Daily; stronger than the Prilosec 20mg daily? GERD is bad dr is switching from Prilosec 20mg, to Nexium (esomeprazole) 40mg. . . . .
Gerd: Yes. I think that taking Nexium40 mg may give you better releif ...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
The Purple Pill: It is one of the most widely prescribed medication in the world. It belongs to a class of medications called ppi's (proton pump inhibitors). It works by inhibiting proton pumps, a type of cells that produces acid, in a persons stomach. It is used to treat acid reflux, ulcers, h.Pylori bacteria infection, and is frequently used to treat stomach aches. It is very safe when used as prescribed. ...Read moreSee 1 more doctor answer
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